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Biomedical subjects

M M Friedman

Publications and source records attributed to M M Friedman.

82 records · Page 5Linked to original sources
PubMedDate not supplied

Correlates of fatigue in older women with heart failure.

OBJECTIVE: To examine the relative contribution of psychologic factors and physical symptoms to the variance in fatigue in older women with heart failure. METHODS: Eighty women who had been hospitalized in the previous 12 months for heart failure were interviewed. Fifty-seven women completed second interviews 18 months after the first interview. RESULTS: Fatigue was the most frequently occurring physical symptom at both measurement times, and it significantly increased with time. Other physical symptoms contributed uniquely to the variance in fatigue at both measurement times, but psychologic factors did not. At time 1, sleep difficulties, chest pain, and weakness each explained unique variance in fatigue. At time 2, dyspnea was the only variable that explained unique variance in fatigue (9%). Dyspnea also explained a significant portion of the variance (7%) in time 2 fatigue, when time 1 fatigue was controlled. CONCLUSIONS: Fatigue in older women with heart failure is related more to other physical symptoms than psychologic factors.

Adaptation, Psychological↗
PubMedDate not supplied

Older adults' symptoms and their duration before hospitalization for heart failure.

OBJECTIVE: To describe the older adult heart failure patients' symptoms and their duration before a hospital admission and to explore related factors. DESIGN: The study was an archival study of inpatient hospital records at one acute care facility in western New York. SAMPLE: One hundred eighty-one patients with a mean age of 76 years. RESULT: Ninety-one percent of the patients reported having dyspnea an average of 3 days before hospital admission, and 37% reported having acute dyspnea an average of 12 hours before admission. Thirty-five percent of the patients reported having edema, and 33% reported a cough for an average of 7 days before their hospital admission. Age, heart failure history, and a symptom pattern of simultaneous development of preadmission symptoms were each related to the length of time patients experienced symptoms before admission. CONCLUSION: This study, at one acute care institution, showed that older adult patients with heart failure experience symptoms for a relatively long time before hospital admission. Education about symptom monitoring, symptom interpretation, and prompt health care-seeking are warranted for all patients with heart failure.

Aged↗
PubMedDate not supplied

Social comparisons and temporal comparisons after coronary artery surgery.

OBJECTIVE: To examine the use and efficacy of social and temporal comparisons used before and after coronary artery surgery. DESIGN: Secondary analysis of data from a prospective study designed to examine social support. PATIENTS: 141 subjects undergoing surgery. RESULTS: One third of subjects made spontaneous social comparisons. Most who made a social comparison before and 1 month after surgery viewed themselves as similar to others. Social comparisons were related to mood states only before surgery. The majority of subjects made temporal comparisons 1 year after surgery. Subjects generally saw themselves as the same or better than they were before surgery. Temporal comparisons were related to both emotional and functional outcomes. CONCLUSIONS: Social comparisons were not consistently related to emotional and functional status; thus whether they can be used to formulate interventions needs further exploration. On the other hand, use of temporal comparisons was related to better mood state and functional status. Enhancing an individual's ability to view self as stable or improved compared with before surgery may be beneficial. Results are discussed in terms of how social comparison theory fits within the overall context of coping with physical illness.

Adult↗
PubMedDate not supplied

Relationship of physical symptoms and physical functioning to depression in patients with heart failure.

OBJECTIVE: The purpose of this study was to determine the relative contribution of physical symptoms and physical functioning to depression in adult patients with heart failure during hospitalization and the early postdischarge period. DESIGN: An exploratory, correlational longitudinal design was used. PATIENTS: The sample included 170 subjects with heart failure. RESULTS: Subjects' mean scores on the depression scale indicated that subjects were not depressed on average; however, 30% of the sample (n = 52) had scores indicative of clinical depression. Both physical symptoms (r = 0.48) and physical functioning (r = -0.32) were moderately correlated with depression. Physical symptoms contributed 13% uniquely to the variance in depression while physical functioning contributed only 2% uniquely to the variance in depression. Multiple regression analyses indicated that physical symptomatology is more closely related to depression than is physical functioning in adults with heart failure. CONCLUSIONS: This study showed the patients with heart failure who had increased physical symptoms and poorer physical functioning reported increased symptoms of depression. Physical symptoms explained a greater portion of the variance in depression than did physical functioning. Thus, it appears that patients with heart failure are affected emotionally by both their physical symptoms and their limitations in their physical functioning, but depression is more strongly related to having more physical symptoms than having greater limitations in physical functioning.

Adult↗
PubMedDate not supplied

The Joint Commission's "improving organizational performance" standards for home infusion therapy providers.

In today's homecare environment, optimizing operational efficiency and making data-driven decisions is essential. Home infusion therapy organizations that are accredited by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) will find a heavy emphasis on the standards for improving organizational performance during the homecare survey process. The standards from the "Improving Organizational Performance" chapter are reviewed, and the Joint Commission's requirements for meeting the intent of the standards are discussed.

Accreditation↗
PubMedDate not supplied

Risk management strategies for home transfusion therapy.

Transfusion therapy has been performed safely in the home setting for the past 15 years; however, it is not free of risks. Legal liability and risks can be reduced when transfusions are performed according to the accepted standards of care. Strategies to reduce transfusion risks through administrative, patient care, and quality control activities will be discussed. Methods to assure high-quality home care services also are provided.

Blood Transfusion↗