Zeitschriftenartikel: „Client-centered care“

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Schoot, Tineke, Ireen Proot, Marja Legius, Ruud ter Meulen und Luc de Witte. „Client-Centered Home Care“. Clinical Nursing Research 15, Nr. 4 (November 2006): 231–54. http://dx.doi.org/10.1177/1054773806291845.

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Alvarez, Carrol. „Client Empowerment: Is it Always Client-Centered Care?“ Clinical Nurse Specialist 11, Nr. 3 (Mai 1997): 95. http://dx.doi.org/10.1097/00002800-199705000-00003.

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Kyler, Panelpha (Penny) L. „Client-Centered and Family-Centered Care: Refinement of the Concepts“. Occupational Therapy in Mental Health 24, Nr. 2 (26.05.2008): 100–120. http://dx.doi.org/10.1080/01642120802055150.

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Evans, Dawn, Annmarie Kinsella und Cynthia Love-Williams. „Wellness begins at home: Client-centered care“. Journal of Interprofessional Education & Practice 1, Nr. 2 (Juni 2015): 57–58. http://dx.doi.org/10.1016/j.xjep.2015.07.025.

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Fontein-Kuipers, Yvonne, Elise van Beeck, Liesbeth Kammeraat und Fleur Rutten. „The Woman-Centeredness of Various Dutch Maternity Service Providers During Antenatal and Postnatal Care“. International Journal of Childbirth 9, Nr. 2 (01.06.2019): 92–101. http://dx.doi.org/10.1891/2156-5287.9.2.92.

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AIMSTo examine the woman-centeredness of maternity care providers from the woman's perspective. To investigate the validity and reliability of the Client Centered Care Questionnaire among a childbearing population.DESIGNA cross-sectional study.METHODSThe self-report Client Centered Care Questionnaire was administered to evaluate women's one-on-one antenatal and postnatal care appointments with various Dutch care providers: community and hospital-based midwives, General Practitioners, (registrar) obstetricians, sonographers, and maternity care nurses.RESULTSEight-hundred and fifteen completed questionnaires were received. Exploratory and confirmatory factor analyses provided support for a two-factor model, with an acceptable model fit. Woman-centeredness of all maternity care providers showed scores above baseline for the neutral value. Welch ANOVA showed a statistical significant effect of the type of maternity care practitioner in providing woman-centered care during antenatal and postnatal visits (F(5.8) = 7.79). The Bonferroni post hoc test showed that women assigned significantly higher woman-centered care scores to community-based midwives compared with hospital-based midwives (p .011) and compared with registrars/obstetricians (p < .001).CONCLUSIONAlthough overall scores of perceived woman-centeredness indicated a good to excellent performance of woman-centered care, with significantly higher scores for community-based midwives, it cannot be assumed that current woman-centered care completely meets the needs of Dutch childbearing women. The Client Centered Care Questionnaire (CCCQ) is an adequate instrument to measure woman-centered care in antenatal and postnatal maternity services. Further research regarding measuring woman-centered care is needed.

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Kanji, Noureen, Jason B. Coe, Cindy L. Adams und Jane R. Shaw. „Effect of veterinarian-client-patient interactions on client adherence to dentistry and surgery recommendations in companion-animal practice“. Journal of the American Veterinary Medical Association 240, Nr. 4 (15.02.2012): 427–36. http://dx.doi.org/10.2460/javma.2400.4.427.

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Objective—To explore the relationship between veterinarian-client-patient interactions and client adherence to dental and surgery recommendations and to test the a priori hypotheses that appointment-specific client satisfaction and relationship-centered care are positively associated with client adherence. Design—Cross-sectional study. Sample—A subsample of 19 companion-animal veterinarians and 83 clients from a larger observational study consisting of 20 randomly recruited veterinarians and a convenience sample of 350 clients from eastern Ontario. Procedures—Videotaped veterinarian-client-patient interactions containing a dentistry recommendation, surgery recommendation, or both were selected for inclusion from the larger sample of interactions coded with the Roter interaction analysis system. Client adherence was measured by evaluating each patient's medical record approximately 6 months after the videotaped interaction. The clarity of the recommendation, appointment-specific client-satisfaction score, and relationship-centered care score were compared between adhering and nonadhering clients. Results—Among the 83 veterinarian-client-patient interactions, 25 (30%) clients adhered to a dentistry recommendation, surgery recommendation, or both. The odds for adherence were 7 times as great for clients who received a clear recommendation, compared with clients who received an ambiguous recommendation from their veterinarian. Moreover, adhering clients were significantly more satisfied as measured after the interview. Interactions resulting in client adherence also had higher scores for relationship-centered care than did interactions leading to nonadherence. Conclusions and Clinical Relevance—Veterinarian use of a relationship-centered care approach, characterized as a collaborative partnership between a veterinarian and a client with provision of clear recommendations and effective communication of the rationale for the recommendations, has positive implications for client adherence.

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Nuriaty Masdiputri, Rr Sri, Yanti Yanti und Asri Hidayat. „Student’s Comprehension About Philosiphy of Maternity Care “Women Centered Care” Based on the Report of Continuity of Care (COC)“. Journal of Midwifery 4, Nr. 2 (07.06.2020): 60. http://dx.doi.org/10.25077/jom.4.2.60-67.2019.

