Complex Factors That Influence Patient And Partner And Dyad Outcome 4 Months After Coronary Artery Bypass Surgery

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Complex Factors that Influence Patient and Partner and Dyad Outcome 4 Months After Coronary Artery Bypass Surgery

Author : Patricia Thomson
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (757 download)

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Book Synopsis Complex Factors that Influence Patient and Partner and Dyad Outcome 4 Months After Coronary Artery Bypass Surgery by : Patricia Thomson

Download or read book Complex Factors that Influence Patient and Partner and Dyad Outcome 4 Months After Coronary Artery Bypass Surgery written by Patricia Thomson and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Coronary heart disease (CHD) remains a major cause of death and ill-health in Scotland. Coronary artery bypass grafting (CABG) aims to relieve CHD symptoms, improve quality of life and increase life expectancy in high-risk groups. Partners may positively or negatively influence patient outcome, and they too may be adversely affected by the experience of CABG. Health care is currently organised around the patient. The partner is seen as merely assisting patient recovery. Their health and well-being is neglected despite them being at an increased risk of CHD. Research has been limited in the partner variables that have been examined. Their health needs and concerns and the influence of the patient on partner outcome have seldom been examined and the effects of CABG on the dyad. The dyad has not previously been examined as an outcome variable of interest. Aim: To explore the complex factors that influence patient and partner and dyad outcome 4 months after CABG surgery. Design and methods: A multifactorial exploratory, prospective study was carried out. A consecutive sample of 80 patient-partner/family pairs were recruited and data were collected on a number of physical and psychosocial variables 2-3 months prior to elective CABG and 4 months after surgery. The outcome measures were perceived health status, quality of life and CHD risk factors. Findings: The patients' CHD risk factors and physical and mental health (SF-12) improved significantly from pre- to post-operatively, but there was no corresponding improvement in the partners. Most patients were free from angina following CABG. Though the partners' quality of life improved it remained sub-optimum post-operatively. The patients' self efficacy beliefs and partners' efficacy judgements about the patient's cardiac capabilities improved significantly at 4 months; treatment beliefs were unchanged. The patients' perceived social support improved post-operatively, but not the partners. Patients' and partners' total number of important need met increased significantly post-operatively, and the number of important needs unmet decreased. There were significant differences between the patient and partner groups over the two time periods (pre- and post-operatively) for CHD risk factors, physical health (SF-12), self-efficacy for maintaining function, affectionate support, positive social interaction and important needs met and unmet. Overall, the recovery patterns indicated a move towards concordance. The patients' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical health, and lower pre-operative importance need met predicted poorer mental health. Greater pre-operative CHD risk factors and being female predicted higher post-operative risk factors. Partners' poorer pre-operative physical and mental health (SF-12) significantly predicted their poorer post-operative physical and mental health; low pre-operative affectionate support predicted poorer physical and social health (QL-SP); and a greater number of pre-operative CHD risk factors predicted higher post-operative risk factors. The patients' pre-operative beliefs about CABG - mortality risk reduction predicted the partners' poorer post-operative physical health (SF-12) and emotional health (QL-SP); and patients' poorer pre-operative mental health (SF-12) and greater physical limitation (SAQ) predicted the partners' poorer physical and social health (QL-SP). Only the partners' poorer pre-operative physical health predicted patients' poorer post-operative physical health (SF-12). This unidirectional relationship in which the patients' pre-operative factors predominantly influenced partner outcome(s) was also evident when the physical and mental health and CHD risk factors of the dyad (outcomes) were examined. Results highlight the potential that pre-operative rehabilitation and use of interventions, which target the dyad have for the primary and secondary prevention of CHD. Nurses are heavily involved in the pre-operative preparation for CABG and in the post-operative care of patients and could contribute further to improving the outcomes of surgery for patients and partners.

