scholarly journals Medical care for children with activity and attention disorders

2021 ◽  
Vol 2 (3 (291)) ◽  
Author(s):  
Vida Bartašiūnienė ◽  
Zita Petravičienė

Impulsiveness, inattention and high activity are the hallmarks of children. Many consider these traits to be normal behavior in children; unfortunately, sometimes the severity of these traits reaches a degree of disorder when the help of competent professionals is required. The aim of the study was to analyze the medical care of children with activity and attention disorders. A qualitative study was performed. The research tool is a semi-structured interview. The study involved 6 nurses working at the Child Development Center and 6 visiting parents of children. The study showed that children with activity and attention disorders are impulsive, distracted, intrusive, restless, and cause a lot of trouble not only for their parents but also for professionals. Prolonged disorders require complex treatment, nursing and care. Specialists control children's impulsivity, communicate with the child and his parents, find out the need for help, analyze the child's mental health. The most common mental problems in children and adolescents are activity and attention disorders.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Zi-Han Yan ◽  
Jessica Lin ◽  
Wen-Jing Xiao ◽  
Keh-Ming Lin ◽  
Willi McFarland ◽  
...  

Abstract Background Transgender women have multiple disparities globally, including social rejection and stigma, HIV infection and untreated mental health problems. However, few data on transgender women are available in China. Therefore, this study aimed to explore transgender women’s experiences on gender identity, disclosure, discrimination, transgender-specific medical care, and perceptions of HIV and sexually transmitted infections (STI) risk in China. Methods A qualitative study was conducted in Nanjing and Suzhou city, China in 2018. Key informant interviews (n = 14) and focus group discussions (n = 2) with diverse transgender women were implemented. Text was transcribed and translated, and Dedoose™ software was used for coding, analysis and interpretation by the research team. Results Chinese transgender women share experiences with transgender women worldwide, including a long and challenging identity search, stigma and discrimination, poor access to trans-specific services and unmet needs for mental health care. Features unique to them include terms used for self-identification, culturally-shaped expectations for reproduction, and ideals of placing the familial and societal welfare over personal fulfillment. Social networks of this population appear sparse, scattered, and underground. Familial rejection was experienced by nearly all respondents. Perceptions of HIV and STI risk and history of HIV testing were notably low. Conclusions Transgender women in China face high social rejection and discrimination along with unmet need for various types of healthcare. Scaling up transgender-specific services including gender-affirming medical care, mental health care and HIV/STI prevention are warranted to address the social, medical and mental health of transgender women in China.


2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Paolla Amorim Malheiros Dulfe ◽  
Valdecyr Herdy Alves ◽  
Audrey Vidal Pereira ◽  
Bianca Dargam Gomes Vieira ◽  
Diego Pereira Rodrigues ◽  
...  

ABSTRACT Objectives: to analyze how the nurse-midwives of maternity wards that were fields of practice for an improvement course in obstetrics have reorganized care in the context of labor and birth amidst the COVID-19 pandemic. Methods: this is a descriptive, exploratory and qualitative study carried out with nine nurse-midwives who are preceptors and collaborators in maternity wards that were fields of practice for an improvement course, between February and April 2020, through a semi-structured interview through WhatsApp®. Content analysis was used to treat the information. Results: the pandemic brought the need to reorganize work, with a focus on service training and maintenance of good practices in labor and birth, whose movement was intensely experienced, interfering in nurse-midwives’ mental health. Conclusion: nurse-midwives have faced the pandemic with concerns about maintaining safe care, focused on practices based on updated scientific evidence.


2021 ◽  
Author(s):  
Marja Leonhardt ◽  
Morten Brodahl ◽  
Nicola Cogan ◽  
Lars Lien

Abstract Background: The outbreak of COVID-19 with its severe social restrictions touched the daily life of most people. While everyday social life becomes difficult for citizens with economic and cultural capital, it becomes even worse for vulnerable groups such as persons with mental health and substance use disorders, who are particularly vulnerable to social exclusion. The aim of this study is to investigate how the first COVID-19 lockdown affected the everyday life and health of persons with co-occurring mental health and substance use disorders.Methods: This qualitative study reports data from 17 individual interviews and one focus group of five participants, all with a self-reported mental health and substance use disorder. Interviews were conducted based on a semi-structured interview guide in September and October 2020 in a medium-sized local authority in Norway. Data were analysed using thematic analysis. A reference group of people with varied knowledge and experiences of the phenomenon were involved in study design, recruitment, data generation and analysis.Results: The analysis identified four interrelated main themes, describing how the first lockdown affected the everyday life and health of persons suffering from a mental health and substance use disorder: 1) The COVID-19 outbreak as a perceived challenge, 2) A decline in mental health and well-being, 3) Increased substance use challenges, and 4) Diverse experiences with health and social services. The results show that people with a co-occurring disorder have challenges with digital tools and/or do not have the appropriate equipment. Further, participants were not concerned about becoming infected themselves, but infecting others.Conclusion:Persons with a mental health and substance use disorder face major challenges during the COVID-19 pandemic. There is a need to maintain continuous low-threshold services especially directed towards persons with co-occurring disorders during the pandemic. Furthermore, it is important to improve the digital skills of every service user or offer alternatives to digital consultations and meetings.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maryam Nosrati Beigzadeh ◽  
Hossein Ghamari Givi ◽  
Ali Rezaei Sharif ◽  
Ali Sheykholeslami ◽  
Leila Reisy ◽  
...  

