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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Todo mundo se quebra de vez em quando : um estudo sobre os processos de subjetivação em idosas hospitalizadas por fratura de fêmur

Cachapuz, Daniela Rosa January 2010 (has links)
Este estudo teve como objetivo estudar o processo de subjetivação em mulheres com sessenta anos ou mais hospitalizadas na Linha de Cuidado do Trauma do Idoso no Hospital Cristo Redentor na cidade de Porto Alegre/RS. O campo conceitual abordou os temas envelhecimento, trauma físico e hospitalização, buscando problematizá-los a partir da noção de subjetivação em Foucault e do conceito de dobra em Deleuze: fios condutores para pensar os processos de subjetivação ao longo do estudo. Para compreender o impacto do trauma físico na subjetivação dessas mulheres e entender a produção de efeitos da hospitalização na subjetivação, foi realizada uma pesquisa qualitativa, de caráter exploratório que contou com a participação de quatro mulheres com idade igual ou superior a 60 anos, hospitalizadas por fratura de fêmur na Linha Cuidado do Trauma do Idoso. Como estratégia metodológica, foi construído um diário de campo e realizadas entrevistas com as participantes durante o período de internação hospitalar e entrevistas domiciliares após a saída do hospital. O material produzido foi organizado a partir dos diferentes momentos vividos pelas participantes ao longo da pesquisa, analisado em função das questões e dos objetivos da pesquisa. Os resultados foram apresentados em dois momentos: a) um breve apanhado sobre as histórias de vida de cada participante e b) o conteúdo trazido pelas mesmas analisado a partir dos conceitos de subjetivação, dobra e acontecimento e relacionados à questão do envelhecimento e hospitalização. Pôde-se inferir que os discursos prévios quanto à velhice, doença e hospitalização já produziam efeitos na subjetivação das participantes antes do acidente. O trauma físico, a hospitalização e o rompimento com o cotidiano anterior serviram como dispositivo para problematizar uma série de questões. A submissão à disciplina hospitalar, a dor e o cansaço questionaram a potência de resistência das participantes, mas também abriram portas para a criação diante de situações de sofrimento. O trauma físico trouxe consigo a falência de normas antigas e a necessidade de invenção de novas normas. Mesmo diante das alternativas singulares criadas, as participantes enfatizaram o desejo do retorno à condição anterior e a retomada de suas atividades. / This paper aimed to study the process of subjectification in 60 year-old women or more, hospitalized in the section of trauma care program for the elderly inside Cristo Redentor hospital in Porto Alegre/RS. The conceptual field approached the topics aging, physical trauma and hospitalization, trying to problematize them from the subjectification notion in Foucault and from the concept of folding in Deleuze: wires to think the process during the study. To understand the impact of the physical trauma in the subjectification of these women and to understand the production of effects in the hospitalization it was performed a qualitative research with the participation of 4 women that were around 60 years old or more, hospitalized by femur fracture. As a methodological strategy, it was created a field diary, and interviews were conducted with the participants during the hospitalization period and home interviews were conducted after they left the hospital. The material was organized from the different moments lived by the participants during the research, and analyzed depending on the issues and objectives of the research. The results were presented in two moments: a) a brief overview about the life story of each participant and b) the content of the stories analyzed from the concepts of subjectification, folding and event related to the aging and hospitalization issue. It could be inferred that the previous speeches about aging, illness and hospitalization already produced effects in the subjectification of the patients before the accident. The physical trauma, the hospitalization and the break with the previous daily routine acted as a device to problematize several issues. The submission to the hospital discipline, the pain and the fatigue questioned the power of resistance of the participants, but they also gave the opportunity to the creation under situations of suffering. The physical trauma brought the ruin of old rules and the necessity to create new rules. Even before the created alternatives the participants emphasized the desire to return to the previous condition and to start to do their normal activities again.
2

Todo mundo se quebra de vez em quando : um estudo sobre os processos de subjetivação em idosas hospitalizadas por fratura de fêmur

