scholarly journals Being a caregiver in the palliative care unit in the pandemic: Who can do it better?

2021 ◽  
Keyword(s):  
Palliative Care ◽  
Palliative Care Unit ◽  
Single Male ◽  
Infection Transmission ◽  
Palliative Care Units ◽  
Level Of Knowledge ◽  
High Level ◽  
The Relationship ◽  
Level Of Agreement

Background: During the Coronavirus Disease-2019 (COVID-19) pandemic, palliative care units and nursing homes became risky in terms of infection transmission. The measures that are taken in the general population have also been strictly applied for caregivers. However, to achieve success, the personal compliance of the caregivers is as important as setting the rules. Objectives: This study aimed to evaluate the demographic characteristics, knowledge levels, and attitudes towards the measures taken for pandemics of the caregivers who were caring for their patients in the palliative care unit. It was also attempted to evaluate the relationship between these parameters and their quality of life (QOL). Methods: The level of knowledge and the level of agreement with the measures with questions prepared by three physicians working in the palliative care unit were assessed in this study. The QOL was also evaluated using the 3-level version of EQ-5D (EQ-5D-3L). Results: Education, employment, smoking, as well as parental and marital status, were found to be related to a high level of knowledge. It has been shown that the level of knowledge is higher in female caregivers and those who were caregiving for less than three years. The caregivers of Alzheimer's disease patients were also revealed to know more about the COVID-19 pandemic. Single, male, employed, smoking, and experienced less than three years caregivers were seemed to have a higher level of agreement with the measures. In addition, it was concluded that the QOL was positively correlated with the level of knowledge and negatively correlated with the compliance of the measures. Conclusion: It is essential to know the characteristics and beliefs of the caregivers in pandemic management in palliative care; accordingly, more studies should be conducted on this issue.

scholarly journals Quality of Care Provided by Family Caregivers of Older People With Dementia: Measurement and Interpretations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Reason ◽  
People With Dementia ◽  
High Level ◽  
The Impact ◽  
The Relationship

Abstract Family caregivers of older people living with dementia are relatives, friends, or neighbors who provide assistance related to this condition, but who are unpaid for the services they provide. Although caregiving could be personally rewarding, many caregivers report a high level of strain. Compared to caregivers of older adults who do not have dementia, family caregivers of older people living with dementia report lower quality-of-life (QoL). In a published systematic review examining the relationship between family caregiver QoL and the quality of care provided, only one study was found to be somewhat relevant. The study suggested that the primary reason for an absence of research into the link between family caregiver QoL and quality of care was the absence of a questionnaire for measuring quality of care in dementia. Therefore, any attempt to investigate the impact of caregiver QoL on the care provided to older people with dementia must first address the lack of an instrument to measure quality of care. To address this issue, we interviewed approximately 20 family caregivers in order to elicit feedback on measurements and interpretation of the quality of care provided by family caregivers of older people living with dementia. Content analysis of the interview transcripts revealed that the quality of relationships with family, caregiver availability to provide or supervise care, and availability of paid or volunteer help are important for the quality of care provided. These results have important implications, particularly for the development of an instrument to measure quality of care in dementia.

Quality of life change and response shift in patients admitted to palliative care units: a pilot study

2005 ◽  
Vol 19 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Michael A Echteld ◽  
Luc Deliens ◽  
Marcel E Ooms ◽  
Miel W Ribbe ◽  
Gerrit van der Wal
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Pilot Study ◽  
Response Shift ◽  
Life Change ◽  
Palliative Care Units

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN TENTANG KEBUTUHAN CAIRAN TUBUH DENGAN POLA KONSUMSI AIR MINUM PADA MAHASISWA TINGKAT I AKPER PANTI KOSALA SURAKARTA

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Budi Herminto ◽  
Risa Setia Ismandani
Keyword(s):  
Drinking Water ◽  
Design Research ◽  
P Value ◽  
First Year ◽  
Knowledge Level ◽  
First Year Students ◽  
Fluid Body ◽  
Level Of Knowledge ◽  
High Level ◽  
The Relationship

AbstractWater represent compound which is the necessary for all living. Consumption behaviorirrigate society not yet altogether goodness, society consume water when feel thirsty anddo not so pay attention drinking water and amount matching with requirement. Purpose ofthe study to determine the relationship between the knowledge level about fluid bodyrequirement with pattern consume drinking water at student in Academy of Nursing PantiKosala Surakarta.The subject was used as population in the study was all the first year students. The totalpopulation were 139 students, and the sample were 103 students. The samplingtechnique was simple random sampling.This research method represent analytic research with design research of corelasional toknow relationship between knowledge level about fluid body requirement with patternconsume drinking water of student.The results was the high level of knowledge about the fluid body requirment were 74(72%), moderate level of knowledge about the fluid body requirment were 29 (28%), whilethe behavior of consuming appropiate water were 69 (67%), and the behavior ofconsuming inappropiate water were 34 (33%) with a p-value 0.003 <0.05 significant 95%.There was a significant relationship between the knowledge level about fluid bodyrequirement with pattern consume drinking water at student in Academy of Nursing PantiKosala Surakarta.Keywords: knowlegde level, fluid body requirement, pattern consume drinking water.