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Background: Mortality in Indonesia has significantly increased. Students’ comprehension about maternity care “woman centered care” philosophy is an important thing in high quality maternity care, it is one solution to decrease the number of mortality rate. Continuity of care maternal clinic model of learning (PKK-CoC) is giving for student to learn the philosophy.Objectives: reveals level and form of students’ comprehension about maternity care “woman centered care” philosophy.Method: Mixed method with sequential explanatory strategy. The quatitative are use analitic descriptive design, while the quantitative use case study design. Population and sample is 55 students of Estu Utomo Boyolali institute health and science who have taken PKK-CoC. Sampling use criterion and intensity.Result: qualitatively, students overall comprehension is good. Quantitatively, students comprehension on personalized care, holistic care, collaborative care, and evidence based care is also good. Partnership care is the only aspect considered in effective.Conclusion: continuity of care shows that client and family are in good heatlth, zero mortality rate, client fells safe and comfortable, and client has correct and fast care. It is also found that students’ confidence, skills, and comprehension about maternity care “woman centered care” philosophy are increased. It is suggested including the PKK-CoC model into curriculum of midwifery education

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KOLS, ADRIENNE J., JILL E. SHERMAN und PHYLLIS TILSON PIOTROW. „Ethical Foundations of Client-Centered Care in Family Planning“. Journal of Women's Health 8, Nr. 3 (April 1999): 303–12. http://dx.doi.org/10.1089/jwh.1999.8.303.

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Ross, Anita, Nicole Roberts und Lauren Morton. „Perceptions of Paraprofessionals Following Trainings in Providing Client-Centered Care“. American Journal of Occupational Therapy 74, Nr. 4_Supplement_1 (01.08.2020): 7411505244p1. http://dx.doi.org/10.5014/ajot.2020.74s1-po9208.

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Bamm, Elena L., Peter Rosenbaum, Seanne Wilkins, Paul Stratford und Nadilein Mahlberg. „Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings“. Global Qualitative Nursing Research 2 (15.04.2015): 233339361558203. http://dx.doi.org/10.1177/2333393615582036.

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Treiger, Teresa M. „Improvisation and Client-Centered Professional Case Management“. Professional Case Management 24, Nr. 3 (2019): 158–59. http://dx.doi.org/10.1097/ncm.0000000000000363.

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Novotná, Gabriela, Karen A. Urbanoski und Brian R. Rush. „Client-Centered Design of Residential Addiction and Mental Health Care Facilities“. Qualitative Health Research 21, Nr. 11 (01.07.2011): 1527–38. http://dx.doi.org/10.1177/1049732311413782.

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In this article we discuss the findings from a series of focus groups conducted as part of a 3-year, mixed-method evaluation of clinical programs in a large mental health and substance use treatment facility in Canada. We examined the perceptions of clinical personnel on the physical design of new treatment units and the impact on service delivery and the work environment. The new physical design appeared to support client recovery and reduce stigma; however, it brought certain challenges. Participants reported a compromised ability to monitor clients, a lack of designated therapeutic spaces, and insufficient workspace for staff. They also thought that physical design positively facilitated communication and therapeutic relationships among clinicians and clients, and increased team cohesion. We suggest that, from these findings, new avenues for research on achieving the important balance between client and staff needs in health facility design can be explored.

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Lieder, Alexander, Dennis Moeke, Ger Koole und Raik Stolletz. „Task scheduling in long-term care facilities: A client-centered approach“. Operations Research for Health Care 6 (September 2015): 11–17. http://dx.doi.org/10.1016/j.orhc.2015.06.001.

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McCarroll, Jacqueline Dolores. „Client-centered treatment for the alcoholic in an ambulatory care setting“. Family & Community Health 7, Nr. 4 (Februar 1985): 26–33. http://dx.doi.org/10.1097/00003727-198502000-00006.

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Hunter, Carly, und Tara Pride. „Critiquing the Canadian Model of Client-Centered Enablement (CMCE) for Indigenous Contexts“. Canadian Journal of Occupational Therapy 88, Nr. 4 (19.10.2021): 329–39. http://dx.doi.org/10.1177/00084174211042960.

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Background. The Truth and Reconciliation Commission of Canada outlines the need for health care professionals to create more welcoming spaces for Indigenous Peoples. The scope of occupational therapy is continually expanding—yet the profession itself is grounded in and derived from a dominant Eurocentric worldview, and practice is designed to serve a homogenous Western populace. Purpose. To critically examine the Canadian Model of Client-Centered Enablement (CMCE) for its value within Indigenous contexts. Key Issues. The CMCE is positioned as a client-centered model, however there is a clear hierarchical client-professional relationship threaded throughout. Concepts such as enable, advocate, educate, coach, and coordinate demonstrate paternalistic authority, lacking reciprocity, knowledge-sharing, and power redistribution. Implications. Reimagining health care relationships as entrenched in social interconnectedness demands critical reflection and action. A model of practice that endorses social change and actively addresses colonial power inequities must root its paradigmatic foundations in postcolonial views of health care as a social relationship.

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Danilovich, Margaret, Laura Diaz, Lara Boyken, Amy Eisenstein und Rebecca Johnson. „Improving the Relationship of Medicaid Home and Community-Based Services Home Care Aides and Clients Through Health Interviewing“. Journal of Applied Gerontology 39, Nr. 7 (17.07.2019): 778–84. http://dx.doi.org/10.1177/0733464819863915.

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Medicaid home and community-based services (HCBS) care plans should be person-centered, yet there is little research on how to ascertain this information in practice. The purpose of this study was to investigate the feasibility of a home care aide (HCA)–led health interview with clients during usual HCBS. We provided interview training, and HCAs ( n = 21) conducted five interviews with one client each using a card sort methodology to elicit client care preferences. HCAs audio-recorded interviews and photographed card sorts for analysis. We used a mixed-methods approach of semistructured interviews and focus groups with clients and HCAs to evaluate the health interviewing experience and client surveys of Your Health Orientation, Willingness to Communicate, and PROMIS (Patient-Reported Outcomes Measurement Information System) global health and HCA surveys of the Active Empathetic Listening Scale. We used t tests to investigate changes in survey outcomes pre and post interviews. Results show HCAs can conduct health interviews, and doing so contributes new knowledge on client preferences for care. Clients desire HCAs who provide empathy, compassion, and motivation, and HCAs felt interviewing clients helped them to better understand their care recipient’s needs.

