scholarly journals Patient with sickle cell anemia: reflection in the light of medical anthropology

2020 ◽  
Vol 8 (1) ◽  
pp. 96-108
Author(s):  
Aniandra Sgarbi ◽  
Indiana Ludwig ◽  
Rodrigo Guimarães dos Santos Almeida ◽  
Abílio Torres dos Santos Neto ◽  
Délia Esmeire Paredes ◽  
...  
Keyword(s):  
Medical Anthropology ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Cultural Context ◽  
Social Psychological ◽  
Patient Centered ◽  
Cultural Aspects ◽  
Centered Care ◽  
Biological Event ◽  
The Individual

This work aimed to approach Sickle Cell Anemia from the standpoint of medical anthropology, from the perspective of health, disease and culture, not only addressing the disease as a biological event, but also other socio-cultural aspects of the individual. This is a descriptive, theoretical-reflexive analysis-type study. Seeking to know the disease, its treatment and complications within the socio-cultural context are important to contribute to possible changes in the perspective with the individual regarding this morbidity. Having the field of public health in development, an approach beyond the technical molds for the treatment of diseases, a multidisciplinary approach is needed to meet the needs of the population, to provide patient-centered care for their social, psychological and cultural context.

scholarly journals Sickle cell disease pain management and the medical home

Hematology ◽  
2013 ◽  
Vol 2013 (1) ◽  
pp. 433-438 ◽  
Author(s):  
Jean L. Raphael ◽  
Suzette O. Oyeku
Keyword(s):  
Pain Management ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Medical Home ◽  
Cost Effective ◽  
Cell Disease ◽  
Patient Centered ◽  
Centered Care ◽  
The Individual ◽  
Effective Models

Pain is the most common cause for hospitalization and acute morbidity in sickle cell disease (SCD). The consequences of SCD-related pain are substantial, affecting both the individual and the health care system. The emergence of the patient-centered medical home (PCMH) provides new opportunities to align efforts to improve SCD management with innovative and potentially cost-effective models of patient-centered care. The Department of Health and Human Services has designated SCD as a priority area with emphasis on creating PCMHs for affected patients. The question for patients, clinicians, scientists, and policy-makers is how the PCMH can be designed to address pain, the hallmark feature of SCD. This article provides a framework of pain management within the PCMH model. We present an overview of pain and pain management in SCD, gaps in pain management, and current care models used by patients and discuss core PCMH concepts and multidisciplinary team–based PCMH care strategies for SCD pain management.

Sickle cell disease pain management and the medical home

Hematology ◽  
2013 ◽  
Vol 2013 (1) ◽  
pp. 433-438 ◽  
Author(s):  
Jean L. Raphael ◽  
Suzette O. Oyeku
Keyword(s):  
Pain Management ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Medical Home ◽  
Cost Effective ◽  
Cell Disease ◽  
Patient Centered ◽  
Centered Care ◽  
The Individual ◽  
Effective Models

Abstract Pain is the most common cause for hospitalization and acute morbidity in sickle cell disease (SCD). The consequences of SCD-related pain are substantial, affecting both the individual and the health care system. The emergence of the patient-centered medical home (PCMH) provides new opportunities to align efforts to improve SCD management with innovative and potentially cost-effective models of patient-centered care. The Department of Health and Human Services has designated SCD as a priority area with emphasis on creating PCMHs for affected patients. The question for patients, clinicians, scientists, and policy-makers is how the PCMH can be designed to address pain, the hallmark feature of SCD. This article provides a framework of pain management within the PCMH model. We present an overview of pain and pain management in SCD, gaps in pain management, and current care models used by patients and discuss core PCMH concepts and multidisciplinary team–based PCMH care strategies for SCD pain management.

scholarly journals Clinical Lycanthropy, Neurobiology, Culture: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Sélim Benjamin Guessoum ◽  
Laelia Benoit ◽  
Sevan Minassian ◽  
Jasmina Mallet ◽  
Marie Rose Moro
Keyword(s):  
Systematic Review ◽  
Evaluation System ◽  
Psychotic Disorders ◽  
Right Hemisphere ◽  
Case Reports ◽  
Future Research ◽  
Patient Centered ◽  
Efficient Treatment ◽  
Cultural Aspects ◽  
Centered Care

