physical care
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The family is the basis of human development, it is the social context that provides the necessary conditions for children to acquire their autonomy at all levels; in addition to the necessary physical care to guarantee their survival. The family is the one that provides the essential affective climate so that there is a process that changes the biological being that is a baby, in a person, in a biopsychosocial being. Marriage arguments emotionally deplete parents and diminish their interest in the emotional needs of their children, who may understand it as rejection or absence of affection, very detrimental to their personal growth. Additionally, marital conflict decreases the parents ability to integrate and participate socially. The provision of affective and emotional stability that child development requires can be seriously threatened by the separation or divorce of the parents, it affects children in the form of coping they use in stressful situations, in the formation of the attachment process, the affective and emotional stability required for child development and how they respond to changes in the family.

Telemental health (TMH) is considered by many to be the future of mental healthcare, with some claiming that these methods should replace more traditional approaches. Early teletherapeutic initiatives demonstrate an immediate set of benefits for patients including improved access to care, reduced costs, better schedule flexibility, greater environmental familiarity, and higher rates of patient engagement. Notable limitations to TMH include enhanced privacy concerns, the variable digital literacy of certain populations/persons, and technological instability. However, other limitations regarding therapeutic relationships, experiences, and settings have gone undertheorized and are not sufficiently represented in the current research. This chapter surveys these considerations and argues that digital medical interventions are unable to effectively replicate the same degree of ‘contact' and ‘intimacy' available in physical care; providers should therefore be cautious in wholly replacing in-person methods or in implementing a standalone paradigm of digital care.

Abstract Purpose: The purpose of this study is to understand the cognition and experience of oncology nurses in China when responding to a patient’s request to hasten death, to describe the obstacles that prevent their response, and to provide suggestions for dealing with the patient’s request. Methods: Researchers conducted a qualitative study that consisted of open-ended, semi-structured interviews with 18 registered nurses who had more than five years of working experience in the oncology department at a large-scale urban hospital. We analyzed these data for content and themes.Results: How to deal with patients’ requests to hasten death is a problem often encountered and handled by nurses in the Department of Oncology.Nurses have a certain understanding of the patients’ requests to hasten death. This study abstracts four themes: 1) the nurses’ cognition of the “Accelerate the process of death” ; 2) the methods they use to deal with the patients’ requests to hasten death; 3) the obstacles that prevent nurses from fulfilling the patients’ requests to hasten death; and 4) their suggestions for improvement.Conclusion: Nurses have a deep understanding of the real thoughts of patients who make a death request, and they hope to provide the corresponding psychological support and physical care. However, the lack of relevant knowledge, policy support, and cooperation of patients’ families are obstacles that prevent them from taking action. Therefore, increasing relevant training for nurses, encouraging multi-department cooperation, and developing standardized nursing processes may lay a foundation for oncology nurses to better undertake and guide such conversations.

Abstract Background: Despite the high prevalence of female genital mutilation in many settings and the health consequences associated with it, many healthcare providers have limited knowledge of female genital mutilation and limited skills for preventing and managing related complications. With Knowledge of this Important matter aim of this study is to determine the effectiveness of TOT workshops on the knowledge and skills of social workers working with girls and women affected by FGM.Methods: To demonstrate the findings, a quasi-experimental study was conducted with a pre and post-assessment. There were 44 participants who worked with FGM victims across Iraqi Kurdistan. Socio-demographic details of the participants who have collected knowledge on psychosexual and physical care, psychosexual skills, and referral programs were assessed using a continuum scale of 0 to 4. Descriptive and inferential statistics were carried out for the analysis.Results: The results showed that participants' knowledge and skills improved in relation to psychosexual and physical care for girls and women living with FGM and referral programs for them. The paired sample t-test carried showed a significant increase in knowledge among participants in psychosexual and physical care for girls and women living with FGM (f=9.25, df=1, P=.001), Psychosexual skills (f=-8.20, df=1, P=.001), and FGM victims referral Programs (t=12.95, df=1, P=.001). Follow-up test also showed that these changes were constant from post-test to follow-up.Conclusions: Preparing the social workers on the integration of physical and psychosocial care for girls and women living with FGM in their existing activities would equip them in providing holistic care for them in addressing the emerging psychosexual problems.

Abstract With military personnel in Iraq and Afghanistan surviving what were previously fatal injuries, there is ongoing discussion about how to provide care for them and support their families. Parents frequently provide care for their unmarried, injured adult children, especially those returning with polytraumatic injuries, PTSD, or Traumatic Brain Injury (TBI). Parents (n=160) of combat injured adult children who participated in a DoD-funded behavioral intervention study are described. Parents were mainly mothers, average age 60.2 years, with ages ranging from 45 to 79. The veterans had functional limitations, and only 9.2% were employed. Parents, on average, had been caregivers for 6.6 years and daily spent 7.7 hours providing care and 17.2 hours on duty, primarily focused on supervision and daily life management rather than physical care. Average caregiver burden score approached high and was related to veteran TBI diagnosis, aggressive behavior toward others, and functional limitations. Few parents (22.7%) worked full-time; 85.3% had decreased personal spending, 84.0% dipped into personal savings, and 58.9% reduced retirement saving. These findings are similar to those of aging parent caregivers of adult children with serious mental illness or developmental disabilities in amount of care provided to their adult children, their level of burden, financial and career cost to themselves, and concern about their future and their children’s future. As these parents and their adult children age, providing care and resources will present greater challenges for them, for the military and veteran care systems they rely on for support, and for society.

