Increasing Your Vitality
Then there are brain dead donors whose cessation of brain stem function is indicated from an EEG test. Because the brain makes a person breathe, organ vitality is sustained by cardiopulmonary machines. Ethical concerns arise when harvesting from brain dead donors because brain death is a process without a distinctly pronounceable event like cardiac death. Hospice professionals, in particular, exercise ethical care in withholding food and liquid from and administering narcotics to a patient with auditory and visual responses. In a recent development, doctors who felt there was only a small window of opportunity for harvesting most transplant organs now look to a 2002 University Hospital Zurich study that shows transplant success even in harvesting older organs from cardiac death donors. This goes beyond the conventional wisdom that only a few organs such as corneas and kidneys remain viable for a time in cadavers. In heart transplantation, brain...
In the VHA, patient outcomes are explicitly linked to continual performance monitoring and improvement, and thus their measurement is central to an overall vision of accountability and a monitored approach to care 15 . Electronic monitoring of pain assessment and effectiveness of pain management interventions is being implemented in the VHA. The Pain Outcomes Toolkit details specifically how and when to measure patient status 42 . The Pain Outcomes Questionnaire can be requested ondine to collect data pertaining to a patient. s progress, and includes measurement of pain intensity, pain interference, negative affect, vitality, pain-related fear, vocational functioning, patient satisfaction, and medical resource
If you have progressed to end-stage renal disease (ESRD), a kidney transplant may be the preferred treatment for you. Transplantation has even been recommended to infants, elderly patients, diabetic patients, and those with other significant health problems who would not have been candidates in the past. A kidney transplant offers improved quality of life over both kinds of dialysis. Patients who do well after transplantation generally report improvement in vitality and freedom to return to the style of life that they experienced before their progression to ESRD.
Biological and psychological aging changes usually occur gradually, over years or decades, and as a result, there is no single age at which people in general can be said to be old. The common practice of designating people older than 65 as old began in Germany in the 1880s, when Otto von Bismarck selected 65 as the starting age for certain social welfare benefits. In the United States, the age at which full Social Security benefits can be received has now been raised to 67 years for persons born in 1960 and later. Although this change is primarily a response to fiscal concerns, the upward shift is also indicative of the increasing vitality and productivity of the aging population. According to a recent national survey, 63 years is the average age at which Americans perceive individuals as becoming old, but there was much variation in perceptions (Abramson and Silverstein 2004). More than one-third of the sample named an age greater than 70 as the start of old age, whereas another...
In addition to the therapeutic context, FAP is well suited to guide effective clinical supervision of trauma cases. This kind of supervision would direct the supervisor and the supervisee to be attentive to emotional avoidance in the supervision session, and would promote an analysis of the practicality and function of such avoidance. Parallels are drawn between the supervision and the therapy being supervised. Therapists are encouraged to address emotional avoidance in supervision in the service of promoting vitality both in supervision and in therapy. And, of course, the vitality of emotional engagement is an important aspect of the intimate relationships that we hope to help our clients attain.
CR remains the most robust and only reproducible intervention for extension of both average and maximal lifespan and, as such, for altering the fundamental biology of aging. In addition, CR consistently slows many physiological and pathological changes that occur with advancing age thereby maintaining health and vitality. Recent experiments with both monkeys and humans suggest that this energy restriction paradigm may indeed impact on human aging. Even if CR is shown to be an effective intervention into human aging processes, it is unlikely that the 30-40 reduction in calories over much of the lifespan necessary to achieve maximal benefit will be practiced effectively on a wide scale. Thus, development of CR mimetics can provide an alternative strategy for slowing human aging. Early experiments with glycolytic inhibitors and other compounds have validated the potential application of this approach and have helped to broaden the search for true CR mimetics. It seems unlikely that a...
Younger women with breast cancer are likely to face unique concerns, and studies have shown them to be particularly vulnerable 110, 111 . In a retrospective study of 577 women aged 25 to 50 years when diagnosed to have breast cancer and disease-free for a mean of 6 years (range 2-10 years), their quality of life was, in general, inversely proportional to their age at diagnosis. The younger the patient, the worse the scores on emotional and social well being, vitality, and depression 111 .
To their children than parents of children with asthma and parents of healthy children. The findings obtained were equivalent for the mothers and the fathers. We believe that, in order to be able to count their child among the lucky ones who will survive the disease, parents create an image of vitality and zest for life. This positive attribution by parents of children with cancer may be a beneficial coping strategy as long as the emotional feelings of children are not underestimated. Caregivers should be aware of this coping strategy, especially if this coping strategy is out of balance or pathological. It can also be possible that children give their parents the impression they are doing fine to protect their parents from the more negative emotions resulting from the stressful situation.
To identify the presence of a clinical syndrome of cancer-related fatigue these patients also completed self-report measures offatigue, depression, and health-related quality of life. Comparisons among independent raters demonstrated high rates of reliability for the presence or absence of a cancer-related fatigue syndrome and its symptoms. Twenty-one percent of the patients met diagnostic criteria for a cancer-related fatigue syndrome. These patients reported more severe, frequent, and pervasive fatigue than did patients who did not meet diagnostic criteria they also demonstrated poorer role function, less vitality, and more depressive symptomatology. Thus, this newly developed clinical syndrome approach appears to have great utility in identifying patients who experience clinically significant, illness-related fatigue.
Problems are not due to deficient serotonin, even if that deficiency and the resultant depression is a by-product of their underlying disorder. An antidepressant may be indicated and improve some symptoms, but such medications alone rarely restore self-esteem or resolve the personal demons that can sap an individuals' vitality and verve. Talk therapy has fallen somewhat out of favor with the explosion of biologic psychiatry and the downfall of Freudian psychology. Yet there is enormous value in psychotherapy, and for many individuals, it is the therapy they need.
Into the potential space between the upper and lower end-plates of the collapsed vertebrae and inflating the balloon to push the vertebral end-plates apart, thus restoring height. The expanded cavity is then filled with a viscous, partially cured cement, thus supporting the expanded endplates and minimizing the potential for leak.60 A prospective cohort study of 55 kypho-plasty procedures in 18 MM patients with osteolytic vertebral compression fractures demonstrated an average gain of 34 of lost height with no major procedure-related complications.60 Patients also experienced a significant improvement in objective scores of bodily pain, physical function, vitality, and social function.60 Importantly, patients in this study had a mean duration of symptoms prior to procedure of 11 months (range 0.5-24 months), suggesting that patients with old fractures should be evaluated by an orthopedic surgeon skilled in this technique to assess potential benefit.
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