Cachapuz, Daniela Rosa January 2010 (has links)
Este estudo teve como objetivo estudar o processo de subjetivação em mulheres com sessenta anos ou mais hospitalizadas na Linha de Cuidado do Trauma do Idoso no Hospital Cristo Redentor na cidade de Porto Alegre/RS. O campo conceitual abordou os temas envelhecimento, trauma físico e hospitalização, buscando problematizá-los a partir da noção de subjetivação em Foucault e do conceito de dobra em Deleuze: fios condutores para pensar os processos de subjetivação ao longo do estudo. Para compreender o impacto do trauma físico na subjetivação dessas mulheres e entender a produção de efeitos da hospitalização na subjetivação, foi realizada uma pesquisa qualitativa, de caráter exploratório que contou com a participação de quatro mulheres com idade igual ou superior a 60 anos, hospitalizadas por fratura de fêmur na Linha Cuidado do Trauma do Idoso. Como estratégia metodológica, foi construído um diário de campo e realizadas entrevistas com as participantes durante o período de internação hospitalar e entrevistas domiciliares após a saída do hospital. O material produzido foi organizado a partir dos diferentes momentos vividos pelas participantes ao longo da pesquisa, analisado em função das questões e dos objetivos da pesquisa. Os resultados foram apresentados em dois momentos: a) um breve apanhado sobre as histórias de vida de cada participante e b) o conteúdo trazido pelas mesmas analisado a partir dos conceitos de subjetivação, dobra e acontecimento e relacionados à questão do envelhecimento e hospitalização. Pôde-se inferir que os discursos prévios quanto à velhice, doença e hospitalização já produziam efeitos na subjetivação das participantes antes do acidente. O trauma físico, a hospitalização e o rompimento com o cotidiano anterior serviram como dispositivo para problematizar uma série de questões. A submissão à disciplina hospitalar, a dor e o cansaço questionaram a potência de resistência das participantes, mas também abriram portas para a criação diante de situações de sofrimento. O trauma físico trouxe consigo a falência de normas antigas e a necessidade de invenção de novas normas. Mesmo diante das alternativas singulares criadas, as participantes enfatizaram o desejo do retorno à condição anterior e a retomada de suas atividades. / This paper aimed to study the process of subjectification in 60 year-old women or more, hospitalized in the section of trauma care program for the elderly inside Cristo Redentor hospital in Porto Alegre/RS. The conceptual field approached the topics aging, physical trauma and hospitalization, trying to problematize them from the subjectification notion in Foucault and from the concept of folding in Deleuze: wires to think the process during the study. To understand the impact of the physical trauma in the subjectification of these women and to understand the production of effects in the hospitalization it was performed a qualitative research with the participation of 4 women that were around 60 years old or more, hospitalized by femur fracture. As a methodological strategy, it was created a field diary, and interviews were conducted with the participants during the hospitalization period and home interviews were conducted after they left the hospital. The material was organized from the different moments lived by the participants during the research, and analyzed depending on the issues and objectives of the research. The results were presented in two moments: a) a brief overview about the life story of each participant and b) the content of the stories analyzed from the concepts of subjectification, folding and event related to the aging and hospitalization issue. It could be inferred that the previous speeches about aging, illness and hospitalization already produced effects in the subjectification of the patients before the accident. The physical trauma, the hospitalization and the break with the previous daily routine acted as a device to problematize several issues. The submission to the hospital discipline, the pain and the fatigue questioned the power of resistance of the participants, but they also gave the opportunity to the creation under situations of suffering. The physical trauma brought the ruin of old rules and the necessity to create new rules. Even before the created alternatives the participants emphasized the desire to return to the previous condition and to start to do their normal activities again.
3

Todo mundo se quebra de vez em quando : um estudo sobre os processos de subjetivação em idosas hospitalizadas por fratura de fêmur

