A review of the literature found that society depends on family caregivers to continue providing care for their loved ones, but does little to teach them how to do it and support them in this stressful work. At a minimum, nurses can recognize and respect their efforts, assess their needs, provide concrete instructions on the specific care they are giving (e.g., medication administration, dressing changes, and similar tasks), and refer them to potential sources of ongoing help. Nursing interventions in these areas can help reduce harm to caregivers and the patients they serve.
little book of skin care ebook 455
The majority of studies have focused on a single construct of the care situation (i.e., examining the correlation between the caregiver-patient relationship and caregiver burden). Researchers have given limited attention to the nature of the knowledge and skills of the caregiver, and to personality factors or dispositions of caregivers.144, 145 Most of the intervention studies did not consider potential confounding or risk variables, such as prior family relationships, cultural variation, caregiver health status, stage of disease, hours of care, or competing caregiver role demands. In addition, little detail was provided about the intervention design. Finally, few studies described the nature of care tasks of the caregiver, so we are unaware whether caregivers were effectively managing symptoms, providing emotional support, providing direct care, monitoring patient status, or performing a combination of these tasks.
We need studies that target caregivers that are from minority and economically disadvantaged groups if we are to better understand their own needs and interventions to support them in providing safe care. Furthermore, focus on variations or adaptations needed to minimize caregiver distress related to ethnic, racial, cultural, or socioeconomic diversity is needed. We know very little about the distress and resource limitations of various vulnerable groups and the acceptability of various types of interventions to ethnically and racially diverse populations.
We need to investigate the interplay between the formal and informal systems of care for the ongoing needs of patients as well as caregivers. More research needs to be conducted that focuses on how family influences care-related decisions and the impact to clinically significant processes of care and/or client outcomes. There is very little research to suggest how variations in caregiver contact with the formal health care system interacts with the amount and types of responsibilities faced by family caregivers. Can prepared caregivers contribute to the quality of patient clinical outcomes as well as patient safety? What does competent and appropriate family care contribute to patient clinical outcomes? How does it affect cost and care utilization?
As a result of these occurrences: White health improved dramatically; in contrast, African Americans' health improved very little remaining the worst of any racial or ethnic group as they continued to receive little or deficient health care, especially in rural areas; immigrant health was poor as they were either excluded or marginalized by the mainstream health system, being confined, in many instances, to the system's deficient public or charity-supported lower tiers; eugenics and social Darwinism movements flourished shaping and influencing the health system with regard to the care and disposition of immigrants, Blacks, the impoverished, or the mentally challenged; the Negro medical ghetto continued to grow in size and complexity (Cobb, 1947, 1948, 1981; Gamble, 1995; Wesley, 1998); scientific exploitation of Blacks and the poor continued (Byrd and Clayton, 2000, 2002; Chase, 1980; Kenney, 1941; Townsend, 1911); and underrepresented African American physicians came of age with their own agenda (Byrd and Clayton, 1992, 2000, 2002; Bullough and Bullough, 1972; Chase, 1980; Cobb, 1947, 1948, 1981; Dowling, 1982; Farley, 1970; Farley and Allen, 1989; Leavitt and Numbers, 1985; Rosenberg, 1987; Starr, 1982).
Now she is little sweet 2.5 years old and she says "mama" (I cried when she said that magic word), she waves bye bye or hi, she points, she gives "high 5", her joint attention is great and overall she is doing so much better! And that's all because I have been doing everything you described in your books and videos! I. My mind I always play "repetition, repetition and repetition", teaching her everything through play that she so much enjoys!!! I can write forever explaining how much I taught her through yr videos and books! And the most amazing thing is that her speech therapist is a big fan of yours as well so it worked out perfectly since we understand each other and work based on your teachings! The therapist even owns the same books I own ...I am so grateful that my toddler has such an amazing therapist; especially the one that understands autism and is ready for a real challenge! God bless you for all you do and I cannot wait for my toddler blossom.. you gave me hope and lit the light inside me. And I'm determined to work with my girl :)"
I absolutely LOVE all of your workbooks, especially your Autism Workbook. Starting with Social Games has been a game changer for many of my littles with ASD and their families. It's been the best way for them to finally connect and sustain shared attention and engagement, leading to longer social interactions, through play!"
"Hi Laura - I just wanted to say I received my copies of the Apraxia workbooks yesterday and I LOVED workbook 1 (not ready for 2). I'm on chapter 8 and going through the questions carefully so I'm prepared to help my son. I knew it was a great book when you acknowledged the fact that sometimes therapists and doctors don't bring a positive and supportive vibe when diagnosing. I remember being terrified at the mention of apraxia and ASD by both because they had these very concerned looks and made it seem like it was a death sentence. I know now (in LARGE PART, THANKS TO YOU AND YOUR VIDEOS) that it doesn't have to be!! I see a future for him now. You SINGLE-HANDEDLY, through your books and videos have empowered me to help my son after the doctors and therapists have gone home. You've given me strategies, play ideas, plans on how to keep moving forward. I don't always do things right, but I know I'm on the right track and I love that I can reference, and re-reference your books to help me keep going. As I was reading the book, I was so proud of myself because I've used strategies from your previous books and it felt good because I could check off a lot of the skills that you discuss. So, thank you for all your previous books as well!!"
"I just wanted to thank you so much for your incredible help! You are so kind and lovely and every time I implement something you've taught in your manuals or videos it is always a success, I cannot thank you enough. I really appreciate how specific you are in giving us examples of wording to use and how to use a toy in therapy with your videos, it is exactly what I need to properly help my little students. I also really appreciate your list of books of list of toys. I have seen my little students make significant progress thanks to you. I'm looking forward to watching more of your videos, taking more of your CEU's, and reading more of your materials. From the bottom of my heart: thank you so much again!!"
That philosophy made me curious about the industry that has, for hundreds of years, sold us promises of health, happiness, beauty, and all manner of acceptance based on literal superficial fixes. I ended up on a multi-year journey through the history and science of soap, and all the fortunes and products it spawned, right up to the modern skin-care industry. After talking to microbiologists, allergists, geneticists, ecologists, estheticians, bar-soap enthusiasts, venture capitalists, historians, allergists, Amish people, international aid workers, theologians, and straight-up scam artists, I came away with the understanding that we are at the beginning of a dramatic shift in the basic conception of what it means to be clean. 2ff7e9595c
Comments