Gender and Recovery from Coronary Artery Bypass Surgery

Author : Friederike Kendel
Publisher : Springer Science & Business Media
ISBN 13 : 3798518564
Total Pages : 106 pages
Book Rating : 4.7/5 (985 download)

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Book Synopsis Gender and Recovery from Coronary Artery Bypass Surgery by : Friederike Kendel

Download or read book Gender and Recovery from Coronary Artery Bypass Surgery written by Friederike Kendel and published by Springer Science & Business Media. This book was released on 2009-01-24 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Progress in coronary artery bypass graft surgery has irrefutably improved the quality of life of many patients. However, we are confronted with the finding that women - hibit a higher mortality rate than men. In part, this difference can be explained by clinical parameters such as age, disease severity, or comorbidity – factors that have been well studied, but which do not fully explain the observed differences. This is one reason why, in recent years, psychosocial variables have attracted special atten- on in this context. In fact, women and men having undergone a bypass operation - ry a great deal with respect to, e. g. , depression, partner status, and socio-economic status. Moreover, psychological well-being, on the one hand, and social isolation, on the other hand, definitely influence the recovery process, particularly when consi- red under the gender aspect. The Deutsches Herzzentrum Berlin has been actively supporting gender-specific research for many years. In this context, a large prospective study on gender dif- rences in recovery after bypass surgery, carried out by the Competence Network of Heart Failure, was started at our Department for Cardiothoracic and Vascular Sur- ry. From the beginning of the study, psychosocial variables were included as being substantial contributors. The starting point of the study presented here* by psychologist Dr. Friederike Kendel are recent empirical investigations about gender differences in coronary heart disease and the course of recovery after bypass surgery.

Taking Action Against Clinician Burnout

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309495474
Total Pages : 335 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Taking Action Against Clinician Burnout by : National Academies of Sciences, Engineering, and Medicine

Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Handbook of Psychocardiology

Author : Marlies Alvarenga
Publisher : Springer
ISBN 13 : 9789812872050
Total Pages : 0 pages
Book Rating : 4.8/5 (72 download)

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Book Synopsis Handbook of Psychocardiology by : Marlies Alvarenga

Download or read book Handbook of Psychocardiology written by Marlies Alvarenga and published by Springer. This book was released on 2017-11-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook brings together the full weight of contemporary evidence bearing on what is now commonly termed “psycho-cardiology”. It focuses on the role of psycho-social factors in the genesis and clinical management of cardiovascular disease (CVD). The book constitutes a critically reviewed compendium of current knowledge in the area, coupled with guides to evidence-based best practice in the field of psycho-cardiology. The following categories are covered: Social/demographic risk for CVD, Personality and CVD risk, Stress and CVD risk, Psychopathology (particularly affective disorders) and CVD risk, The psychological management of those with clinical CVD, Psychology in the prevention of CVD. The book integrates the evidence into a compelling argument that clinicians, researchers and those in public health will discount the role of psychological factors in regard to CVD at their own peril. And importantly for clinicians charged with the care of patients with CVD, the book poses the argument that failure to recognize the links between psychological factors and CVD may well be at the considerable peril of those patients under their care.

Attachment Theory and Research

Author : Jeffry A. Simpson
Publisher : Guilford Publications
ISBN 13 : 1462518737
Total Pages : 465 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Attachment Theory and Research by : Jeffry A. Simpson

Download or read book Attachment Theory and Research written by Jeffry A. Simpson and published by Guilford Publications. This book was released on 2015-02-20 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume showcases the latest theoretical and empirical work from some of the top scholars in attachment. Extending classic themes and describing important new applications, the book examines several ways in which attachment processes help explain how people think, feel, and behave in different situations and at different stages in the life cycle. Topics include the effects of early experiences on adult relationships; new developments in neuroscience and genetics; attachment orientations and parenting; connections between attachment and psychopathology, as well as health outcomes; and the relationship of attachment theory and processes to clinical interventions.

