Quality of Life for Patients Detained in Hospital

1993 ◽  
Vol 162 (5) ◽  
pp. 611-620 ◽  
Author(s):  
Jeremy W. Coid

The quality of life of detained patients has not received adequate attention despite the responsibilities placed on hospital staff and the special problems faced by these patients. Legal principles to ensure quality of life have not been formalised, and the acceptable standards that a patient can expect have not been tested in the UK courts. Contemporary models of ensuring quality are being imposed with increasing pressure on health care professionals, but high-quality management has sometimes lagged behind. This has led to a poor quality of life for certain patients. It is important for future research to overcome difficulties in developing objective measurements and set the appropriate standards of quality of life that detained patients should expect. This would provide a basis against which both appropriate standards of care and the necessary resource allocation could be measured.

10.2196/26551 ◽  
2021 ◽  
Vol 23 (7) ◽  
pp. e26551
Author(s):  
Abigail Rebecca Lee ◽  
Esther Vera Gerritzen ◽  
Orii McDermott ◽  
Martin Orrell

Background The increasing prevalence of dementia has promoted a move toward equipping people with the skills required for greater self-management of the condition to enable a better quality of life. Self-management encompasses numerous skills, such as goal setting and decision making, which aim to improve an individual’s physical and mental well-being when they live with long-term health conditions. Effective self-management may lead to increased well-being and quality of life. Reviews of web-based and app-based interventions have suggested that they have the potential to provide self-management support for people living with a range of conditions, including dementia. Objective The aim of this review is to explore the existing use of web-based or app-based interventions that facilitate or support self-management in dementia and discuss their effectiveness in promoting self-management and independence. Methods A total of 5 electronic databases were systematically searched for relevant articles published between January 2010 and March 2020. Included studies were appraised using the Downs and Black checklist and the Critical Appraisal Skills Program qualitative research checklist. A narrative synthesis framework was applied using tables and conceptual mapping to explore the relationships within and among studies. Results A total of 2561 articles were identified from the initial search, of which 11 (0.43%) met the inclusion criteria for the final analysis. These included 5 quantitative, 4 mixed methods, and 2 qualitative studies. All the included articles were of fair to high quality across the two appraisal measures. Interventions were delivered through a range of web-based and app-based technologies and targeted several self-management concepts. However, there was inconsistency regarding the domains, often affected by dementia, that were targeted by the interventions reviewed. Conclusions Web-based and app-based interventions for dementia can be delivered through a range of means and can target different aspects of self-management. The small number of studies included in this review report positive outcomes that seem to support the use of these interventions for people living with dementia. However, there is a clear need for more high-quality research into this type of intervention delivery and for studies that use a much larger number of participants across the dementia spectrum. Future research should consider the barriers to and facilitators of intervention adoption highlighted in this review and whether interventions can encompass the physical, social, cognitive, and emotional domains affected by dementia.


Author(s):  
David Hesmondhalgh

This chapter foregrounds two concepts that need to be central in discussions about the future of television in the UK: quality of life, and the value of culture. It makes four main claims: (i) television can contribute to quality of life in important ways, but we should not understand that contribution in terms of ‘consumer preferences’; (ii) television's contribution to quality of life should be thought of in terms of what it enables people to do or to be; (iii) television markets, if not well constructed and regulated, are unlikely to enhance cultural quality of life adequately, because high-quality television is a particular form of ‘merit good’ and is therefore likely to be underproduced; and (iv) digitalisation does not remove the fundamental problems surrounding cultural markets and quality of life — it makes a public service ‘common provider’ more important.


2020 ◽  
Author(s):  
Abigail Rebecca Lee ◽  
Esther Vera Gerritzen ◽  
Orii McDermott ◽  
Martin Orrell