Cachapuz, Daniela Rosa January 2010 (has links)
Este estudo teve como objetivo estudar o processo de subjetivação em mulheres com sessenta anos ou mais hospitalizadas na Linha de Cuidado do Trauma do Idoso no Hospital Cristo Redentor na cidade de Porto Alegre/RS. O campo conceitual abordou os temas envelhecimento, trauma físico e hospitalização, buscando problematizá-los a partir da noção de subjetivação em Foucault e do conceito de dobra em Deleuze: fios condutores para pensar os processos de subjetivação ao longo do estudo. Para compreender o impacto do trauma físico na subjetivação dessas mulheres e entender a produção de efeitos da hospitalização na subjetivação, foi realizada uma pesquisa qualitativa, de caráter exploratório que contou com a participação de quatro mulheres com idade igual ou superior a 60 anos, hospitalizadas por fratura de fêmur na Linha Cuidado do Trauma do Idoso. Como estratégia metodológica, foi construído um diário de campo e realizadas entrevistas com as participantes durante o período de internação hospitalar e entrevistas domiciliares após a saída do hospital. O material produzido foi organizado a partir dos diferentes momentos vividos pelas participantes ao longo da pesquisa, analisado em função das questões e dos objetivos da pesquisa. Os resultados foram apresentados em dois momentos: a) um breve apanhado sobre as histórias de vida de cada participante e b) o conteúdo trazido pelas mesmas analisado a partir dos conceitos de subjetivação, dobra e acontecimento e relacionados à questão do envelhecimento e hospitalização. Pôde-se inferir que os discursos prévios quanto à velhice, doença e hospitalização já produziam efeitos na subjetivação das participantes antes do acidente. O trauma físico, a hospitalização e o rompimento com o cotidiano anterior serviram como dispositivo para problematizar uma série de questões. A submissão à disciplina hospitalar, a dor e o cansaço questionaram a potência de resistência das participantes, mas também abriram portas para a criação diante de situações de sofrimento. O trauma físico trouxe consigo a falência de normas antigas e a necessidade de invenção de novas normas. Mesmo diante das alternativas singulares criadas, as participantes enfatizaram o desejo do retorno à condição anterior e a retomada de suas atividades. / This paper aimed to study the process of subjectification in 60 year-old women or more, hospitalized in the section of trauma care program for the elderly inside Cristo Redentor hospital in Porto Alegre/RS. The conceptual field approached the topics aging, physical trauma and hospitalization, trying to problematize them from the subjectification notion in Foucault and from the concept of folding in Deleuze: wires to think the process during the study. To understand the impact of the physical trauma in the subjectification of these women and to understand the production of effects in the hospitalization it was performed a qualitative research with the participation of 4 women that were around 60 years old or more, hospitalized by femur fracture. As a methodological strategy, it was created a field diary, and interviews were conducted with the participants during the hospitalization period and home interviews were conducted after they left the hospital. The material was organized from the different moments lived by the participants during the research, and analyzed depending on the issues and objectives of the research. The results were presented in two moments: a) a brief overview about the life story of each participant and b) the content of the stories analyzed from the concepts of subjectification, folding and event related to the aging and hospitalization issue. It could be inferred that the previous speeches about aging, illness and hospitalization already produced effects in the subjectification of the patients before the accident. The physical trauma, the hospitalization and the break with the previous daily routine acted as a device to problematize several issues. The submission to the hospital discipline, the pain and the fatigue questioned the power of resistance of the participants, but they also gave the opportunity to the creation under situations of suffering. The physical trauma brought the ruin of old rules and the necessity to create new rules. Even before the created alternatives the participants emphasized the desire to return to the previous condition and to start to do their normal activities again.
4

Patienters upplevelse av omhändertagande vid fysiskt trauma på en akutmottagning : En litteraturöversikt / Patients' experience of care for physical trauma in an emergency department