Background: Culture can affect psychiatric disorders. Clinical Lycanthropy is a rare syndrome, described since Antiquity, within which the patient has the delusional belief of turning into a wolf. Little is known on its clinical or therapeutic correlates.Methods: We conducted a systematic review (PRISMA) on PubMed and Google Scholar, until January 2021. Case reports, data on neurobiological hypotheses, and cultural aspects were included. Language was not restricted to English.Results: Forty-three cases of clinical lycanthropy and kynanthropy (delusion of dog transformation) were identified. Associated diagnoses were: schizophrenia, psychotic depression, bipolar disorder, and other psychotic disorders. Antipsychotic medication may be an efficient treatment for this rare transnosographic syndrome. In case of depression or mania, the treatment included antidepressants or mood regulators. The neuroscientific hypotheses include the conception of clinical lycanthropy as a cenesthopathy, as a delusional misidentification of the self-syndrome, as impairments of sensory integration, as impairments of the belief evaluation system, and right hemisphere anomalies. Interestingly, there is a clinical overlap between clinical lycanthropy and other delusional misidentification syndromes. Clinical lycanthropy may be a culture-bound syndrome that happens in the context of Western cultures, myths, and stories on werewolves, and today's exposure to these narratives on cultural media such as the internet and the series. We suggest the necessity of a cultural approach for these patients' clinical assessment, and a narrative and patient-centered care.Conclusions: Psychiatric transtheoretical reflections are needed for complementaristic neurobiological and cultural approaches of complex delusional syndromes such as clinical lycanthropy. Future research should include integrative frameworks.

Technology Integration: The Role of the Diabetes Care and Education Specialist in Practice

2020 ◽  
Vol 46 (4) ◽  
pp. 323-334 ◽  
Author(s):  
Diana Isaacs ◽  
Carla Cox ◽  
Kathy Schwab ◽  
Tamara K. Oser ◽  
Joanne Rinker ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Technology Use ◽  
Technology Implementation ◽  
Population Level ◽  
Patient Centered ◽  
Diabetes Technology ◽  
Centered Care ◽  
Continuous Glucose Monitors ◽  
The Individual

Purpose Technology is rapidly evolving and has become an integral component of diabetes care. People with diabetes and clinicians are harnessing a variety of technologies, including connected blood glucose meters, continuous glucose monitors, insulin pumps, automated insulin delivery systems, data-sharing platforms, telehealth, remote monitoring, and smartphone mobile applications to improve clinical outcomes and quality of life. Although diabetes technology use is associated with improved outcomes, this is enhanced when the person using it is knowledgeable and actively engaged; simply wearing the device or downloading an app may not automatically translate into health benefits. The diabetes care and education specialist (DCES) has a central role in defining and establishing a technology-enabled practice setting that is efficient and sustainable. The purpose of this article is to describe the role of the DCES in technology implementation and to demonstrate the value of diabetes technology in both the care of the individual and as a tool to support population-level health improvements. Conclusion By following the recommendations in this article, DCESs can serve as technology champions in their respective practices and work to reduce therapeutic inertia while improving health outcomes and providing patient-centered care for the populations they serve.

scholarly journals Treating without Seeing: Pain Management Practice in a Thai Context

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Manaporn Chatchumni ◽  
Ampaporn Namvongprom ◽  
Henrik Eriksson ◽  
Monir Mazaheri
Keyword(s):  
Pain Management ◽  
Postoperative Care ◽  
Cultural Context ◽  
Management Practice ◽  
Patient Comfort ◽  
Patient Centered ◽  
Nursing Culture ◽  
Surgical Ward ◽  
Centered Care ◽  
Ethnographic Methodology

Pain management is a core nursing function, and it plays a key role in postoperative care. It is important to understand the cultural context of nursing practices and how this affects effective pain management. The aim of this study was to describe the professional and cultural framework within which pain management is practiced on a Thai surgical ward. Spradley’s ethnographic methodology was used. Data were collected through 98.5 hours of field observations and interviews at a surgical ward in Thailand. Three themes were constructed that describe the way Thai nurses practiced pain management: (i) complex communications system to address pain and to respond to it, (ii) the essence of Thai-ness, and (iii) a passive approach to pain management. The results indicate that, in the response to discomfort and pain, better pain management will result if there is a shift from functional to patient-centered care. The nursing culture needs to be further researched and discussed, in order to set priorities in line with the goals of national and international organizations for improving postoperative care and promoting patient comfort.

