Дисертації з теми "Dementia Patients Care Case studies"
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Johnson, Roxanna H. "Experiences of dementia care workers in nursing homes : an exploratory study comparing Canada, Scotland, and the United States." Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21884.
Повний текст джерелаPaulsson, Petra, and Madeleine Perman. "Sjuksköterskors erfarenhet av att vårda patienter med demenssjukdom : En litteraturbaserad studie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-14267.
Повний текст джерелаFurlini, Linda. "Living with chronic dementia from the caregiver perspective : a case for educational support." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85161.
Повний текст джерелаNowik, Iwona. "Sjuksköterskors erfarenhet av samtal med närstående till personer med demenssjukdom vid övergången till sen palliativ fas : en kvalitativ studie." Thesis, Sophiahemmet Högskola, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2696.
Повний текст джерелаDementia is an incurable disease that leads to death. A large proportion of people living in nursing homes in Sweden have dementia. Nurses have a great responsibility for the care of people with dementia since they, among other things, carry out informative communication with the family when the resident approaches the end of life. Identification of barriers and facilitators for such communication could lead to a better understanding and development of this matter. The purpose of this study was to illuminate nurses’ experiences of conversations with families of people with dementia in the transition to end-of-life care in nursing homes.A qualitative study with semi-structured interviews was conducted, where seven nurses, working in nursing homes specialized in dementia, were included. A qualitative content analysis with an inductive approach was performed. The result consists of 8 categories: planning of care, person-centred care, information and communication, knowledge and education, transition to end-of-life care, teamwork, LCP and to die home.This study identified challenges that might hinder breakpoint communication with families of people with dementia. Some of them are families’ lack of knowledge about dementia, lack of early planning of end-of-life care and uncertainties among nurses on how to handle difficult conversations. Furthermore, improvement suggestions are presented that can increase the safety in care and improve the situation for the nurses in breakpoint communication. The two most important suggestions are the creation of a better continuity in the nursing and to organize continuous educations to increase the competence among staff.Keywords:
Kelly, Fiona. "Well-being and expression of self in dementia : interactions in long-term wards and creative sessions." Thesis, University of Stirling, 2007. http://hdl.handle.net/1893/207.
Повний текст джерелаChoy, Yin-san Catherine. "An exploratory study on anticipatory grieving : case studies of spouses of terminally ill patients /." [Hong Kong : University of Hong Kong], 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12341575.
Повний текст джерелаScheldeman, Griet. "Performing diabetes : balancing between 'patients' and 'carers', bodies and pumps, Scotland and beyond." Thesis, University of St Andrews, 2006. http://hdl.handle.net/10023/11085.
Повний текст джерелаChoy, Yin-san Catherine, and 蔡妍珊. "An exploratory study on anticipatory grieving: case studies of spouses of terminally ill patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B31247799.
Повний текст джерелаRees, Christopher Lewis. "An examination of patients' responses to framework breaks in psychotherapy in an institutional context." Thesis, Rhodes University, 1998. http://hdl.handle.net/10962/d1002551.
Повний текст джерелаAtaie, Jutta Elisabeth. ""Who Would Have Thought, With a Diagnosis Like This, I Would be Happy?": Portraits of Perceived Strengths and Resources in Early-Stage Dementia." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1107.
Повний текст джерелаLee, Christopher. "The significance of Christian hope in cancer care : an exploration of the theme of hope in patients with cancer at a major cancer centre." Thesis, University of Wales Trinity Saint David, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.683009.
Повний текст джерелаWaterfall, A. Christine. "Needs of caregivers of stroke survivors." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1246469.
Повний текст джерелаSchool of Nursing
Alshammari, Muna A. B. J. M. "The role of nurses in diabetes care and the impact of the different approaches of nurses' role on patients percieved quality of nursing care : two case studies from the UK and Kuwait." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/49796/.
Повний текст джерелаSkinner, Kerry. "The quality of life of three men with autism spectrum disorders living in a group home: a case study." Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/2192.
