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Biomedical subjects

R C Yeaworth

Publications and source records attributed to R C Yeaworth.

At least 19 recordsLinked to original sources

Frontotemporal dementia: a different kind of dementia.

Frontotemporal dementia (FTD) is an umbrella term for a number of uncommon illnesses, including Pick's disease, which affect the frontal and/or temporal lobes of the brain and produce a dementia syndrome that is quite characteristic but unfamiliar to most clinicians. It is the third most common cause of cortical dementia. An overview of clinical manifestations, diagnosis, and management of FTD is provided with some specific information in relation to Pick's disease and a case example. Caregivers, in particular, need the education and support that could be provided by informed nurses.

Adult↗

Availability and utilization of services by Alzheimer's disease caregivers.

1. Studies show that a high percentage of family caregivers of persons with Alzheimer's disease either do not use support services or are unaware of their availability. 2. Family caregivers in rural areas use proportionately more services than caregivers in urban areas. 3. Nursing will be an integral part in improving the quality of care and living for persons with Alzheimer's disease.

Aged↗

Alzheimer's disease. Special care units in long-term care facilities.

Special units in long-term care facilities have been developed to respond to the needs of residents with Alzheimer's disease. The underlying assumption is that specific environmental and programmatic modifications will enhance the quality of life for Alzheimer's patient's. Descriptive accounts of special care units for Alzheimer's disease reveal wide variations in philosophies, therapeutic approaches, protocols for behavioral management, staff education, and environmental design. Facilities with special care units used fewer chemical and physical restraints, reported a decrease in the number of problem behaviors, and indicated that environmental changes provided a personal sense of freedom and dignity. Nurses should be aware of the potential benefits of special units and advocate for their use if behavioral problems are severe enough to require the use of chemical or physical restraints.

Aged↗

The Adolescent Life Change Event Scale: its development and use.

A variety of instruments have been used by researchers from several disciplines to assess life change events in adolescents. Most instruments have not been tested for validity and reliability, and have been used in one-time studies, with limited effort to synthesize all studies using the particular instrument. Because of the number of requests, over more than a decade, to use the Adolescent Life Change Event Questionnaire, the authors have attempted to review all known studies using this instrument as a preliminary step toward further testing of the questionnaire for validity and reliability. Twenty-five studies, involving a total of 4,024 adolescent subjects from nine states, were reviewed. Findings included gender and age differences in number of events experienced and the perceived stressfulness, and a relationship between events experienced and suicidal ideation. Recommendations are made regarding future development and use of the instrument.

Adolescent↗

Moving day: relocation and anxiety in institutionalized elderly.

Environmental changes to, between, or within institutional settings create stress and risk for illness or death in the elderly population. Persons who are given individualized preparation and as many choices as possible in relation to a move show fewer deleterious effects than those involved in involuntary relocations. Elderly persons moving to a more dependent living arrangement show more anxiety than those moving to a more independent arrangement. Comprehensive information should be provided to the personnel of the new facility, specifically about the older person's fears and losses.

Activities of Daily Living↗

An exploratory study of life-change events, social support and pregnancy decisions in adolescents.

This exploratory, descriptive study investigated the relationship of life-change events and family and social support to decision making in pregnant adolescents. The convenience sample consisted of 43 subjects aged 14 to 18 years coming to two midwestern clinics for pregnancy testing. Instruments were the Adolescent Life Change Event Questionnaire and the Demographic and Social Support Questionnaire. Data analysis involved three groups: continue the pregnancy (N = 30); abort (N = 9); and undecided (N = 4). Kruskal-Wallis one-way analysis of variance by ranks was used to test for differences between groups on overall life-change unit (LCU) scores and social support scores. Chi square, Fisher Exact Tests and step method multiple discriminant analysis were used to determine if specific life changes were more associated with particular outcome decisions. While not statistically significant, the overall LCU scores were higher and the social support scores lower for the continue group than for the abortion group. Subjects in the abortion group were younger, more likely to have experienced "getting grounded," and more involved in school and social activities. More subjects in the continue group reported personal and family health problems.

Abortion Applicants↗

The development of an adolescent life change event scale.

A questionnaire listing 31 personal, social and family changes believed stressful to adolescents was administered to 207 subjects aged eleven to eighteen. They were asked to rate the items on a scale of one to five to indicate how "upsetting" they believed the event was. They were also asked to indicate how many of the events they had actually experienced. The Adolescent Life Change Event Scale developed from this data is shown. It is recommended that the questionnaire be given to a much larger sample of adolescents from other socioeconomic, racial and cultural backgrounds before the final weightings are assigned to the scale. Once this has been done, the scale can be used to study relationships between life stress events and illness or other manifestations of stress in adolescents.

Adolescent↗

Attitudes towards euthanasia.

There are an infinite variety of attitudes to euthanasia, each individual response to the concept being influenced by many factors. Consequently there is a literature on the subject ranging from the popular article to papers in specialized journals. This study, however, has taken a well defined sample of people, inviting them to answer a questionnaire which was designed to elicit their attitudes to euthanasia in a way which could be analysed statistically. Nor surprisingly attitudes appeared to 'harden' as those answering the questionnaire grew more experienced in dealing with patients and also more professionally established. Thus it was found that of the seven groups questioned practising physicians showed more positive attitudes to euthanasia and their responses did not differ significantly from those of senior medical students. It is these groups which actually or potentially have to resolve the clinical dilemma posed by the dying patient.

Adult↗