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Patients' Feelings (patient + feeling)
Selected AbstractsINTRUDER IN THE NIGHT: CANCER AND THE ,I' WITHINBRITISH JOURNAL OF PSYCHOTHERAPY, Issue 4 2003Judy Parkinson ABSTRACT Little has been written about psychoanalytic psychotherapy with people who suffer from medical conditions such as cancer and as distinct from the well-established literature describing psychoanalytic theories and clinical work with those who have medical conditions which may be considered to have a psychologically-influenced causal basis. In this paper, I will explore the nature and experience of cancer, its psychological impact upon the patient and also the therapist, and the patient's relation to the disease inside. I think about cancer as an unboundaried invader within the body which may temporarily dislocate the patient's ego, resulting in the ,I' of the patient feeling overwhelmed or threatened. The subject of this paper is the ,I' which perceives and relates to the cancer within. The aim of the paper is to work towards describing the principles and practice of a model of ego-supportive psychotherapy with cancer patients, its goal being to help the patient to strengthen, relocate or reinstate his/her vulnerable ego. [source] ,Admission into a helping plan': a watershed between positive and negative experiences in breast cancerPSYCHO-ONCOLOGY, Issue 8 2010Sara Lilliehorn Abstract Cancer patients are in an exposed situation that raises certain psychosocial needs in contact with health care. Previous studies have mainly investigated these needs by assessments on pre-defined categories. Objective: The purpose of the present study is, from the patients' perspective, to identify breast cancer patients' psychosocial needs, and to synthesise them in a model reflecting the core of these needs. Methods: Seventy-one patients treated with radiation therapy were consecutively included and repeatedly interviewed about their experiences of health care. ,Critical incidents' where identified from the interviews and analysed due to the similarities,differences technique in grounded theory. Results: Four categories of needs where detected: ,access', ,information', ,treatment' and ,how approached'. These categories and their properties merged into a core category,,admission into a helping plan'. These findings are well understood in terms of attachment theory. In times of immanent danger and stress people strive to find a ,safe haven' to attach to. Cancer patients' ,safe haven' can be described as ,a helping plan'. It is not the result of a separate patient,caregiver relationship but is created by a pattern of individual experiences from all kind of contacts with the health-care system as a whole. Conclusions: The presented model of patients needs as converging into ,admission into a helping plan' may serve as an easily comprehendible model for caregivers, guiding them to contribute to the patient's feeling of security and trust, and thus to the patient's own ,hope work'. Copyright © 2009 John Wiley & Sons, Ltd. [source] Rheumatoid arthritis patient education: RA patients' experienceJOURNAL OF CLINICAL NURSING, Issue 14 2009Paula Mäkeläinen Aim and objective., The purpose of this paper is to describe the content of patient education as portrayed and evaluated by rheumatoid arthritis (RA) patients. Background., Rheumatology nurses have an important role in educating and supporting RA patients. However, there is a lack of knowledge of the RA patients' own perspective of patient education. Design., Survey. Method., Data for this study were collected from 173 RA patients from 11 hospitals and 23 health centers using open-ended questions. Fifty-seven percent (57%) of the patients described the content of patient education and eighty-one percent (81%) evaluated it expressing their experience and satisfaction with it. Data were analysed using descriptive and non-parametric statistical tests. Results., Rheumatology nurses mostly gave their RA patients information about how to use the anti-rheumatic drugs prescribed to them (26%). About half (51%) of the patients were satisfied with patient education. However, every fourth patient (24%) was not satisfied, the main reason for the dissatisfaction being that nurses did not focus on the patient's emotional support. The patients of over 57 years of age and those who had suffered from RA for over five years were more satisfied with their education than the others. Conclusions., It is important that rheumatology nurses, besides passing on medical treatment-related information, concentrate on RA patients' emotional well-being. Relevance to clinical practice., The results provide a useful insight into RA patient education. Nurses should avoid merely passing on information in a routine workmanlike way. It is important that they take time to discuss their patients' feelings and worries especially with newly diagnosed patients. RA patient education should balance patients' information needs with their need for emotional support. [source] Validation of the verbal and social interaction questionnaire: nurses' focus in the nurse,patient relationship in forensic nursing careJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 9 2008M. RASK rn phd There is a need to develop a questionnaire that measures nurses' verbal and social interactions (VSI) with their patients from the nurses' perspective as well as from the patients' perspective in the psychiatric and especially in the forensic psychiatric field. The major aim of the present study was to determine the construct validity and the internal consistency reliability of the VSI questionnaire. The study had a methodological and developmental design and was carried out in four steps: construction of the items, face validity, data collection and data analysis. The number of items was reduced from 50 to 21. The factor analysis of the final 21 items resulted in three quite distinct factors, namely, ,inviting the patient to establish a relationship', ,showing interest in the patients' feelings, experiences and behaviour' and ,helping the patients to establish structure and routines in their everyday life'. The results showed satisfactory psychometric properties in terms of content validity, construct validity and the internal consistency reliability of the questionnaire. [source] |