Повний текст джерелаThis thesis focused on three adults with Autistic Spectrum Disorder (ASD) who are living in a group home in Cape Town. The purpose of this exploratory study was to explore and describe the three occupants' perceived quality of life and their experiences of living in the group home. The group home was established in 2005 as a pioneering project by Autism Western Cape, a regional non-profit organisation (NGO). It is designed for adults with high-functioning ASD who require low care. In this interpretative study, a multiple case study method of enquiry was used. The Personal Wellbeing Index – Intellectual Disability (PWI-ID), as developed by Cummins and Lau (2005), was used as the primary subjective outcome measure of quality of life. In addition, the study made use of participant observations undertaken during two semi-structured interviews with each participant and two focus group interviews. All three participants felt that they had enjoyed a higher level of quality of life, especially in the domain of 'personal relationships', since their arrival at the group home. However, they expressed a desire for more independence; a higher income; female companionship and better security at the home. These suggestions have been made available to the relevant sponsors of the housing project.
Erickson, Jeanne. "The education experiences of eight American adolescents in cancer survivorship." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:e366e072-075d-4f9f-8a02-308c09d8728e.
Повний текст джерелаLe, Roux Rhonddie. ""Acts of disclosing" : an enthnographic investigation of HIV/AIDS disclosure grounded in the experiences of those living with HIV/AIDS accessing Paarl Hospice House seeking treatment." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/16610.
Повний текст джерелаENGLISH ABSTRACT: Paarl, in the Western Cape, has been identified as one of the 15 national sites where antiretroviral treatment (ARVs) would be made available to people living with HIV/AIDS. Paarl Hospice initiated a support group for people to deal with this disease in 2003. Since February 2004 Paarl Hospice has been recruiting people from the surrounding informal settlements for ARVs. By means of participant observation I explored how HIV/AIDS-related disclosure experiences unfolded in places, spaces and events associated with the support group in the context of factors enabling and preventing people from accessing Hospice House. I did this by considering the insights drawn from an anthropological approach. I found the meanings of disclosure in the majority of studies to be limited and restricted. Available studies approached disclosure in a top-down fashion by regarding the definition of disclosure as the announcement of HIV-positivity at the time of diagnosis only. These studies have not considered social differences relating to disclosure neither did they focus on the actual process of disclosure. By means of a constructivist approach to grounded theory I seek to broaden the definition of disclosure to account for the range of ways in which disclosure practices take place. I found that disclosure could not be separated from the situational context in which it occurs and that it can only be understood in relation to the circumstances and relationships in which it takes place. In this study, disclosure was an ongoing process, situated somewhere between active, public announcement of an HIV-status and complete secrecy and somewhere between voluntary and involuntary revealing of the disease.
AFRIKAANSE OPSOMMING: Paarl in die Wes-Kaap is geïdentifiseer as een van die 15 nasionale areas waar antiretrovirale medikasie beskikbaar gestel sou word aan mense wat leef met MIV/VIGS. Paarl Hospice het gedurende 2003 ʼn ondersteuningsgroep geїnisieer om aan MIV/VIGS aandag te gee. Sedert Februarie 2004 is Paarl Hospice in die proses om mense te werf uit die omliggende informele behuisingsgebiede vir antiretrovirale behandeling. Met behulp van antropologiese insigte en deelnemende waarneming kon ek nagaan hoe verskillende maniere van MIV/VIGS-verwante bekendmaking ontvou in plekke, ruimtes en gebeurtenisse wat verband hou met die ondersteuningsgroep. MIV/VIGSverwante bekendmaking is ondersoek te midde van inhiberende en fasiliterende faktore wat mense verhoed of aanhelp om Paarl Hospice te besoek. Ek het bevind dat die definisie van bekendmaking in die meeste navorsing gebrekkig is. Beskikbare navorsing het bekendmaking volgens ‘n bo-na-onder-wyse benader as die openbare bekendmaking van ‘n MIV-status na afloop van diagnose alleenlik. Met behulp van ‘n konstruktiewe benadering van die begronde teorie het ek gepoog om die definisie van bekendmaking uit te bou om sodoende die verskeidenheid maniere waarop bekendmaking plaasvind te akkommodeer. Ek het vasgestel dat bekendmaking onlosmaakbaar deel is van die situasionele konteks waarin dit plaasvind en dat dit slegs begryp kan word in verband tot die verhoudings en omstandighede waarin dit plaasvind. In hierdie studie was bekendmaking ʼn voortdurende proses, gesitueer tussen aktiewe openbare bekendmaking en volledige geheimhouding van ʼn MIVstatus, asook tussen volkome vrywillige en onvrywillige bekendmaking van ʼn MIVstatus.
