Pub Date : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa2073
Mary Mambwere, S. Kerr, G. Hardavella
{"title":"Holistic needs assessment (HNA) in lung cancer patients; bridging health and social care","authors":"Mary Mambwere, S. Kerr, G. Hardavella","doi":"10.1183/13993003.congress-2018.pa2073","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa2073","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"973 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73259177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1507
A. Šajnić, A. Trupković, T. Zovko, S. Karabatić, I. Lalić, M. Samaržija
{"title":"Obstructive sleep apnea and specific cardiovascular outcomes","authors":"A. Šajnić, A. Trupković, T. Zovko, S. Karabatić, I. Lalić, M. Samaržija","doi":"10.1183/13993003.CONGRESS-2018.PA1507","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1507","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76125056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA2064
E. Chin
Background: How individuals with COPD recognize and respond to symptoms of impending exacerbation is important to understand in order to develop appropriate self-care interventions. Aims: The aim of this study was to describe illness representation, coping strategies and subsequent appraisal by patients during an acute exacerbation of COPD. Methods: Fourteen patients hospitalized for an acute exacerbation of COPD participated in this qualitative descriptive study. Semi-structured interviews were conducted following an interview guide informed by Leventhal’s Common-Sense Model of Illness Representation. The 5 dimensions of illness representation identity, cause, consequence, timeline and control were explored. Interviews were transcribed and underwent content analysis. Findings: Although all patients recognized a change in their baseline health status, only four participants identified the change as a COPD exacerbation at the outset of the event. Most participants took a wait and see approach and managed symptoms with rest and inhalers until they could no longer control symptoms and required emergency healthcare services. The emotional processing dimension of illness representation greatly influenced coping behavior. Anticipated stigma, distain for hospitals, and scheduled social engagements influenced coping strategies and contributed to treatment delay (mean = 7 days). Conclusions: The Common-Sense Model was a useful framework for exploring patient recognition and response to COPD exacerbation. Nursing interventions aimed at improving self-care monitoring, self-care management and early treatment seeking for exacerbation of COPD are needed to improve health outcomes.
{"title":"Illness representations and coping strategies during exacerbation of COPD: A qualitative descriptive study","authors":"E. Chin","doi":"10.1183/13993003.CONGRESS-2018.PA2064","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA2064","url":null,"abstract":"Background: How individuals with COPD recognize and respond to symptoms of impending exacerbation is important to understand in order to develop appropriate self-care interventions. Aims: The aim of this study was to describe illness representation, coping strategies and subsequent appraisal by patients during an acute exacerbation of COPD. Methods: Fourteen patients hospitalized for an acute exacerbation of COPD participated in this qualitative descriptive study. Semi-structured interviews were conducted following an interview guide informed by Leventhal’s Common-Sense Model of Illness Representation. The 5 dimensions of illness representation identity, cause, consequence, timeline and control were explored. Interviews were transcribed and underwent content analysis. Findings: Although all patients recognized a change in their baseline health status, only four participants identified the change as a COPD exacerbation at the outset of the event. Most participants took a wait and see approach and managed symptoms with rest and inhalers until they could no longer control symptoms and required emergency healthcare services. The emotional processing dimension of illness representation greatly influenced coping behavior. Anticipated stigma, distain for hospitals, and scheduled social engagements influenced coping strategies and contributed to treatment delay (mean = 7 days). Conclusions: The Common-Sense Model was a useful framework for exploring patient recognition and response to COPD exacerbation. Nursing interventions aimed at improving self-care monitoring, self-care management and early treatment seeking for exacerbation of COPD are needed to improve health outcomes.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90880602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA2063
Birgit Refsgaard, L. Rodkjær, V. Bregnballe, Anders Løkke Ottesen
{"title":"Preventative care and home treatment in patients at risk of hospitalisation due to exacerbation of COPD","authors":"Birgit Refsgaard, L. Rodkjær, V. Bregnballe, Anders Løkke Ottesen","doi":"10.1183/13993003.CONGRESS-2018.PA2063","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA2063","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79443516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA1518
A. Hodžić, A. Šajnić, Kornelija Erdelja, Ana Podnar, I. Barišić, Kristina Pauker, T. Zovko, Slađana Režić, Zrinka Pukljak Iricanin
Background: Are there statistically significant differences in anxiety and depression between the COPD patients admitted in ICU and hospital ward Aims: To compare presence of anxiety and depression in hospitalized patients with COPD and to determine the correlation of the data between the patients admitted in ICU and hospital ward. Method: A prospective trial was conducted at the Clinic for lung diseases on a sample of hospitalized patients with COPD in ICU(N=35), and hospital ward (N=15), in order to determine presence of anxiety and depression and compare data between the patients admitted in ICU and hospital ward. These are the results from May to July 2016. Criteria for the selection of COPD patients: monitored by our clinic and 40 – 80 years of life. For the study were used the following measuring instruments: Hospital Anxiety and Depression Scale (HADS). Questions that were additionally included in the questionnaire are general sociodemographic data, and data on the basic characteristics and duration of the disease. Results: There were no statistically significant differences on the presence of anxiety and depression, regardless of the number of days of hospitalization. Subjects who were in the ICU ward, a statistically significant were more anxious than those subjects who were in hospital ward. On mechanical ventilation, were 6 subjects (12%) (N=35). Subjects who were mechanically ventilated statistically were more anxious. Conclusion: According to the obtained data, we can conclude during admission COPD patients to the ICU there was a higher risk of developing anxiety and depression, additionally in those on mechanical ventilation increases the likelihood of developing the same discomfort.