Bergstrand, Emelie, Andersson, Mikaela January 2017 (has links)
Background: Trauma is the leading cause of death for people up to 40 years and causes great suffering for the affected person. When the person comes into the emergency department, it requires fast treatment and a structured approach from all of the trauma group. Every minute is important for the patient's prognosis. The encounter between the patient and the nurse is often short and intense. Aim: The purpose of this study is to describe patients' experience of care for physical trauma in an emergency department. Method: Articles have been applied for in the various relevant databases. Articles that answered the purpose was gathered and data were marked. This is to get an overview of the state of knowledge, which is compiled in the result. Results: The result shows that the communication and information were an important part of the care. Patients wanted the nurses to be honest and give clear information for patients, because it had impact on the experience of care. Feelings that arose in the connection with trauma was fear of the unknown, and not to hold control over their lives. Conclusion: Trauma care is a complex situation. The patient, purely somatic are in a life threatening situation but the mind is still present with many thoughts and questions. As the situation is life-threatening, the psychosocial needs will never be a priority of the traumacare. It will probably always remain, if no changes in the trauma team structure occurs. / Bakgrund: Trauma är den vanligaste dödsorsaken för människor upp till 40 år och medför stort lidande för den drabbade personen. När personen kommer in till akutmottagningen krävs snabbt omhändertagande och ett strukturerat arbetssätt från alla ur traumteamet. All tid är viktig för patientens prognos. Mötet mellan patienten och sjuksköterskan blir ofta kort och intensiv. Syfte: Syftet med litteraturstudien är att beskriva patienters upplevelse av omhändertagande vid fysiskt trauma på en akutmottagning. Metod: Artiklar har sökts i olika relevanta databaser. Artiklar som besvarade syftet samlades in och data markerades. För att få en översikt över kunskapsläget som har sammanställts under resultatet. Resultat: Resultatet visar att kommunikation och information var en viktig del i omhändertagandet. Patienterna ville att sjuksköterskorna skulle vara ärliga och ge tydlig information till patienterna, eftersom det hade påverkan på upplevelsen i omhändertagandet. Känslor som uppkom i samband med trauma var rädsla för det okända, och att inte inneha kontroll över sitt liv. Slutsats: Traumaomhändertagandet är en komplex situation. Somatiskt befinner sig patienten i en livshotande situation, men sinnet är fortfarande närvarande med många tankar och frågor. Eftersom situationen är livshotande, bortprioriteras alltid de psykosociala behoven patienten har i omhändertagandet och så kommer det förmodligen alltid att förbli. Om inte förändringar i traumateamets struktur sker.
5

Physiological and psychological recovery from muscle disruption following resistance exercise : the impact of chronic stress and strain

Stults, Matthew Alan 13 August 2012 (has links)
A large body of evidence supports the notion that chronic stress and strain may impact healing from physical trauma. However, no evidence exists to substantiate whether chronic stress impacts recovery from exercise-induced muscle damage. In this study, a group of 31 undergraduate weight-training students completed the Perceived Stress Scale (PSS), Undergraduate Stress Survey (USQ, a measure of life event stress) a series of fitness tests and then returned 5 to 10 days later for an exhaustive resistance exercise stimulus (E-RES) workout. This workout was performed on a leg press to the cadence of a metronome to ensure a strong eccentric component of exercise. Participants were monitored for 1 hour after this workout and every day for 4 days afterwards. Hierarchical Linear Modeling (HLM) multi-level growth curve analyses demonstrated that stress measures were related to recovery from maximal resistance exercise for both functional muscular (maximal isometric force, jump height, and cycling power) and psychological (perceived energy, perceived fatigue, and soreness) outcomes. Stress was not related to outcomes immediately post-workout (except maximal cycling power) after controlling for pre-workout values. Thus, the effect of stress on recovery is not likely due to magnitude of disruption from maximal exercise. After controlling for significant covariates, including fitness and percent disruption from baseline, individuals scoring a 10 on the PSS at their first visit reached baseline 288% (2.88 times) faster than individuals who scored a 19 at this same time point. There were significant moderating effects of stress on affective responses during exercise. Feeling (pleasure/displeasure), activation (arousal), muscular pain and RPE (exertion) trajectories were moderated by stress. Exploratory analyses found that stress moderated physical recovery, but not psychological recovery in the first hour after the E-RES workout. Also, stress was related to the increase in IL-1[beta], a pro-inflammatory cytokine, in the 48 hour period after exercise for a sub-set of participants. These findings likely have important theoretical and clinical implications for those undergoing vigorous physical activity. Those experiencing chronic loads of stress and mental strain should include more rest time to ensure proper recovery. / text
6

Livet efter ett fysiskt trauma : Utifrån ett patientperspektiv / Life after a physical trauma : From patient perspective

