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Biomedical subjects

F M Lewis

Publications and source records attributed to F M Lewis.

At least 55 records · Page 3Linked to original sources
PubMed1993

The child's adaptation to parental medical illness: theory and clinical implications.

Few resource papers are available to health care providers that address in detail the issues faced by children in adapting to serious parental illness. The current paper offers a developmental approach to understanding the responses and problems of school-age and adolescent children coping with parental medical illness. Four developmental issues are considered: security and separation anxiety, interpersonal understanding, conceptualizations of illness and death and the role of fantasy. Based on these considerations, broad guidelines for clinical interaction are suggested for health professionals working with seriously ill parents and their children.

Adaptation, Psychological↗
PubMed1993

The family's functioning with newly diagnosed breast cancer in the mother: the development of an explanatory model.

Despite the high rates of breast cancer in the child-rearing mother, there is extremely limited research on the effects of the illness on the children, marriage, and parent-child relationship. The current study tested an explanatory model of family functioning with breast cancer based on data obtained from standardized questionnaires from 80 diagnosed mothers and partners with young school-age children. Path analysis results for data obtained from both the mothers and the partners revealed a similar pattern. More frequently experienced illness demands were associated with higher levels of parental depressed mood which negatively affected the marriage. When the marriage was less well adjusted, it negatively affected the family's coping behavior. Household functioning was positively affected by heightened coping activity and by higher levels of marital adjustment. Children functioned better when the non-ill parent more frequently interacted with them and their families coped more frequently with their problems.

Adaptation, Psychological↗
PubMed1993

Psychosocial transitions and the family's work in adjusting to cancer.

The family, not just the patient, experiences and attempts to understand the meaning of cancer. The family's adjustment to cancer involves moving through psychosocial transitions in ways that facilitate the meaning of the experience; that maintain the family's ongoing functions; that respond to the illness-related demands; that maintain the self-esteem of the family members; and that foster new arrangements and relationships in the family that are responsive to the contingencies of the illness.

Family↗
PubMed1993

Lupus pernio following facial trauma.

Cutaneous sarcoidosis may occur at sites of trauma. Two patients are reported in whom lupus pernio developed in the area of facial fractures. Injury may be a factor in the site of development of lupus pernio in some individuals and may have medico-legal implications. Cutaneous sarcoidosis is known to occur at the sites of scars and trauma but lupus pernio has not been widely recognized to show this phenomenon. We report two patients in whom lupus pernio developed at the site of facial trauma.

Erythema↗
PubMed1993

Randomized telephone smoking-intervention trial initially directed at blue-collar workers.

Although smoking prevalence in the United States has declined markedly in recent years, prevalence among blue-collar workers remains high and few successful methods of reaching this group have been identified. The present study was designed to test the relative efficacy of two different approaches to telephone smoking-cessation counseling for blue-collar workers. Our study built on the experience of the National Cancer Institute's Cancer Information Service (CIS) and compared the past CIS smoking-cessation counseling procedure and a modified version of the present procedure. In our trial, callers to a special telephone hotline who asked for information on smoking cessation were randomly assigned to receive counseling under one of two protocols: 1) the past CIS procedure, in which general information was given and cessation materials were sent to the callers, and 2) a version of the present CIS stage-model procedure, adapted by us for use with blue-collar workers, in which callers were given counseling specific to their stage in the smoking-cessation process. The general-information group contained 185 subjects; the stage-model group contained 197. Despite extensive efforts in the present study, it was not possible to recruit the number of blue-collar workers planned for our statistical analysis. Consequently, of a total of 382 subjects recruited, 93 (24.3%) were blue-collar workers, 181 (47.4%) were white-collar workers, and 108 (28.3%) were retired persons who worked part time, student workers, or the unemployed. Our results show no statistically significant differences in either short-term or long-term nonsmoking rates between the general-information group and the stage-model group.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

HIV-illness, social support, sense of coherence, and psychosocial well-being in a sample of help-seeking adults.

This study tests a set of hypotheses that predict self-esteem and anxiety in adults infected with human immunodeficiency virus (HIV). The analysis is motivated by the following question: Is the level of perceived coherence, i.e., the extent to which individuals derive meaning and purpose in their lives despite their HIV-illness, related to their levels of self-esteem and anxiety? Data were obtained from one of three HIV care and referral centers in the Midsouth. The results demonstrate that clients who experienced a greater sense of derived meaning and purpose (perceived coherence) from their situations and those with more confidants (social support) reported higher self-esteem and lower anxiety than other HIV-infected adults seeking counseling and maintenance services. Implications are drawn for strategies to meet HIV-related mental health care needs.

AIDS-Related Complex↗
PubMed1993

The lived experience of self-transcendence in gay men with AIDS.

This phenomenologic study described the structure of self-transcendence in eight gay men with AIDS. The men provided oral or written descriptions of experiences associated with feelings of increased interconnectedness with others, sense of well-being, and meaning and purpose in life. The data were analyzed using Colaizzi's phenomenologic technique. The men experienced self-transcendence in the three ways described by Frankl. Reaching out for help and helping others alleviated the men's sense of aloneness and isolation. Their acceptance of the closeness of death led to a sense of urgency to create a legacy and to participate only in activities that had meaning for them. Knowledge of these views and behaviors may help nurses to create a therapeutic exchange in which self-transcendent views are fostered in other gay men with AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Neurofibromatosis of the vulva.

Neurofibromatosis can be very variable in its expression. A case of neurofibromatosis presenting with vulval lesions is described.

Adult↗
PubMed1992

Design and measurement challenges in family research.

Closing the chasm between family theory, nursing practice, and family research requires design and methods that foster the study of families as dynamic, holistic entities. This article has outlined several strategies for capturing morphostasis and morphogenesis and for studying the family as a unit of analysis.

Adaptation, Psychological↗
PubMed1990

Strengthening family supports. Cancer and the family.

The family, not merely the diagnosed individual, experiences the demands and contingencies of cancer. There is substantial cumulative evidence that these illness-related demands occur during the early stages of illness diagnoses and treatment as well as during the ongoing illness experience. Pressures seem to exacerbate during disease recurrence. The partner, as well as the school age children, are affected by the illness experience. For the partner there is the problem of depression and marital tension. Such factors, in turn, affect the partner's relationship with the children and the child's subsequent psychosocial adjustment. Support programs for the family, as well as the patient, are clearly indicated. Many types of supportive services seem indicated: informational, interpretive, anticipatory, physical, skill building, and problem-focused services.

Adult↗