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

U.S. Health in International Perspective

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309264146
Total Pages : 421 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis U.S. Health in International Perspective by : National Research Council

Download or read book U.S. Health in International Perspective written by National Research Council and published by National Academies Press. This book was released on 2013-04-12 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Dyadic Data Analysis

Author : David A. Kenny
Publisher : Guilford Publications
ISBN 13 : 1462546137
Total Pages : 482 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Dyadic Data Analysis by : David A. Kenny

Download or read book Dyadic Data Analysis written by David A. Kenny and published by Guilford Publications. This book was released on 2020-11-26 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interpersonal phenomena such as attachment, conflict, person perception, learning, and influence have traditionally been studied by examining individuals in isolation, which falls short of capturing their truly interpersonal nature. This book offers state-of-the-art solutions to this age-old problem by presenting methodological and data-analytic approaches useful in investigating processes that take place among dyads: couples, coworkers, parent and child, teacher and student, or doctor and patient, to name just a few. Rich examples from psychology and across the behavioral and social sciences help build the researcher's ability to conceptualize relationship processes; model and test for actor effects, partner effects, and relationship effects; and model and control for the statistical interdependence that can exist between partners. The companion website provides clarifications, elaborations, corrections, and data and files for each chapter.

Closing the Quality Gap

Author : Kaveh G. Shojania
Publisher :
ISBN 13 : 9781587632594
Total Pages : 7 pages
Book Rating : 4.6/5 (325 download)

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Book Synopsis Closing the Quality Gap by : Kaveh G. Shojania

Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Families Caring for an Aging America

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309448093
Total Pages : 367 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Families Caring for an Aging America by : National Academies of Sciences, Engineering, and Medicine

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Evidence-Based Practice of Palliative Medicine - E-Book

Author : Nathan E Goldstein
Publisher : Elsevier Health Sciences
ISBN 13 : 032384703X
Total Pages : 739 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Evidence-Based Practice of Palliative Medicine - E-Book by : Nathan E Goldstein

Download or read book Evidence-Based Practice of Palliative Medicine - E-Book written by Nathan E Goldstein and published by Elsevier Health Sciences. This book was released on 2023-11-07 with total page 739 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a practical, question-and-answer approach, Evidence-Based Practice of Palliative Medicine, 2nd Edition, helps you provide optimal care for patients and families who are dealing with serious illness. This unique reference focuses on patient and family/caregiver-centered care, highlighting the benefits of palliative care and best practices for delivery. The highly practical, user-friendly format sets it apart from other texts in the field, with concise, readable chapters organized around clinical questions that you’re most likely to encounter in everyday care. Uniquely organized using a question-and-answer approach, making it easy to find answers to common questions asked by practitioners and patients. Up-to-date, reader-friendly chapters explore interventions, assessment techniques, treatment modalities, recommendations and guidelines, communication techniques, and available resources for palliative care. Expanded discussions on hospice in every chapter, and a new emphasis on pediatrics, with increased material on pediatric malignancies, developmental delays, cystic fibrosis, and perinatal palliative care. New chapters on wellness of the palliative care practitioner, patients with opioid use disorders, telehealth in palliative care, health disparities, rural palliative care, caring for people with hematologic malignancies, integrative and alternative therapies, LGBTQ+ populations, mobile health technologies, and national palliative care implementation strategies. High-quality evidence gathered and reviewed by leading experts in palliative medicine, including clinicians, educators, and researchers across a broad range of disciplines. Numerous algorithms throughout help you make informed decisions, and “take-home” points in every chapter provide a quick summary of key content. Any additional digital ancillary content may publish up to 6 weeks following the publication date.

Vibrant and Healthy Kids

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309493382
Total Pages : 621 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Vibrant and Healthy Kids by : National Academies of Sciences, Engineering, and Medicine

Download or read book Vibrant and Healthy Kids written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-12-27 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.