Cheng, So-fong Nancy, and 鄭素芳. "The use of Minuchin's structural approach in an exploratory studyof the impact of stroke on families." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1985. http://hub.hku.hk/bib/B31247465.
Повний текст джерела王善萍. "未成年住院患者疾病模式及住院費用研究 : 南方某三甲醫院個案分析". Thesis, University of Macau, 2012. http://umaclib3.umac.mo/record=b2590336.
Повний текст джерелаMcConnell-Barker, Michelle. "Comparison of restraint practices for persons with dementia residing in and outside special care units in British Columbia." Thesis, 2000. http://hdl.handle.net/2429/10694.
Повний текст джерелаLee, Youjung 1977. "Korean American dementia caregivers' attitude toward caregiving: the role of culture." Thesis, 2007. http://hdl.handle.net/2152/3786.
Повний текст джерелаSchaper, Anna Sophie. "Deskriptive Studie zur zahnärztlichen Betreuung und Versorgung demenzkranker Patienten im Raum Göttingen." Doctoral thesis, 2020. http://hdl.handle.net/21.11130/00-1735-0000-0005-143E-0.
Повний текст джерелаMcIntosh, C. J., J. L. Westbrook, R. Sheldrick, Claire A. Surr, and D. J. Hare. "The feasibility of Dementia Care Mapping (DCM) on a neurorehabilitation ward." 2012. http://hdl.handle.net/10454/6971.
Повний текст джерелаTSOU, JUI-YU, and 鄒瑞玉. "Research on Therapy and Care of Dementia Patients :A Case Study of Two Elderly Care Institutions,Taoyuan City." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/c457an.
Повний текст джерела元智大學
社會暨政策科學學系
107
This research concerns dementia patient treatment and care, focusing on veteran elderlies with similar living conditions and cultural backgrounds registered at a residential institution specializing in Dementia caregiving service and a Day care center, both in Taoyuan City. This study is qualitative, using literature analysis, actual participatory observation and in-depth interviews as methods to understand the impact that medical treatment and lifecare service have on the disease process of dementia patients and identify the suitability of occupational therapy intervention in the patients' everyday lives. Recently, as the national population aged, the number of dementia patients also rose, which have caused considerable difficulty for families in giving care to their members and also financial stress. In order to allow dementia patients to receive proper medical attention and adequate lifecare service, the Administrative Yuan launched a "10-Year Long-Term Care Plan 2.0", including dementia patients into targeted populations as a response to a range of caregiving issues related to dementia (Ministry of Health and Welfare 2016). This study found that dementia patients can receive occupational therapy through non-medicated means to improve the patents' degenerative limbs, and also applies to other patients with different diseases. There are however uncertain factors, such as dementia patients' willingness to participate and their physical conditions. The learning care type such as non-medicated therapy sessions can extend cognitive functions. When dementia patients receive proper medical care and lifecare, their quality of life improves, and the duration of long-term care is dramatically reduced and lowers the intensity of human labor and social cost.
Capstick, Andrea. "Ex Memoria: In Eva's case - some memories fade - others keep returning." 2007. http://hdl.handle.net/10454/5644.