BACKGROUND The increasing prevalence of dementia has promoted a move toward equipping people with the skills required for greater self-management of the condition to enable a better quality of life. Self-management encompasses numerous skills, such as goal setting and decision making, which aim to improve an individual’s physical and mental well-being when they live with long-term health conditions. Effective self-management may lead to increased well-being and quality of life. Reviews of web-based and app-based interventions have suggested that they have the potential to provide self-management support for people living with a range of conditions, including dementia. OBJECTIVE The aim of this review is to explore the existing use of web-based or app-based interventions that facilitate or support self-management in dementia and discuss their effectiveness in promoting self-management and independence. METHODS A total of 5 electronic databases were systematically searched for relevant articles published between January 2010 and March 2020. Included studies were appraised using the Downs and Black checklist and the Critical Appraisal Skills Program qualitative research checklist. A narrative synthesis framework was applied using tables and conceptual mapping to explore the relationships within and among studies. RESULTS A total of 2561 articles were identified from the initial search, of which 11 (0.43%) met the inclusion criteria for the final analysis. These included 5 quantitative, 4 mixed methods, and 2 qualitative studies. All the included articles were of fair to high quality across the two appraisal measures. Interventions were delivered through a range of web-based and app-based technologies and targeted several self-management concepts. However, there was inconsistency regarding the domains, often affected by dementia, that were targeted by the interventions reviewed. CONCLUSIONS Web-based and app-based interventions for dementia can be delivered through a range of means and can target different aspects of self-management. The small number of studies included in this review report positive outcomes that seem to support the use of these interventions for people living with dementia. However, there is a clear need for more high-quality research into this type of intervention delivery and for studies that use a much larger number of participants across the dementia spectrum. Future research should consider the barriers to and facilitators of intervention adoption highlighted in this review and whether interventions can encompass the physical, social, cognitive, and emotional domains affected by dementia.


2010 ◽  
Vol 12 (1) ◽  
pp. 13-16 ◽  
Author(s):  
June Halper ◽  
Amy Perrin Ross

Several recent studies have shown that mobility loss and walking impairment are significant concerns among people living with multiple sclerosis (MS). Ongoing challenges related to the assessment and management of mobility loss can have a direct impact on outcomes and patient quality of life. These challenges are evident across the spectrum of patient experience and at all stages on the treatment continuum. In June 2009 a panel of MS experts met to review current standards of care in the treatment of mobility loss in MS. The objective of the roundtable meeting was to identify specific actions that patients, care partners, and health-care professionals should consider to improve the assessment, diagnosis, and treatment of mobility loss and walking impairment in people with MS. The meeting was hosted by the International Organization of Multiple Sclerosis Nurses and was supported by a grant from Acorda Therapeutics.


2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dr. M. Senthil

Background: Family members play a major role in providing care giving assistance to patients with mentally illness and while providing care they may experience considerable amount of distress and may have a poor quality of life, if they are unable to cope with the stress associated with the process of caregiving. The effect of stressors on family members caring for a patient with mentally illness in the family has been referred to as caregiver’s burden. Caregiver burden in mental illness can either be objective or subjective. Numerous studies have demonstrated that family caregivers of persons with a mental illness suffer from significant stresses, experience high levels of burden, and often receive inadequate assistance from mental health professionals. So this study was carried out to review the literature and to describe the psychosocial issues facing by family members of patients with mental illness. Method: An electronic search of articles from Google was conducted for articles published. The purpose of this article was to present a review of the literature related to families of persons with mental illness. There is general agreement in the literature that a multitude of psychosocial variables affect families of persons with mental illness. Therefore, this literature review examined the most frequently investigated variables such as family burden, stigma, stereotypes and prejudices, quality of Life, disability and dysfunction in family life and psychological distress as they are related to families and mental illness. Results: A systematization of information revealed the existence of significant stresses, experience high levels of burden, stigma, poor quality of life and various psychological strains while providing care to their ill relatives. Conclusions: The findings of this study urges the mental health care professionals to actively work with the caregivers of patients with psychiatric illness to decide suitable psychosocial intervention strategies to address their burden associated with mental illness, to improve their quality of life and enhance their coping skills which will in turn provide good quality of care to their mentally ill patients.


2004 ◽  
Vol 22 (9) ◽  
pp. 1743-1752 ◽  
Author(s):  
Ezra E.W. Cohen ◽  
Mark W. Lingen ◽  
Everett E. Vokes

Treatment of squamous cell carcinoma of the head and neck (SCCHN) has evolved greatly in the last two decades, owing to the integration of chemotherapy, advances in radiotherapeutic techniques, and organ-preserving surgery. Several randomized trials have established new standards of care that should be adopted. Current efforts are building on these earlier trials in order to improve survival and quality of life. Coincident with this, investigators are developing molecularly targeted approaches that hold promise for the future. This review will focus on current therapy for locally advanced, recurrent, and metastatic SCCHN and discuss controversies and directions for future research.


2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.


2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life


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