The caring congregation. A healing place.
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Biomedical subjects
Publications and source records attributed to P A Solari-Twadell.
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The Pinwheel Model of Bereavement is a process-orientated model of grief which recognizes loss as a unique lived experience. The model and relevant nursing response are described using Margaret Newman's nursing theory of health as expanding consciousness. The model is based on research by Carter (1989) and clinical experience. The contextual theme for the model is "personal history." Six core themes are: being stopped, hurting, missing, holding, seeking, and valuing. Three meta themes are change, expectations, and inexpressibility. Capacities for "being with" the bereaved are identified for the practice of nursing.
Recreational drug use presents a challenge to society and, in particular, the profession of nursing. Recreational drug use must be appreciated for the implications it presents for the episodes of abuse and development of chronic health problems. The effects and recreational use of volatile substances, cannabis, opioids, barbiturates, benzodiazepines, amphetamines, cocaine, psychedelics, and designer drugs as well as alcohol, caffeine, and nicotine must be acknowledged and understood if options for change are to be considered. The resultant cost of recreational drug use as well as health care implications, public safety, and prevention are significant issues society is faced with today. These issues will continue to be significant unless the current posture toward recreational drug use and abuse is addressed. The profession of nursing continues to be faced with the problems associated with recreational drug use not only through caring for clients, but immediately by the effects of recreational drug use on individual professional nurses. To respond effectively, nursing education and nursing research must be challenged to create an emphasis on this focus. Only through this type of multifocal approach will long-term substantial change be affected for the betterment of future generations.
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A nurse working in the context of the church is not a new concept. What is new at this time is the profile of such a role. Parish nursing is a health promotion, disease prevention role that has spiritual care as its hallmark. The functions of the role are health educator, health counselor, referral source, liaison with congregational and community resources, facilitator and teacher of volunteers, and interpreter of the close relationship between faith and health (Djupe, Olson, & Ryan, 1994). The breadth of parish nursing has grown considerably since 1984: from six nurses working in the northwest suburban areas of Chicago, in partnership with six local churches representing Lutheran, Roman Catholic, and Methodist traditions, to nurses working within all mainline denominations in 48 states, Canada, Australia, and Korea in 1997. This expansion has led to some growing pains for the profession. The need to set standards for the preparation and practice of parish nurses and their supervisors has become apparent.