The topic of the article named “The Impact of Fatigue on Daily Activity in People with Chronic Kidney Disease” and the connection between low serum albumin and lower glomerular filtration rate than normal of patients with chronic kidney disease. From the research the literature suggests that fatigue and lack of energy are the most bothersome symptoms in the patients having haemodialysis (Laupacis et al, 1992), Polaschek 2003). Physical functioning in patients receiving haemodialysis has been found to be lower than that experienced in other chronic illnesses (Mittal el al. 2001). Fatigue is a complex phenomenon
Warning Signs for Five Concepts of Compassion Fatigue Physical Manifestations Compassion fatigue can manifest itself through physical symptoms. Some signs associated with compassion fatigue are weariness, loss of strength, reduced output, diminished performance, loss of endurance, and increased physical complaints such as gastrointestinal complaints, frequent headaches, back pains, hypertension, and insomnia (Coetzee & Klopper, 2010). Illness can lead to increase in sick calls that lead to increase in the work loads of other nurses, which then affects the safety and quality of care the patients receive. Emotional Manifestations Compassion fatigue can also manifest itself through emotional disturbances. Those suffering
The possible explanation for this improvement is due to EMG biofeedback can make the patient feel more in control of the pain since there be a way to influence and thus reduce the pain levels. EMG biofeedback assisted core stability exercise programme strengthen the back muscles thus reducing the disability percentage. A similar study done by Ahmed H et al. (2013), on efficacy of electromyography biofeedback training on trunk stability in chronic low back pain also showed a significant improvement in endurance and pain. It thus provides visual feedback to the patient exercise performance in the form of maximal voluntary contraction of para vertebral muscles during exercises.11 On the other hand Group A also showed significant improvement in levels of pain and disability.
Fatigue affects the emotional and physical well-being of the patient, particularly those with CHF. Using the integrities identified by Levine (1973) the patient experiencing fatigue could manifest: (a) a rapid heart rate, elevated temperature, low haemoglobin, and elevated blood sugar (energy conservation), (b) low ejection fraction (structural integrity), (c) depressed mood (personal integrity), and (d) inability to socialize to the extent that they would like (social integrity). Of particular importance to this study is the assumption that the patients perceive themselves as whole. According to Levine, the goal of the individual is conservation or preserving an integrated and balanced whole (Levine 1973). The four conservation principles that underlie this model are conservation of energy, conservation of structural
Hospitalisation is often the cause of deconditioning, particularly due to the focus on bed rest in order to recover from illness, or the limited mobility resulting from surgery. As some degree of functional decline is inevitable in ageing (Killewich 2006) older people hospitalised in an acute setting are at greater risk of the problems caused by inactivity. This is due to the changes in body composition and function, including sarcopenia, demineralisation, loss of aerobic capacity, loss of vasomotor stability and changes in respiratory function which occur as individuals age (Killewich, 2006). Functional decline of older patients is the leading complication in hospitalisation of the elderly, as the decreased activity associated with bed rest can lead to accelerated bone loss, dehydration, malnutrition, delirium, sensory deprivation, skin breakdown and incontinence (Kleinpell, Fletcher & Jennings 2008). Deconditioning during hospitalisation occurs rapidly in older people, with functional decline from baseline apparent by day two (Kleinpell, Fletcher & Jennings 2008).
Life changes are events in a person’s life that require a significant readjustment in various aspects of a person’s life these can be things like divorce or marriage. Holmes & Rahe are two doctors; they noticed that in many of their patients had experienced some form of stress before they became physically ill. They predicted that life events could lead to illness; to test this they developed the SRRS (Social Readjustment Rating Scale) to measure a person’s level of stress and whether it correlated with physical illness. This questionnaire was based on 43 life event taken from 5000 patient records. In order to establish the stressfulness of each event they enlisted the help of 400 participant and they were asked to score each of the 43 life events with a numerical figure of how much readjustment would be needed, taking marriage as an arbitrary baseline value of 50.
For the palliative care patient, the goal is excellent symptom control with the least possible sedation, allowing continued patient/family interaction (LeGrand and Walsh, 2010). Symptom management should provide the expected outcome of alleviating the symptom and altering the patient’s shortness of breath. The patient needs to be continuously monitored and reassessed to allow persistent symptom relief. If the interventions are not controlling the dyspnea, palliative care efforts should be intensified to maximize symptom control (Levy et al., 2012). Otherwise, sedation may be required for intractable dyspnea.
Introduction Compassion fatigue has already been identified as a combination of emotional, physical, and spiritual depletion which is associated with the caring of patients in significant physical distress and emotional pain. Although the literature is awash with a lot of definitions of compassion fatigue, Joinson (1992), gave the first definition of this concept during her service in the emergency room. She identified that compassion fatigue was a rare form of burnout that usually affects individuals in care-giving roles. The proposed research paper will investigate the effects of compassion fatigue on patient care and care-givers. Objectives The aims of the proposed research will be: 1) To investigate whether compassionate fatigue influences the overall quality patient care, 2)To establish the need of structuring appropriate and multi-faceted interventions to combat compassion fatigue, 3) To establish the risk factors associatedwith compassion fatigue.
Pain is a partially subjective symptom, but this does not negate its existence in the patient. Fifty percent of people, who seek medical treatment from the emergency department, have a chief complaint of pain (Meghani & Cho, 2009). Healthcare providers may find that using an all encompassing approach to pain assessment and treatment will produce improved outcomes in patients. This approach includes recognition of the multiple dimensions of pain perception and expression which include the physiologic, affective, cognitive, behavioral and sociocultural aspects of pain (Lewis et al., 2007). The affective, cognitive, behavioral and sociocultural dimensions of pain are different for each patient.
This written assignment supports claims made by the news article, “Why Loneliness Is Hazardous to Your Health,” by Greg Miller with two scientific articles: “Perceived Social Isolation and Cognition,” by John T. Cacioppo and “Brain Structure Links Loneliness to Social Perception” by Ryota Kanai. According to the news article, “Why Loneliness Is Hazardous to Your Health,” loneliness can negatively affect the cardiovascular, immune, and nervous systems. The claim was supported by studies’ findings that people who isolate themselves socially are often associated to have a shorter life span. This could be due to being more susceptible to infections, heart disease, and depression. Other symptoms include high blood pressure due to artery constriction under stressful conditions.