Повний текст джерелаEx Memoria is a short film - just 15 minutes long - which focuses on the experience of Eva, a woman with dementia living in a nursing home. The film - which is the result of a collaboration between Bradford Dementia Group (BDG), writer/director Josh Appignanesi, and producer Mia Bays - attempts to show how life might be experienced from Eva's point of view, in her 'version of reality'. In this article I will outline the background to the making of Ex Memoria, explain how the film is being used on the Dementia Studies courses provided by BDG, and - without giving away too much of the story for people who haven't yet seen the film - summarise some of the responses to it.
羅慈縈. "Apriori Algorithm for Care Targets from Different Types of Dementia Patients – A Case of Medical Center in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/85d43w.
Повний текст джерела國立彰化師範大學
企業管理學系
107
With the population transition, an aged society has made elderly care more important. Dementia is a problem faced nowadays. It is one of the leading causes of elderly persons’ inability to live independently that requires long-term medical cares. Different types of medical cares are required because of the type of dementia, the course of disease, and the length of time. Dementia of onset to death will continue for several years. It will aggravate the condition as time goes on, but it lacks an integrated approach to care. Dementia patients will not only have dementia but will be accompanied by other chronic diseases. Therefore, a cross-disciplinary care integration is also needed. This study uses Apriori algorithm and the dementia database from a medical center in central Taiwan. The main purpose is to find the care targets that are suitable for most dementia patients. In addition, by analyzing and discussing the relationship between dementia and care targets, a group of dementia care plans can be formed. The input variables of Apriori algorithm in this study include four demographic variables and fifteen care targets with the support, confidence, and lift are set up to be 10%, 90%, and greater than 1, respectively. There are 1759 association rules found, and these rules can be further organized into four groups: the prerequisite five care targets, the care targets needed by different types of dementia, the care targets needed by different CDR scores, and the correlation between specific care targets. The results show that the majority of patients need five care: care (3) appropriate activities, care (9) regular outpatient follow-up treatment, care (12) introduction and referral of social resources, care (13) referral to family support groups and care skills training, and care (15) disease tracking and health education for dementia and BPSD. Other care targets can be added based on the condition of dementia. Medical and care institutions can refer to these results to develop care plans for dementia patients to provide better medical care and improve the quality of care. Keywords: data mining, apriori algorithm, dementia, dementia care, care plan
Hsu, Yun-Ying, and 許昀螢. "Using Decision Trees to Identify Care Target Combinations for Different Dementia Patients – A Case Study in A Medical Center in Central Taiwan." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/8q9dam.
Повний текст джерела國立彰化師範大學
企業管理學系
105
In recent years, the global population structure has moved towards aging, and dementia is one of the related diseases. Accordingt to the Taiwan Alzheimer`s Disease Association statistics, one of every 12 people in Taiwan is suffering from dementia. It is urgent to face the aging problem. The purpose of this study is to identify what types of care targets are required for each type of dementia patients. Thus, fifteen care targets along with two demographic variables are the input variables, while the type of dementia is the target. The data are from the patients with dementia provided by a medical center in central Taiwan. By applying classification and regression tree, C5.0, and CHAID, different care targets might be required for family members or health care workers in order to take great care of different types of dementia patients.The results show that 22, 26, and 16 rules are generated by classification and regression tree, C5.0, and CHAID, respectively. In the evaluation of the three algorithms, the predictive models of C5.0 and CHAID were superior to CART in others with tumor results, and CART and C5.0 outperformed CHAID in mixed dementia. In addition, the performance ranking in vascular dementia was CART > C5.0 > CHAID. Finally, C5.0 performed the best followed by CART and CHAID in Alzheimer's disease.
Mohammadi, Nooredin. "A hermeneutic phenomenological inquiry into the lived experience of Muslim patients in Australian hospitals." 2008. http://hdl.handle.net/2440/47562.
Повний текст джерелаhttp://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317115
Thesis(Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2008
Mohammadi, Nooredin. "A hermeneutic phenomenological inquiry into the lived experience of Muslim patients in Australian hospitals." Thesis, 2008. http://hdl.handle.net/2440/47562.