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Lorenz-Artz, Karin, Joyce Bierbooms und Inge Bongers. „Integrating eHealth within a Transforming Mental Healthcare Setting: A Qualitative Study into Values, Challenges, and Prerequisites“. International Journal of Environmental Research and Public Health 18, Nr. 19 (29.09.2021): 10287. http://dx.doi.org/10.3390/ijerph181910287.

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Mental health care is shifting towards more person-centered and community-based health care. Although integrating eHealth within a transforming healthcare setting may help accomplishing the shift, research studying this is lacking. This study aims to improve our understanding of the value of eHealth within a transforming mental healthcare setting and to define the challenges and prerequisites for implementing eHealth in particular within this transforming context. In this article, we present the results of 29 interviews with clients, social network members, and professionals of an ambulatory team in transition within a Dutch mental health care institute. The main finding is that eHealth can support a transforming practice shifting towards more recovery-oriented, person-centered, and community-based service in which shared-decision making is self-evident. The main challenge revealed is how to deal with clients’ voices, when professionals see the value of eHealth but clients do not want to start using eHealth. The shift towards client-centered and network-oriented care models and towards blended care models are both high-impact changes in themselves. Acknowledging the complexity of combining these high-impact changes might be the first step towards creating blended client-centered and network-oriented care. Future research should examine whether and how these substantial shifts could be mutually supportive.

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Desai, Miraj U., Nadika Paranamana, Maria Restrepo-Toro, Luz Ocasio, Yolanda Herring, Merarilisse Crespo und Larry Davidson. „2056 Culture meets person-centered care: An empirical study of mental health and care planning among Latinx and Asian communities“. Journal of Clinical and Translational Science 2, S1 (Juni 2018): 67. http://dx.doi.org/10.1017/cts.2018.245.

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OBJECTIVES/SPECIFIC AIMS: This poster will present preliminary results from a study examining whether person-centered care planning—a new innovation in community mental health care—responds to the culture of, and helps reduce health disparities among, Latinx and Asian populations. METHODS/STUDY POPULATION: The study was funded by an NIMH/NIH Administrative Supplement for Minority Health and Mental Health Disparities Research and approved by the Institutional Review Board of the authors’ university. Participants included 26 mental health clients and 12 mental health providers of diverse backgrounds. The study employed empirical qualitative methods to explore client understandings of mental health, client experiences of culture and discrimination, and the process of care engagement and care planning from both client and provider perspectives. The analysis team itself included people of Latinx and Asian background, as well as a person with lived experience of mental health recovery. RESULTS/ANTICIPATED RESULTS: We anticipate that the results will show ways in which person-centered care successfully incorporates clients’ goals, but that there will also be evidence of ways in which the clinical encounter struggles to incorporate more social, collective, and cultural values and approaches. DISCUSSION/SIGNIFICANCE OF IMPACT: The poster will present up-to-date findings on this project, which speaks to pressing issues of health equity and community engagement for 2 of the fastest growing populations in the country.

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Encinares, Maxima, und Gabriella Golea. „Client-Centered Care for Individuals with Dual Diagnoses in the Justice System“. Journal of Psychosocial Nursing and Mental Health Services 43, Nr. 9 (01.09.2005): 29–36. http://dx.doi.org/10.3928/02793695-20050901-04.

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Yeh, Hsin-Hsiu, Mary Ann McColl und Lin-Jye Huang. „A Model for Client-Centered, Occupation-Based Palliative Care: A Scoping Review“. American Journal of Occupational Therapy 72, Nr. 4_Supplement_1 (01.11.2018): 7211505084p1. http://dx.doi.org/10.5014/ajot.2018.72s1-po1015.

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Sinervo, Timo, Sanna Laulainen, Salla Lehtoaro, Laura Hietapakka, Vuokko Niiranen und Joakim Zitting. „Client-centered integrated services and new competencies in health and social care“. International Journal of Integrated Care 18, s2 (23.10.2018): 80. http://dx.doi.org/10.5334/ijic.s2080.

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Augusto Pereira, Fernando, Cristina Teixeira, Ana Rita Falcão, Vitor Manuel Costa Pereira Rodrigues und Maria Helena Pimentel. „Personal centered care in long term residences: how to evaluate client satisfaction?“ Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology. 3, Nr. 2 (30.11.2019): 31–44. http://dx.doi.org/10.17060/ijodaep.2019.n2.v2.1893.

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La evaluación de la satisfacción del cliente permite mejorar la calidad de los servicios como resultado del feedback de sus clientes. El propósito de este estudio es desarrollar una escala para evaluar la satisfacción del cliente en el ámbito del modelo de atención centrada en la persona (PCC). Se realizó un estudio transversal, basado en entrevistas personales mediante el uso de un cuestionario de satisfacción del cliente, entre 160 adultos mayores de 12 servicios de atención a largo plazo (LTC). Se realizó un análisis de componentes principales para evaluar la estructura de escala subyacente y se calcularon las cargas de los factores. Se excluyeron las preguntas sobre temas que no son fácilmente evaluados por los ancianos y se reformularon otros ítems para hacerlos preguntas claras y sencillas de comprensión entre los ancianos y sin ambigüedades en cuanto al constructo teórico. Propusimos un instrumento más conciso, sensible a los problemas de cuidado centrado en la persona, para evaluar la satisfacción del cliente con el LTC.

