From silence to storm - patient illness trajectory from diabetes diagnosis to haemodialysis in Taiwan: a qualitative study of patients' perceptions

2012 ◽  
Vol 69 (9) ◽  
pp. 1943-1952 ◽  
Author(s):  
I-Chen Yu ◽  
Yun-Fang Tsai
Keyword(s):  
Qualitative Study ◽  
Diabetes Diagnosis ◽  
Illness Trajectory

scholarly journals Patient and Provider Dilemmas of type 2 Diabetes Self-Management: a Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm

2018 ◽  
Author(s):  
Juliet Aweko ◽  
Jeroen De Man ◽  
Pilvikki Absetz ◽  
Claes-Göran Östenson ◽  
Stefan Swartling Peterson ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Daily Life ◽  
Healthcare Providers ◽  
Structured Interview ◽  
Self Management ◽  
Study Patient ◽  
Diabetes Diagnosis ◽  
Management Support ◽  
Provider Perceptions ◽  
Disadvantaged Communities

Studies comparing provider and patient views and experiences of self-management within primary healthcare are particularly scarce in disadvantaged settings. In this qualitative study, patient and provider perceptions of self-management were investigated in five socio-economically disadvantaged communities in Stockholm. Twelve individual interviews and three group interviews were conducted. Semi-structured interview guides included questions on perceptions of diabetes diagnosis, diabetes care services available at primary health care centers, patient and provider interactions, and self-management support. Data was analysed using thematic analysis. Two overarching themes were identified. These were characterized by inherent dilemmas representing confusions and conflicts that patients and providers experienced in their daily life or practice respectively: adopting and maintaining new routines through practical and appropriate lifestyle choices (patients); and balancing expectations and pre-conceptions of self-management (providers). Patients found it difficult to tailor information and lifestyle advice to fit their daily life. Healthcare providers recognized that patients were in need of support to change behavior, but saw themselves as inadequately equipped to deal with the different cultural and social aspects of self-management. This study highlights patient and provider dilemmas that influence the interaction and collaboration between patients and providers with respect to communication and uptake of self-management advice.

scholarly journals Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm

2018 ◽  
Vol 15 (9) ◽  
pp. 1810 ◽  
Author(s):  
Juliet Aweko ◽  
Jeroen De Man ◽  
Pilvikki Absetz ◽  
Claes-Göran Östenson ◽  
Stefan Swartling Peterson ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Daily Life ◽  
Healthcare Providers ◽  
Structured Interview ◽  
Self Management ◽  
Study Patient ◽  
Diabetes Diagnosis ◽  
Management Support ◽  
Provider Perceptions ◽  
Disadvantaged Communities

Studies comparing provider and patient views and experiences of self-management within primary healthcare are particularly scarce in disadvantaged settings. In this qualitative study, patient and provider perceptions of self-management were investigated in five socio-economically disadvantaged communities in Stockholm. Twelve individual interviews and four group interviews were conducted. Semi-structured interview guides included questions on perceptions of diabetes diagnosis, diabetes care services available at primary health care centers, patient and provider interactions, and self-management support. Data was analyzed using thematic analysis. Two overarching themes were identified: adopting and maintaining new routines through practical and appropriate lifestyle choices (patients), and balancing expectations and pre-conceptions of self-management (providers). The themes were characterized by inherent dilemmas representing confusions and conflicts that patients and providers experienced in their daily life or practice. Patients found it difficult to tailor information and lifestyle advice to fit their daily life. Healthcare providers recognized that patients needed support to change behavior, but saw themselves as inadequately equipped to deal with the different cultural and social aspects of self-management. This study highlights patient and provider dilemmas that influence the interaction and collaboration between patients and providers and hinder uptake of self-management advice.

Illness trajectory of initial infection for patients with hepatitis C: A qualitative study

2018 ◽  
Vol 21 (1) ◽  
pp. 112-118
Author(s):  
Shu-Mei Tsai ◽  
Jung-Ta Kao ◽  
Yun-Fang Tsai
Keyword(s):  
Hepatitis C ◽  
Qualitative Study ◽  
Illness Trajectory ◽  
Initial Infection

scholarly journals The marked body – a qualitative study on survivors embodied experiences of a COVID‐19 illness trajectory

2021 ◽  
Author(s):  
Malene Missel ◽  
Camilla Bernild ◽  
Signe Westh Christensen ◽  
Ilkay Dagyaran ◽  
Selina Kikkenborg Berg
Keyword(s):  
Qualitative Study ◽  
Illness Trajectory ◽  
Marked Body ◽  
Embodied Experiences

Qualitative study on “hydropic degeneration” of The hepatocytes in viral hepatitis

1990 ◽  
Vol 48 (3) ◽  
pp. 568-569
Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang
Keyword(s):  
Qualitative Study ◽  
Viral Hepatitis ◽  
Chronic Active Hepatitis ◽  
Microscopic Observation ◽  
Hydropic Degeneration ◽  
Light Microscopic Observation ◽  
Biopsy Specimens ◽  
Endoplasm Reticulum ◽  
Mixed Fluid ◽  
Peripheral Cytoplasm

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.

American Speech-Language Pathologists' Training and Legislative Knowledge When Working With Immigrant and Refugee Populations: A Qualitative Study

2019 ◽  
Vol 4 (5) ◽  
pp. 1148-1161
Author(s):  
Camilo Maldonado ◽  
Alejandro Ashe ◽  
Kerri Bubar ◽  
Jessica Chapman
Keyword(s):  
Qualitative Study ◽  
Service Provision ◽  
Limited English Proficiency ◽  
Linguistic Diversity ◽  
Speech Language Pathologists ◽  
Federal Mandates ◽  
Refugee Families ◽  
Provision Of Services ◽  
English Speaking ◽  
Immigrant And Refugee

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.

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