Byström, Felicia, Johansson, Nora January 2021 (has links)
Bakgrund: Ett fysiskt trauma kan innebära att människan blir påverkad fysiologiskt och existentiellt. Hälsa och välbefinnande är viktigt för att undvika psykisk ohälsa med ångest, depression, posttraumatiskt stressyndrom. Rädslor efter fysiskt trauma kunde påverka vardagen negativt för människan. Sårbarhet och lidande är något sjuksköterskan behöver kunskap om för att få en förförståelse för patientens hälsa och minska risken för vårdlidande. Sjuksköterskans vårdande har en viktig roll för att patienten ska få stöd. Syfte: Syftet var att belysa patienters erfarenhet av stöd efter fysiskt trauma och stödets betydelse för välbefinnandet ur ett patientperspektiv. Metod: Studien genomfördes som en kvalitativ litteraturöversikt. Resultat: Resultatet visade att patienter som utsatts för ett fysiskt trauma är i behov av en tydlig och konkret information från hälso- och sjukvården för att få ett ökat välbefinnande. Patienter var även i behov av stöttning som exempelvis rehabilitering för att få en ökad trygghet och minskad osäkerhet gällande skadorna. Emotionellt stöd var viktigt för patienterna för att uppnå känsla av hälsa och välbefinnande. Konklusion: Patienter önskade tydlig information och kommunikation för att uppleva trygghet och välbefinnande efter ett fysiskt trauma. Bristande information och kommunikation ledde till osäkerhet och minskat välbefinnande. Emotionellt stöd är viktigt för patienten att kunna återhämta sig och uppleva hälsa och välbefinnande. / Background: A physical trauma can mean that the person is affected physiologically and existentially. Health and well-being were important to avoid mental illness with anxiety, depression, post-traumatic stress disorder. Fears of physical trauma could also affect everyday life negatively for people. Vulnerability and suffering were something the nurse needed to experience for a pre-understanding of the patient's health. The nurse's caregiver played an important role in ensuring that the patient received support. Aim: The aim was to shed light on the patient's experience of support after physical trauma´s and the significance of the support for well-being from a patient perspective. Method: The study was conducted as a qualitative literature review. Results: The results showed that patients who have been subjected to physical trauma are in need of clear and concrete information from the health service in order to increase well-being. Patients were also in need of support, such as rehabilitation, in order to have increased sense of security and reduced uncertainty regarding the injuries. Emotional support was important for patients to achieve a sense of health and well-being. Conclusion: Patients wanted clear information and communication to have increased sense of security and well-being after a physical trauma. Lack of information and communication could lead to insecurity and reduced well-being. Emotional support was important for the patient to be able to recover and experience health and well-being.
7

A Curriculum Project for Itinerant Teacher’s Guidebook for Best Trauma Informed Practices

Ripper, Mark January 2019 (has links)
No description available.
8

TRAUMA, DESAMPARO E SOFRIMENTO PSÍQUICO NA ENFERMARIA DE ORTOPEDIA E TRAUMATOLOGIA. / Trauma, Helplessness and Psychological Distress in the Orthopedic Ward and Traumatology.

