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Biomedical subjects

S Popkess-Vawter

Publications and source records attributed to S Popkess-Vawter.

11 recordsLinked to original sources

Body image measurement in overweight females.

This article details two studies of the reliability and validity of three instruments to measure body image and suggestions for their use in interventions for weight control programs. Weight control programs often fail because there is no attempt to modify clients' negative body images; hence clients may regain weight to match incorrect images. Short, easily administered instruments, such as the Nash Body Image Scale, the Body Image Photo Technique, and the Body Shape Questionnaire used in these studies, are needed to evaluate clients' progress in weight control programs. Subjects were 120 women who were either satisfied or dissatisfied with their body image and weight. All subjects completed body image measures at the outset of the study and 43 subjects completed measures again to determine trait stability of body image at 1 year. Cronbach's alpha estimates provided evidence of reliability, with internal consistency coefficients ranging from .83 to .96. Validity of the measures was supported by significant correlations with scores on the Physical subscale of the Tennessee Self-Concept Scale (r = .60 to .63) as well as by significant differences on the three measures between normal-weight and overweight groups (Nash: F = 28.03, p = .001; Photo: F = 11.58, p = .001). Body image was found to be stable over the 1-year period on the Nash Body Image Scale and the Body Image Photo Technique. These instruments can provide valuable information and potential intervention content for practitioners and researchers alike. The three body image instruments discussed were found to have sufficient reliability and validity to warrant their use in practice and research.

Adolescent

Self-injury concept formation: nursing diagnosis development.

Self-inflicted injury, an increasingly common phenomenon in psychiatric settings, often is seen in borderline clients who scratch or burn themselves repeatedly. Their dysfunctional behavioral patterns present special challenges to the psychiatric/mental health nurse who seeks to interrupt such destructive means of coping. Aside from the difficult task of assisting these individuals to deal with their feelings in a constructive way, the psychiatric nurse often struggles with difficult countertransference feelings. The authors review a historical perspective of self-injury behaviors, define the phenomenon through the procedure of concept analysis, propose the creation of a new nursing diagnosis, and outline interventions appropriate for these clients.

Humans

The adult living with diabetes mellitus.

This article has presented a new holistic self-care approach as a solution to the problem of fragmented nursing care of the adult patient who has either type I or II diabetes. Physical and psychosocial needs are equally emphasized by the nurse when assisting the patient and his family to develop an optimal lifestyle. Approaches for dealing with common lifestyle problems were discussed.

Adult

Reducing cardiac risk factors in the obese patient.

The holistic, self-care approach for permanent weight control can be used to reduce cardiac risk factors in the obese yo-yo dieter. Two major concepts of the approach are implied by the name: holistic means that all parts of the patient's life are examined and incorporated into an adjustment in lifestyle to promote not only permanent weight control but also reduced cardiac risk as well. Self-care implies that the patient is ultimately responsible for his change in lifestyle. The nurse can only act as a knowledgeable, supportive facilitator to the patient. However, if the patient over an extended period of time chooses to adopt a new healthier lifestyle, the nurse can be one of the greatest influences in accomplishing positive change.

Adult

Compounded problem: chronic low back pain and overweight in adult females.

Overweight adult females may have negative self-concepts and body images compounded by chronic low back pain and obesity. This subgroup of clients need special attention and nursing interventions to adjust to chronic low back pain and to achieve permanent weight control. Interventions designed to improve female clients' self-concepts and body images also support their efforts toward weight control, and, in turn, improve their negative perceptions of chronic pain. Orthopaedic nurses are in an excellent position to explore the relationships among body image, overweight, and chronic low back pain.

Adult

Wellness nursing diagnoses: to be or not to be?

Problem orientation has dominated the nursing diagnosis movement since the early 1970s. The purpose of this article is to discuss how the new nursing diagnosis definition provides opportunity for a wellness perspective to be incorporated into the movement. Wellness is differentiated from illness and health, and conceptual model is offered to clarify these concepts. Work is reviewed from the growing number of authors who have supported wellness nursing diagnoses and advocated their incorporation into the current taxonomic listing. Cases of ill-well and well-ill clients and examples of wellness nursing diagnoses are included to emphasize the need for wellness diagnoses across the wide scope of nursing practice. Nurses are challenged to generate, research, and use wellness diagnoses in their practices.

Aged