Social Science Research

Author : Anol Bhattacherjee
Publisher : CreateSpace
ISBN 13 : 9781475146127
Total Pages : 156 pages
Book Rating : 4.1/5 (461 download)

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Book Synopsis Social Science Research by : Anol Bhattacherjee

Download or read book Social Science Research written by Anol Bhattacherjee and published by CreateSpace. This book was released on 2012-04-01 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to introduce doctoral and graduate students to the process of conducting scientific research in the social sciences, business, education, public health, and related disciplines. It is a one-stop, comprehensive, and compact source for foundational concepts in behavioral research, and can serve as a stand-alone text or as a supplement to research readings in any doctoral seminar or research methods class. This book is currently used as a research text at universities on six continents and will shortly be available in nine different languages.

Enabling people to live well

Author : Vikki Entwistle
Publisher : The Health Foundation
ISBN 13 : 1906461457
Total Pages : 52 pages
Book Rating : 4.9/5 (64 download)

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Book Synopsis Enabling people to live well by : Vikki Entwistle

Download or read book Enabling people to live well written by Vikki Entwistle and published by The Health Foundation. This book was released on 2013 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Keeping Patients Safe

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Cornerstones of Attachment Research

Author : Robbie Duschinsky
Publisher : Oxford University Press
ISBN 13 : 0198842066
Total Pages : 641 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Cornerstones of Attachment Research by : Robbie Duschinsky

Download or read book Cornerstones of Attachment Research written by Robbie Duschinsky and published by Oxford University Press. This book was released on 2020 with total page 641 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an open access title available under the terms of a [CC BY-NC-ND 4.0 International] licence. It is free to read at Oxford Clinical Psychology Online and offered as a free PDF download from OUP and selected open access locations. Attachment theory is among the most popular theories of human socioemotional development, with a global research community and widespread interest from clinicians, child welfare professionals, educationalists and parents. It has been considered "one of the most generative contemporary ideas" about family life in modern society. It is one of the last of the grand theories of human development that still retains an active research tradition. Attachment theory and research speak to fundamental questions about human emotions, relationships and development. They do so in terms that feel experience-near, with a remarkable combination of intuitive ideas and counter-intuitive assessments and conclusions. Over time, attachment theory seems to have become more, rather than less, appealing and popular, in part perhaps due to alignment with current concern with the lifetime implications of early brain development Cornerstones of Attachment Research re-examines the work of key laboratories that have contributed to the study of attachment. In doing so, the book traces the development in a single scientific paradigm through parallel but separate lines of inquiry. Chapters address the work of Bowlby, Ainsworth, Main and Hesse, Sroufe and Egeland, and Shaver and Mikulincer. Cornerstones of Attachment Research utilises attention to these five research groups as a lens on wider themes and challenges faced by attachment research over the decades. The chapters draw on a complete analysis of published scholarly and popular works by each research group, as well as much unpublished material.

Geriatric Psycho-Oncology

Author : Jimmie C. Holland
Publisher : Oxford University Press
ISBN 13 : 0199361487
Total Pages : 240 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Geriatric Psycho-Oncology by : Jimmie C. Holland

Download or read book Geriatric Psycho-Oncology written by Jimmie C. Holland and published by Oxford University Press. This book was released on 2015-02-03 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geriatric Psycho-Oncology is a comprehensive handbook that provides best practice models for the management of psychological, cognitive, and social outcomes of older adults living with cancer and their families. Chapters cover a wide range of topics including screening tools and interventions, psychiatric emergencies and disorders, physical symptom management, communication issues, and issues specific to common cancer sites. A resource section is appended to provide information on national services and programs. This book features contributions from experts designed to help clinicians review, anticipate and respond to emotional issues that often arise in the context of treating older cancer patients. Numerous cross-references and succinct tables and figures make this concise reference easy to use. Geriatric Psycho-Oncology is an ideal resource for helping oncologists and nurses recognize when it may be best to refer patients to their mental health colleagues and for those who are establishing or adding psychosocial components to existing clinics.