Transplantations: Implications of the Heart Transplantation Process for Rehabilitation Counselors

1992 ◽  
Vol 23 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Rick Houser ◽  
Varda Konstam ◽  
Marvin Konstam
Keyword(s):  
Heart Transplantation ◽  
Heart Transplant ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Rehabilitation Process ◽  
Rehabilitation Professionals ◽  
The Past ◽  
Effective Role ◽  
Medical Advances ◽  
Transplant Complications

There have been remarkable medical advances over the past two decades and these advances have impacted upon the rehabilitation counselor's approach to working with people with disabilities. One area in which impressive and exciting advances have occurred has been in organ transplantation, including heart transplantation. Rehabilitation counselors can play an effective role in the rehabilitation of those who have gone through the heart transplantation process. Having knowledge of the medical, psychological and vocational implications of heart transplantation, rehabilitation professionals can facilitate return to work through the rehabilitation process. In this article the medical aspects of the heart transplant; complications; functional limitations; psychological implications; and vocational implications are discussed.

The Rehabilitation Counselor's Role in the Sexual Adjustment of the Handicapped Client: The Need for Trained Professionals

1980 ◽  
Vol 11 (4) ◽  
pp. 173-178 ◽  
Author(s):  
Thomas-Robert H. Ames ◽  
Pamela S. Boyle
Keyword(s):  
Rehabilitation Counselors ◽  
Sexual Adjustment ◽  
Rehabilitation Process ◽  
Mentally Disabled ◽  
Rehabilitation Professionals ◽  
Sexuality Counseling ◽  
Counseling Model ◽  
Sexual Feelings

Sexual feelings and needs of disabled individuals have frequently been ignored during the rehabilitation process by rehabilitation professionals. Sexuality is now identified as an integral part of every persons life. This includes the physically and mentally disabled. Rehabilitation counselors have a responsibility to provide sexuality counseling and education to their clients within the rehabilitation framework. This article suggests ways that rehabilitation counselors can prepare themselves to respond to their clients' sexual questions, concerns and needs. A very practical counseling model is outlined and a list of resources is provided.

Lessons Learned by Rehabilitation Counselors and Physicians in Services to COVID-19 Long-Haulers: A Qualitative Study

2021 ◽  
pp. 003435522110600
Author(s):  
Jasin Wong ◽  
Angelika Kudla ◽  
Tri Pham ◽  
Nnaemezie Ezeife ◽  
Deborah Crown ◽  
...  
Keyword(s):  
Functional Limitations ◽  
Work Capacity ◽  
Lessons Learned ◽  
Rehabilitation Counselors ◽  
Outpatient Rehabilitation ◽  
Persons With Disabilities ◽  
Rehabilitation Professionals ◽  
Rehabilitation Centers ◽  
Limited Health ◽  
Certified Rehabilitation Counselors

Coronavirus disease (COVID-19) may cause long-lasting adverse consequences after acute recovery, including functional limitations and reduced work capacity. Individuals with long-lasting complications of COVID-19 are known as long-haulers. There is a knowledge gap on how COVID-19 complications affect return-to-work (RTW) efforts. We aimed to describe the challenges that long-haulers encounter when RTW from the perspectives of rehabilitation professionals. In this study, four certified rehabilitation counselors and four rehabilitation physicians in outpatient rehabilitation centers participated in focus groups. Participants discussed challenges in working with long-haulers, including personal attributes, post-COVID-19 symptoms and complications, uncertain recovery and unpredictable outcomes, limited health care accessibility and support, and unsupportive work environments. Participants provide individualized services to meet long-haulers’ diverse needs as they do for all persons with disabilities, although they expressed uncertainty due to the variable disease course and risk of infection. Modifying workplace policies, especially gradual RTW, were frequently mentioned accommodations. The findings highlight the RTW issues of long-haulers. We provide recommendations on increasing awareness of the challenges and job accommodations of long-haulers.