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Gustafsson, Louise, Jennifer Fleming, Petrea Cornwell, Linda Worrall und Sandra Brauer. „STRENGTH and the Health Care Team: Changing Interprofessional and Client-Centered Practices“. Topics in Stroke Rehabilitation 21, Nr. 5 (September 2014): 413–20. http://dx.doi.org/10.1310/tsr2105-413.

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Inoue, Megumi, Mai Hasegawa, Catherine Tompkins und Catherine Donnelly. „PERSON-CENTERED CARE TO DECREASE LONELINESS AND SOCIAL ISOLATION IN LONG-TERM CARE SETTINGS“. Innovation in Aging 3, Supplement_1 (November 2019): S197. http://dx.doi.org/10.1093/geroni/igz038.710.

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Abstract The older foreign/immigrant population is predicted to increase in the U.S. As a whole, this population faces greater challenges associated with loneliness and social isolation due to their smaller social networks, language and cultural barriers. Person-centered care should be considered as a potential solution to decrease loneliness and social isolation in long term care settings. In 2017, researchers conducted a thorough examination on the effects of a senior companion program on a Japanese woman with advanced dementia. Results suggest that the client benefitted from the program in regard to her physical wellbeing, emotional wellbeing, language communication and cultural support. Given the support of Japanese companions, the client was able to express her needs and health symptoms effectively and the staff were subsequently able to provide culturally-sensitive care. This study implies that the companion program may benefit other foreign/immigrant older adult populations in reducing social isolation and declining health.

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Hsu, Ling-Hsin, und Yu-Hsiang Hsiao. „Facilitating Green Supply Chain in Dental Care through Kansei Healthscape of Positive Emotions“. International Journal of Environmental Research and Public Health 16, Nr. 19 (20.09.2019): 3507. http://dx.doi.org/10.3390/ijerph16193507.

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Dentistry is highly energy- and resource-intensive with a significant environmental impact. To consolidate green dentistry supply chains, delivering the care of highest quality that meets client value should not be neglected. This study emphasized the importance of client-centered healthscape design for facilitating a green dentistry supply chain. A client-centered healthscape design, which promotes clients’ positive emotions and increases willingness to revisit the dentist, plays a critical role in realizing green dentistry supply chains in the long run. For this purpose, the relationship among dental healthscape design elements, client emotions, and revisit intentions was investigated using a Kansei engineering-based approach. The effects of dental healthscape elements on clients’ positive emotions and the effects of positive emotions on clients’ revisit intentions were holistically examined on the basis of the stimulus–organism–response model. Through this approach, 17 elements of design, ambience, and social interaction factors that comprise the dental healthscape and 20 Kansei words used to express clients’ positive emotions regarding dental service were identified. A questionnaire survey was used to assess Kansei and revisit intention in healthscape scenarios, composed of varied design elements. Primary data were collected from 600 individuals from 2017 to 2018 throughout Taiwan. Partial least squares was applied to holistically analyze the effects of dental healthscape elements on clients’ positive emotions and the effects of positive emotions on clients’ revisit intention to generate a Kansei model for the dental healthscape. All 20 Kansei words had significant positive effects on the dental revisit intention of clients. The five positive emotions most associated with increased revisit intention were thoughtful, hopeful, tender, comfortable, and cozy. The Kansei model of the dental healthscape provides references for healthscape design that maintains positive client emotions during the dental service and results in high revisit intention. This approach can realize an emotion-centered design for dental healthscapes that promotes preventive dental care, early treatment, and effective use of medical resources, and consequently contributes to green dentistry supply chains.

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Kuntsevska, A. „MODELS OF SOCIAL RECOVERY WITHIN THE CONTEXT OF PERSONAL-ORIENTED PARADIGM“. Bulletin of Taras Shevchenko National University of Kyiv. Social work, Nr. 5 (2019): 47–51. http://dx.doi.org/10.17721/2616-7786.2019/5-1/10.

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This paper analyzes main features of social recovery models, developed within the frameworks of Person-centered paradigm. Person- centeredness is an increasingly common public health and social care concept, that is used to describe a standard of care that ensures that the patient / client is at the center of care delivery. There is no single definition of person-centered care, rather we can find such terms as patient- centered, family-centered, user-centered, individualized. But irrespective of the terms used, a lot of research has looked at what matters to patients and how to provide personalized care to ensure that people have a good experience. Person-centered recovery depends on a number of aspects, in particular: the values of people and placing people at the center of care, taking into account the desires of people and the needs they have chosen, ensuring that people are emotionally comfortable and secure with family and friends, ensuring that people have access to the appropriate care they need, when and where they need to ensure that people receive all the care they need. Main principles of person-centered approach are: recognizing dignity, giving respect and compassion to service users and providers; collaboration with the individual, their family and staff in care planning and assessment; enabling systems and services to help people recognize and build on their own strengths, preferences and objectives in order to realize their full potential. One of the strongest and most methodologically grounded models built in the person-oriented framework is the Comprehensive Rehabilitation Approach (CARe), developed by Dirk den Hollander and Jean Pierre Wilken. The model is based on psychological rehabilitation, recovery and empowerment principles, and is intended to support individuals in their personal development. CARe works with the client in three domains: meeting quality of life wishes and objectives; overcoming insecurity and increasing strength; gaining access to ideal environments and optimizing the quality of life of living environments and social networks.

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Womack, Jennifer L. „The Relationship Between Client-Centered Goal-Setting and Treatment Outcomes“. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 22, Nr. 1 (April 2012): 28–35. http://dx.doi.org/10.1044/nnsld22.1.28.

