scholarly journals Nursing consultation practice for psychosocial problems on heart failure patiens in hospital-based outpatient clinic

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati
Keyword(s):  
Heart Failure ◽  
Support System ◽  
Family Environment ◽  
Outpatient Clinic ◽  
Social Problems ◽  
Family Members ◽  
Psychosocial Problems ◽  
The Family ◽  
Hospital Outpatients ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients

Mental disadaptation correction of the family members of dangerous professions workers

2021 ◽  
Vol LIII (1) ◽  
pp. 84-87
Author(s):  
Alexandra Yu. Kivorkova ◽  
Andrey G. Soloviev
Keyword(s):  
Family Environment ◽  
Self Regulation ◽  
Family Members ◽  
Stress Index ◽  
Choice Test ◽  
Simultaneous Increase ◽  
Behavioral Strategies ◽  
Software Complex ◽  
Professional Activities ◽  
The Family

Aim. The aim of the paper was the substantiation the directions of correction the emotional state of the family environment of the family members of dangerous professions on the basis of biobehavioral therapy using biofeedback technology. Methods. 47 women were examined (29.34.7 years) wives of employees whose professional activities are related to solving professional problems in extreme conditions. The hardware and software complex BOS-Pulse with the Pulse module with game plots, Multipsychometer was used. According to the pulse recorded by the photoplethysmographic method, a spectral analysis of heart rate variability was carried out using a program for processing data from game biocontrol. The control of efficiency was carried out according to the functional parameters of the cardiovascular system and indicators of the color choice test. Results. By the end of the training, all women had mastered the skill of increasing RR-intervals. The value of the stress index of Baevskys regulatory systems during the course of biobehavioral therapy decreased from 73.217.8 to 56.825.4, the index of vegetative balance from 132.729.2 to 84.545.2. According to the test of color choices, a pronounced deepening of positive tendencies in terms of psychological indicators was noted, which, in general, was expressed in a significant decrease in anxiety and fatigue with a simultaneous increase in working capacity and indicators of the vegetative coefficient. Conclusions. Correctional trainings with the use of biocontrol technology led to an improvement in personal adaptive characteristics, the formation and consolidation of the conditioned reflex skill of self-regulation and a corrective behavioral stereotype that promotes activation of the bodys reserve capabilities. The effective behavioral strategies of self-regulation developed by women contributed to the training of productive techniques for counteracting stressors associated with the specifics of husbands professional activities and, accordingly, with the family microclimate.

Family Learning and Video Games

2018 ◽  
Author(s):  
Sinem Siyahhan ◽  
Elisabeth Gee
Keyword(s):  
Social Context ◽  
Video Games ◽  
Life Span ◽  
Family Environment ◽  
Family Members ◽  
Family Learning ◽  
Broad Perspective ◽  
Opportunities For Learning ◽  
The Family ◽  
Adults And Children

The family environment is an important social context where learning takes place for adults and children of all ages, and perhaps the only context in which participation occurs over a life-span. In this social context, playing games has always been one of many activities family members do individually and together that engages them in learning. In this chapter, we offer a broad perspective on learning and discuss how games of all sorts can provide opportunities for learning, and how families can take more advantage of these potential learning experiences.

Reducing Stress, Coping, and Communicating Effectively: Tips for Family Members and Patients

2010 ◽  
Author(s):  
Michael T Compton ◽  
Beth Broussard
Keyword(s):  
Family Environment ◽  
Family Members ◽  
Effective Communication ◽  
Stressful Event ◽  
Stress Coping ◽  
Good Communication ◽  
The Family ◽  
Supportive Family ◽  
Receive Treatment ◽  
Reducing Stress