Повний текст джерелаThesis(Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2008
Chang, Yu-Jui, and 張祐瑞. "An Research for the Influence of Environmental Design on the improvement of Problems Behaviorof Demented Patients -- By a Case of Special Care Unit for Dementia." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/50938795529240410282.
Повний текст джерела國立雲林科技大學
空間設計系碩士班
92
According to the stastistic data announced by the ministry of Interior, there are fifty thousand demented patients demanding special care , the population has been up to 3 percentage of aging population. Caregivings for demented elders are recognized as urgent problems in Taiwan. Behavior problems occur frequently in demented patients and represent one of the most difficult items in their care. Behavior problems inducing caregiver burnout, so that strategies for caregiving were widely discussed in the past year. Except for clinical drug, caregiver attitude and therapy program, environmental factors probably play major role in decreasing the frequency of behavior problems. Based on this concept, a growing number of special care units for demented elders with a specially designed environment has been established in many advanced countries. This research is focused on SCU in Taiwan as an object, the methodology includes the use of instrument to measure the behavior problems of demented patients, and the observation visiting to discuss the environment effect correlationship on decrease in the Problems Behavior of dementia. In this research, the nine people of loses a wisdom sickness in dementia and the carry person are processing question behavior evaluation after into the protection environment for three months, six months and nine months this three level, and the result according to “t” examination to analyze around cross-reference the question behavior have difference of the frequency﹔And have to depth visit all the carry person and observe the patient’s behavior situation in order to discuss the patient live in the process to affect the question behavior reduction to have the reason﹔Finally uses the linearity to examine correlation elements of the question behavior reduction. From the study results, we can find Problems Behavior was significantly affected with Environmental Design, by use of instrument to measure the behavior problems of demented patients and observation visiting. The most helpful to decrease in Problems Behavior are Arrangement for Living Space, Construction of Memory-Reminding Setting, The Use of Building Material and Equipment. Although Planning on Wandering Space and Identification elements for Orientation were insignificant in measure, both of them affect the dementia patient’s Problems Behavior to have decrement. This could confirm that are benefit to improvement of Problems Behavior of Demented Patients.
Freeman, Rachel Johanna. "Social workers’ perceptions of their role in providing palliative care to patients with life-limiting illnesses : a qualitative study among social workers in primary care settings in Namibia." Thesis, 2017. http://hdl.handle.net/10500/24340.
Повний текст джерелаSociology
D. Phil. (Sociology)
Chiu, Yi-Ru, and 邱奕儒. "Multilingual mhealth platform for case studies of long-term care at home: Taking patients with brain trauma as an example." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/2x5a46.
Повний текст джерела國立陽明大學
生物醫學資訊研究所
107
In recent years, the rapid development of science and technology, for the medical system, advanced equipment has also brought a lot of benefits to people, the combination of information technology remote care model is a good example, and is widely used in chronic diseases and elderly patients, such as illness tracking and home care. As the population structure gradually enters into the society of young children and the elderly, as well as the changes in the current economic structure and lifestyle and the development of medical care technology, the problem of caring for the elderly has emerged. According to the 2018 survey by the Ministry of Health and Welfare of Taiwan, 17.23% and 10.74% of people aged 55 to 64 and over 65 have patients in need of home care. According to statistics, there are 730,000 elderly people in need of foreign caregivers in Taiwan in 2018. However, there is a shortage of native foreign caregivers. There are only about 12,000 native caregivers, accounting for only 4 percent of foreign caregivers. In the large number of foreign caregivers, southeast Asian countries dominated, Indonesia led, followed by the Philippines, Vietnam and Thailand. And the proportion has increased significantly every year since the government opened its door to the outside world. According to a survey by the Department of Labor at the end of 2018, the number of foreign workers working in nursing care in Taiwan has reached 256,173. Therefore, it is a trend to integrate mobile medical care services into handheld mobile devices, and to integrate care information and foreign languages. This study through smart phones build multilingual mhealth platform used in home care, provide another assist platform for foreign caregivers, foreign caregivers can take advantage of this App easily upload the daily physiological values. And the case of Health care practitioners can use this App at any time to catch on the status of the case through the statistical charts. To improve the quality of care at home by establishing a communication platform between Health care practitioners, family members and foreign caregivers.
