RESUMEN
A simple solution may exist for both the problem of sudden dementia and confusion after surgery in the elderly and the bimodal relapse pattern among breast cancer patients who were treated with a mastectomy. Systemic inflammation by a variety of mechanisms can induce tumor outgrowth from dormant states, such as single dormant cells and avascular micrometastases. This may also explain sudden confusion and dementia for the elderly after surgery. We propose that surgery-induced inflammation may be addressed by "protective anesthesia". We suggest ketorolac for 4 days starting at the time of surgery to prevent early relapse in breast and probably other cancers; perhaps that or something similar could be used before surgery in elderly patients to prevent post-operative cognitive dysfunction.
Asunto(s)
Neoplasias de la Mama/cirugía , Confusión/etnología , Demencia/epidemiología , Mastectomía/efectos adversos , Recurrencia Local de Neoplasia/tratamiento farmacológico , Complicaciones Posoperatorias/etiología , Anciano , Anciano de 80 o más Años , Animales , Antiinflamatorios no Esteroideos/uso terapéutico , Neoplasias de la Mama/patología , Femenino , Humanos , Inflamación/tratamiento farmacológico , Interleucina-6/sangre , Ketorolaco/uso terapéutico , Ratones , Recurrencia Local de Neoplasia/patología , Complicaciones Posoperatorias/prevención & controlAsunto(s)
Pueblo Asiatico/etnología , Confusión , Lenguaje , Nombres , Confusión/etnología , Escritura Manual , HumanosAsunto(s)
Confusión/enfermería , Demencia/enfermería , Emigrantes e Inmigrantes/psicología , Etnicidad/psicología , Aculturación , Anciano , Confusión/etnología , Confusión/psicología , Competencia Cultural , Demencia/epidemiología , Demencia/etnología , Emigrantes e Inmigrantes/estadística & datos numéricos , Alemania , Humanos , Multilingüismo , Prejuicio , Factores de Riesgo , Medio Social , Enfermería TransculturalRESUMEN
This study examines psychosocial difficulties faced by Chinese patients with colorectal cancer, and attempts to identify factors that contribute to the meaning searching process that in turn brings about growth and transformation. Twenty-six patients with colorectal cancer were interviewed. Data were analyzed using the constant comparative method. Two domains of psychosocial disorientation states were identified, namely, cognitive disorientation and emotional disorientation. Factors that facilitate meaning searching were identified and categorized into personal factors and external factors. The areas of growth and transformation through meaning searching were presented with narratives. Findings from the present study not only shed light on psychosocial hindrances among colorectal cancer patients but also have the potential to inform the design of intervention strategies to bring about meaning-orientated transformation through cancer experiences.
Asunto(s)
Adaptación Psicológica , Neoplasias Colorrectales/psicología , Confusión/etiología , Estrés Psicológico/etiología , Adulto , Anciano , China/etnología , Confusión/etnología , Confusión/psicología , Depresión , Emociones , Femenino , Hong Kong , Humanos , Relaciones Interpersonales , Masculino , Persona de Mediana Edad , Apoyo Social , Estrés Psicológico/etnología , Estrés Psicológico/psicologíaAsunto(s)
Actitud del Personal de Salud/etnología , Actitud Frente a la Salud/etnología , Confusión , Diversidad Cultural , Evaluación Geriátrica/métodos , Evaluación en Enfermería/métodos , Enfermedad Aguda , Anciano , Envejecimiento/etnología , Causas de Muerte , Confusión/diagnóstico , Confusión/etnología , Comparación Transcultural , Familia/etnología , Enfermería Geriátrica/métodos , Conocimientos, Actitudes y Práctica en Salud , Necesidades y Demandas de Servicios de Salud , Humanos , Tamizaje Masivo/métodos , Valores Sociales , Taiwán/epidemiología , Estados Unidos/epidemiologíaRESUMEN
The Hmong began arriving to the United States as refugees in the mid 1970s and constitute a growing number of the population. Little is known about the prevalence and care of dementia in Hmong elderly individuals. The purpose of this article is to discuss the traditional beliefs and treatment of tem toob (memory impairment) within the Hmong culture. This includes a discussion of the authors' encounters with Hmong herbalists in open-air markets during a journey in Laos and Thailand. A story cloth is then featured to discuss a shamanic healing ceremony for an elderly woman with tem toob. Nursing implications are discussed.