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Shifting definitions of health and well-being, prompted by the World Health Organization's International Classification of Functioning (2001), have stimulated changes in traditional clinician-client relationships in rehabilitation. Among these changes, in keeping with the concept of client-centered care, is a trend toward more collaborative goal-setting and joint determination of intervention plans. Evidence suggests that supporting clients' autonomy in prioritizing personally meaningful goals leads to increased engagement in intervention, less emotional anxiety about the rehabilitation process, and improved treatment outcomes. Supporting people with aphasia in a process of collaborative goal formulation may also serve to alter treatment priorities so that they address more relevant communication challenges embedded in post-rehabilitation life.

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NasiriZiba, Fariba, und Shadie Kanani. „The Effect of Education with a Family-Centered and Client-Centered Approach on the Quality of Life in Patients with Stoma“. Journal of Caring Sciences 9, Nr. 4 (09.01.2019): 225–30. http://dx.doi.org/10.34172/jcs.2020.034.

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Introduction:Colorectal cancer is known as the third leading cause of death from cancer in the world and the second cause of death in developing countries. Family care can positively affect the patient's general health system. The present study was conducted to determine and compare the effect of family-centered and client-centered training approaches on the life quality of individuals with digestive ostomy. Methods: This is a semi-experimental study conducted on 60 individuals. The individuals participating in the present study were chosen from either those with digestive ostomy or their attendants. The participants fulfilled the requirements (criteria) for entering the present study. For conducting the training procedure, both groups received family-centered or client-centered training. Two months later, the quality of life of the individuals with digestive ostomy was measured once more. The data were then analyzed in SPSS ver.21 by using chi-squared test, paired t-test, and independent t-test. Results: According to the findings of the present study, there is no significant difference between the family-centered and the client-centered groups in terms of demographic features. By investigating the mean changes of both groups, There was a significant difference between quality of life score and spiritual-psychological aspect of scores before and after the intervention in the family-centered group. Conclusion: The findings of the present study showed that family-centered education can increase the quality of life for people with gastrointestinal ostomy. This study concluded that family-centered education can be considered an effective intervention in people with gastrointestinal ostomy.

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Cruz, Isabel Cristina Fonseca da, Eliel de Oliveira Larrúbia, Neusa Maria de Azevedo, Marly Rodrigues Ribeiro, Ana Maria Rongel Rocha, Cláudia de Souza Moraes, Sonia Regina de Oliveira Silva und Cristiane Maria Amorim Costa. „Strategic plan for developing nursing professional standards: preview note“. Online Brazilian Journal of Nursing 2, Nr. 1 (02.04.2003): 27–32. http://dx.doi.org/10.17665/1676-4285.20034806.

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Problem: At the University Hospital of the University of Rio de Janeiro State (HUPE/UERJ),the Nursing Coordination analysed the social context and the stakeholders of health assistence, and identified a problem to address: a change shift in the focus from the client and student to the institution itself. Objective: To achieve the vision of a 24/7 nursing care, centered in the client and based on scientifc evidence, a strategic plan was developed to establish nursing professional standards. Method: As an instrument of social management, an Strategic Project represents the process of assessment, diagnosis, planning, and evaluation of the nursing managers to improve the quality of care at HUPE/UERJ.Expected Outcome: a hospital database related to client outcomes related to nursing care.

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Wu, Yue, und Roberta Kagin. „An Eclectic Approach to Working with a Dyad of a Patient with TBI and His Caregiver“. Music and Medicine 12, Nr. 4 (23.10.2020): 231. http://dx.doi.org/10.47513/mmd.v12i4.729.

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AbstractPURPOSE The purpose of this case study is to describe the impact of music therapy on a dyad relationship between the client and the caregiver. It provides suggestions for methods to work with a client who is severely profoundly brain injured, requiring feeding, bathing, and positioning, five years post-accident.METHODS A dyad approach was used, which explored the practice of songwriting with a dyad of client and his mother. RESULTS A song was created during the period of this study and was shared with the caregiver. The song provided support for not losing hope for both the client and his caregiver. An interview was conducted with the caregiver one-year post session. The caregiver commented that music therapy “gives her a breath of fresh air and makes it so much easier.”CONCLUSIONS As a dyad, the relationship between client and caregiver is crucial to the rehabilitation process. Therefore, the authors suggest treatment practitioners to adopt the family-centered approach to further improve the quality of care.Key Words:Dyad, family-centered care, quality improvement, traumatic brain injury, music therapy

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Sanerma, Päivi, Sari Miettinen, Eija Paavilainen und Päivi Åstedt-Kurki. „A client-centered approach in home care for older persons – an integrative review“. Scandinavian Journal of Primary Health Care 38, Nr. 4 (01.10.2020): 369–80. http://dx.doi.org/10.1080/02813432.2020.1841517.

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You, Emily Chuanmei, David Dunt und Colleen Doyle. „Important Case Management Goals in Community Aged Care Practice and Key Influences“. Care Management Journals 17, Nr. 1 (01.01.2016): 47–60. http://dx.doi.org/10.1891/1521-0987.17.1.47.

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Aim: To investigate important case management goals and key influences on the achievement of the goals in community aged care practice from the perspectives of case managers in Australia.Methods: We surveyed 154 case managers, representing 17.1% of the target population in the State of Victoria, Australia. The key information collected was case managers’ characteristics and their selections of important case management goals. We also conducted 33 interviews with 47 case managers to explore their perceptions of important case-managed community aged care goals and the key influences on the achievement of these goals. Descriptive analysis, logistic regression, and qualitative thematic analysis were performed.Results: The survey findings showed that important case management goals included improving client outcomes, improving care quality, enhancing care coordination and accessibility, and reducing nursing home admissions. The interview findings indicated that important case management goals were divided into client-centered goals (e.g., maintaining clients safely at home), case managers’ personal goals (e.g., gaining professional development), and organizational goals/expectations/values (e.g., expecting case managers to manage budgets wisely). Finally, the mixed research methods determined constraints of organizational resources and policies, clients’ risky decisions, and case managers’ work experience and employment status as key influences or significant factors associated with the achievement of case management goals.Conclusion: Client-centered goals are of particular importance among those important case management goals. Case managers helping clients establish reasonable expectations and organizations developing favorable professional development policies and establishing reasonable job requirements and expectations will facilitate the achievement of case management goals.

