A GINECOLOGIA NATURAL COMO ALTERNATIVA A UM MODELO MÉDICO TRADICIONAL: UMA REVISÃO INTEGRATIVA / NATURAL GYNECOLOGY AS AN ALTERNATIVE TO A TRADITIONAL MEDICAL MODEL: AN INTEGRATIVE REVIEW

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

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Ireland

Dementia Care: International Perspectives ◽

10.1093/med/9780198796046.003.0024 ◽

2019 ◽

pp. 181-188

Author(s):

Catherine Dolan ◽

Brian Lawlor

Keyword(s):

Economic Burden ◽

Medical Model ◽

Dementia Care ◽

Acute Hospital ◽

Care Model ◽

Relevant Research ◽

Diagnosis Of Dementia ◽

Standards And Guidelines ◽

The Republic ◽

Traditional Medical Model

This chapter examines the prevalence and pathways to the diagnosis of dementia, as well as dementia care infrastructure, in the Republic of Ireland. The economic burden of dementia in Ireland is explored, including both formal and informal costs. Dementia care in the community, residential, and acute hospital settings is described. Associated policy, legislation, standards, and guidelines relevant to dementia care in Ireland are addressed. Current funding structures are examined. The contributions of dementia-specific educational efforts and relevant research in Ireland are highlighted. Challenges encountered in moving from a more traditional medical model of dementia care to a psycho-social, person-centred care model in Ireland, including inequitable funding allocation, are outlined.

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Lifestyle Medicine in a Concierge Practice: My Journey

American Journal of Lifestyle Medicine ◽

10.1177/1559827618821865 ◽

2019 ◽

Vol 13 (4) ◽

pp. 367-370 ◽

Cited By ~ 1

Author(s):

Dorothy Cohen Serna

Keyword(s):

Medical Model ◽

Care Practice ◽

Full Potential ◽

Lifestyle Medicine ◽

Individualized Care ◽

Wellness Coaching ◽

Personalized Approach ◽

Traditional Medical Model ◽

Dedicated Team ◽

Ongoing Support

While lifestyle medicine (LM) has been increasingly recognized for its value in preventing and managing chronic disease, the conventional primary care practice has struggled to be a financially viable model for this time-intensive, highly personalized approach. However, the concierge medicine model provides many advantages to those seeking to incorporate the tenets of LM. Concierge medicine is characterized by smaller patient panels, extended visits, continuous follow-up, and a distinctive emphasis on prevention and wellness. These characteristics promote high-quality, individualized care. North Cypress Internal Medicine and Wellness was able to successfully transform from a more traditional medical model to one with essential LM-focused offerings with expert assistance, as well as ongoing support from a dedicated team of lifestyle-oriented health professionals who provide wellness coaching, proactive chronic care management, and prevention programs. This article describes the transition and includes specific details of services and care offered at a concierge practice. It illustrates how this alternative model can provide an effective solution for delivering the full potential of LM.

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Provision of Sport Psychology Services at Olympic Events: The 1991 U.S. Olympic Festival and Beyond

The Sport Psychologist ◽

10.1123/tsp.7.4.419 ◽

1993 ◽

Vol 7 (4) ◽

pp. 419-440 ◽

Cited By ~ 3

Author(s):

Daniel S. Kirschenbaum ◽

William D. Parham ◽

Shane M. Murphy

Keyword(s):

Sport Psychology ◽

Medical Model ◽

Staff Members ◽

Preventive Approach ◽

Process And Outcome ◽

Consultation Model ◽

Traditional Medical Model ◽

Outcome Evaluations

Sport psychology services were provided at the 1991 U.S. Olympic Festival. A consultation model was employed that included aspects of the traditional medical model and a more proactive preventive approach. Consultations were delivered using a “professional/clinical” style (i.e., emphasis on expertness, empathy, warmth, and congruence). Two sport psychologists provided 85 formal consultations to more than 300 athletes, coaches, staff members, and others from 16 different sports. Process and outcome evaluations suggested that these services were very well received. Eleven recommendations are provided for delivery of sport psychology services at future Olympic events.