Asunto(s)
Demencia/etnología , Demencia/enfermería , Medicina Tradicional , Enfermería Transcultural , Anciano , Confusión/etnología , Confusión/enfermería , Confusión/psicología , Demencia/psicología , Humanos , Laos , Trastornos de la Memoria/etnología , Trastornos de la Memoria/enfermería , Trastornos de la Memoria/psicología , Tailandia , Estados UnidosRESUMEN
Recovery symptoms and related mood states during early recovery after coronary artery bypass graft surgery (CABG) have never been assessed in Thailand. This cross-sectional descriptive correlational study was to identify the relationships between frequency of recovery symptoms and mood states of a convenience sample of 91 Thai CABG patients during 2 weeks after discharge. Standardized tools/procedures were used to measure the variables of interest. The most common recovery symptoms were chest and leg incision pain, having trouble sleeping, and neck and shoulder or back discomfort. The most common mood states were confusion, anxiety, and anger, respectively. In addition, Thai CABG patients who had more frequent recovery symptoms also had greater negative mood disturbance. These findings provide a beginning explanation about the phenomena of recovery symptoms and mood states in a specific culture, Thai CABG patients.
Asunto(s)
Afecto , Ansiedad/etnología , Actitud Frente a la Salud/etnología , Confusión/etnología , Puente de Arteria Coronaria , Dolor Postoperatorio/etnología , Trastornos del Sueño-Vigilia/etnología , Actividades Cotidianas , Adulto , Anciano , Ira , Ansiedad/diagnóstico , Ansiedad/etiología , Comorbilidad , Confusión/diagnóstico , Confusión/etiología , Puente de Arteria Coronaria/efectos adversos , Puente de Arteria Coronaria/psicología , Estudios Transversales , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Negativismo , Investigación Metodológica en Enfermería , Dolor Postoperatorio/diagnóstico , Dolor Postoperatorio/etiología , Recuperación de la Función , Trastornos del Sueño-Vigilia/diagnóstico , Trastornos del Sueño-Vigilia/etiología , Encuestas y Cuestionarios , TailandiaRESUMEN
Although wandering in dementia is seen in various cultures, cross-cultural comparisons have not been reported. We examined wandering in residents of long-term care settings (LTCs) in three English-speaking countries (n = 96, America; n = 42, Canada; n = 13, Australia) using the Algase Wandering Scale-Version 2 (AWS-V2). Participants differed by country on age and medical diagnosis. The Americans were significantly older; the Canadians had a greater rate of Alzheimer's disease (AD). In one-way ANOVAs, AWS-V2 ratings from nurse aides revealed significant differences in the AWS-V2 and three subscales (spatial disorientation, attention shifting, eloping behavior), but not for two others (persistent walking, shadowing). Where significant, Canadians had consistently lower ratings than others. Post-hoc analyses by age of participants failed to reveal significant differences. However, participants with AD had significantly lower AWS-V2 scores than those with mixed-type dementia. Lower MMSE score predicted higher AWS-V2, spatial disorientation, and eloping behavior. Post-hoc analyses of respondent characteristics revealed no significant differences on AWS-V2 or subscales by frequency of attending dementia classes and level of experience with dementia. Thus the nature of wandering in these three countries is not substantially different. However, variations in care environments may contribute to differences in attention shifting. Further, limited sample size, particularly among Australians and Canadians, make findings tentative.
Asunto(s)
Confusión/diagnóstico , Confusión/etnología , Demencia/complicaciones , Evaluación Geriátrica/métodos , Evaluación en Enfermería/métodos , Caminata , Factores de Edad , Anciano , Anciano de 80 o más Años , Análisis de Varianza , Australia , Canadá , Confusión/clasificación , Confusión/enfermería , Comparación Transcultural , Femenino , Humanos , Masculino , Evaluación en Enfermería/normas , Investigación en Evaluación de Enfermería , Valor Predictivo de las Pruebas , Escalas de Valoración Psiquiátrica/normas , Psicometría , Índice de Severidad de la Enfermedad , Instituciones de Cuidados Especializados de Enfermería , Estados UnidosRESUMEN
Two studies provide evidence for the role of cultural familiarity in recognizing facial expressions of emotion. For Chinese located in China and the United States, Chinese Americans, and non-Asian Americans, accuracy and speed in judging Chinese and American emotions was greater with greater participant exposure to the group posing the expressions. Likewise, Tibetans residing in China and Africans residing in the United States were faster and more accurate when judging emotions expressed by host versus nonhost society members. These effects extended across generations of Chinese Americans, seemingly independent of ethnic or biological ties. Results suggest that the universal affect system governing emotional expression may be characterized by subtle differences in style across cultures, which become more familiar with greater cultural contact.