Counseling Interventions

1984 ◽  
Vol 15 (3) ◽  
pp. 15-19 ◽  
Author(s):  
Kenneth R. Thomas ◽  
Randall M. Parker
Keyword(s):  
Career Counseling ◽  
Rehabilitation Counseling ◽  
Research Literature ◽  
Rehabilitation Counselors ◽  
Review Of The Literature ◽  
Rehabilitation Process ◽  
Psychosocial Counseling ◽  
The Core ◽  
The Past ◽  
Counseling Interventions

To gain professional stature, rehabilitation counselors (RCs) have promoted the viewpoint that rehabilitation counseling is unique and different from generic counseling. The research literature reflects a concomitant trend in the continuous erosion over the past 15 years of the counseling function. The necessity of a re-emphasis on counseling is presented along with a review of the literature on basic considerations in counseling, career counseling, and psychosocial counseling. Finally, a call is made for renewed emphasis on the core of the rehabilitation process-counseling.

Implications of Research from the Human Genome Project for Rehabilitation Counselors

1996 ◽  
Vol 27 (2) ◽  
pp. 3-7
Author(s):  
Rick Houser ◽  
Marilyn Lash
Keyword(s):  
Human Genome ◽  
Human Genome Project ◽  
Genetic Information ◽  
Genetic Research ◽  
Genome Project ◽  
Rehabilitation Counselors ◽  
Persons With Disabilities ◽  
The Past ◽  
The Human Genome Project ◽  
Medical Advances

Technological and medical advances have been dramatic over the past several years; particularly impressive have been advances in biotechnology and genetic research. The implications of genetic research as they relate to persons with disabilities are discussed. Additionally, historical and current problems with the use of genetic information are addressed. Finally, the role rehabilitation counselors can play as advocates for people with disabilities in the implementation of research results from the Human Genome Project is presented.

scholarly journals Addressing the changing rehabilitation needs of patients undergoing thoracic surgery

2021 ◽  
Vol 18 ◽  
pp. 147997312199478
Author(s):  
Daniel Langer
Keyword(s):  
Thoracic Surgery ◽  
Functional Limitations ◽  
Pulmonary Complications ◽  
Current Evidence ◽  
Outpatient Rehabilitation ◽  
Special Focus ◽  
Rehabilitative Treatment ◽  
The Past ◽  
Hospitalization Period ◽  
Rehabilitation Needs

The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

scholarly journals Recent advances in lung transplantation

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1684 ◽  
Author(s):  
Keith C Meyer
Keyword(s):  
Lung Transplantation ◽  
Primary Graft Dysfunction ◽  
Graft Dysfunction ◽  
Donor Pool ◽  
Post Transplant ◽  
Antibody Mediated Rejection ◽  
The Past ◽  
End Stage ◽  
Transplant Complications

Lung transplantation can improve quality of life and prolong survival for individuals with end-stage lung disease, and many advances in the realms of both basic science and clinical research aspects of lung transplantation have emerged over the past few decades. However, many challenges must yet be overcome to increase post-transplant survival. These include successfully bridging patients to transplant, expanding the lung donor pool, inducing tolerance, and preventing a myriad of post-transplant complications that include primary graft dysfunction, forms of cellular and antibody-mediated rejection, chronic lung allograft dysfunction, and infections. The goal of this manuscript is to review salient recent and evolving advances in the field of lung transplantation.

Adelaide's Heart Transplant 1970–88: 1. Creation, Transfer, and Capture of ‘Value’ within the Built Environment

1992 ◽  
Vol 24 (2) ◽  
pp. 215-241 ◽  
Author(s):  
B A Badcock
Keyword(s):  
Monetary Policy ◽  
Built Environment ◽  
Heart Transplant ◽  
Value Creation ◽  
Development Programme ◽  
Property Market ◽  
Housing Investment ◽  
The Past ◽  
Residential Capital ◽  
Fiscal And Monetary Policy

The circulation of capital within the built environment, as first formalised by Harvey in 1978, is treated empirically via an analysis of residential capital formation and the transfer of value within the Adelaide Metropolitan Area, in the period 1970–88. Operational concepts of value ‘creation’, ‘transfer’, and ‘capture’ are defined before estimates of housing investment and its redistribution through the medium of the urban property market are derived. These are imputed for eight subregions of Adelaide. It is suggested that the chief beneficiaries from the ‘capture’ of value during the past two decades have been the Inner Adelaide suburbs and homeowners; hence the implication of Adelaide's ‘heart transplant’. Harvey's ‘framework for analysis’ and more particularly his account of the timing and patterning of (dis)investment within the built environment are then evaluated in light of Adelaide's experience between 1970 and 1988. It is decided that urban investment trends and patterns cannot be properly understood without giving much greater deference to fiscal and monetary policy together with the state's urban development programme than Harvey is prepared to in his analysis.