{"title":"Admission to the ICU: risk for the development of anxiety and depression","authors":"A. Hodžić, A. Šajnić, Kornelija Erdelja, Ana Podnar, I. Barišić, Kristina Pauker, T. Zovko, Slađana Režić, Zrinka Pukljak Iricanin","doi":"10.1183/13993003.CONGRESS-2018.PA1518","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1518","url":null,"abstract":"Background: Are there statistically significant differences in anxiety and depression between the COPD patients admitted in ICU and hospital ward Aims: To compare presence of anxiety and depression in hospitalized patients with COPD and to determine the correlation of the data between the patients admitted in ICU and hospital ward. Method: A prospective trial was conducted at the Clinic for lung diseases on a sample of hospitalized patients with COPD in ICU(N=35), and hospital ward (N=15), in order to determine presence of anxiety and depression and compare data between the patients admitted in ICU and hospital ward. These are the results from May to July 2016. Criteria for the selection of COPD patients: monitored by our clinic and 40 – 80 years of life. For the study were used the following measuring instruments: Hospital Anxiety and Depression Scale (HADS). Questions that were additionally included in the questionnaire are general sociodemographic data, and data on the basic characteristics and duration of the disease. Results: There were no statistically significant differences on the presence of anxiety and depression, regardless of the number of days of hospitalization. Subjects who were in the ICU ward, a statistically significant were more anxious than those subjects who were in hospital ward. On mechanical ventilation, were 6 subjects (12%) (N=35). Subjects who were mechanically ventilated statistically were more anxious. Conclusion: According to the obtained data, we can conclude during admission COPD patients to the ICU there was a higher risk of developing anxiety and depression, additionally in those on mechanical ventilation increases the likelihood of developing the same discomfort.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89816844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA2067
Y. Thirlwall, K. Tariq, H. Mistry, A. Azim, C. Barber, Kimberley Bentley, C. Newell, H. Haitchi, R. Djukanović, R. Kurukulaaratchy
Background: Difficult asthma is associated with increased prevalence of gastro-oesophageal reflux disease (GORD). However, it is unclear how controlling comorbid GORD impacts difficult asthma. Aim: To evaluate the impact of effectively controlling GORD symptoms in difficult asthmatics in the Wessex AsThma Cohort of difficult asthma (WATCH) Southampton UK. Methods: A retrospective analysis was undertaken to compare the reported symptoms of GORD in 311 adult asthmatics on treatment for GORD. We compared patients with ongoing GORD symptoms against those with no symptoms using Chi square (categorical data) and Mann-Whitney U tests (continuous data). Results: 208 (67%) difficult asthmatics had GORD, of whom 175 were receiving treatment for GORD. Prevalence of symptomatic GORD in those having treatment did not differ by sex, but was associated with higher BMI, worse asthma control and symptoms of depression, rhinitis and cough. Conclusion: Inadequately controlled GORD in difficult asthma is associated with increased symptoms of asthma, and related comorbidities. This highlights multiple potential benefits of optimising GORD treatment in difficult asthmatics.
