scholarly journals Educational Needs and Resources for Teachers Working with Students with Chronic Pain: Results of a Delphi Study

2021 ◽  
Vol 13 (8) ◽  
pp. 4510
Author(s):  
Elena Castarlenas ◽  
Rubén Roy ◽  
Isabel Salvat ◽  
Pilar Montesó-Curto ◽  
Jordi Miró
Keyword(s):  
Chronic Pain ◽  
Delphi Study ◽  
Care Center ◽  
Educational Needs ◽  
Return To School ◽  
Health Care Center ◽  
The Family ◽  
Pain Problem ◽  
And Function

Children and adolescents spend most of their time at school. Therefore, teachers could be of help to improve the quality of life of students with chronic pain while they are at school. The aim of this study was to identify teachers’ educational needs and resources to help improve the adjustment to and function in the school of students with chronic pain. A Delphi survey including two rounds was conducted. Overall, 49 needs were identified in the first round. They were related to education, training, organization/logistics, and communication with the family and the health care center. Among the most important needs, based on the importance given and consensus reached, were (1) having information about the most appropriate attitudes and responses to a student with chronic pain, (2) how to reduce absenteeism, (3) how to ease the return to school after a long absence due to his or her pain problem, and (4) how to establish effective communication with the family. The results of this study provide new important data on the educational needs and resources which teachers would like to have to help their students with chronic pain at school, which could be used to develop educative programs for teachers.

scholarly journals Psychiatric health care center and nursing home – differences and similarities

2017 ◽  
Vol 127 (1) ◽  
pp. 41-43
Author(s):  
Krzysztof Siejko ◽  
Bartłomiej Drop ◽  
Marek Kos ◽  
Halina Dubas-Ślemp ◽  
Piotr Książek ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Medical Condition ◽  
Care Center ◽  
Standards Of Care ◽  
Health Care Center ◽  
Care And Support ◽  
Polish Society ◽  
Type Of Institution

Abstract The authors will try to introduce the subject and provide arguments that will show the differences and similarities between psychiatric health care center and nursing home, as Polish society often wrongly use those two different types of institutional support interchangeably. Both, health care center and nursing home offer round-the-clock services, but they differ in scope of activity. The knowledge of the profile of institutional units should be an essential argument when choosing the type of institution. The basic criterion for admission to the health care center (psychiatric or somatic) are medical condition, the presence of the disease and the need for continued treatment. While the cause of referring to the nursing home is, or in many cases should be, the life incapability, the lack of support of the home environment or homelessness. Awareness to the highest quality of care and support should be an overarching value of all institutions, both health care and social welfare and the standards of care and support should contribute to changing society’s attitude to this type of institutions.

scholarly journals Pengaruh pelatihan tenaga gizi puskesmas terhadap program keluarga sadar gizi di Kota Samarinda Provinsi Kalimantan Timur

2007 ◽  
Vol 4 (2) ◽  
pp. 78
Author(s):  
Sri Sedono Iswandi ◽  
Endy Paryanto Prawirohartono ◽  
Abidillah Mursyid
Keyword(s):  
Health Workers ◽  
Care Center ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Health Care Center ◽  
Related Information ◽  
The Family ◽  
Cross Sectional Design ◽  
Nutrition Problem ◽  
The Impact

Background: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness.

scholarly journals Primary care management for isolated limb injury: Referral to orthopedic surgery in a trauma center

2010 ◽  
Vol 33 (2) ◽  
pp. 99
Author(s):  
Dominique M Rouleau ◽  
Stefan Parent ◽  
Debbie Ehrmann Feldman
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Care Center ◽  
Related Factors ◽  
Lower Limb Injury ◽  
Health Care Center ◽  
Factors Associated ◽  
Limb Injury ◽  
Quality Of Primary Care