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Masdiputri, Rr Sri Nuriaty. „THE STUDENTS’ COMPREHENSION ON THE PHILOSOPHY OF MATERNITY CARE “WOMEN CENTERED CARE” BASED ON THE REPORT OF CONTINUITY OF CARE (COC)“. Journal of Midwifery and Reproduction 2, Nr. 2 (17.12.2019): 73. http://dx.doi.org/10.35747/jmr.v2i2.459.

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Background: The mortality rate of maternal woman in Indonesia has significantly increased reaching 359 per 100.000 live births. One solution to decrease the number of mortality rate of maternal woman is through high quality maternity care. The qualified midwifes come from a standard of education based on the philosophy of maternity care. Continuity care (COC)maternal clinic model of learning is proven in giving wide chances for the student to learn the philosophy. Objectives: reveals the level and form of students’ comprehension toward the maternity care “woman centered care”philosophy, the application of PKK-CoC, and the quality of maternity careCoC in STIKES Estu Utomo Boyolali. Method: this study is carried under mixed method and sequential explanatory strategy. The quatitative parts are fulfilled by the use of analitic descriptive design, while the quantitative side is carried under case study design. The population and sample of this study is 55 students of STIKES Estu Utomo Boyolali who have taken PKK-CoC. The sample for qualitative design is taken using mixed purposive sampling which are criterion and intensity sampling. Result: qualitatively, students overall comprehension is good. However, the documentation of maternity carein partnership care is still ineffective. Quantitatively, students overall comprehension on personalized care, holistic care, collaborative care, and evidence based care is also good. Partnership care is the only aspect considered in effective. Conclusion: the maternitycare continuity of care shows that client and family are in good heatlth, all the caregiven shows zero mortality rate, client fells safe and comfortable, and client has correct and fast care. It is also found that students’ confidence, skills, and comprehension are increased. It is suggested that the stakeholder can include the PKK-CoC model into curriculum of midwife education

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Pizzi, Michael A. „Promoting health and well-being at the end of life through client-centered care“. Scandinavian Journal of Occupational Therapy 22, Nr. 6 (27.03.2015): 442–49. http://dx.doi.org/10.3109/11038128.2015.1025834.

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McLaughlin, Curtis P., und Arnold D. Kaluzny. „Building Client Centered Systems of Care: Choosing a Process Direction for the Next Century“. Health Care Management Review 25, Nr. 1 (2000): 73–82. http://dx.doi.org/10.1097/00004010-200001000-00009.

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Athwal, Lorraine, Brenda Marchuk, Yvette Laforêt-Fliesser, Joyce Castanza, Lori Davis und Marg LaSalle. „Adaptation of a Best Practice Guideline to Strengthen Client-Centered Care in Public Health“. Public Health Nursing 31, Nr. 2 (13.08.2013): 134–43. http://dx.doi.org/10.1111/phn.12059.

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Kiene, Susan M., Michael Stein, Moses Bateganya, Rhoda Wanyenze, Kenneth Mayer und Haruna Lule. „Provider-initiated HIV testing in health care settings: Should it include client-centered counselling?“ SAHARA-J: Journal of Social Aspects of HIV/AIDS 6, Nr. 3 (November 2009): 115–19. http://dx.doi.org/10.1080/17290376.2009.9724939.

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Xie, Zhenming. „Logical framework of quality of care in family planning in China: client-centered approach“. China Population and Development Studies 2, Nr. 2 (Juni 2018): 224–44. http://dx.doi.org/10.1007/s42379-018-0009-9.

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Marich, Jamie. „What Makes a Good EMDR Therapist? Exploratory Findings From Client-Centered Inquiry“. Journal of Humanistic Psychology 52, Nr. 4 (18.01.2012): 401–22. http://dx.doi.org/10.1177/0022167811431960.

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There are several qualities of good EMDR (eye movement desensitization and reprocessing) therapists that must be examined to understand what clients most value in this specialized treatment. These qualities, as defined by former clients, include therapist personality, an ability to empower clients, flexibility, intuition, a sense of ease and comfort in working with trauma, and a commitment to the small measures of caring that clients identify as helping them feel safer. This article highlights the importance of honoring client safety in EMDR treatment by further exploring a theme from a phenomenological parent study on the use of EMDR with women in addiction continuing care. The parent study offered qualitative evidence showing that there is a place for EMDR as part of a comprehensive women’s addiction recovery program when applied properly. In this article, participants’ descriptions of their EMDR therapists and how these therapists were able to establish safety are described in greater detail than the parent study article allowed. Implications for emphasis on client-centered factors in the training and formation of EMDR therapists are discussed using the data extrapolated from the clients’ experiences, and further directions for researching the client-centered perspective in EMDR are presented.

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Blair, James C. „Principles of Solution Focused Therapy and Their Application to Audiology“. Perspectives on Public Health Issues Related to Hearing and Balance 15, Nr. 1 (November 2014): 27–33. http://dx.doi.org/10.1044/phi15.1.27.