{"title":"Symptomatic GORD in difficult asthma is associated with worse asthma control and related comorbidities: Findings from WATCH","authors":"Y. Thirlwall, K. Tariq, H. Mistry, A. Azim, C. Barber, Kimberley Bentley, C. Newell, H. Haitchi, R. Djukanović, R. Kurukulaaratchy","doi":"10.1183/13993003.CONGRESS-2018.PA2067","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA2067","url":null,"abstract":"Background: Difficult asthma is associated with increased prevalence of gastro-oesophageal reflux disease (GORD). However, it is unclear how controlling comorbid GORD impacts difficult asthma. Aim: To evaluate the impact of effectively controlling GORD symptoms in difficult asthmatics in the Wessex AsThma Cohort of difficult asthma (WATCH) Southampton UK. Methods: A retrospective analysis was undertaken to compare the reported symptoms of GORD in 311 adult asthmatics on treatment for GORD. We compared patients with ongoing GORD symptoms against those with no symptoms using Chi square (categorical data) and Mann-Whitney U tests (continuous data). Results: 208 (67%) difficult asthmatics had GORD, of whom 175 were receiving treatment for GORD. Prevalence of symptomatic GORD in those having treatment did not differ by sex, but was associated with higher BMI, worse asthma control and symptoms of depression, rhinitis and cough.\u0000 Conclusion: Inadequately controlled GORD in difficult asthma is associated with increased symptoms of asthma, and related comorbidities. This highlights multiple potential benefits of optimising GORD treatment in difficult asthmatics.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74285853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-14DOI: 10.1183/13993003.CONGRESS-2018.PA1519
H. Christensen
Objectives: Lung cancer is one of the most common types of cancer, with high mortality rate and a significant burden of symptoms. It is therefore important to assess patients’ perceived quality of life during the diagnostic process and treatment. Knowledge of and attention to patients’ perspectives, experiences, and expectations in relation to lung cancer diagnostic pathways is limited. The aim of the study is to contribute with patients’ and relatives’ experiences with and their assessment of the quality of a hospital-based lung cancer diagnostic pathway. Methods: A qualitative study was conducted, comprising participant observation with 20 patients and semi-structured interviews with further 19 patients referred to the Lung Cancer Package, which initiates a fast track diagnostic pathway in a hospital setting. Data were obtained over a period of 9 months and analysed in collaboration with an interdisciplinary team of health professionals. The purpose was to further develop existing management strategies of the fast track diagnostic pathway based on patient’s perspectives. Results: Patients associated the fast track diagnostic pathway with high levels of anxiety due to the immediate risk of a lung cancer diagnosis. Although patients experienced the fast track programme as very challenging, they still wanted to move through the diagnostic pathway as quickly as possible. The patients expressed a need for support from relatives and repeatedly required information in multiple formats from health professionals throughout the diagnostic pathway. Conclusions: The study provided insight into the need for developing the fast track diagnostic pathway with a focus on patient anxiety, network involvement, and information strategies. The results qualified clinical practice with an increased focus on managing patients’ anxiety, raised awareness to involve relatives in the diagnostic process, and relaying information in dialogue with patients and their relatives, including management strategies to support patients through diagnostic investigations in the fast track programme.
{"title":"Patient perspectives and experience on the diagnostic pathway of lung cancer – a qualitative study","authors":"H. Christensen","doi":"10.1183/13993003.CONGRESS-2018.PA1519","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA1519","url":null,"abstract":"Objectives: Lung cancer is one of the most common types of cancer, with high mortality rate and a significant burden of symptoms. It is therefore important to assess patients’ perceived quality of life during the diagnostic process and treatment. Knowledge of and attention to patients’ perspectives, experiences, and expectations in relation to lung cancer diagnostic pathways is limited. The aim of the study is to contribute with patients’ and relatives’ experiences with and their assessment of the quality of a hospital-based lung cancer diagnostic pathway. Methods: A qualitative study was conducted, comprising participant observation with 20 patients and semi-structured interviews with further 19 patients referred to the Lung Cancer Package, which initiates a fast track diagnostic pathway in a hospital setting. Data were obtained over a period of 9 months and analysed in collaboration with an interdisciplinary team of health professionals. The purpose was to further develop existing management strategies of the fast track diagnostic pathway based on patient’s perspectives. Results: Patients associated the fast track diagnostic pathway with high levels of anxiety due to the immediate risk of a lung cancer diagnosis. Although patients experienced the fast track programme as very challenging, they still wanted to move through the diagnostic pathway as quickly as possible. The patients expressed a need for support from relatives and repeatedly required information in multiple formats from health professionals throughout the diagnostic pathway. Conclusions: The study provided insight into the need for developing the fast track diagnostic pathway with a focus on patient anxiety, network involvement, and information strategies. The results qualified clinical practice with an increased focus on managing patients’ anxiety, raised awareness to involve relatives in the diagnostic process, and relaying information in dialogue with patients and their relatives, including management strategies to support patients through diagnostic investigations in the fast track programme.","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85536051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spiritual dimensions of nursing practice.","authors":"D B Young","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"29 5","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11466771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Judge not... or should I?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76252,"journal":{"name":"Nurses Lamp","volume":"29 5","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"1978-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11466769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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