Biomedical subjects
M Thobaben
Publications and source records attributed to M Thobaben.
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.
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.
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.
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.
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.
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.
"In every midwife's caseload..." battered women.
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Patients with hearing impairments: implications for home healthcare professionals.
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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.
Developing a psychiatric nursing home health service.
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What you can do for the depressed caregiver.
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Abuse: the shameful secret of elder care.
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Reporting elder abuse: it's the law.
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Clients in crisis. When should the nurse step in?
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Nursing fellowship opportunities for advanced studies.
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Psychiatric home health nursing of the aged: a selected literature review.
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