Biomedical subjects
Publications and source records attributed to M C Kreidler.
This article describes a short-term group offered to adult abuse survivors to aid in spiritual healing. The terms spiritual and spiritual distress are defined, the group format is delineated, and the need for all nurses to develop spiritual awareness when working with clients with family abuse histories is stated.
The concept of nurse-managed care in centers for nursing is a growing phenomenon in this era of health care reform. Nursing faculty are utilizing nurse-managed centers as alternative sites for clinical experiences and faculty practice. In this paper the authors highlight interdisciplinary faculty and student practice for a Campus Wellness Program at a midwestern university. Empowering faculty and students, and offering needed health promotion services to the university community, are addressed. Historical background, administrative, practice and educational challenges, and triumphs will be presented.
1. Despite functional limitations, independent elders usually voice satisfaction with the quality of their lives. However, life satisfaction can have a negative impact on self-care. As a result, older adults may become complacent about personal health practices. 2. Improvement in health behaviors and self-care practices increases the probability that older persons will be able to maintain independent functioning for a longer period. 3. Change theory can be used to determine client readiness to change health behaviors. The first stage, unfreezing, involves a desire for change. During the second stage, moving, new behaviors are identified that are perceived as problem-solving approaches. During the last stage, refreezing, new behaviors are integrated and internalized, while advice, reinforcement, and support are offered by the change agent. 4. Health screening alone is insufficient to create the discomfort necessary for change; unfreezing does not occur and health attitudes and behaviors remain unchanged. As valuable as health screening sessions are in raising participants' awareness, the study reported on suggests that it is the combination of health screening and nursing visits over time that creates the atmosphere in which change can occur.
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1. Adult women who are survivors of incest can work on healing issues during long-term group therapy sessions. 2. Group therapy sessions can assist survivors to deal with unresolved family issues. 3. Group therapy sessions can be facilitated by psychiatric nurses who are college faculty when a nursing center is affiliated with a college of nursing.
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TOPIC: Toxic shame and the concomitant fear of feeling are core issues needing to be addressed during group therapy with adult survivors of childhood sexual abuse. PURPOSE: To increase awareness of the toxic shame that survivors experience and to describe the impact of group therapy based on a family systems model. SOURCE: The authors' clinical experiences. CONCLUSIONS: Symptom management, repatterning of cognitive distortions, and the improvement of self-care strategies are identified as crucial aspects of healing shame-based feelings and behaviors. Group treatment offers members the opportunity to cease reenacting family rules and roles that create toxic shame.
TOPIC: How advanced practice nurses can work with trauma survivors to decrease dissociation as a needed coping mechanism. PURPOSE: To review the literature on trauma and dissociation as well as current treatment perspectives. SOURCES: Review of the literature and authors' clinical experience. CONCLUSIONS: Advanced practice nurses can use knowledge of selected psychopharmacological medications and Erikson's stages of psychosocial development to plan treatment for posttrauma clients.
Psychiatric mental health nurses are increasingly recognizing the traumatic effects of childhood incest on adult survivors. This article discusses a long-term group therapy that specifically deals with unresolved familial issues as a treatment for adult women who are survivors of incest. An interactional family model is described, as well as its use by nurse specialists who act as facilitators and surrogate parents in a long-term group process. Specific focus is on the use of the model in working through dysfunctional communication patterns and boundary and survival issues.