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People need to give.

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Community-Institutional Relations↗

Ethical norms of suicide prevention and crisis intervention.

Life is not a so called highest value in itself--it is highest value as life subdued to the spirit, to the transcendence, as life 'in relation to'. Human existence is existence within history which means that it is vocational. If life is vocational it has an inborn eschatology. To commit suicide is to stop out of one's own history and eschatology, an act devoid of freedom. To help suicidals means: to give the suicidal person 'assistance to freedom', helping him to find his freedom which is also a freedom to suffer, to live, to believe, to gain confidence and to die when death overcomes us.

Attitude↗

The stresses of caring.

Our calling as physicians resonates with very deeply held values and satisfactions. The physician's role is also associated with some special stresses and vulnerabilities. Each of us must find a way to balance this combination of rewards and pressures in terms of our own unique personality structure and life stage. The following personal summary of the satisfactions and stresses of caring may be useful to others in managing that individual balancing act.

Empathy↗

Making a difference, one child at a time.

A colleague going on a surgical mission to rural Guatemala asked the author if she could obtain a handheld instrument for the trip. She went one better and provided the hands to operate it, and in return learned new skills along with some unforgettable life lessons.

Child↗

Gaining wholeness.

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Altruism↗

Isolated and invisible gay, lesbian and bisexual youth.

A 14-year-old boy confides that he feels he does not fit in with the other boys and does not understand why. Would you consider that he might be questioning his sexual orientation? Would you be able to explore these feelings without bias? Do you have an understanding of the developmental process for gays and lesbians? Can you dispel myths and give accurate information?

Adolescent↗

[The mask and the face of a profession].

These pages criticize those forms of extreme medicalization that support a fragmented and sectional health anthropology. They declare the importance of the nursing profession as a methodologic discipline based on the help relationship. Furthermore, these pages call back towards social and anthropologic "vocation", like in the beginning. Such vocation allows to approach the ill patient in his/her totality. It also antagonizes contemporary medical philosophy, which has produced the patient-machine standing on a functionalist and purely instrumental business culture of therapy and care.

Anthropology, Cultural↗

Psychiatric emergencies: rapid response and life-saving therapies.

Mental status in older patients can be acutely affected by a range of factors, particularly polypharmacy, disorders of cognition, psychosis, and elder abuse. Patients so affected may be agitated, uncooperative, combative, suicidal, or incapable of participating in treatment decisions. In a life-threatening emergency, a patient may need to be restrained or a treatment administered against a patient's wishes. Key to successful management of psychiatric emergencies is an awareness of the potential scenarios, familiarity with appropriate interventions, and an understanding of patient rights. An increased alertness for life-threatening behaviors can help prevent an event from worsening and minimize the likelihood of a patient acting out on a threat of violence or suicide.

Aged↗