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Author: Paula Kenemore
Publisher: Lake Effect Media
ISBN: 0980057965
Category :
Languages : en
Pages : 82
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Book Description
Author: Paula Kenemore
Publisher: Lake Effect Media
ISBN: 0980057965
Category :
Languages : en
Pages : 82
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Book Description
Author: P.C. Rice
Publisher: Lulu.com
ISBN: 1291723323
Category : Biography & Autobiography
Languages : en
Pages : 178
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Book Description
A husband's caregiving experiences for his wife. His approach to care giving was unconventional. He chose to continue daily life as normal and sought logical interpretations for her irrational behaviour, entering her clouded Dementia world. Her condition declined rapidly whilst in hospital, unaided, she walked into hospital and returned wheelchair bound. In spite of his best efforts to provide her with twenty-four care, he soon conceded it was impossible to care and maintain their large home and grounds. She was doubly incontinent and rigidity had set in, thus he felt compelled to place her in a Nursing Home. In the months that followed her condition deteriorated to a degree that she became bedridden and required palliative care. His daily eight hour harrowing visits, became unbearable and against all advice he decided to take her home to die. For nine long painful months her survival prospects were rated very poor. Constantly he was warned she was dying, but he insisted on care giving in his own way.
Author: Ulrica Lovén Wickman
Publisher: Linköping University Electronic Press
ISBN: 9176850331
Category :
Languages : en
Pages : 90
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Book Description
Introduction: Inflammatory bowel disease (IBD), ulcerative colitis (UC), and Crohn’s disease (CD) occur worldwide and are life-long chronic conditions. The symptoms, which include abdominal pain and frequent diarrhea, cause limitations in life. Thus, patients with IBD need self-care in accordance with their symptoms, their own commitment to maintaining health, and decisions on symptom management. To strengthen self-care, there is a need for a tool that assesses self-care in patients with IBD, which aims to support the patient dialogue about self-care. The overall aim of this thesis was to develop and evaluate a questionnaire for the clinical assessment of self-care, and to explore self-care in relation to disease activity and to health-related quality of life (HRQOL) in patients with IBD. Design and method: The thesis includes four studies, where studies I, II and IV were conducted in Sweden, and study III was conducted in the United States (U.S.). In study I, a descriptive design, interviews were conducted with twenty adult patients, in order to explore self-care in patients with IBD. In study II, the self-care questionnaire was developed and tested with 193 patients with IBD in Sweden. In study III, a crosssectional descriptive design, the self-care questionnaire was translated into English, and the responses of 67 patients in the U.S. were evaluated. Finally, in study IV, a cross-sectional exploratory design was used to explore self-care in relation to patient characteristics, disease activity, and HRQOL among 234 patients. For a total of 421 patients, the data was analyzed using content analysis, and descriptive and analytic statistics (studies I, II, III and IV). Results: Among patients with IBD, self-care relates to symptom recognition, handling of symptoms, planning life, and seeking new options. Self-care varied according to how the patient managed daily life with regard to the symptoms of the disease (study I). Based on the results from study I, the self-care questionnaire was developed in Swedish, resulting in a valid and reliable questionnaire comprising 22 items (study II). The questionnaire was translated to English, and performed self-care activities were associated with a lower degree of well-being in relation to age and gender (study III). The patients were taking medication for IBD, paying attention to their intestinal symptoms, adapting their diet, managing their stress, planning their day and avoiding activities (studies III and IV). Self-care was more frequent in patients with CD when it came to paying attention to psychological symptoms; diet adaption; avoiding various activities including sex; and looking for new approaches to living with IBD. A greater degree of self-care activities was associated with a lower degree of HRQOL (IV). Conclusion: The results indicate the importance of identifying the total symptom experience, and of the patient’s need to discuss self-care, in order to strengthen selfcare and achieve better treatment. The self-care questionnaire can be a useful tool to benefit the discussion of self-care for the patient, and to secure health literacy, medication adherence, and HRQOL. The valid and reliable self-care questionnaire is available for patients with IBD at gastroenterology clinics or out-patient clinics, as primary care. Disease activity affects self-care, and consequently the self-care activities.
Author: John Bartlett
Publisher:
ISBN:
Category :
Languages : en
Pages : 1058
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Author:
Publisher:
ISBN:
Category : Christianity
Languages : en
Pages : 916
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Book Description
Author: Roy Brindley
Publisher: Random House
ISBN: 1409080668
Category : Biography & Autobiography
Languages : en
Pages : 300
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Book Description
Roy Brindley has earned over a million pounds, has a contented family life, owns an incredible house and both a Porsche and a Ferrari. But he's not always had money to play with. In fact, he hasn't always had a home. Addicted to gambling like the majority of his family, Roy spent his teens and twenties in the bookies and, week in, week out, frittered away his entire pay packet as he attempted to chase his losses. By the time he was twenty-eight he was on the run from the police and living out of a cardboard box in Southsea. In 2002 he finally ended up in court and decided to turn his life around. After a chance viewing of the Hollywood poker film Rounders, he at last put his phenomenal mathematical talent to constructive use, and his domination of the European poker circuit began. From his dysfunctional early years, through a career as a greyhound trainer and journalist before playing cards for cash became his vocation, the story of Roy the Boy is both an inspirational rags-to-riches story of a man who learnt to trust something other than lady luck, and a fascinating insight into the glamorous, celebrity-filled and ever-more-popular world of poker.
Author: Maksim Gorky
Publisher:
ISBN:
Category :
Languages : en
Pages : 334
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Book Description
Author: Roswell Dwight Hitchcock
Publisher:
ISBN:
Category : Gospel music
Languages : en
Pages : 462
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Book Description
Author: William Cullen Bryant
Publisher:
ISBN:
Category : American poetry
Languages : en
Pages : 866
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Book Description
Author: Jay Parini
Publisher: Beacon Press
ISBN: 0807047252
Category : Religion
Languages : en
Pages : 218
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Book Description
Renowned poet and novelist Jay Parini’s The Way of Jesus is a book for progressive Christians and spiritual seekers who struggle, as Parini does, with some of the basic questions about human existence: its limits and sadnesses, and its possibilities for awareness and understanding. Part guide to Christian living, part spiritual autobiography, The Way of Jesus is Jay Parini’s exploration of what Jesus really meant, his effort to put love first in our daily lives. Called “one of those writers who can do anything” by Stacy Schiff in the New York Times Book Review, Parini—a lifelong Christian who has at times wavered and questioned his beliefs—recounts his own efforts to follow Jesus’s example, examines the contours of Christian thinking, and describes the solace and structure one can find in the rhythms of the church calendar. Parini’s refreshingly undogmatic approach to Christian thinking incorporates teachings from other religions, as well as from poets and other writers who have helped Parini along his path to understanding.
