Individual self-care and lay care provided by others

2018 ◽  
pp. 35-44
Author(s):  
Anne Rogers ◽  
Heather Elliott
Keyword(s):  
Self Care ◽  
Lay Care ◽  
Individual Self

Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure

2019 ◽  
Vol 42 (3) ◽  
pp. 157-164
Author(s):  
Jan Warren-Findlow ◽  
Lisa M. Krinner ◽  
Erin Vinoski Thomas ◽  
Maren J. Coffman ◽  
Benjamin Gordon ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Assessment Tool ◽  
Self Care ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Cumulative Effects ◽  
Cross Sectional ◽  
Partial Correlations ◽  
Valid Assessment ◽  
Individual Self

New recommendations for hypertension (HTN) diagnosis and treatment highlight the role of self-care activities in managing blood pressure (BP). This cross-sectional study investigated the predictive validity of the Hypertension Self-Care Activity Level Effects (H-SCALE) measure and examined the relative and cumulative effects of HTN self-care adherence on BP. We pooled baseline data from three studies ( N = 79), resulting in a gender and racially balanced sample. Partial correlations determined the relative effects of individual self-care behaviors on BP. We modeled the relationship between adherence to self-care behaviors and BP control using logistic regression. Physical activity had the greatest correlation with systolic BP. Adherence to each additional self-care behavior increased the odds of systolic BP control by 88% (95% confidence interval (CI) = [1.20, 2.96]) and diastolic BP control by 74% (95% CI = [1.10, 2.75]). Results provide further evidence that the H-SCALE is a valid assessment tool and should be adopted by clinicians to aid in improving BP management.

scholarly journals Just Moments: A Letter to Dr Peter Erickson

2019 ◽  
Vol 33 (8) ◽  
pp. 1104-1106
Author(s):  
Paul E. Terry
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Population Health ◽  
Self Care ◽  
Well Being ◽  
Improve Population Health ◽  
Care Practices ◽  
The Moment ◽  
Individual Self

Practicing mindfulness is usually characterized as being “in the moment” and is most often associated with an effort to manage individual illness, stress, or well-being. This editorial memorializes my dear friend Pete Erickson who was an exemplar to making every moment count. But more importantly, moments he made with others were “just moments” in service to his community, moments that made others experience their community and their health system as more just places. In defining “just moments,” I cite the paper “Collective Well-being to Improve Population Health Outcomes” where the authors argued that well-being is a function of a group and that domains such as “connectedness” and “contribution” may have as much to do with well-being as does our usual focus on individual self-care practices.

Sustaining Self-Care and Thriving as a Private Practitioner

2017 ◽  
pp. 576-590
Author(s):  
Patricia A. Rupert ◽  
Ellen K. Baker
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Private Practice ◽  
Self Care ◽  
Well Being ◽  
Care Plan ◽  
Self Awareness ◽  
Care Needs ◽  
Health Service Providers ◽  
Individual Self

The importance of self-care for the well-being and professional functioning of mental health service providers has been increasingly recognized. Emphasizing a proactive, prevention-oriented approach, this chapter offers practical ideas and guidance on self-care for mental health professionals in private practice. The demands and rewards of private practice, as well as the challenges of making and sustaining a commitment to self-care, are discussed. An approach to developing a self-care plan is presented. This approach uses an organizing framework that views self-awareness, work-life balance, and connections as critical goals of self-care. Each of these areas is discussed in detail, with examples of ways to integrate self-care into daily life and questions to consider in assessing individual self-care needs, identifying resources, and planning for self-care. The importance of viewing self-care as a process and paying attention to evolving self-care needs and opportunities is emphasized.

scholarly journals Self-Care and Pathophysiological Function in Patients with Chronic Heart Failure

2019 ◽  
Vol 26 (6) ◽  
pp. 629-644 ◽  
Author(s):  
Dionne Kessing ◽  
Johan Denollet ◽  
Jos Widdershoven ◽  
Nina Kupper
Keyword(s):  
Medication Adherence ◽  
Sodium Intake ◽  
Self Care ◽  
Fluid Restriction ◽  
Regular Exercise ◽  
Random Intercept ◽  
Hematological Markers ◽  
Within Subjects ◽  
The Individual ◽  
Individual Self