As discussed in previous chapters, psychosis often first begins in late adolescence or young adulthood. Thus, many people who experience a first episode of psychosis live with and rely on their families for support. In addition to providing a place to live and other basic support, families are key in the recovery process because they love and care for the person with the illness and they want to help. Family members may need to provide emotional support, arrange for treatment, and find new ways to cope with the signs and symptoms of psychosis or other problems that result from the illness. Families are a very important part of the team that is necessary to properly manage psychosis. In fact, now that more effective antipsychotic medicines and psychosocial treatments are available, many people with psychosis often can receive treatment in the community and with their families rather than having extended stays in the hospital. Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. This chapter focuses on three essential domains of a supportive family environment: reducing stress, enhancing coping, and ensuring effective communication. First, we begin by defining …Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively.… stress and the ways that the early stages of psychosis can lead to stress. We discuss three ways to reduce stress in the family as well as three related ways the family can help the patient to reduce stress. Second, we define coping and talk about the importance of coping with a stressful event, like an episode of psychosis in a family member. We offer three ways of coping effectively for family members as well as three ways that patients can practice effective coping. Third, we address the value of good communication and how the symptoms of psychosis can sometimes interfere with productive communication patterns. We then provide eight points of advice for effective communication within the family.

scholarly journals A Life Experience of Seventh-day Adventist Church Member in Caring for Their Parents Who Suffer from Alzheimer's Dementia

2019 ◽  
Vol 7 (1) ◽  
pp. 674-684
Author(s):  
Idauli Simbolon ◽  
Christine Sacha ◽  
Evelyn Hemme ◽  
Sapti Heru Widyarti
Keyword(s):  
Family Member ◽  
Life Experience ◽  
Family Members ◽  
Alzheimer’S Dementia ◽  
Seventh Day Adventist ◽  
Church Member ◽  
Alzheimer's Dementia ◽  
Alzheimer Dementia ◽  
The Family ◽  
At Home

Introduction: Previous phenomenological studies explain that family member faced many consequences in caring for family members with Alzheimer’s Dementia at home. The consequences are in the form of the impact of financial, social and psychological pressure. Considering such consequences, families especially in Eastern cultures will continue to care for their elderly at home for reasons of compassion or retribution toward parents even though they feel frustrated and burdened. The purpose of this study is to describe the life experience of Seventh-day Adventist church member in caring for their parent who suffer from Alzheimer’s Dementia. Method: This qualitative study is using phenomenological design. There are 3 participants are selected who are fit with the inclusion criterions: immediate family member, seventh-day Adventist church member, live together with their Alzheimer’s Dementia parent who suffer at least 2 years of dementia, and agree to sign inform consent after the full explanation of the study. Data are gathered using semi structured face to face interview in participant’s home setting. Data than transcribed in to world document and analysed using Cresswel step by step content analysis. Result: There are five negative categories of family member experiences in taking care of their Alzheimer’s Dementia parent: 1) physical abuse, 2) psychological abuse, 3) social limitation, 4) spiritual distress, and 5) knowledge deficit. It also found that there are several coping mechanism or adaptation made by family member in caring their Alzheimer Dementia parent: 1) family members are motivated to learn more about Alzheimer Dementia, 2) spiritual growth that they pray more often and surrendered to God, 3) increase understanding toward elderly. Discussion:  Based on the result of the study, all the informants experienced pressures in all holistic aspects of life. If they are not able to cope with the pressure, illness may be arrived and made the family situation become worse. Therefore, professional health care must provide support to the family who take care of their Alzheimer Dementia family, Introduction: Previous phenomenological studies explain that family member faced many consequences in caring for family members with Alzheimer’s Dementia at home. The consequences are in the form of the impact of financial, social and psychological pressure. Considering such consequences, families especially in Eastern cultures will continue to care for their elderly at home for reasons of compassion or retribution toward parents even though they feel frustrated and burdened. The purpose of this study is to describe the life experience of Seventh-day Adventist church member in caring for their parent who suffer from Alzheimer’s Dementia. Method: This qualitative study is using phenomenological design. There are 3 participants are selected who are fit with the inclusion criterions: immediate family member, seventh-day Adventist church member, live together with their Alzheimer’s Dementia parent who suffer at least 2 years of dementia, and agree to sign inform consent after the full explanation of the study. Data are gathered using semi structured face to face interview in participant’s home setting. Data than transcribed in to world document and analysed using Cresswel step by step content analysis. Result: There are five negative categories of family member experiences in taking care of their Alzheimer’s Dementia parent: 1) physical abuse, 2) psychological abuse, 3) social limitation, 4) spiritual distress, and 5) knowledge deficit. It also found that there are several coping mechanism or adaptation made by family member in caring their Alzheimer Dementia parent: 1) family members are motivated to learn more about Alzheimer Dementia, 2) spiritual growth that they pray more often and surrendered to God, 3) increase understanding toward elderly. Discussion:  Based on the result of the study, all the informants experienced pressures in all holistic aspects of life. If they are not able to cope with the pressure, illness may be arrived and made the family situation become worse. Therefore, professional health care must provide support to the family who take care of their Alzheimer Dementia family,

scholarly journals PERKEMBANGAN FUNGSI PRAGMATIK PADA ANAK USIA 2,5 TAHUN (STUDI KASUS PADA AZZA AQILA JIHAN SYUASABITHA)