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The concept of client-centered therapy (Rogers, 1951) has influenced many professions to refocus their treatment of clients from assessment outcomes to the person who uses the information from this assessment. The term adopted for use in the professions of Communication Sciences and Disorders and encouraged by The American Speech-Language-Hearing Association (ASHA) is patient-centered care, with the goal of helping professions, like audiology, focus more centrally on the patient. The purpose of this paper is to examine some of the principles used in a patient-centered therapy approach first described by de Shazer (1985) named Solution-Focused Therapy and how these principles might apply to the practice of audiology. The basic assumption behind this model is that people are the agents of change and the professional is there to help guide and enable clients to make the change the client wants to make. This model then is focused on solutions, not on the problems. It is postulated that by using the assumptions in this model audiologists will be more effective in a shorter time than current practice may allow.

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van Lier, Lisanne I., Henriëtte G. van der Roest, Vjenka Garms-Homolová, Graziano Onder, Pálmi V. Jónsson, Anja Declercq, Cees MPM Hertogh, Hein PJ van Hout und Judith E. Bosmans. „Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study“. Health Services Insights 14 (Januar 2021): 117863292110224. http://dx.doi.org/10.1177/11786329211022441.

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This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

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Suda, Michio, Hisakazu Onoe und Kayoko Harigai. „Cases which were treated by giving grounds to delusion: What is client-centered medical care?“ Journal of General and Family Medicine 18, Nr. 3 (23.05.2017): 108–13. http://dx.doi.org/10.1002/jgf2.34.

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Robinson, Cynthia A. „Poster 63 Check Your Assumptions at the Door: The Importance of Patient/Client-Centered Care“. Archives of Physical Medicine and Rehabilitation 93, Nr. 10 (Oktober 2012): e33. http://dx.doi.org/10.1016/j.apmr.2012.08.098.

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Poost-Foroosh, Laya, Mary Beth Jennings und Margaret F. Cheesman. „Comparisons of Client and Clinician Views of the Importance of Factors in Client-Clinician Interaction in Hearing Aid Purchase Decisions“. Journal of the American Academy of Audiology 26, Nr. 03 (März 2015): 247–59. http://dx.doi.org/10.3766/jaaa.26.3.5.

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Background: Despite clinical recognition of the adverse effects of acquired hearing loss, only a small proportion of adults who could benefit use hearing aids. Hearing aid adoption has been studied in relationship to client-related and hearing aid technology–related factors. The influence of the client-clinician interaction in the decision to purchase hearing aids has not been explored in any depth. Purpose: Importance ratings of a sample of adults having a recent hearing aid recommendation (clients) and hearing healthcare professionals (clinicians) from across Canada were compared on factors in client-clinician interactions that influence hearing aid purchase decisions. Research Design: A cross-sectional approach was used to obtain online and paper-based concept ratings. Data Collection and Analysis: Participants were 43 adults (age range, 45–85 yr) who had received a first hearing aid recommendation in the 3 mo before participation. A total of 54 audiologists and 20 hearing instrument practitioners from a variety of clinical settings who prescribed or dispensed hearing aids completed the concept-rating task. The task consisted of 122 items that had been generated via concept mapping in a previous study and which resulted in the identification of eight concepts that may influence hearing aid purchase decisions. Participants rated “the importance of each of the statements in a person’s decision to purchase a hearing aid” on a 5-point Likert scale, from 1 = minimally important to 5 = extremely important. For the initial data analysis, the ratings for each of the items included in each concept were averaged for each participant to provide an estimate of the overall importance rating of each concept. Multivariate analysis of variance was used to compare the mean importance ratings of the clients to the clinicians. Ratings of individual statements were also compared in order to investigate the directionality of the importance ratings within concepts. Results: There was a significant difference in the mean ratings for clients and clinicians for the concepts understanding and meeting client needs, conveying device information by clinician, supporting choices and shared decision making, and factors in client readiness. Three concepts—understanding and meeting client needs, conveying device information by clinician, and supporting choices and shared decision making—were rated as more important by clients than by clinicians. One concept (ie, factors in client readiness) was rated as more important by clinicians than by clients. Conclusions: The concepts rated as most important by clients and clinicians are consistent with components of several existing models of client-centered and patient-centered care. These concepts reflect the clients’ perception of the importance of their involvement in the decision-making process. A preliminary model of client-centered care within the hearing aid uptake process and implications for clinical audiology are described.

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Almanza, Jennifer I., J. ’Mag Karbeah, Katelyn M. Tessier, Carrie Neerland, Kathrin Stoll, Rachel R. Hardeman und Saraswathi Vedam. „The Impact of Culturally-Centered Care on Peripartum Experiences of Autonomy and Respect in Community Birth Centers: A Comparative Study“. Maternal and Child Health Journal 26, Nr. 4 (24.11.2021): 895–904. http://dx.doi.org/10.1007/s10995-021-03245-w.

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Abstract Objective National studies report that birth center care is associated with reduced racial and ethnic disparities and reduced experiences of mistreatment. In the US, there are very few BIPOC-owned birth centers. This study examines the impact of culturally-centered care delivered at Roots, a Black-owned birth center, on the experience of client autonomy and respect. Methods To investigate if there was an association between experiences of autonomy and respect for Roots versus the national Giving Voice to Mothers (GVtM) participants, we applied Wilcoxon rank-sum tests for the overall sample and stratified by race. Results Among BIPOC clients in the national GVtM sample and the Roots sample, MADM and MORi scores were statistically higher for clients receiving culturally-centered care at Roots (MADM p < 0.001, MORi p = 0.011). No statistical significance was found in scores between BIPOC and white clients at Roots Birth Center, however there was a tighter range among BIPOC individuals receiving care at Roots showing less variance in their experience of care. Conclusions for Practice Our study confirms previous findings suggesting that giving birth at a community birth center is protective against experiences of discrimination when compared to care in the dominant, hospital-based system. Culturally-centered care might enhance the experience of perinatal care even further, by decreasing variance in BIPOC experience of autonomy and respect. Policies on maternal health care reimbursement should add focus on making community birth sustainable, especially for BIPOC provider-owners offering culturally-centered care.