scholarly journals Quality of Care and Satisfaction With Care on Palliative Care Units

2016 ◽  
Vol 51 (2) ◽  
pp. 184-192 ◽  
Author(s):  
Kirsten Wentlandt ◽  
Dori Seccareccia ◽  
Nanor Kevork ◽  
Kevin Workentin ◽  
Susan Blacker ◽  
...  
Keyword(s):  
Palliative Care ◽  
Quality Of Care ◽  
Satisfaction With Care ◽  
Palliative Care Units

Association between burnout and cortisol secretion, perceived stress, and psychopathology in palliative care unit health professionals

2017 ◽  
Vol 16 (3) ◽  
pp. 286-297 ◽  
Author(s):  
José Carlos Fernández-Sánchez ◽  
José Manuel Pérez-Mármol ◽  
Antonia Blásquez ◽  
Ana María Santos-Ruiz ◽  
María Isabel Peralta-Ramírez
Keyword(s):  
Palliative Care ◽  
Perceived Stress ◽  
Health Professionals ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Palliative Care Unit ◽  
Burnout Syndrome ◽  
Cortisol Secretion ◽  
Palliative Care Units ◽  
Waking Up

ABSTRACTObjective:A high incidence of burnout has been reported in health professionals working in palliative care units. Our present study aims to determine whether there are differences in the secretion of salivary cortisol between palliative care unit health professionals with and without burnout, and to elucidate whether there is a relationship between burnout syndrome and perceived stress and psychopathological status in this population.Method:A total of 69 health professionals who met the inclusion criteria participated in our study, including physicians, nurses, and nursing assistants. Some 58 were women (M = 29.65 years, SD = 8.64) and 11 men (M = 35.67 years, SD = 11.90). The level of daily cortisol was registered in six measurements taken over the course of a workday. Burnout syndrome was evaluated with the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), the level of perceived stress was measured using the Perceived Stress Scale, and psychopathological status was gauged using the SCL–90–R Symptoms Inventory.Results:There were statistically significant differences in secretion of cortisol in professionals with high scores on a single subscale of the MBI–HSS [F(3.5) = 2.48, p < 0.03]. This effect was observed 15–30 minutes after waking up (p < 0.01) and at bedtime (p < 0.06). Moreover, the professionals with burnout showed higher scores on the psychopathology and stress subscales than professionals without it.Significance of results:A higher score in any dimension of the burnout syndrome in palliative care unit health professionals seems to be related to several physiological and psychological parameters. These findings may be relevant for further development of our understanding of the relationship between levels of burnout and cortisol secretion in the health workers in these units.

Skin problems in palliative care

2019 ◽  
pp. 407-420
Keyword(s):  
Palliative Care ◽  
Wound Care ◽  
Metastatic Cancer ◽  
Physical Symptoms ◽  
Skin Involvement ◽  
Skin Disorders ◽  
Advanced Malignancy ◽  
Drug Treatments ◽  
Palliative Care Units

This chapter discusses skin disorders. Skin disorders affect patients with early and advanced malignant and non-malignant disease. In addition to distressing physical symptoms, the appearance of pressure sores, malignant wounds, and lymphoedema impact on patients’ social functioning, mood, and quality of life. Meticulous and prompt management of symptoms can make a huge difference. There is a growing body of research into drug treatments for pruritus in palliative care, and interventions for managing lymphoedema and wounds more effectively. Key principles in the management of wound care, lymphoedema, and pruritus are examined. Skin wounds are common in advanced malignancy. Pressure ulcers are most frequently seen, affecting an estimated one-third or more of patients in palliative care units. Malignant/fungating wounds occur in approximately 5–10% patients with metastatic cancer and are associated with significant physical and psychological distress. Loco-regional skin involvement (e.g. breast fungation) should be distinguished from generalized skin metastases which imply advanced disease.