Prata, Márcia de Oliveira 23 February 2015 (has links)
Made available in DSpace on 2016-07-27T14:20:44Z (GMT). No. of bitstreams: 1 MARCIA DE OLIVEIRA PRATA.pdf: 589299 bytes, checksum: 5bc236c47088f4e73d6f795ff5465c84 (MD5) Previous issue date: 2015-02-23 / This study was based on my experience as a psychologist in the Orthopedic and Traumatology Ward at the Clinics Hospital of the Uberlândia Federal University of (HCUUFU). This dissertation sought to answer the question "What are the implications of physical trauma on the psyche of the subject?" An investigation was carried out using the psychoanalytic literature of Sigmund Freud on psychic trauma, repetition, helplessness and the death instinct. Also, it aimed to study trauma in the medical field, as well as its relevance to contemporary psychoanalytic clinic. In terms of elaborations, the issue of pain and the body for the mexican painter Frida Kahlo and the narratives of three client sessions whose bodies bore physical and psychological trauma in clinical fragments of stories by Amanda, Mary and John were presented. The objectives of this investigation were: define the term trauma in the Freudian psychoanalytic field; differentiate the psychoanalytic concept of trauma with the medical concept of trauma; establish the relationship between trauma, repetition, drive, helplessness and psychological distress; analyze clinical fragments from life stories of three patients; discuss Psychoanalytic Listening as a possible therapeutic approach in the hospital ward of multiple trauma. In general, the following was concluded: physical trauma and its relation to psychic trauma is sustained in the unconscious logic, servicing the death instinct which enforces the initial helplessness reissue; narcissistic physical trauma scars the psyches, opening a slit which can be the advent of desire and therefore making it possible for the subject to direct his-her life beyond the traumatic episode; and finally, the necessity to discuss the place of the analyst in a hospital, who, when, proposes a singular listening of the subject of the unconscious, establishes tension between medical and psychoanalytic discourses. / O presente estudo partiu de minha experiência como psicóloga na enfermaria de ortopedia e traumatologia do Hospital de Clínicas da Universidade Federal de Uberlândia (HCUUFU). Nesta dissertação, busca-se responder à questão Quais as implicações do trauma físico sobre o psiquismo do sujeito? Foi realizada uma investigação na literatura psicanalítica de Sigmund Freud sobre trauma psíquico, repetição, desamparo e pulsão de morte. Também, tratou-se do trauma na especificidade do campo médico, assim como sua pertinência na clínica contemporânea psicanalítica. Em termos de elaborações, foi apresentada a questão da dor e do corpo para a pintora mexicana Frida Kahlo e a narrativa de três encontros com três personagens cujo corpo foi palco para o trauma físico e o trauma psíquico em fragmentos clínicos recortados da história de Amanda, Maria e João. Os objetivos desta pesquisa são: delimitar o conceito de trauma no campo psicanalítico freudiano; diferenciar o conceito psicanalítico de trauma com o conceito médico de trauma; estabelecer a relação entre trauma, repetição, pulsão, desamparo e sofrimento psíquico; analisar fragmentos clínicos como recortes das narrativas de vida de três pacientes; discutir acerca da escuta psicanalítica como um possível recurso terapêutico na enfermaria hospitalar de politraumatismos. De modo geral, chegou-se às seguintes considerações finais: o trauma físico e sua relação com trauma psíquico se sustenta na lógica inconsciente à serviço pulsão de morte que impõe a reedição do desamparo inicial; o trauma físico inscreve cicatrizes narcísicas no psiquismos, abrindo uma fenda onde é possível o advento do desejo e, por conseguinte, a possibilidade de que o sujeito direcione sua vida para além do episódio traumático; e, finalizando, é preciso que se coloque em discussão o lugar do psicanalista em uma instituição hospitalar que, ao se propor à escuta do singular de um sujeito do inconsciente, instaura uma tensão entre o discurso médico e o discurso psicanalítico.
9

Family experiences of physical trauma

Ward, Laurian Gillian 29 April 2008 (has links)
Trauma is an event during which individuals are confronted with a threat to their own or to someone else’s integrity. If intense fear, horror and helplessness are experienced during the event there may be psychological traumatisation. However, individuals may experience physical trauma and require hospitalisation. The patients’ subjective experiences from the hospitalisations may precipitate further trauma. Although families of patients are not involved in the traumatic event, they may experience their own traumatisation. The individuals and their families experience the trauma on the biological, psychological and social levels. Medical literature is mostly positivistic and there is little qualitative research on the experience of hospitalisation, particularly of family experiences of the intensive care unit (ICU). There is also a paucity of research on psychological experiences in the medical world. The research that has been conducted in psychology is mostly with psychiatrists. The aim of this research is to explain the sense families make of physical trauma using narrative. Narrative is the sense individuals make of experiences across time through telling and re-telling stories. Qualitative research is most suited to explore these subjective experiences of individuals. Social constructionism is one form of qualitative research and a process exploring the world of individuals in the context of culture, history and social interaction. Individuals arrange these stories using myths, symbols and archetypes that will provide coherence to the lived experience. Languaging the experiences facilitates meaning attribution that informs behaviour. Data was collected through photographs taken by the participants and individual interviews were conducted. The co-construction of this text occurred in the context of the researcher as a counsellor, the researcher as a previous physical trauma patient and the family perspectives of the participants. The exploration of the photographs and their sequence are followed by a narrative analysis of the interview texts using storymaps. Narratives were co-created in this context. The participants selected the stories and created coherence by narrating and ordering the sequence of photographs. Since the family language this lived experience, the members explored various selves and their relationships with their worlds. The family was impacted biopsychosocially and is writing an alternate story in the discourse of the medical world that says further rehabilitation is difficult, if not impossible. They have made sense of the physical trauma by searching for unique outcomes and narrating on a temporal framework: stories of their self, relationships with others, their physical self and their physical environments. This will create space for their alternate story. / Dissertation (MA (Counselling Psychology))--University of Pretoria, 2008. / Psychology / unrestricted
10