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Re-Engineering of Health Care: Opportunity or Threat for Occupational Therapists?

Canadian Journal of Occupational Therapy ◽

10.1177/000841749506200404 ◽

1995 ◽

Vol 62 (4) ◽

pp. 197-207 ◽

Cited By ~ 24

Author(s):

Marie Gage

Keyword(s):

Health Care ◽

Paradigm Shift ◽

Knowledge Society ◽

Medical Model ◽

Occupational Therapists ◽

Organizational Structures ◽

Models Of Care ◽

Care Practices ◽

Traditional Medical Model ◽

Administrative Structures

The health care system is responding to a paradigm shift from the industrial era to the knowledge society. The rapidly changing administrative structures of some hospitals and increasing numbers of proposals for new models of care are disconcerting for therapists who are used to working in traditional organizational structures and models of care. However, with a broader understanding of the shift that is occurring, it becomes apparent that this paradigm shift is pushing the system toward care practices that are more consistent with occupational therapy practices than those of the traditional medical model. This paper describes the factors influencing the direction of the paradigm shift, the major emerging models of care and organizational structures associated with the paradigm shift, and then discusses the issue of whether the paradigm shift presents a threat or a challenge to occupational therapists.

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New Zealand Drinking Habits and Treatment of Probationers WHO Abuse Alcohol

Australian & New Zealand Journal of Criminology ◽

10.1177/000486587801100304 ◽

1978 ◽

Vol 11 (3) ◽

pp. 148-155 ◽

Cited By ~ 1

Author(s):

Robert A Brown

Keyword(s):

New Zealand ◽

Short Circuit ◽

Medical Model ◽

Disease Process ◽

Training Programme ◽

Alcohol Abusers ◽

Cultural Attitudes ◽

Drinking Habits ◽

Controlled Drinking ◽

Traditional Medical Model

The importance of drinking in New Zealand and the ambivalent cultural attitudes towards the use of alcohol are outlined. Although the cost to society is most dramatically illustrated by those who suffer the ravages of alcoholism with its poor prognosis, a case is made for identifying and providing treatment at an earlier stage to other groups of suspected alcohol abusers. The second part of the paper describes a controlled drinking training programme being established by the author for probationers whose offending involved drinking. By providing community-based treatment for these inappropriate drinkers it is hoped to short circuit the sequence of institutionalization, labelling, and subsequent social rejection (Blizzard, 1971) which appear to be central in the development of the alcoholic's selffulfilling prophecy of “one drink, then drunk”. By shaping up controlled drinking as a social skill, the avoidance conditioning paradigm outiined here fulfils the “constructional” approach to problem behaviours advocated by Coldiamond (1974). This contrasts with the traditional medical model which entails abstinence, but at the same time removes responsibility for drinking from the alcohol abuser by endowing him with a disease process which is progressive and irreversible.

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Thankful in Adversity

The Journal of Baha’i Studies ◽

10.31581/jbs-28.1-2.4(2018) ◽

2018 ◽

Vol 28 (1-2) ◽

pp. 69-91

Author(s):

Lindsay-Rose Dykema

Keyword(s):

Mental Health ◽

Personal Growth ◽

Medical Model ◽

Benefit Finding ◽

Mental Health Recovery ◽

Personal Goals ◽

Health And Wellness ◽

Baha'i Faith ◽

Spiritual Dimension ◽

Traditional Medical Model

Mental health recovery has been conceptualized as a process through which individuals with severe mental illness improve their health and wellness, live a self-directed life, and work toward meaningful personal goals. While this is clearly an improvement over the traditional medical model of treatment of schizophrenia and related disorders, the spiritual dimension of mental health recovery still warrants closer investigation. The idea that adversity may offer spiritual insight and opportunities for personal growth—a common theme in the teachings of the Bahá’í Faith—is particularly worthy of consideration. This paper reflects on how both the Bahá’í Writings and the literature on benefit finding can enhance the understanding and applications of mental health recovery principles.

