Biomedical subjects
Publications and source records attributed to S E Hall.
Spirituality is a critical component of the holistic mind-body-spirit model embraced by Hospice. Hospice chaplains, as part of the caregiving team, must understand their abilities and limitations in providing spiritual guidance to others who may differ in religious and spiritual beliefs.
Hospice caregivers are often targets of appropriate or displaced anger from the patients and family members that they try to help. Although anger is often an essential part of the grieving process, it may be difficult to endure. Caregivers must therefore understand the causes and signs of anger in themselves, patients, and family members, and find strategies to reduce the anger. A therapeutic response to anger will better facilitate the grief process as well as the effectiveness and well-being of the hospice caregiver.
Experiments were carried out on two groups of diabetic patients treated (1) by diet alone (group A) and (2) by diet and oral agents (group B), the latter being discontinued 3 days before each test. All patients were tested twice. To measure rates of glucose metabolism, 3H-3-glucose was infused before and during a standard 3-h 50-g oral glucose tolerance test. 14C-1-glucose was added to the glucose solution and the percentage of ingested glucose that appeared in peripheral blood was calculated. Bran improved glucose tolerance only in group B patients by delaying the peripheral appearance of ingested glucose but had no effect on glucose absorption in group A. In contrast, patients in group A showed a marked reduction in their insulin response when bran was mixed with the glucose. Despite this reduction, glucose tolerance, the metabolic clearance rate (MCR) of glucose, and all other rates measured were unaffected by bran. Thus we conclude that in patients adequately controlled by diet alone, the effect of insulin was potentiated when bran was ingested, but the mechanism involved remains obscure.