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This article discusses some of the practical recruitment challenges encountered by a project in the medical clinic in relation to raising the awareness of what is possible and what is not in a research project not primarily based on medical diagnostic and therapeutic thinking, but on sociology. After a brief outline of the study, the planned recruitment is described, and the specific, raised challenges are discussed. The challenges lie partly in the lack of administrative documents, personal, medical, and in nursing journals; hidden exclusion criteria by the gatekeeper function of nurses regarding the access to patients; theoretically designed professional categories are not easily applied to reality. On the other hand, patients, caregivers, leaders, and colleagues are willing to volunteer to participate in this type of study.
Background: Many aspects of everyday life in westernized societies are organized around the clock.
Aim: The aim of this study was to explore how individuals with long term health problems experience ‘time’ in their daily lives.
Methods: A phenomenological approach was identified as the most appropriate way of studying the individuals’ experiences of time. Data were obtained by qualitative in-depth interviews. Four women and five men diagnosed with long term mental health or somatic illnesses were included in the study.
Results: Three major themes were identified; ‘periods of time’, ‘experiences of good times’, and ‘taking control over time’. Periods of time refers to the time before the health problems occurred, the period when the informants really were struggling in their daily lives, and finally when they had learned to deal with or to manage their everyday life situations with health problems.
Conclusion: Increased awareness of the meaning of time could enhance understanding and development of more genuine, helpful, and enriching client-provider relationships, and formation of the ideal, but often illusive, partnership.
This article is based on a study examining the life of two young adults diagnosed with schizophrenia. Inspired by Pierre Bourdieu’s key concepts of field, habitus, and capital, interviews have been conducted and observations have been carried out for a total of 107 hours. Based on interviews concerning paths of life, capitals and social positions, two cases have been constructed. In the article, construction and analyses of activity categories are performed and case constructions are used to show how young adults handle everyday life in different ways.
The results show that the young adults live a life influenced by noise created by their inner voices. Both handle this by producing external noise to drown out the sound of their inner voices, a strategy of ‘noise that silences’. Their choices of external noises are different and related to the different ways they live in general. To conclude, the young adults use habituated strategies when coping with their inner voices. As schizophrenics, this enables them to live their lives as ‘abnormal in a normal world’.
Several studies show that nurses tend to be the controlling part in nurse-patient interaction and refrain from investigating the patient’s point of view in health care matters. Literature point out to pay attention to nurses values, reflection, and communication competencies. The aim is to challenge this in a clinical setting – an acute cardiology unit receiving patients with STEMI undergoing primary PCI. Inspiration was drawn from Zoffmann’s nurse-patient interaction method, Guided Self-Determination (GSD). A pilot test of one semi-structured worksheet „The dialogue sheet“ was tested among 15 patients. The worksheet became a platform for the planning of the individually based care. The patients’ needs varied from practical implications relating to their diseases to coping and existential thoughts. The nurses had some barriers to overcome as they felt that by handing over the sheet, the power was transferred to the patient. Most of the patients gave positive feedback and felt more ready to cope with the situation.
Background: Failure to use the gastrointestinal tract in patients with acute pancreatitis may exacerbate disease severity and greater incidence of complications.
Aim: To determine the optimum nutrition provision, and whether supplements can enhance the efficacy and delivery methods of enteral nutrition.
Methods: A systematic literature search for relevant articles in databases was performed. 28 articles are included in this review.
Findings: Enteral nutrition is preferred in severe acute pancreatitis, and this shows a reduction in infectious complications, surgical interventions, organ failures, mortalities, and it is cost-effective. Nasogastric delivery shows the same tolerance as nasojejunal delivery. Probiotic supplement alone is not recommended. Regarding other supplements, more studies are required. In mild acute pancreatitis, oral nutrition shows no signs of exacerbation of the disease.
Conclusion: In patients with mild acute pancreatitis, oral nutrition should be tried as soon as possible. In patients with severe acute pancreatitis, nasogastric delivery is a preferred and cost-effective method.
It is unclear how radiodermatitis affects patients receiving radiotherapy. The aim of this study is to investigate if radiodermatitis affects the patients’ quality of life. In this study, the Danish version of the Dermatology Life Quality Index was used, and the questionnaire was distributed to 90 women with breast cancer receiving radiotherapy. The results of the study show that radiodermatitis reduces patients’ quality of life. 85,6 % of patients reported that radiodermatitis affected their quality of life, and 53,4 % of patients answered that it had a substantial affect. Physical symptoms and clothing were reported to be the most problematic topics. Especially younger patients, patients with severe radio-dermatitis, and patients receiving additional boost or chemotherapy experienced a major reduction in their quality of life. The results may lead to an adjustment of patient information and argue for the continued conduction of skincare to patients receiving radiotherapy.