Nkosi, Zama Portia. "Patients' experiences at mobile health clinics : a case study of the KwaMachi in KwaZulu-Natal." Thesis, 2013. http://hdl.handle.net/10413/11283.
Повний текст джерелаThesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.
Moyana, Watson. "The utilisation of the continuum of care for treatment of persons with a substance use disorder : service providers’ and service users’ experiences and perceptions." Diss., 2019. http://hdl.handle.net/10500/25591.
Повний текст джерелаSocial Work
M.A.(S.S.)
"Executive information systems (EIS): its roles in decision making on patients' discharge in intensive care unit." Chinese University of Hong Kong, 1995. http://library.cuhk.edu.hk/record=b5888309.
Повний текст джерелаThesis (M.B.A.)--Chinese University of Hong Kong, 1995.
Includes bibliographical references (leaves 56-57).
ABSTRACT --- p.ii
TABLE OF CONTENTS --- p.iv
LIST OF FIGURES --- p.vi
LIST OF TABLES --- p.vii
ACKNOWLEDGMENT --- p.viii
Chapter
Chapter I. --- INTRODUCTION --- p.1
Intensive Care Services --- p.1
Clinician as an Information Processor --- p.2
Executive Information System (EIS) for Intensive Care Services --- p.7
Scope of the Study --- p.7
The Organization of the Remaining Report --- p.8
Chapter II. --- LITERATURE REVIEW --- p.9
Sickness Scoring Systems --- p.9
Executive Information Systems (EIS) --- p.15
Information Requirements Determination for EIS --- p.17
Future Direction of EIS in Intensive Care --- p.20
Chapter III. --- RESEARCH METHODOLOGY --- p.22
Survey by Mailed Questionnaire --- p.23
Personal Interview --- p.24
Subjects Selection --- p.26
Analysis --- p.27
Chapter IV. --- RESULTS AND FINDINGS --- p.28
Part 1 - Questionnaires --- p.29
Part 2 - Interviews --- p.31
Chapter V. --- ANALYSIS AND DISCUSSION --- p.44
Analysis of Results and Findings --- p.44
Evaluation on Information Requirements Determination for an EIS --- p.50
Chapter VI. --- CONCLUSION --- p.52
Chapter VII. --- FUTURE DIRECTION OF DECISION SUPPORT IN CRITICAL CARE --- p.54
REFERENCES --- p.56
INTERVIEWS --- p.59
APPENDIX --- p.60
Chapter 1. --- A Sample of Hospital Information System Requirement Survey Questionnaire --- p.61
Chapter 2. --- Samples of Visual Display --- p.67
Chapter 3. --- A Sample of Format of a Structured Report --- p.70
Singh, Vikesh. "The knowledge of nurses on multidrug resistant tuberculosis at primary health care facilities in the Nelson Mandela Metropolitan." Diss., 2014. http://hdl.handle.net/10500/18451.
Повний текст джерелаHealth Studies
M.A. (Public Health)
Šuláková, Dagmar. "Etapy sociální práce s klientem s Alzheimrovou nemocí." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-358140.
Повний текст джерелаSethuntsa, Molelekeng. "The development of a therapeutic approach for the treatment of individuals with Prader-Willi syndrome and their primary caregivers." Thesis, 2017. http://hdl.handle.net/10500/23826.
Повний текст джерелаPsychology
Ph. D. (Psychology)
McKeown, Shari I. "Playing with dolls : use of simulation technology in the Thompson Rivers University respiratory therapy program." 2011. http://hdl.handle.net/10170/446.