Kadera Bahasa ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 39-52
Author(s):  
Ali Kusno
Keyword(s):  
Language Development ◽  
Social Environment ◽  
Family Environment ◽  
Family Members ◽  
Sensitive Period ◽  
Language Function ◽  
Biological Factors ◽  
Sensitive Periods ◽  
The Family ◽  
The Subject

The golden age of kid was a sensitive period. During this period, the kid was specially receiving the stimulant from theenvironment. The period of kid’s language development was various, dependent on the characteristics. This study relatedto the function development of kid’s language. The example case to the girl 2,5 years old, Azza Aqila Jihan Syuasabitha(Jihan). Jihan was growing in the family environment and child caring. The kid’s language was developing quickly. Theusage of language was devoted to Jihan’s interaction with family members. Collecting data method in this study was theobservation. The subject in this study was the child’s author. This study aimed to describe the development of Jihan’sspeech as child 2,5 years old based on the language function grouping according to M.A.K Halliday. The result of thestudy showed the kid can apply all of language function usage. Those are the instrumental, the regulatory, the interactional,the personal, the heuristic, the imaginative, and the representational. Therefore, she was interpreted has the ability aboveaverage the children the same age. The achievement was influenced by biological factors (parents who have good languageskills) and social environment (in the house, in the school, and so on) which can stimulate Jihan’s language development AbstrakMasa keemasan anak merupakan periode sensitif (sensitive periods). Selama masa tersebut anak secarakhusus mudah menerima stimulus-stimulus dari lingkungan. Tempo perkembangan bahasa anakcenderung variatif tergantung karakteristik anak. Penelitian ini berhubungan dengan perkembanganfungsi bahasa anak. Contoh kasus, Azza Aqila Jihan Syuasabitha (Jihan) anak perempuan yang berusia2,5 tahun. Jihan besar dalam lingkungan keluarga dan taman penitipan anak. Perkembangan fungsibahasanya pesat. Pemakaian bahasa dikhususkan pada interaksi Jihan dengan anggota keluarga.Pengumpulan data dalam penelitian dengan teknik pengamatan berperan serta. Subjek penelitian iniadalah anak penulis sendiri. Penelitian ini bertujuan untuk mendeskripsikan perkembangan tuturanJihan sebagai anak yang berusia 2,5 tahun berdasarkan pengelompokan fungsi bahasa menurut M.A.KHalliday. Hasil penelitian menunjukkan anak itu mampu menerapkan keseluruhan fungsi penggunaanbahasa, yakni instrumental, regulatoris/dogmatis, interaksional, personal, heuristik, imajinatif, danrepresentasional. Dengan demikian, dapat diinterpretasikan bahwa anak itu memiliki kemampuan diatas rata-rata anak seumur dia. Pencapaian tersebut dipengaruhi oleh faktor biologis (orang tua yangmemang memiliki kemampuan berbahasa yang baik) dan lingkungan sosial (di rumah, sekolah, dantempat lain).

scholarly journals Languages of Communication in Baghdad: Domains and Perceptions

2016 ◽  
Vol 6 (3) ◽  
pp. 1008-1017
Author(s):  
Prof. Bader S. Dweik ◽  
Sara N. Al-Rahal
Keyword(s):  
Language Use ◽  
Language Attitudes ◽  
Family Members ◽  
Public Places ◽  
Positive Attitudes ◽  
Ethnic Language ◽  
The Family ◽  
Social Domains ◽  
Demographic Background ◽  
At Home

