Personal development and occupational therapy.
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The problem of pathogenetics and salutogenetics factors for addiction are examined. Drug use is classified in each case as a specific expression of personal problem processing and psychosocial conflicts. The differential approach to therapy from this model is discussed and a case is made out for a stronger integration of pathogenetic and salutogenetic personality organisation in the diagnosis and therapy of addiction.
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BACKGROUND: Although malnutrition in older persons is a common, potentially treatable condition, few data indicate that treatments for this disorder can be effective. OBJECTIVE: To develop and preliminarily evaluate a two-component intervention that includes a nurse-administered, in-home assessment to identify potentially remediable causes of hypoalbuminemia and protocols to treat these problems. DESIGN: A pre-test post-test case-series. SETTING: An academic geriatrics practice. PARTICIPANTS: Seventeen persons aged 65 and older with serum albumin levels < or = 3.8 g/dL; eight of the participants received pre-and post-test outcome measures. INTERVENTION: Nurse-administered standardized assessment and intervention protocols. MEASUREMENTS: Serum albumin, Medical Outcome Study (MOS) SF-36, serum IL-1a and b, TNF alpha, IL-6, and lymphocyte markers of immune function. RESULTS: The assessment took 87 minutes, on average, and generated a mean 4.2 recommendations. Among the eight subjects with pre- and post-test measures, serum albumin increased by 0.2 g/dL (P = .035). Compared with baseline, two T cell markers of immune function demonstrated changes consistent with better function. CONCLUSIONS: These preliminary data support the potential benefit of a nurse-administered assessment coupled with protocols to address remediable contributors to hypoalbuminemia.
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In this paper we wish to outline both the function and the role of projects as part of a course in "Nursing Education" (Pflegepädagogik) at the Fachhochschule Münster, as well as to present a specific project which has enabled the students to gain experience in project management and qualitative research. The project target group were visually handicapped old people for whom a guide was produced as a health promotion strategy within the framework of governmental health objectives in the state of Northrhine-Westfalia.
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