Oncological disease in developmental age represents a profoundly critical event, evoking suffering, anguish, and fear. Despite therapies' progress and recovery chances increase, unfortunately, aggressive and painful treatments involve significant changes in the image of their body, lifestyle, and social relationships for the adolescent. To avoid that all this affects evolutionary development, a holistic global therapeutic approach has been consolidated since the 1970s. This approach has shifted the concept of healing from that of the physical care of the sick to a more humanistic transformative one in which the care of the sick person also involves their complexity, emotions, relationships, desires, etc. By developing a multidimensional approach to the person felt, listened to, and lived in its totality, music therapy represents effective educational support capable of generating well-being and beauty even in the adolescent oncological path.

Addressing the fact that studies on self-care of Vietnamese middle-aged women remain scarse, our presenting study aims to investigate the relationship between supportive resources utilized by Vietnamese middle-aged women and their types of self-care. Data were collected from survey interview with 512 middle-aged women (aged from 40 to 60 years old) in Hanoi city and Quang Ninh province. A series of linear regression was performed on the six types of self-care, including: physical care, supportive relationships, mindful awareness, self-compassion & purpose, mindful relaxation, and supportive structure. Three types of supportive resources and other covariates (age, education, and residence area) were entered into these models as key predictors. The study results show that the use of different level of resources was associated with different types of self-care practice. The use of micro-resource system significantly predicted all six types of self-care among Vietnamese middle-aged women. The mesenchymal and peripheral resource systems significantly predicted physical care only among Vietnamese middled-age women. The macro resource system was significantly associated with the practice of mind-relaxing and supportive structure. In addition, people who were older, had better education and lived in urban areas tended to participate more in physical care. Women with a higher education level and living in urban areas were predicted to utilize more supportive relationships and mindful relaxation. Women living in urban areas, having a higher level of education practiced mindful relaxation significantly more than their counterparts. Using more supportive structure was significantly more among women living in urban areas, in older age groups and having higher education levels. The key findings suggest the promotion of active support from the micro-level system, as well as advocate for social policy development to help less privileged groups of women access and use mezzo and macro resources more effectively.

Background: The number of deaths occurring in hospitals is rising, and many occur in settings other than specialist palliative care, oncology or critical care. Nurses working outside these specialist environments report end-of-life (EoL) care as a source of stress. This research aimed to explore these experiences. Aims and methods: This qualitative study, using semi-structured interviews as a research technique, aimed to investigate the experiences of surgical nurses caring for dying patients. Results: Five themes emerged: understanding of and preference for EoL care; perceived barriers while providing EoL care; robust support from the team as a facilitator while providing EoL care; symptom management; future training and support. Conclusion: Participants considered providing EoL care as part of their professional role and reported that they were able to provide appropriate physical care. Participants identified challenges in providing emotional and psychological support to dying patients and their families in an acute surgical setting.

Purpose: The purpose of this study was to investigate the practical process and barriers of end-of-life nursing practice for older patients in long-term care hospitals by exploring nursing experts’ actual experiences.Methods: Qualitative data were collected through focus group interviews with 9 nurses in 3 different long-term care hospitals from April to May, 2019. All interviews were recorded and transcribed verbatim and analyzed using the content analysis method.Results: Five themes and 14 sub-themes emerged for nurses’ perception regarding end-of-life nursing practice in long-term care hospitals, whereas three themes and 10 sub-themes emerged for the barriers of end-of-life nursing practices. The results show that the end-of-life nursing practice is currently considered an additional area beyond nurses’ existing work in long-term care hospitals and the area of performance is focused almost exclusively on physical care. The care is especially lacking in psychological and spiritual areas. Moreover, aspects of practice vary by institutions, day or night shifts and individuals. Various factors that hinder nurses’ performances of end-of-life care are identified in the areas such as ignoring patients’ dignity, an underdeveloped system and lack of supportive environment.Conclusion: Findings of this study suggest the need to establish standardized protocols for end-of-life nursing care in long-term care hospitals and develop educational programs based on those protocols.

Abstract In light of COVID-19 and elevated concerns for the health of older Canadians receiving care, this Policy and Practice Note explores the confluence of the current home care policy landscape and the organisation of personal support worker (PSW) work, and highlights the need to consider governance of PSW work generally, and in-home and community care especially. PSWs are currently not professionally regulated, nor is there a central site documenting location, education, or any form of verification of the PSW workforce. Home care PSWs often provide physical care in isolated settings with no in-person supervision. In home and community health care, complaints about PSWs can be scattered among different service providers or client files not linked to or searchable by PSW name. This policy note explores how these factors and the currently unregulated status of PSWs affect home care safety in general as well as in the context of COVID-19, Ontario’s decentralised home care system, and efforts towards professional regulation.