The purpose of this study is to investigate the domains of use of the Turkmen language and Arabic in Baghdad and to explore attitudes towards Turkmen and Arabic. A sample, comprising (100) subjects from the Turkmen of Baghdad, is selected purposefully to fill out a sociolinguistic questionnaire to solicit information about the participants' demographic background, language use in different contexts and language attitudes towards the ethnic language, Turkmen and the mainstream language, Arabic. The results have revealed that the Turkmen of Baghdad use their ethnic language in different domains especially at home and among the family members. Also, they use both languages (their ethnic language and Arabic) in different social domains such as neighborhood, place of work, schools, media and other public places and have displayed positive attitudes towards Turkmen and Arabic alike.

scholarly journals Cuidado ao familiar após acidente vascular encefálico

2018 ◽  
Vol 12 (3) ◽  
pp. 599
Author(s):  
Fernanda Misawa ◽  
Rafaely De Cássia Nogueira Sanches ◽  
Anderson Da Silva Rêgo ◽  
Cremilde Aparecida Trindade Radovanovic
Keyword(s):  
Home Care ◽  
Family Members ◽  
Care Practice ◽  
Care Experience ◽  
Home Care Nursing ◽  
The Family ◽  
Qualitative Descriptive ◽  
Study Participants ◽  
Care Nursing ◽  
At Home

RESUMOObjetivo: compreender a vivência dos familiares no cuidado domiciliar após a alta hospitalar de um familiar acometido por Acidente Vascular Encefálico. Método: estudo qualitativo, descritivo, do tipo convergente assistencial, com quatro famílias. O cenário do estudo foi o domicílio, com média de 16 visitas por família, uma vez por semana ou quando houvesse necessidade de assistência. Para a análise dos dados, utilizou-se a técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: evidenciou-se que a experiência de cuidar no domicílio levou os membros da família a lidarem com sentimentos como o medo, a tristeza, a angústia e a fragilidade e os membros adoecidos relataram ansiedade, desânimo, frustração e revolta por estarem adoecidos. Conclusão: o estudo permitiu a compreensão da experiência de cuidar no domicílio e a vivência das famílias de familiar acometido por Acidente Vascular Encefálico oportunizando que a prática assistencial e a pesquisa ocorressem ao mesmo tempo e, assim, proporcionou a oportunidade de interação e criação de vínculo com os participantes do estudo e a compreensão da experiência e a repercussão do cuidado no domicílio entre os familiares. Descritores: Acidente Vascular Encefálico; Família; Assistência Domiciliar; Cuidados De Enfermagem; Enfermagem; Doenças Crônicas.ABSTRACT Objective: to understand the experience of family members in home care after hospital discharge from a family member affected by stroke. Method: qualitative, descriptive, convergent type study with four families. The study scenario was the household, with an average of 16 visits per family, once a week or when there was a need for assistance. For the analysis of the data, the technique of Content Analysis was used in the Thematic Analysis modality. Results: It was evidenced that the experience of caring at home led family members to deal with feelings such as fear, sadness, anguish and frailty, and the sick members reported anxiety, discouragement, frustration and revolt at being sick. Conclusion: the study allowed the understanding of the home care experience and the family life of the family members affected by stroke, allowing care practice and research to occur at the same time and, thus, provided the opportunity for interaction and bonding with study participants and the understanding of the experience and the repercussion of care at home among the family members. Descritores: Cerebrovascular Accident; Family; Home Care; Nursing Care; Nursing; Chronic Disease.RESUMEN Objetivo: comprender la vivencia de los familiares en el cuidado domiciliar después del alta hospitalaria de un familiar acometido por Accidente Vascular Encefálico. Método: estudio cualitativo, descriptivo, del tipo convergente asistencial, con cuatro familias. El escenario del estudio fue el domicilio, con promedio de 16 visitas por familia, una vez por semana o cuando hubiera necesidad de asistencia. Para el análisis de los datos, se utilizó la técnica de Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se evidenció que la experiencia de cuidar en el domicilio llevó a los miembros de la familia a lidiar con sentimientos como el miedo, la tristeza, la angustia y la fragilidad y los miembros enfermos relataron ansiedad, desánimo, frustración y revuelta por estar enfermos. Conclusión: el estudio permitió la comprensión de la experiencia de cuidar en el domicilio y la vivencia de las familias de familiar acometido por Accidente Vascular Encefálico, posibilitando que la práctica asistencial y la investigación ocurrieran al mismo tiempo, y así, proporcionó la oportunidad de interacción y creación de vínculo con los participantes del estudio y la comprensión de la experiencia y la repercusión del cuidado en el domicilio entre los familiares. Descritores: Accidente Vascular Encefálico; Familia; Asistencia Domiciliar; Atención de Enfermería; Enfermería; Enfermedad Crónica.