Patienters upplevelser av att leva med tetra- eller paraplegi till följd av trauma : En litteraturstudie / Patients' experiences of living with tetra- or paraplegia resulting from trauma : A literature review

Spångberg, Ottilia, Svensson, Matilda January 2023 (has links)
Bakgrund: Att drabbas av en ryggmärgsskada till följd av trauma innebär ofta en stor livsomställning. Det är vanligt med både fysiska och psykiska sekundära hälsoeffekter hos personer med ryggmärgsskada och dessa patienter är ofta mer sårbara för flera olika ohälsotillstånd. Personer med funktionsnedsättning möter ofta omfattande barriärer i samhället, trots deras rättighet att bli inkluderade och kunna delta i samhället i samma utsträckning som den generella befolkningen. Syfte: Att belysa patienters upplevelser av att leva med tetra- eller paraplegi till följd av trauma. Metod: Litteraturstudien bygger på 11 vetenskapliga artiklar med kvalitativ ansats. Datainsamlingen skedde i databaserna PubMed och Cinahl med hjälp av PEO-modellen för att finna sökblock. Artiklarna kvalitetsgranskades med hjälp av SBUs granskningsmall och analyserades med tematisk analys för att identifiera subkategorier och kategorier. Resultat: Analysen resulterade i att deltagarnas upplevelser kunde kategoriseras i åtta subkategorier som mynnade ut i två övergripande kategorier. Kategorin En förändrad vardag innehöll subkategorierna; olika känslor som väcktes, begränsade fysiska förutsättningar, påverkad självständighet och varierande bemötande i samhället. Kategorien Hantering av tillvaron innehöll subkategorierna; behov av socialt och professionellt stöd, nya perspektiv på tillvaron, vikten av meningsfulla aktiviteter och strävan efter delaktighet i samhället. Konklusion: Sjuksköterskan har en viktig roll i bemötandet och behandlingen av personer med tetra- och paraplegi. Det är viktigt att arbeta personcentrerat och holistiskt för att tillgodose såväl fysiska som psykosociala behov. / Background: Suffering a spinal cord injury as a result of trauma often entails a significant life adjustment. Both physical and psychological secondary health effects are common among individuals with spinal cord injury, and these patients are often more vulnerable to various health conditions. People with disabilities often encounter extensive barriers in society, despite their right to inclusion and participation in society to the same extent as the general population. Objective: To illuminate patients' experiences of living with tetraplegia or paraplegia resulting from trauma. Method: The literature review is based on 11 scientific articles with a qualitative approach. Data collection was conducted in the PubMed and CINAHL databases using the PEO model to guide the search blocks. The articles were quality-assessed using the SBU review guide and analyzed using thematic analysis to identify subcategories and categories. Results: The analysis resulted in categorizing participants' experiences into eight subcategories, which converged into two overarching categories. The subcategories of different emotions evoked, limited physical capabilities, impacted independence, and varying societal encounters resulted in the category "Altered everyday life." The subcategories of the need for social and professional support, new perspectives on existence, the importance of meaningful activities, and the pursuit of societal participation resulted in the category "Managing life." Conclusion: The nurse plays a crucial role in the care and treatment of individuals with tetra- and paraplegia. It is important to work in a person-centered and holistic manner to address both physical and psychosocial needs.

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