scholarly journals A 6-YEAR EXPERIENCE OF HEART TRANSPLANTATION IN FEDERAL ALMAZOV NORTH-WEST MEDICAL RESEARCH CENTRE

2017 ◽  
Vol 18 (4) ◽  
pp. 33-42 ◽  
Author(s):  
E. V. Shlyakhto ◽  
M. L. Gordeev ◽  
M. A. Karpenko ◽  
G. V. Nikolaev ◽  
A. S. Gnevashev ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Medical Research ◽  
Heart Transplant ◽  
Graft Loss ◽  
Research Centre ◽  
Tricuspid Valve Repair ◽  
North West ◽  
Transplant Candidates ◽  
Batista Procedure ◽  
High Level

Aim. To estimate the results of 6-year experience of heart transplantation (HT) in Federal Almazov North-West Medical Research Centre. Methods. From 2010 to 2015 we have performed 65 HT. Mean age was 44.3 ± 14 years old (from 10 to 64 years old). We used biventricular assist device (BIVAD, Berlin Heart Excor) support in 7 heart transplant candidates before HT. 19 patients (29%) received thymoglobulin, whereas 46 patients (71%) had basiliximab to induce immunosuppression.Results.Extracorporeal membrane oxygenation machines were implanted in 5 patients (7.7%) after HT due to acute right ventricular failure. Suture annuloplasty (the Batista procedure) for tricuspid valve repair was carried out in 3 cases (4.6%). Venovenous hemodiafi ltration was used in 11 patients (16.9%). A total of 598 endomyocardial biopsies (EMB) were performed after HT. Evidence of cellular rejection (R1 and R2) was presented in 286 biopsies (48%). The 30-day in-hospital mortality rate was 3.1%. The 6-month survival rate after HT was 92%, 1-year – 91% and overall survival for the 6-year period of observation – 89.2%. Maximum observation period was 71 months.Conclusions.The 6-year experience of HT in our Center has shown a high level of survival. BIVAD Excor support can be effectively used as a «bridge» to HT. Prevention of graft loss due to acute rejection in heart transplant recipients can be achieved only through regular EMB monitoring. The rate of viral infection increased in 2 months after HT.

scholarly journals SEXUAL DISORDERS AFTER HEART TRANSPLANT

2020 ◽  
Vol 73 (10) ◽  
pp. 2277-2281
Author(s):  
Kamila Fuczyło ◽  
Magdalena Piegza ◽  
Robert Pudlo
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Heart Transplantation ◽  
Heart Transplant ◽  
Sexual Disorders ◽  
State Of Health ◽  
Review Of The Literature ◽  
Pubmed Database

The aim: To systematize and bring the reader closer to knowledge about the occurrence of sexual disorders in people after heart transplantation based on available bibliography. Material and methods: A review of the literature on this topic from the last 30 years made with using the PubMed database, using a total of 17 articles. Conclusions: The incidence of sexual dysfunction (SD) is higher in heart recipients than in the general population and erectile dysfunction is the most common. When the symptoms of dysfunction occur before the transplant – they do not improve, rather they get worse, which reduces the improvement in the quality of life of these patients compared to patients without sexual dysfunction. Improvement in quality of life is observed in patients with SD after heart transplantation, but not as pronounced as in subjects without sexual dysfunction. Some patients notice an increase in libido, with the genital response being insufficient or completely disappearing, which results in a decrease in the quality of relationships between partners and a deterioration in the quality of life. The cause of SD in heart recipients is unclear, but it is associated with the type of immunosuppression used, the level of sexual activity and the state of health of patients prior to transplantation. Nowadays patients after ortotrophic heart transplant live longer and their quality of life improves, but not in sexual terms. The articles concerned almost exclusively men, that is why the topic requires exploration in subsequent research.

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