scholarly journals PENGALAMAN KELUARGA DALAM MERAWAT DEKUBITUS

2017 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Rita Sari
Keyword(s):  
Family Members ◽  
Deep Understanding ◽  
Phenomenological Approach ◽  
Pressure Sores ◽  
The Family ◽  
Long Time ◽  
Field Notes ◽  
Written Questions ◽  
Depth Interviews ◽  
At Home

Immobilization is a problem faced by patients with chronic illness, the patients is very weak and paralyzed patients in a long time. This study have purpose  to gain a deep understanding of the experience of families in caring for family members is immobilized with pressure sores at home. This study used qualitative methods. Participants are families who care for patients at home who are immobilized with pressure sores. Collecting data with in-depth interviews by means of instrument is the researcher's own self, written questions as an interview, used recording devices and used field notes.  Criterion sampling by taking 6 participants. Analysis of data used a phenomenological approach. The results showed that the family had a positive experience; Can be more patient, and assume that caring for a sick family member has its own challenges, being able to be with other families in caring for patients, being able to give affection and obligation as a child to parents can help take care of it. There was also an unpleasant (negative) family experience during the care of sick family members, the family felt tired, not strong and bored during patient care. The conclusion of the study is that families have positive and negative experiences in caring for family members with decubitus

Palliative Care at Home: Reflections on HIV/AIDS Family Caregiving Experiences

1998 ◽  
Vol 14 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Kelli I. Stajduhar ◽  
Betty Davies
Keyword(s):  
Palliative Care ◽  
Qualitative Methods ◽  
Family Caregiving ◽  
Family Members ◽  
Loved One ◽  
The Family ◽  
Care At Home ◽  
Depth Interviews ◽  
Hiv Aids ◽  
At Home

This study explored the day-to-day experiences of family members providing care at home for their dying loved one with HIV/AIDS. In-depth interviews with seven caregivers were analyzed using grounded theory qualitative methods. A conceptualization of the family caregiving experience portrays HIV/AIDS caregiving as an intense, emotional, and powerful experience filled with pride and enrichment, and conversely, with anger and disillusionment. Findings reflected a significant need for interventions designed to provide direct and effective support for family members caring for a loved one with HIV/AIDS.

Where to die? That is the question: A study of cancer patients in Israel

2014 ◽  
Vol 13 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Frida Barak ◽  
Sofia Livshits ◽  
Haana Kaufer ◽  
Ruth Netanel ◽  
Nava Siegelmann-Danieli ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Social Worker ◽  
Family Members ◽  
Care Patient ◽  
Community Context ◽  
Living Alone ◽  
The Family ◽  
Dying At Home ◽  
Do So ◽  
At Home

AbstractObjective:Most patients prefer to die at home, but barely 30% do so. This study examines the variables contributing to dying at home.Methods:The participants were 326 cancer patients, of both genders, with a mean age of 63.25 years, who died from 2000 to 2008 and were treated by the palliative care unit of the Barzilai Hospital. Some 65.7% died at home and 33.4% in a hospital. The data were extracted from patient files. The examined variables were demographic (e.g., age, gender, marital status, ethnic background, number of years in Israel until death), medical (e.g., age at diagnosis, diagnosis, nature of last treatment, patient received nursing care, patient given the care of a social worker, patient had care of a psychologist, family received care of a social worker, patient had a special caregiver), and sociological (e.g., having insurance, having worked in Israel, living alone or with family, living with one's children, living in self-owned or rented house, family members working).Results:The findings indicate that the chances of dying at home are higher if the patient is non-Ashkenazi, the family got social worker care, the patient lived in a self-owned house, the patient lived with his family, the family members worked, and the patient's stay in Israel since immigration was longer. Logistic regression showed that all the predictors together yielded a significant model accounting for 10.9–12.3% of the variance.Significance of results:The findings suggest that dying at home requires maintaining continued care for the patient and family in a community context.

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