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Kazemi, Ali, und Tinna Elfstrand Corlin. „What has employee loyalty to do with “love” to clients? Testing approaches to work as mediators“. Employee Relations: The International Journal 44, Nr. 7 (22.11.2022): 149–61. http://dx.doi.org/10.1108/er-05-2021-0212.

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PurposeDrawing on the organizational psychology literature and social resource theory, this research aimed to investigate how attitude toward the employer (i.e. loyalty) and attitude toward the client (i.e. approach to work: professional, market-oriented and person-centered) relate to the perceived importance of socio-emotional resources in providing care to older people.Design/methodology/approachSwedish frontline care staff members participated in an electronic survey using a cross-sectional design. Mediation analyses were conducted to examine proposed direct and indirect effects of loyalty on the perceived importance of socio-emotional resources in care through three different approaches to work in care settings.FindingsIn general, the results confirmed the hypotheses. Thus, the analyses showed a positive association between employee loyalty and the perceived value of socio-emotional resources in care, which was partially mediated by the person-centered and professional approaches to work. Moreover, the analyses showed that the person-centered approach was more strongly related to the perceived value of socio-emotional resources in care than the other two approaches, lending support to the superiority of the person-centered approach in this context.Originality/valueThe study highlights that there exist multiple approaches to work in care settings. Also, the insights about how loyalty toward the employer relates to approach to work in care settings and the perceived value of socio-emotional resources in care are novel and of crucial importance to practitioners and the outcomes of care.

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Haertl, Kristine Lynn, und Alexandra Theismann. „Perceived Impact of a Relationship-Based Care Curriculum“. Creative Nursing 28, Nr. 1 (01.02.2022): 36–41. http://dx.doi.org/10.1891/cn-2021-0010.

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PurposeAuthentic client-centered practice is integral to positive health-care outcomes. This study examined facilitator perspectives of the See Me as a Person (SMAAP) relationship-based health-care curriculum.MethodsQualitative phenomenological interviews were conducted with five facilitators of the SMAAP curriculum. The principal question and sub questions explored the facilitation and teaching methods, perceived impact of the curriculum, and the impact on health-care practice.FindingsThe concepts in the SMAAP curriculum are translatable into practice and may improve health care; organizational culture, leadership, and time constraints influence impact.ConclusionRelationship-based practice training can positively affect health-care delivery. Practitioners must be dedicated to the learning process; implementation should go beyond short-term training.

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Moermans, Vincent, Angela Mengelers, Michel Bleijlevens, Hilde Verbeek, Frans Tan, Elizabeth Capezuti, Koen Milisen und Jan Hamers. „Involuntary Treatment in Dementia Care at Home: Results From the Netherlands and Belgium“. Innovation in Aging 4, Supplement_1 (01.12.2020): 664–65. http://dx.doi.org/10.1093/geroni/igaa057.2299.

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Abstract Most PwD remain living at home. Due to complex care needs this can result in an increased risk for care provided against the wishes of the client and/or to which the client resists, referred to as involuntary treatment. This study explores the use and factors associated with involuntary treatment in PwD receiving home care in the Netherlands and Belgium. A secondary data analysis of two cross-sectional surveys (n=844 persons) showed that more than half of the PwD (51%) living at home received involuntary treatment (Belgium 68% and the Netherlands 45%). Non-consensual care (83%) was the most common, followed by psychotropic medication (41%) and physical restraints (18%). Involuntary treatment was associated with living alone, greater ADL dependency, lower cognitive ability, higher family caregiver burden and receiving home care in Belgium versus the Netherlands. In order to provide person-centered care, it is important to study ways to prevent involuntary treatment in PwD. Part of a symposium sponsored by Systems Research in Long-Term Care Interest Group.

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Levenson, Jill. „Translating Trauma-Informed Principles into Social Work Practice“. Social Work 65, Nr. 3 (01.07.2020): 288–98. http://dx.doi.org/10.1093/sw/swaa020.

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Abstract Trauma-informed social work is characterized by client-centered practices that facilitate trust, safety, respect, collaboration, hope, and shared power. Many agencies have adopted trauma-informed care (TIC) initiatives and many social workers are familiar with its basic principles, but it is challenging to infuse these ideals into real-world service delivery. This article offers 10 trauma-informed practices (TIPs) for translating TIC concepts into action by (a) conceptualizing client problems, strengths, and coping strategies through the trauma lens and (b) responding in ways that avoid inadvertently reinforcing clients’ feelings of vulnerability and disempowerment (re-traumatization). TIPs guide workers to consider trauma as an explanation for client problems, incorporate knowledge about trauma into service delivery, understand trauma symptoms, transform trauma narratives, and use the helping relationship as a tool for healing.

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Teterina, M. N., und I. A. Meshandin. „Psychotherapy of anxious and depressive states in patients with stroke“. Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), Nr. 9 (01.09.2020): 20–30. http://dx.doi.org/10.33920/med-01-2009-02.

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The article describes the basic principles of cognitive-behavioral and client-centered psychotherapy of patients who have had a stroke and suffer from protracted affective disorders of an anxiety-depressive nature. The importance of psychotherapeutic component in the context of complex medical and rehabilitation care for such patients is demonstrated. The work is done in the Z. P. Solovyov Research and Clinical Center for Neuropsychiatry.

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