Introduction: Musculoskeletal injuries affect up to 13% of adults annually. Despite this high incidence, quality of primary care, including analgesia, may be sub-optimal. The goal of this study is to describe the quality of primary care for ambulatory patients with isolated limb injury and to identify related factors. Methods: A cross sectional study was undertaken prospectively on 166 consecutive ambulatory adult patients with isolated limb injury who presented to orthopedics service in a Level one Trauma Centre. Quality of care was assessed by evaluating analgesia, walking aids, immobilization, and quality of referral diagnosis according to actual expert recommendations. Results: This study revealed low quality of primary care for 82 (53.2%) of injured patients. Seventy-three patients (50.3%) had pain level over 5/10 and 45 cases (28.5%) had insufficient/absent analgesia prescriptions. Fifty-one (32.3%) had unacceptable immobilization and 21/59 (35.6%) patients with a lower limb injury did not receive a walking aid prescription. A total of 61 patients (36.7%) had an absent or inadequate referral diagnosis. Factors associated with lower quality depended on the specific quality indicator and included: living further away from the hospital, younger age, initially consulting at another health care center, having a fracture, and being a smoker. Conclusion: The high frequency of low quality of care underlines the necessity for orthopedic surgeons to be involved in primary care education. Identifying factors associated with lower quality of care will orient efforts to improve medical care of patients with isolated traumatic injury.

Wybrane zagadnienia położnicze: stosowanie leczenia tokolitycznego po przedwczesnym przerwaniu błon płodowych oraz znaczenie oceny długości szyjki macicy w przezpochwowym badaniu ultrasonograficznym

2018 ◽  
Vol 21 (2) ◽  
Author(s):  
Grażyna Jarząbek-Bielecka ◽  
Paulina Wojtyła-Buciora ◽  
Magdalena Pisarska-Krawczyk ◽  
Witold Kędzia ◽  
Dawid Luwański ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Transvaginal Ultrasound ◽  
Care Center ◽  
Family Doctor ◽  
Cervical Length ◽  
Daily Work ◽  
Health Care Center ◽  
The Family ◽  
Work Family

In our health care system, family doctor is the first physician that patients have contact with. Family medicine provides basic health care. In his daily work, family doctor independently consults both children and adults regardless of the reason of visit, if necessary, cooperating with consulting physicians working in outpatient specialist centers or referring patients for diagnosis and treatment in specialist centers (hospitals). This also applies to pregnant women. Two specific issues requiring consultation with gynecology clinics are discussed: tocolytic treatment after premature rupture of membranes and the importance of assessing cervical length in transvaginal ultrasound. When discussing obstetric problems from the family doctor’s perspective, the importance of education should be emphasized. The basis of prenatal education for pregnant women, including high-risk pregnant women, consists of an education plan developed by a midwife working in the Primary Health Care Center. The plan is an integral part of the patient’s medical record and includes both practical and theoretical preparation for childbirth, puerperium, breastfeeding and parenting (also in case of group services).

scholarly journals Clinical Holistic Medicine: Social Problems Disguised as Illness

2004 ◽  
Vol 4 ◽  
pp. 286-294 ◽  
Author(s):  
Søren Ventegodt ◽  
Mohammed Morad ◽  
Isack Kandel ◽  
Joav Merrick
Keyword(s):  
Chronic Pain ◽  
Social Problems ◽  
Holistic Approach ◽  
Social Situation ◽  
Holistic Medicine ◽  
The Family ◽  
The World ◽  
And Behavior

Many of the diseases seen in the clinic are actually symptoms of social problems. It is often easier for the physician to treat the symptoms than to be a coach and help the patient to assume responsibility in order to improve quality of life, social situation, and relations. If the physician ignores the signs of the disease as a symptom of social problems, and treats the patient with pharmaceuticals, he can give the patient the best justification in the world not to do anything about the situation. It is very important that the physician is not tricked by the games the socially troubled patient, more or less unconsciously, is playing. A firm and wise attitude that confronts the patient with his or her lack of responsibility for solving social problems seems to be a constructive way out. The physician can give holding and support, but the responsibility must remain with the patient. Often it is better for the patient that the physician abstains from giving drugs that can remedy the symptoms and takes the role of a coach instead. Suffering is not necessarily bad, suffering is actually highly motivating and often the most efficient source of learning. Coaching can help the patient canalize his motivation into highly constructive considerations and behavior. A holistic approach thus gives the patient learning and helps him rehabilitate his social reality. Concerning children with recurrent or chronic pain, we have observed an overuse of painkillers, where we believe part is of a psychosomatic nature due to poor thriving in the family. Here the physician has an important job helping the parents to develop as persons, teaching them the basic holding of awareness, respect, care, acknowledgment and acceptance of their child. Most of the chronic pain and discomfort with children can be improved if the physician understands how to use the holistic medical toolbox.

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