Psychology: Volume 2

2019 ◽  
Keyword(s):  
Cultural Context ◽  
Social Processes ◽  
Cross Cultural ◽  
Indian Society ◽  
Social Aspects ◽  
Social Psychological ◽  
The Social ◽  
Religion And Media ◽  
The Individual ◽  
Social Psychological Perspective

This survey of research on psychology in five volumes is a part of a series undertaken by the ICSSR since 1969, which covers various disciplines under social science. Volume Two of the survey, Individual and the Social: Processes and Issues, not only summarizes research in emerging areas of social psychology but also offers innovative theorization connecting self and collective. It considers a cultural and developmental perspective on the development of sociality in an interdisciplinary context. As revealed by the cross-cultural and cultural-psychological investigations, the meanings and practices constituting culture are critical to the way the notions of self and identity are formed and connect with social aspects of life. With this in view, the contributions to this volume focus on the developments in the study of personality formation and social psychological processes. Going beyond the prevailing individual-centric view, the seven chapters comprising this volume try to capture the developments in the study of personality, socialization, media influence, family dynamics, and religion from a social-psychological perspective. It also contextualizes the process of socialization in India. It analyses how discourses like family, religion, and media contribute to the psychological development of an individual as a member of the contemporary Indian society. It also integrates the different ways in which personality and identity are understood in contemporary psychological discourse. Additionally, it analyses the interdependence between the individual and the collective. Taken together, the contributors discuss prominent studies of processes and issues pertaining to the connection between the individual and his/her socio-cultural context.

scholarly journals Socio-cultural determinants of meal size and frequency

1997 ◽  
Vol 77 (S1) ◽  
pp. S39-S55 ◽  
Author(s):  
John M. De Castro
Keyword(s):  
Energy Intake ◽  
Cultural Context ◽  
Meal Size ◽  
Social Psychological ◽  
Average Amount ◽  
The Social ◽  
Cultural Determinants ◽  
Physical Variables ◽  
The Individual ◽  
The Impact

Total energy intake and the frequency and size of meals are profoundly influenced by the socio-cultural context in which it occurs. Simply eating with one other person increases the average amount ingested in meals by 44% and with more people present the average meal size grows even larger. The impact of social facilitation of energy intake on the individual appears to result from genetic effects both on the individuals' sensitivity to the presence of other people and also on the number of other people an individual tends to eat with. Culture markedly affects the choice of foods in the diet and the pattern of meals over the day. However, many of the social, psychological and physical variables that influence intake are similar across cultures.

scholarly journals Interpreting Patient-Reported Outcome Measures

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Keith Meadows
Keyword(s):  
Outcome Measures ◽  
Subjective Experience ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Interpretive Phenomenology ◽  
Patient Centered ◽  
Patient Reported ◽  
Generic Qualitative ◽  
Centered Care ◽  
The Individual

Patient-reported outcome measures (PROMs) are valued in healthcare evaluation for bringing patient perspectives forward, and enabling patient-centered care. The range of evidence permitted by PROMs to measure patients’ quality of life narrowly denies subjective experience. This neglect is rooted in the epistemic assumptions that ground PROMs, and the tension between the standardization (the task of measurement) and the individual and unique circumstances of patients. To counter the resulting methodological shortcomings, this article proposes a hermeutical approach and interpretive phenomenology instead of generic qualitative research methods.

The Individual Mandate and Patient-Centered Care

JAMA ◽  
2011 ◽  
Vol 306 (6) ◽  
Author(s):  
Scott A. Berkowitz ◽  
Edward D. Miller
Keyword(s):  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
Individual Mandate ◽  
The Individual

scholarly journals Challenges of Communication Skills Transfer of Medical Students in the Cultural Context of Indonesia

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Mora Claramita ◽  
Yayi Suryo Prabandari ◽  
Abraham Graber ◽  
Albert J. J. Scherpbier
Keyword(s):  
Medical Students ◽  
Group Dynamics ◽  
Cultural Context ◽  
Communication Style ◽  
Communication Styles ◽  
Patient Centered ◽  
Skills Transfer ◽  
Student Centered ◽  
Teacher Student ◽  
Centered Care

Medical schools worldwide are promoting a student-centered and patient-centered care curriculum by using problem-based learning (PBL) strategy, emphasizing group dynamics and discussions. This approach facilitates student engagement, participation, and partnership interaction. However, in the context of the wide power-distance or the existence of socio-hierarchical gaps in Indonesia, two-way dialogue is limited. Few studies describe the one-way paternalistic communication styles between physician-patient, teacher-student, and parents-children, which can lead to less effective learning and healthcare environments. In this study, we investigated if students in an Indonesian medical school, who have been learning and practicing a partnership style of communication in a PBL curriculum for three years, are using the same style of communication with their junior peers outside the classroom. We examined the communication style between senior and new medical students, using surveys, observations, and focus group discussions, during a three-day orientation at the beginning of medical education. The results indicated that senior students used a one-sided communication style with their juniors, whereas new students expressed the need for egalitarian interaction with seniors. A classic dilemma of nature versus nurture was found and discussed. To change the traditional values, robust, constructive, and systematic formative training is key.

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