The woman inside. Denise showed me a side of schizophrenia that few professionals ever sea.
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Adult↗
Biomedical subjects
H C Wichowski
Publications and source records attributed to H C Wichowski.
Increasing diabetic self-care through guided imagery.
BACKGROUND: Findings from the literature and clinical practice describe the various strategies necessary on a regular basis to control blood sugar levels in people with diabetes and suggests that guided imagery techniques aid clients in adhering to the rigorous diabetic routine. METHODS AND RESULTS: An imagery script was developed and used to aid diabetic clients in maintaining their diabetic regimen. Participants in this cognitive experience indicated that the motivation script used with them by health-care practitioners was effective. The major treatment areas were blood testing, regular exercise, weight management, and consumption of a restricted lifetime diet. Several of these areas showed modification after the use of guided imagery.
Diabetes Mellitus, Type 2↗
The relationship of self-perception of illness and compliance with health care regimens.
Concern over the degree of non-compliance among chronically ill patients promoted the development of a survey based on the premise that there is a correlation between self-perception of health and compliance with health care regimens. Survey results determined that there was a significant relationship between self-perception of health and compliance with health care regimens for 106 chronically ill subjects. There was a significant difference in self-perception of illness between adults and children surveyed. There was no difference in compliance rates between the two groups. Techniques to aid patients in altering their self-perceptions regarding their illnesses are discussed.
Adolescent↗
An assessment tool to identify panic disorder.
Panic disorder is a psychiatric condition that is infrequently diagnosed correctly. People with untreated panic are most often seen in primary care settings. Panic is a debilitating condition that affects approximately 10% of the population and is eminently treatable when identified. Without treatment, clients are at risk for complications such as phobias, substance abuse, and depression. The purpose of this research study was to develop a valid, reliable tool to assist health care practitioners in identifying and assessing persons who have panic disorder. With the use of the Anxiety Inventory, information can be elicited to identify these people. In addition, data regarding the presence of phobias and depression and self-medication for any of the aforementioned behaviors can be collected. The tool also addresses any familial history of anxiety, panic attacks, depression, and drug and alcohol abuse. With the use of the Anxiety Inventory, practitioners can diagnose panic disorder in their clients and refer them for appropriate treatment.
Female↗
Improving your patient's compliance.
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Communication↗
Professional uncertainty: nurses in the technologically intense arena.
The implementation of medical technology in health care continues to escalate. Using a grounded theory methodological approach, nurses were interviewed regarding their feelings about medical technology and its impact on their practice. Through the medium of participant observation nurses were observed as they worked in a technologically intense general hospital in the United States. Nurses were ambivalent regarding the benefits of medical technology to nursing practice and patient care. In particular, they questioned whether the use of techniques facilitated relationships with patients or detracted from them. Findings showed that, in the practice setting, it appeared that most of the nurses' time was spent in co-ordinating, assessing and manipulating equipment. Technology structured nurses' time and gave their role some parameters. Technology also shaped the nurse-patient relationship and limited interactions to educational instruction, physical assessments and strategies to support the technology. Nurses' ambivalence regarding the benefits of technology appeared to be symptomatic of professional uncertainty. The hospital focus on technology is contrary to the considerable appreciation of the psychosocial nurse-patient relationship with which the neophyte nurse has been imbued. This practice-educational dichotomy causes role uncertainty for the registered nurse.
Attitude of Health Personnel↗
Identification and validation of a new nursing diagnosis: sick role conflict.
The purpose of this research is to assess the presence, etiology, and effects of sick role conflict experienced by hospitalized patients. Data from 99 hospitalized adult subjects were analyzed using a path analysis design. Patients were interviewed at the bedside using a structured interview tool developed by the researchers. It was found that subjects who occupied multiple roles, who were not adequately prepared for hospitalization, and who had an acute rather than chronic illness were prone to experience sick role conflict when hospitalized. Those subjects experiencing sick role conflict did not fully assume the sick role as defined by Parsons (1966). As a consequence of incomplete sick role assumption, an increased incidence of human responses such as guilt, powerlessness, anxiety, decreased self-esteem, depression, appetite change, and insomnia were reported. The researchers urge nurses to assume responsibility for diagnosing and treating sick role conflict, a human response to hospitalization commonly seen among patients.
Adult↗
Restoring power through nursing intervention.
PURPOSE: To test the effectiveness of seven therapeutic nursing interventions in alleviating powerlessness in chronically ill clients was tested. METHODS: Part I of the study tested the Holistic Power Model, developed by the researchers, in a pilot study. Part II compared the effectiveness of seven therapeutic nursing interventions to decisional control in alleviating powerless in experimental (N = 25) and control groups (N = 25). FINDINGS: An inverse relationship was found between power resource scores and the perception of powerlessness. There was a significant difference in perceived powerlessness between the experimental and control groups following intervention. CONCLUSIONS: Utilization of specific therapeutic nursing interventions is more effective in alleviating perceived powerlessness than utilizing the interventions of decisional control.
Aged↗
How nurses react to and cope with the uncertainty of unfamiliar technology: validation for continuing education.
Technological developments in healthcare continue, and nurses working in acute health care settings are assailed with new techniques. The focus of this qualitative study is methods nurses employ to stay current with new technological procedures. This article features nurses' verbatim responses regarding their use of technology and the facilitative role of continuing education.
Adaptation, Psychological↗