Повний текст джерелаNunes, Susana Sofia da Costa. "Quedas em internamento hospitalar: causas, consequências e custos: estudo de caso numa unidade hospitalar de Lisboa, EPE." Master's thesis, 2015. http://hdl.handle.net/10437/6632.
Повний текст джерелаNos últimos 30 anos, os custos com a saúde têm vindo a aumentar significativamente. As quedas de doentes são episódios frequentes nos internamentos de qualquer UH, que podem originar lesões, hospitalizações mais prolongadas, atraso na reabilitação e aumento de custos para a UH. A presente investigação teve por objetivo analisar quais as causas, consequências e custos de episódios de quedas notificadas com lesão, de doentes internados numa UH de Lisboa, EPE. Utilizou-se uma abordagem quantitativa, do tipo correlacional-preditivo-transversal, através de uma análise retrospetiva de 153 notificações de incidentes de quedas com lesão, durante o ano de 2013. A grande maioria dos doentes tinha idade compreendida num intervalo de 71 a 85 anos, sendo a média da idade de 72 anos. O principal motivo que os levou a cair foi a busca da satisfação das suas necessidades fisiológicas (47,7%), com probabilidade de ter sido provocada pelo estado de saúde do doente (67,3%), com maior incidência de escoriações e hematomas (em igual número 28,1%). No geral, os casos de quedas com um nível de lesão moderado e grave são os que representam um maior valor médio dos custos, em que as lesões graves de origem ortopédica acarretaram maiores custos para UH.
In the last 30 years, healthcare costs have increased significantly, contributing widely to the growth of public expenses. Patient falls are frequent episodes throughout the period of stay in any UH, which can lead to injuries, longer hospitalizations, delays in rehabilitation and increased costs to the UH. This research aimed to analyze causes, consequences and costs of reported fall events which lead to injuries in a UH of Lisbon, EPE. The study is based on a predictive, transversal and cross-sectional approach, through a retrospective analysis of 153 fall incident reports that lead to injuries during the year of 2013. The vast majority of patients were between 71 and 85 years old, with an average of 72 years old. The main reason that led them to fall was the fulfilment of their physiological needs (47.7%), likely caused by the patient's health condition (67.3%), with a higher incidence of bruises and hematomas (both 28.1%). Overall, falls with moderate and severe levels of injury are the cases that origin higher average costs, whereas serious orthopaedic injuries lead to higher costs for the UH.
Viviers, Linde Juana. "The different voices of chronic illness." Diss., 2005. http://hdl.handle.net/10500/1247.
Повний текст джерелаPsychology
M.A. (Clinical Psychology)
Lekubu, Gloria Stephinah Sebaetseng. "Exploring the experiences of adult offenders living with HIV on pre-antiretroviral therapy program at the Losperfontein Correctional Centre." Diss., 2016. http://hdl.handle.net/10500/22274.
Повний текст джерелаThe aim of the study was to explore the experiences of adult offenders living with HIV (OLWHIV) not qualifying for antiretroviral therapy (ART). Such offenders are put on the pre-antiretroviral therapy (pre-ART) program after HIV diagnosis. Follow up of OLWHIV is done every six months to ensure prompt treatment. Research objectives include exploration of experiences of OLWHIV on the pre-ART program, the accessibility of the program and the challenges thereof. An exploratory, qualitative study with face-to-face interviews was conducted. Purposive sampling of the eight participants was done to conduct the study. Seven out of eight participants accessed the pre-ART program well but had little knowledge of the pre-ART program. Furthermore, participants experienced little support from partners and health care workers. The study showed institutional constraints such as poor diet, shortage of staff and humiliation from Correctional officers. Participants portrayed commitment in the support group irrespective of the challenges experienced. The study further showed that the self-care theory could enhance the pre-ART program but that institutional constraints deterred the progress. Participants made recommendations such as strengthening of partnerships for support groups, good diet, and an increase of staff capacity. Overall study recommendations include implementation of universal test and treat and mixed methods for future studies.