Abstract Background Self-care is assumed to benefit physiological function associated with prognosis in patients with chronic HF, but studies examining these relations are lacking. This study aims to prospectively examine the association of self-reported HF self-care with HF-associated pathophysiological markers, including renal, hematological, and immune function. Method Patients with chronic HF (n = 460, 66.2 ± 9.6 years, 75% men) completed questionnaires and provided blood samples at baseline and 12-month follow-up. Linear mixed models examined random intercept and fixed between- and within-subjects effects of global self-care and the individual self-care behaviors on log-transformed TNF-α, IL-6, and IL-10, the glomerular filtration rate of creatinine (GFRcreat), and hemoglobin (Hb), controlling for sociodemographic and clinical covariates. Results Self-care was independently associated with lower GFRcreat levels (β = − .14, P = .023) and improvement in self-care with a reduction in GFRcreat (β = − .03, P = .042). Individual self-care behaviors were differentially associated with renal, inflammatory, and hematological markers. Regular exercise was associated with level differences in IL-6 (P < .001), and improvement in exercise was associated with increasing GFRcreat (P = .002) and increasing Hb (P = .010). Fluid restriction was associated with lower overall GFRcreat (P = .006), and improvement in fluid restriction was associated with decreasing GFRcreat (P = .014). Low-sodium intake was associated with lower levels of Hb (P = .027), lower TNF-alpha (P = .011), and lower IL-10 (P = .029). Higher levels of medication adherence were associated with reduced pro-inflammatory activation (P < .007). Conclusion Our findings suggest that better global self-care was associated with poorer renal function. Performing self-care behaviors such as regular exercise and medication adherence was associated with improved physiological functioning, while restriction of fluid and sodium, and the associated daily weight monitoring were associated with adverse levels of pathophysiological biomarkers.

scholarly journals MAIN CAREGIVER’S EXPERIENCE IN MEETING SELF-CARE NEEDS AMONG ADOLESCENTS WITH ASD IN PONTIANAK MUNICIPALITY, WEST BORNEO, INDONESIA: A QUALITATIVE STUDY

2017 ◽  
Vol 3 (4) ◽  
pp. 316-328
Author(s):  
Lilis Lestari ◽  
Elisabeth Siti Herini ◽  
Indria Laksmi Gamayanti
Keyword(s):  
Developmental Disorders ◽  
Self Care ◽  
Autism Spectrum ◽  
Care Needs ◽  
Complex Disorder ◽  
Field Notes ◽  
Individual Self ◽  
Voice Recorder ◽  
Depth Interviews ◽  
Adolescents With Asd

Background: Autism spectrum disorder (ASD) is a complex developmental disorder, increasing in number, faster than that of other developmental disorders in the world. This complex disorder affects a child’s self-autonomy, which is important for individual self-care.Objective : This study is to explore main caregivers’ experience to meet self-care needs among adolescents with ASD in Pontianak, West Borneo, Indonesia.Methods: Qualitative semi-structured in-depth interviews were done with 7 main caregivers that have lived together and taken care of the adolescents with ASD in Pontianak Municipality, West Borneo Province. Sampling was taken with purposive sampling (maximum variation). Source (interviews) and method (observations of self-care activities and documents like photos, learning reports and field notes) triangulations were taken on 1 participant and 7 autistic adolescents. Participants’ statements were recorded by using a voice recorder, and then transcribed, coded, interpreted, and categorized in order that sub-topics and main topics could be formed.Results: The study identified five main topics: i.e., 1) Autonomy in self-care; 2) Care effort; 3) Feelings, support, and expectations. Three findings of the study emphasize the potentials of children with autism to be autonomous in daily self-care.Conclusions: Adolescents with ASD can potentially meet the needs of their daily care independently.

Self-Care and the Surgeon

2019 ◽  
pp. 34-42
Author(s):  
Timothy R. Siegel
Keyword(s):  
Compassion Fatigue ◽  
Self Care ◽  
Well Being ◽  
Self Awareness ◽  
Physician Burnout ◽  
Negative Effects ◽  
Workplace Stressors ◽  
Associated Risk Factors ◽  
Individual Self ◽  
Institutional Engagement

Physician burnout in general, and surgeon burnout in particular, can have profound negative effects on individual practitioners, their patients, and healthcare systems. This chapter defines the terms physician burnout and compassion fatigue, including their associated risk factors, prevalence, and effects on physician well-being, patient care, and patient outcomes. Strategies for dealing with burnout, with emphasis on individual and workplace stressors, are reviewed. Individual self-care techniques, including self-awareness and mindfulness mediation, are emphasized. Institutional engagement around this issue is discussed, and recommendations for undergraduate and graduate medical education curriculum development are made. A summary of the benefits of attention to burnout and self-care is provided.

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