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Biomedical subjects

M Thobaben

Publications and source records attributed to M Thobaben.

At least 19 recordsLinked to original sources
PubMed1999

Understanding the Internet and World Wide Web.

If home care providers have computers and Internet connections at work or home, they can access the latest information regarding their clients' diseases, communicate with colleagues by electronic mail (E-mail), access government health care policies affecting home care, and much more. The Internet's increased popularity and utilization are a result of high-speed, high-capacity personal computers and related equipment and the development of easy-to-use graphics-intensive software.

Community Health Nursing↗
PubMed1999

Dual disorders: clients suffering from psychiatric disorders and alcohol or drug abuse disorders.

If home care providers are to be diligent in assessing the total well-being of their clients, they need to assess for dual disorders (DDs), a co-occurrence (comorbidity) of psychiatric disorders and alcohol or other drug disorders (AODDs). Table 1 lists acronyms for different types of DDs. Home care clients who suffer from depression and other mental health problems are not uncommon, nor are clients who suffer from AODDs. What health professionals often do not realize, however, is that clients may be suffering from both. Failure to effectively treat clients' DDs will negatively affect their recovery. Their DD may be causing or contributing to their physical problems and affecting their judgment, motivation, and insight into their problems.

Community Health Nursing↗
PubMed1998

Helping clients with presbycusis.

Hearing impairment is the most common chronic disability in the United States. The National Institute on Deafness and Other Communication Disorders (NIDCD) reports that more than 28 million Americans have impaired hearing. Hearing loss can be temporary or permanent, depending on what function of the auditory system is not working right.

Age Distribution↗
PubMed1998

Sleep disorders.

Many clients have trouble battling afternoon fatigue, falling asleep, staying asleep, or having a restful night's sleep. Approximately 33% of the adult U.S. population--about 65 million people--suffer from sleep disorders. One of two people have experienced insomnia. At least 10 million people have sleep apnea, hundreds of thousands have experienced narcolepsy, and approximately 12 million suffer from restless legs syndrome or periodic limb movements during sleep. However, most people with sleep disorders remain undiagnosed and untreated.

Adult↗
PubMed1998

Health care technology issues in home care.

Every 2 years the Federal Bureau of Labor Statistics updates its employment outlook for the next decade. In its publication, The Occupational Outlook Handbook, 1998-1999 edition, the agency projects that employment in home health care is expected to grow the fastest of all health care sectors in the next decade. One of the main reasons for this trend is advances in health care technology that have allowed health care activities once performed only in hospitals or physicians' offices to be performed in clients' homes.

Community Health Nursing↗
PubMed1998

Successful treatment for major depressive episodes.

The stigma of mental illness is powerful. Clients are afraid of being discriminated against if they admit they are depressed. Fifty percent of U.S. adults believe people with depression are simply lazy despite evidence that depression has biologic causes and is a treatable mental illness. In fact, depression is the most prevalent psychiatric disorder in the United States, affecting as much as 10% of the adult population. The National Institute of Mental Health estimates that during any 1-year period, 17.6 million U.S. adults suffer from a depressive illness.

Adult↗
PubMed1997

Partnerships between home care providers and client families.

As home care providers, we work with clients who are members of family units. The influence of family on the client is ever present, whether it takes the form of participation, resistance, denial, judgment, withdrawal, or absence. Even if the home care provider never meets them, relatives will influence the client's behavior.

Aged↗
PubMed1997

Caring for interpersonal violence survivors.

Interpersonal violence is a serious public health problem in the United States. Millions of violent injuries occur each year, but the magnitude of the problem can only be estimated. The National Child Abuse and Neglect Data System reported that 3,140,000 abused or neglected children were reported in 1994 to child protective services agencies.

Adult↗
PubMed1997

Common phobias.

Mrs. Brown, a 65-year-old woman, was terrified of being alone at night and suffered from nyctophobia. Her husband had been dead for several years, and her 40-year-old son lived in another state with his family. She often called him in the middle of the night in a state of panic, and he felt helpless about her situation. She lived in a senior housing community that never had any problems with crime. Nonetheless, she lived in a continual stage of anxiety.

Aged↗
PubMed1997

Suicide myths and health care provider bias.

If most health care providers believe suicide is not an acceptable alternative for clients to alleviate their anguish, then why are these providers not more diligent in assessing clients for suicidal ideation (thoughts about suicide)? One reason is providers believe the myths associated with suicide, which can prevent them from becoming involved with elderly clients who are suicidal.

Attitude of Health Personnel↗
PubMed1992

Whose life is it anyway? Client autonomy.

The concept of individual autonomy, although generally valued in the abstract, is often negated in nursing practice. This is particularly true when the client's physical being is controlled by health care practitioners within an intensive care unit (ICU) setting. The concept of autonomy when applied to American health care practices clearly acknowledges in custom and law the right of the client to determine what treatment is acceptable and under what conditions. This article identifies some of the ethical dilemmas that arise in ICU settings and by a case example elucidates the implications for nursing practice.

Advance Directives↗