Type

Database

Creator

Date

Thumbnail

Search results

196 records were found.

The transition to palliative (breast)cancer care is a stressful event. It is important to communicate such information with care for patients’ needs. Patients seem to have two distinct needs, the need to know and understand and the need to feel known and understood. Oncologists can respond to these needs by providing instrumental and affective communication, to handle feelings of uncertainty and anxiety this diagnosis evokes. However, when discussing the transition to palliative care oncologists face two main dilemmas. First, it is unclear whether patients prefer more or less explicit – prognostic – information. Second, how oncologist can provide hope while remaining realistic is still unclear. The primary aim of this thesis was to gather more knowledge on optimal communication strategies in these two dilemmas from a patient perspectiv...
It is widely acknowledged that depression in dementia is a burden for patients as well as for their caregivers. A pro-active attitude among caregivers is needed to recognize this severe health problem in demented residents and to respond to it. This thesis firstly provides greater insight into depression in dementia on Dutch psychogeriatric nursing home wards. We found that 19% of the residents suffered from depression in dementia. We showed that irritability, one of the two symptoms specific for depression in Alzheimer Disease (PDC-dAD: Olin et al., 2002a), is one of the most prominent symptoms. Irritability could alert caregivers to the possible presence of depression in dementia. We found no differences between the dementia stages in the mean number of depressive symptoms, or in the prevalence of each of the symptoms. We also conclu...
Aim & background The aim of this PhD research was to explore care for anxiety and depressive disorders that is in keeping with evidence-based general practice guidelines on the one hand, and care that is according to patients’ own perceived needs on the other hand. Since recommendations in clinical guidelines for anxiety and depression may be in contrast with patients’ own ideas and preferences, some tension might exist between evidence-based care and patient-centred care for these common mental disorders. In addition to measuring patients’ perceived need for care and patient related factors with guideline adherence, we evaluated the clinical outcomes and costs for society in cases where guideline-concordant care was delivered in comparison with non-guideline concordant care, and the clinical outcomes and costs in cases where patients’...
The central aim of this thesis was to unravel the relationship between patient characteristics, communication between patient and clinician, and subsequent patient information recall in the context of medical consultations with older cancer patients. Chapter 2 reviewed the literature to explore age differences in cancer patients’ need for information and support surrounding cancer treatment. The results indicated that older patients prefer to receive information about the most important aspects of their illness and treatment, but are relatively less interested in all the details. Furthermore, older patients have less prominent needs for psychosocial support than younger patients. In Chapter 3, we assessed to what extent age influences communication between cancer patients and their oncologist and determined the influence of chronologic...
In this article a comparison is made between three independent sources of assessment of medical consultations. A panel of 12 experienced general practitioners rated 103 consultations with hypertensive patients on the quality of psychosocial care. There was a wide consensus between the Judges, resulting in a high rehability score. Two contrasting groups were formed consultations that were rated high and those rated low in quality of psychosocial care. A comparison was made between this general assessment of the quality of psychosocial care and a more detailed assessment of the same consultations on nine much used communication variables made by trained psychologists. Knowledge about doctor-patient communication proved to predict very well as to which quality group the consultations belonged. A very high percentage (95%) was predicted ac...
Onderzoekers worden in toenemende mate óók aangesproken op de vraag naar het maatschappelijkerendement of de maatschappelijke impact van het onderzoek. De geldende kwaliteitscriteria voor wetenschappelijk onderzoek worden echter veelal uitgedrukt in aantallen internationale publicaties en citatiescores. Een ongewenst neveneffect is dat kennis eenzijdig wordt verspreid en lang niet altijd terecht komt op plaatsen waar deze ook in de praktijk of het beleid gebruik kan worden. Momenteel wordt op diverse plaatsen geëxperimenteerd met het meetbaar maken van de maatschappelijke waarde van onderzoek. Deze ervaringen moeten idealiter bijeen worden bediscussieerd.
Want to know more?If you want to know more about this cutting edge product, or schedule a demonstration on your own organisation, please feel free to contact us or read the available documentation at http://www.keep.pt/produtos/retrievo/?lang=en