Walking our homebound patients through terror, grief, and loss.
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Biomedical subjects
Publications and source records attributed to V B Carson.
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A lot can happen when a psychiatric home care program hooks up with patients' families, practitioners, and the community to ensure quality care. According to a recent study, one home care agency's experience demonstrates that psychiatric home care is not only cost effective, but also a clinical success.
OBJECTIVES: To explore the spiritual needs of the family caregiver and to provide suggestions for giving spiritual care to this caregiver. DATA SOURCES: A caregiver's personal experience and nursing texts. CONCLUSION: Providing care for a loved one with cancer can be stressful for the family caregiver; yet, it can also produce spiritual growth. By providing care for the caregiver, the oncology nurse is equipping this caregiver to address the spiritual needs of the patient. IMPLICATIONS FOR NURSING PRACTICE: Nurses can assist caregivers by offering actions that communicate love, support, acceptance, and faithfulness. Such measures can ease the pain and encourage spiritual wellness.
Psychiatric home care is gaining recognition and acceptance in the home care industry, but there is still a long way to go before it becomes a service that both providers and payors no longer question. A retrospective look will help determine how smooth the journey into the future will be.
When documenting psychiatric home care, agencies must be careful to describe their services in acceptable Medicare language. One home care agency has created a documentation system that is virtually denial-proof for eligible patients.
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This study examined the relationship between spiritual well-being and hardiness in a group of 100 subjects who either tested positive for the human immunodeficiency virus (HIV+) or who had diagnoses of acquired immunodeficiency syndrome (AIDS)-related complex (ARC) or AIDS. Each subject completed the Spiritual Well-Being Scale, the Personal Views Survey (to measure hardiness), and a Demographic Data Survey. Analysis of data included Pearson Product-Moment Correlation Coefficients and multiple regression techniques. The results demonstrated that there was a significant relationship between spiritual well-being and hardiness (multiple R = .4165; P less than .001) as well as between the existential component of spiritual well-being and hardiness (multiple R = .5047; P less than .001). The conclusions of the study are that in this sample those individuals who were spiritually well and who were able to find meaning and purpose in their lives were also hardier. This finding has significance for the care that is provided to persons who are HIV+ or who have diagnoses of ARC or AIDS.
This article describes the Bay Area Health Care Psychiatric Home Care Model. The symbol of a home is used to define the components of the model. The foundation of the house is a moral/spiritual one. The walls of the home are made up of assessment skills and relationship building. The second floor of the psychiatric home care model, supported by the walls of assessment and relationship, are the issues surrounding medications. The two sides of the roof of the psychiatric home care model are made up of teaching/psychotherapeutic interventions and case management. This model is comprehensive, and directed to caring, stabilizing, and maximizing potential.
Two groups of 20 mothers and their firstborn children (matched for age and sex) were investigated to determine whether sibling preparation for the birth of a newborn made a difference in the behavior of the children and in the mothers' perceptions of their own ability to cope with the children. One group of mothers and their children attended a sibling preparation class; the other group did not. Each group was pretested and posttested with the Parent-Child Assessment Tool. A significant difference was found between the two groups.
Literature on long-term survivors with AIDS is replete with anecdotal evidence linking survival to such things as (a) holding a positive attitude toward the illness; (b) participating in health-promoting behaviors; (c) engaging in spiritual activities; and (d) taking part in AIDS-related activities. To determine whether there is quantitative research to support this anecdotal evidence, 100 subjects, who were either HIV-positive or diagnosed with ARC or AIDS, completed Kobasa's Personal Views Survey (hardiness measure) and responded to questions regarding perceptions of their physical, emotional, and spiritual health; participation in spiritual activities, selected health-promoting behaviors, and AIDS-related activities. The results demonstrated positive relationships between hardiness and: perception of physical, emotional, and spiritual health; participation in prayer and meditation; and participation in exercise and the use of special diets.