New perspectives for physiotherapy education concerning assistive technology solutions as valid options to enhance functioning and quality of life

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A C Martins ◽  
P Francisco
Keyword(s):  
Psychosocial Impact ◽  
New Approach ◽  
Wheelchair Users ◽  
Service Characteristics ◽  
Level Of Knowledge ◽  
One Year ◽  
The Relationship ◽  
Basic Level ◽  
And Training

Abstract Introduction Recognizing that AT service characteristics, including knowledge and reasoning of providers, play a potential role in the appropriated selection and training, with impact on the psychosocial domains of QoL. In Portugal, AT services are detected to be ineffective concerning evaluation, recommendation, advocacy, training and outcome measuring, what could be a reason for these findings. Objectives To investigate the relationship between AT services characteristics and psychosocial impact of the wheelchairs on users QoL to get insights to new approach models in physiotherapy. Methodology Procedures included answering to self-administered questionnaires at their own. The dependent variable was the psychosocial impact of assistive devices (PIADS) and the independent variables were satisfaction with AT (QUEST) and AT service characteristics. Results Participants were 184 wheelchair users for more than one year with diverse diagnosis; age M = 37.3 years, recruited at physiotherapy/rehabilitation settings in Portugal. Wheelchair users are more satisfied with devices than with AT services. Correlations between psychosocial impact of wheelchair are moderate regarding the satisfaction of device dimension, measured by QUEST. No corrections were found to satisfaction with service dimension Manual wheelchair users scored lower psychosocial impact than motorized wheelchair users and that difference was statistically significant. Conclusion PT should be aware of the newest high technology devices introduced on the market, payment sources and state AT programs as well as destigmatize dependence associated to AT. We got significant insights to AT field and to the development of PT curriculum; PT students need more than the basic level of knowledge and training they achieved at school to feel prepared to provide AT services. After graduation, PTs need continuing education on AT. Strategies are discussed on this report.

scholarly journals A Second Time Nationwide Survey of Quality of End-of-Life Cancer Care in General Hospitals, Inpatient Palliative Care Units, and Clinics in Japan: The J-HOPE 2 Study

2016 ◽  
Vol 11 (4) ◽  
pp. 254-264 ◽  
Author(s):  
Megumi Shimizu ◽  
Maho Aoyama ◽  
Tatsuya Morita ◽  
Satoru Tsuneto ◽  
Yasuo Shima ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cancer Care ◽  
Nationwide Survey ◽  
General Hospitals ◽  
Palliative Care Units

scholarly journals ONE-TWO PUNCH OF HIGH WAGES AND EMPOWERING PRACTICES FOR MAINTAINING CARE NETWORKS IN NURSING HOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S559-S560
Author(s):  
Katherine Kennedy ◽  
John R Bowblis ◽  
Katherine M Abbott
Keyword(s):  
Retention Rate ◽  
Retention Rates ◽  
Nursing Assistant ◽  
Certified Nursing Assistant ◽  
Facility Level ◽  
High Level ◽  
Relationship Of ◽  
The Relationship ◽  
Linear Regressions

Abstract Stabilizing certified nursing assistant (CNA) employment is necessary for maintaining care networks and providing high quality of care for nursing home (NH) residents. This study’s objective was to examine the relationship of high wages and empowerment practices on CNA retention. We used the 2015 Ohio Biennial Survey to construct a facility-level dataset of 547 NHs and estimated multivariable linear regressions. NHs that provided both high wages and high empowerment were associated with a 12.95 percentage-point improvement in the CNA retention rate (SE = 4.53, t-value = 2.86, p = 0.0045). High wages and a high empowerment score did not have significant effects individually (p &gt; .05). Retention rates were similar between NHs that lacked high wages and scored low on the empowerment scale, and NHs that provided one at a high level but not the other. Implications for better retaining CNAs require multiple empowerment practices combined with high hourly wages.

scholarly journals Analysis of the organizational climate assessment on the example of employees of the textile industry

2018 ◽  
Vol 57 ◽  
pp. 01013
Author(s):  
Jacek Grodzicki ◽  
Bożena Kłusek-Wojciszke
Keyword(s):  
Sustainable Development ◽  
Organizational Climate ◽  
Textile Industry ◽  
Way Of Life ◽  
Quality Of Work ◽  
Climate Assessment ◽  
Reduce Energy Consumption ◽  
High Level ◽  
The Relationship

Harmonization of the relationship between society, economy, and nature requires both the development of more environmentally friendly technologies or restrictions on its exploitation, as well as a change in the way of life and work. This is particularly about improving the quality of work to reduce energy consumption and/or pollution. In this context, the issue of the organizational climate that determines job satisfaction and increasing cooperation towards sustainable development is of particular importance. The article presents the results of research on the organizational climate carried out on a selected group of students employed in textile industry enterprises. The analysis of the results allows us to state the high assessment of the climate at work in its individual spheres and a high level of trust in the management of the organization.

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