Sociology
M.A. (Social Behaviour Studies in HIV/AIDS)
Brito, Tânia Raquel Mendes Amaral de. "Qualidade em saúde: satisfação do utente com o serviço de urgências do Hospital de Santa Maria." Master's thesis, 2015. http://hdl.handle.net/10437/6633.
Повний текст джерелаIntrodução: Medir a qualidade dos serviços de saúde através da avaliação da satisfação dos utentes é indispensável para uma gestão adequada dos recursos, sobretudo no contexto socioeconómico atual. Esta avaliação também promove a centralidade do cidadão no sistema de saúde e é essencial para o desenvolvimento e aperfeiçoamento dos serviços de saúde. São objetivos principais deste estudo mensurar o índice de satisfação dos utentes com o Serviço de Urgências (SU) do Hospital Santa Maria (HSM) e identificar a influência de diversas variáveis como o género, idade, situação atual, habilitações literárias e estado de saúde. Métodos: Realizou-se um estudo transversal de natureza quantitativa, não experimental, descritivo-correlacional, envolvendo uma amostra de 155 indivíduos, destes 52,3% eram do género feminino, 54,8% pertencem ao grupo etário correspondente às idades compreendidas entre os 35 e os 64 anos, 38,1% encontram-se empregados, contudo a percentagem de desempregados situa-se imediatamente a seguir sendo de 26,5% e 34,8% têm ensino superior. Por fim, é de salientar que 43,2% dos inquiridos considera que tem um estado de saúde bom e 29,7% muito bom. O questionário utilizado foi o “Instrumento de medida de satisfação dos utentes nos Hospitais EPE e SA (Urgências)”. Este questionário avalia a satisfação em 11 dimensões: imagem, tempo de espera, instalações, médicos, enfermeiros, exames e tratamentos, família, qualidade global apercebida, resolução das reclamações, satisfação e lealdade; através de uma escala de Likert de 10 pontos. Resultados: As dimensões que obtiveram resultados mais altos são as relacionadas com os profissionais de saúde – médicos, 7.55 pontos; enfermeiros, 7,77 pontos e exames e tratamentos, 7,5 pontos, em média. Por outro lado, o tempo de espera e a capacidade de resolução de uma reclamação obtiveram o score mais baixo e próximo dos 5 pontos. Contudo, salienta-se que todas as avaliações foram positivas. Conclusões: A amostra analisada permite constatar a existência de um elevado nível de satisfação com o SU do HSM.
Introduction: Measuring the quality of Health services by assessing the patient satisfaction is essential for an appropriate management of resources, especially in the current socio-economic context. This review also promotes the centrality of the patient in the Health system and is essential for the development and improvement of Health services. The primary purposes of this study are measure the satisfaction level of the users of the emergency department of the Hospital Stoanta Maria and identify the influence of several variables such as gender, age, current status, educational qualifications and Health status. Methods: This study is descriptive and correlational, quantitative and not experimental. Includes 155 subjects: 52,3% are female, 54,8% have 35-64 years old, 38,1% are employed, however th percentage of unemployed is situated immediately after being and 34,8% have higher education. Finally, is noted that 43,2% of respondents belive it has a good Health and 29,7% has a very good Health. The questionnaire used was the “Instrumento de Medida de Satisfação dos Utentes nos Hospitais EPE e SA (Urgências)”. This questionnaire includes eleven dimensions: picture, waiting time, facilities, doctors, nurses, tests and treatments, family, perceived overall quality and resolution of complaits, satisfaction and loyalty; using a Likert scale of ten points. Results: The dimensions obtained higher results are related to Health professionals – doctors, 7,55 points; nurses, 7,77 points and tests and treatment, 7,5 points, on average. On the other hand, the delay time and the capacity of resolution a complaint obtained the lowest score, around 5 points. However, it is noted that all evaluations were positive. Conclusions: The sample concerned allows us to verify the existence of a high level of satisfaction with the emergency service of Hospital Santa Maria.