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In Brazil, the clinical model has predominated in Home care (HC). A psychosocial approach is necessary for problems identified in the home environment. The objectives of this paper were to present a psychosocial approach instrument for HC patients and their families and to describe the applicability of the psychosocial model using this instrument. The instrument was applied to HC patients and their families by home healthcare professionals who were participating in a HC course. We observed that it was feasible, although clinical reasoning took precedence over psychosocial reasoning. This instrument must be validated and new research must be carried out to qualify its use in teaching and HC.
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Psychosocial distress is common in cancer patients. Although common, psychosocial distress is frequently under-diagnosed and poorly managed in the U.S. health system. This paper describes 25 in-depth telephone interviews with health care professionals working within cancer care centers. Interview questions address perception of the psychosocial services offered within their cancer care organizations. Results indicate that access to psychosocial care is frequently dependent upon the subjective judgment of busy clinicians. Information technology could improve the delivery of psychosocial care by easing the administration of psychosocial assessments and increasing clinician contact with research evidence regarding distress management.
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Kozhyna H., Kryshtal A.Based on the results of a comprehensive survey of 86 patients with schizophrenia, the effectiveness of art therapy in complex rehabilitation of patients was assessed.The high effectiveness of art therapy is established in comparison with the traditional therapy of schizophrenia. There is a positive dynamics in quality of social functioning of patients by the general behavioral dysfunction scale, dysfunction in the performance of social roles in society scale, functioning of patients in the hospital scale and the dysfunction of modifying factors.Art-therapeutic program in the structure of complex therapy of schizophrenia promotes rapid social reintegration of patients. It mobilizes internal reserves, restoring self-esteem, changing the attitude of patients to their disease.Key Words: schizophrenia, social functioning, art therapy ОЦІНКА ВПЛИВУ АРТ-ТЕРАПІЇ НА ДИНАМІКУ СОЦІАЛЬНОГО ФУНКЦІОНУВАННЯ ХВОРИХ НА ШИЗОФРЕНІЮКожина Г.М., Кришталь О.О.Грунтуючись на результатах комплексного обстеження 86 хворих на шизофренію здійснено оцінку ефективності арт-терапії в комплексній реабілітації хворих.Встановлено високу результативність арт-терапії в порівнянні з традиційною терапією шизофренії, відзначається виражена позитивна динаміка рівня соціального функціонування хворих за шкалами загальної поведінкової дисфункції, дисфункції при виконанні соціальних ролей в суспільстві;функціонування пацієнтів в лікарні і дисфункції модифікуючих факторів.Арт-терапевтична програма в структурі комплексної терапії шизофренії сприяє швидкій соціальної реінтеграції хворих за рахунок мобілізації їх внутрішніх резервів, відновлення впевненості в собі, зміни ставлення хворих до самої хвороби.Ключові слова: шизофренія, соціальне функціонування, арт-терапія ОЦЕНКА ВЛИЯНИЯ АРТ-ТЕРАПИИ НА ДИНАМИКУ СОЦИАЛЬНОГО ФУНКЦИОНИРОВАНИЯ БОЛЬНЫХ ШИЗОФРЕНИЕЙ Кожина А.М., Кришталь А.А.Основываясь на результатах комплексного обследования 86 больных шизофренией осуществлена оценка эффективности арт-терапии в комплексной реабилитации больных. Установлена высокая результативность арт-терапии по сравнению с традиционной терапией шизофрении, отмечается выраженная положительная динамика уровня социального функционирования больных по шкалам общей поведенческой дисфункции, дисфункции при выполнении социальных ролей в обществе; функционирования пациентов в больнице и дисфункции модифицирующих факторов.Арт-терапевтическая программа в структуре комплексной терапии шизофрении способствует быстрой социальной реинтеграции больных за счет мобилизации их внутренних резервов, восстановления уверенности в себе, изменения отношения больных к самой болезни.Ключевые слова: шизофрения, социальное функционирование, арт-терапия
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The study explores the psychosocial care-givers knowledge and skills on medical and psychosocial issues in Hemophilia pre-and post participation in the training program conducted in four different North Indian States. The objectives of the study is 1) To approach a cross-section of psychosocial workers and ascertain their views on the psychosocial support in Hemophilia; 2) To critically examine the views/perceptions of the psychosocial workers pre and post training workshop .3) To analyze the responses of the psychosocial workers about medical and psychosocial implications of hemophilia. 4) To identify issues, emerging from empirical evidence, which could be utilized for preparing the guidelines for the psychosocial workers. The findings showed that overall the psychosocial care-givers awareness improved post training on different subsets on the psychosocial awareness questionnaire. This indicates that regular education and updating of knowledge of the care-givers is important. A close perusal of findings suggests that age and experience were closely related to the awareness on the psychosocial issues in Hemophilia. It was found that the young respondents' awareness significantly improved post training whereas there were moderate changes in the responses of the older participants. On the whole, the change in awareness level witnessed after training illustrates that by providing adequate education and information, good results can be achieved, that will benefit PWH and their families, as well as those responsible for giving care to patients suffering from hemophilia.
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Over the past ten years, the concept of psychosocial screening has received a great deal of attention. Guidelines, recommendations, and standards have been developed to encourage or require that all patients be screened for their distress at the time of diagnosis or when patients commence care in a cancer center for the first time. However, the concept of psychosocial screening has long history in the cancer literature.
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