Abstract Background Superwoman refers to the identity of a woman who performs several important roles simultaneously and full-time, such as being a wife, mother, and homemaker while holding a job. This study aims to examine the career experiences of Iranian superwomen who maintained their mental health while holding multiple roles. Methods Data for this qualitative study were collected via semi-structured interview and analyzed using conventional content analysis. The study participants were 12 multi-role women from different occupations in Tabriz, North West of Iran selected through purposive and theoretical sampling. The women’s mental health status was assessed using Mental Health Continuum-Short Form questionnaire before participating in the research. Results The results were classified into three main categories. The first category included Underlying Factors of Job Experience with six subcategories, including Limited job opportunities for women, Educational context (mindset shaped in the parental home), Commitment or freedom in obtaining a job and its continuation, Personality traits, and Non-cognitive skills (emotional intelligence and spiritual intelligence); the second category included the adopted strategies to solve career problems with two subcategories: effective strategies, including the benefits of having a mindset of abundance and having a vision and strategic planning, and ineffective strategies, including the benefits of having a mindset of scarcity; and the third category included Perceived Consequences of employment with two subcategories: psychological consequences and social consequences, with both subcategories including some positive and negative further subcategories. Moreover, a conceptual relationship between the main categories and the subcategories was evident. Conclusions The content obtained not only supports the findings about the experiences of multi-role women in cultures outside Iran, but also points to the unique aspects of Iranian superwomen's life experiences and narratives. The findings of this study can help us perceive the real career experiences from the perspective of Iranian professional women with multiple roles.


2018 ◽  
Vol 52 (1) ◽  
pp. 60-69
Author(s):  
Dagmar Kopčanová ◽  
Bibiana Filípková

Abstract The content of this scientific study is based on the qualitative analysis of selected answers of parents, in the framework of semi-structured interview. The qualitative research is apart of bigger research work P-155/A, dealing with mental health of children in family and school settings. The main goal is to learn and analyse the empirical experience and views of participants, related to joint custody and shared care. The research sample consisted of randomly selected 9 participants who visited Výskumný ústav detskej psychológie apatopsychológie on behalf of some problems regarding custody after divorce/separation. In this contribution the parents´ attitudes towards mutual communication of former partners/parents, functioning of joint custody and shared care and some views related to some limits in this form of shared parenting have been analysed. Some valuable remarks with regard to the need of multi-professional team work, addressed to parents within the process of their divorce/separation proved to be very useful. Parents proposed they would extremely welcome some more help from mental health professionals and their crises intervention actions. On behalf of discussion we notice that the juridical institute of joint custody and shared care is a very important tool, however, some legislative changes of this law should be still done. Concluding the study, we state that in spite of some methodological problems – like a limited number of research participants, we believe that the results can serve as a basis for the next deeper research, bringing more proposals for improvement in this field.


1970 ◽  
Vol 4 (3) ◽  
pp. 41-47
Author(s):  
Renata Pinto Ribeiro ◽  
Teresa Francisca Moraes Pinto ◽  
Clarissa Santos Carvalho Ribeiro ◽  
Valdinéa Luiz Hertel

Objetivo: O objetivo desse estudo foi de identificar as dificuldades do profissional enfermeiro frente à criança com câncer, verificar se há preparo adequado para atender às necessidades de uma criança com doenças oncológicas; e qual a forma de enfrentamento utilizada pelo profissional diante das dificuldades encontradas, no atendimento a essa criança. Metodologia: Trata-se de uma pesquisa qualitativa, objetivando identificar quais dificuldades o profissional de enfermagem enfrenta no cuidado de criança com câncer e de seus familiares, os mecanismos de enfrentamento dessas dificuldades no atendimento dos mesmos e se há preparo adequado dos mesmos para atender as necessidades dessas crianças. Os sujeitos foram quatro enfermeiras que cuidam ou já cuidaram de crianças com câncer no Hospital Bom Pastor – Varginha/MG. A coleta de dados foi desenvolvida por uma entrevista semiestruturada. Resultados: Constatou-se que as dificuldades são: cuidar de criança em estado grave, seus pais e o envolvimento emocional. Aos meios de enfrentamento referem à oração e a distração. Quanto ao preparo do profissional referem despreparo para atuar nesta área. Conclusão: Conclui-se que há falta de preparo aos profissionais, embora os mesmos cuidem com humanização dessas crianças.  Palavras-chave: Enfermeiro; Crianças; Câncer.   ABSTRACT: Objective: The aim of this study was to identify the difficulties of the professional nurse when taking care of a child with cancer, check the adequate preparation to meet the needs of children with oncological diseases; and what form of coping with the situation the professionals used when taking care of this child. Methodology: This was a qualitative study , aiming to identify the difficulties the professional faces in the care of children with cancer and their families , the coping mechanisms of these difficulties in the care  and if there is adequate preparation thereof to meet the needs of these children. The subjects were four nurses who care or have cared for children with cancer at Good Shepherd Hospital – Varginha/MG. Data collection was carried out by a semi - structured interview. Results: It was found that the difficulties are care of a child in serious condition, his parents and the emotional involvement. Means of coping relate to prayer and distraction. As to their preparation, professionals refer as being unprepared to act in this area. Conclusion: We concluded that there is lack of preparation of professionals, although they take care of these children in a humanistic way  Keywords: Nurse; children; Cancer.


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