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Spotlight on Special Interest Group 7, Aural Rehabilitation and Its Instrumentation

ASHA Leader ◽

10.1044/leader.sigs.18082013.np ◽

2013 ◽

Vol 18 (8) ◽

Author(s):

Kathleen Cienkowski

Keyword(s):

Medical Model ◽

Patient Centered Care ◽

Chronic Health Conditions ◽

Health Conditions ◽

Patient Centered ◽

Aural Rehabilitation ◽

Rehabilitation Protocols ◽

Key Concepts ◽

Centered Care ◽

Traditional Medical Model

Health care is transitioning away from the traditional medical model to a patient-centered approach. Patient-centered care results in better adherence to rehabilitation protocols, especially for chronic health conditions that may include hearing loss. For many ASHA members not familiar with patient-centered care, SIG 7 can be a valuable resource for learning about key concepts and their clinical application

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Development of a physiotherapy-led atraumatic back pain pathway: a novel initiative to improve the management of complex back pain in the emergency village

BMJ Innovations ◽

10.1136/bmjinnov-2019-000366 ◽

2020 ◽

Vol 6 (4) ◽

pp. 233-238

Author(s):

Michelle Louise Angus ◽

Bruce Martin ◽

Victoria Dickens ◽

Saeed Mohammad ◽

Irfan Siddique

Keyword(s):

Emergency Department ◽

Back Pain ◽

Medical Model ◽

Low Back ◽

Timely Manner ◽

Convenience Sample ◽

Pain Pathway ◽

Patient Groups ◽

Traditional Medical Model

ObjectivesTo see if consultant physiotherapists could effectively manage spinal patients within the emergency village of a tertiary spinal referral centre.DesignA change was made to the traditional medical model for managing patients presenting to the emergency department with low back pain that could not be managed within the national 4-hour standard.ParticipantsA convenience sample of patients presenting to the emergency department of a tertiary spinal surgical centre who are unable to be managed in a timely manner by the clinicians in the emergency department.InterventionConsultant physiotherapists took on autonomous ownership of this group of patients, including clinical assessment, management and appropriate follow-up often without the need for medical input.OutcomesThe new model showed a reduction in the number of admissions, a significant reduction in length of stay and an improvement in overall staff and patient satisfaction along with a reduction in patients returning to the emergency department.ConclusionsConsultant physiotherapists are in an ideal position to manage this cohort of patients autonomously in the emergency village allowing medics to be released to manage other patient groups.

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Dualism and the ‘difficult patient’: why integrating neuroscience matters

BJPsych Advances ◽

10.1192/bja.2020.60 ◽

2020 ◽

Vol 26 (6) ◽

pp. 327-330

Author(s):

Andrew M. Novick ◽

David A. Ross

Keyword(s):

Psychiatric Illness ◽

Medical Model ◽

Disease Process ◽

Difficult Patient ◽

Unique Challenge ◽

Psychiatric Illnesses ◽

False Dichotomy ◽

Traditional Medical Model ◽

Behavioural Aspects

SUMMARYPatients with psychiatric illness present a unique challenge to clinicians: in contrast to the traditional medical model, in which patients are conceptualised as being stricken by a disease, patients with certain psychiatric illnesses may seem complicit in the illness. Questions of free will, choice and the role of the physician can cause clinicians to feel helpless, disinterested or even resentful. These tensions are a lasting legacy of centuries of mind–body dualism. Over the past several decades, modern tools have finally allowed us to break down this false dichotomy. Integrating a modern neuroscience perspective into practice allows clinicians to conceptualise individuals with psychiatric illness in a way that promotes empathy and enhances patient care. Specifically, a strong grasp of neuroscience prevents clinicians from falling into the trap in which behavioural aspects of a patient's presentation are perceived as being separate from the disease process. We demonstrate the value of incorporating neuroscience into a biopsychosocial formulation through the example of a ‘difficult patient’.

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