• Title/Summary/Keyword: End of Life Care

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A Study on the Use of Balance Scale for Life Care of the Elderly People (노인의 라이프케어를 위한 균형 평가척도 활용에 관한 연구)

  • Yang, Seung-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.411-417
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    • 2019
  • The purpose of this study is to identify the effect not of therapeutic behavior but of the balance evaluation process itself on the balance ability of the elderly. For this, 36 elderly people over 65 age belonging to two elderly welfare centers in Jeonju city were divided into 3 groups of 12 each. All participants were divided into three groups, one was the daily evaluation, another was weekly, and the other group was twice at the beginning and the end of the study. And this study conducted for 4 weeks totally. The balance scale that we used one was Berg Balance Scale and for comparison within groups and between groups, Paired t-test and one-way ANOVA methods were used. The post-hoc test was used 'Scheffe test', and the significance level was α = .05. The results showed that the balance ability was significantly improved after 4 weeks in all three groups. Among all groups, the highest improvement was observed in the daily evaluation group and the lowest improvement was observed in the general evaluation group. In the comparison between the groups, it was confirmed between the daily evaluation group and the weekly evaluation group, between the daily evaluation group and the general evaluation group. These results show that the evaluation process using the balance function scale, rather than the therapeutic behavior, can affect the balance ability of the elderly. I would like to be able to utilize this basic research data that just evaluation of balance function using balance scale in the social facilities and institutions for the elderly can positively influence the improvement of the balance function and strengthen the postural controling ability necessary for the independent daily life practice.

Contents Related to End-of Life Care in Nursing Curriculum: Q Methodological Approach (임종간호 교과구성의 요구에 대한 주관성 연구)

  • Kim Myung-Ja;Kim Yeong-Kyeong;Jo Kae-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.1
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    • pp.46-57
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    • 2005
  • Purpose: The purpose of this study was to analyze the subjectivity of contents related to death as a nursing curriculum subject for nurses and students. Method: The Q-methodology which provides a method for analyzing the subjectivity of each items was used. The 34 selected Q-statements sorted by each of the 36 participants were classified into a normal distribution by using a 9 point scale. The collected data were analyzed using the QUANL PC program. Results: Four types of content related to death nursing curriculum were identified. Type I is the psychologically sympathetic type, Type II is the clinical based experience type, Type III is the physically comfort seeking type, and Type IV is the human-understanding oriented type. Conclusion: The results of this study show that different approaches to education are needed to address the four types of content related to death as a nursing curriculum subject. Both contents and characteristics need to be considered.

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The Experience of Life Experiences among Patients with Chronic Low Back and Extremity Pain (만성 요$\cdot$하지통 환자의 생활세계 경험)

  • Yang Jin-Hyang
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.955-966
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    • 2005
  • Purpose: The purpose of this study was to understand the meaning and nature of pain experienced among patients with chronic pain. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Method: The participants for this study were 4 men and 5 women, who were over the age of 20 with chronic pain more than 6 months. Data was collected by using in-depth interviews and observations from September, 2004 to December, 2004. The contents of the interviews were tape-recorded with the consent of the subject. Result: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were 'untamed and unremitting pain', 'the body as an obstacle', 'continuity of suffering time as if the moment would never end', 'a narrow radial range of action' and 'separating from other people'. Conclusion: Patients with chronic pain experienced and perceived the world through the filter of their pain. It is necessary for nurses to understand the experiences of chronic pain patients and to provide more empathic, supportive care. Further research is needed on nursing interventions that could help chronic patients cope with and find the meaning in their suffering.

Factors that Affect Remission of Chemotherapy-Induced Peripheral Neuropathy Symptoms: Short-Term Prospective Study

  • Jeong, Gay Suk;Choi, Jin Yi;Choi, Heejung
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.86-94
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    • 2022
  • Purpose: Patients experiencing chemotherapy-induced peripheral neuropathy (CIPN) apply various palliative care as well as drugs in their daily life to alleviate symptoms. There is a need to identify the influence of these efforts and patients' psychosocial status on the relief of CIPN symptoms. This short-term prospective study investigated how prescription drugs, non-pharmacological behaviors (exercise, massage, and heat therapy), and psychological states (social support, depression, and anxiety) affected CIPN symptoms. Methods: Participants scheduled to receive postoperative platinum or taxane-based chemotherapy were enrolled consecutively. CIPN was measured with the Neurotoxicity-12 subscale of the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 instrument. Data were collected three times during the 4 or 5 cycles of chemotherapy. Results: At the end of the 2nd chemotherapy cycle, 93.1% of participants reported CIPN symptoms. Multiple regression analyses showed that a heat therapy (β= -.34, p< .001), massage (β= -.21, p= .012), and walking 5 times or more per week (β= -.26, p= .021) provided relieve for CIPN symptoms. Depression (β= .19, p= .027) significantly exacerbated CIPN symptoms. Conclusion: These results suggested that a comprehensive management program that includes walking, heat therapy, massage, and mood therapy should be encouraged. Moreover, patients should be educated at chemotherapy initiation to understand appropriate interventions that can relieve CIPN symptoms.

Evaluation of Bisphenol A-Epichlorohydrin Exposure Workers in Apartment Building Construction: Pilot Study (아파트 건축 작업장에서 사용되는 에피클로로하이드린-비스페놀A의 노출 평가: 파일럿 연구)

  • Shin, Wonho;Moon, Chan-Seok
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.4
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    • pp.396-403
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    • 2016
  • Objectives: The study is to evaluate biological monitoring and risk assessment for epichlorohydrin-bisphenol A resin exposed from waterproofing or finishing work in the apartment building construction. Methods: Subjected workers were working on spray-painting and waterproofing work for 8 hours per day every 20 days. The urine samples were collected at the end of 20 days working period. For urinary bisphenol A as metabolite from epichlorohydrin-bisphenol A exposure, urine samples were analyzed with liquid chromatography mass-mass spectrometry(HPLC-MS/MS). Results: Geometric means of urinary bisphenol A(BPA) with no hydrolysis and with enzymic hydrolysis(BPA-EH) in the workers were $1.10{\mu}g/L$ and $2.90{\mu}g/L$. BPA-EH was 4 times higher than that of control group. The factors for working period and ages did not affect the variation of BPA and BPA-EH. The levels for BPA and BPA-EH were not higher than 95th percentile for exposure on human-life environment. Conclusions: The BPA and BPA-EH were therefore effective biological markers for epichlorohydrin-bisphenol A exposure workers, but not seem to hazardous exposure level. Waterproofing work in construction workshop is required to measuring work environment and health care management for the workers.

MICROBIOLOGICAL QUALITY OF BRAZILIAN LIPSTICKS AFTER NORMAL USE BY CONSUMERS

  • D.M.M. Pedroso;G.R. Dias;Gesztesi, J-L
    • Proceedings of the SCSK Conference
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    • 2003.09b
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    • pp.524-526
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    • 2003
  • Lipsticks are cosmetics which do not contain water and are usually preserved with parabens. When submitted to the Challenge Test, theses products did not reach the CTFA criteria, which means that microbiological contamination could occur before the end of its shelf life. The aim of this study was to evaluate the contamination level of 130 lipsticks after its use. Microorganisms were isolated from 14,6 % of the samples. However, only in two samples (1,5%) the contamination level exceeded the 100 CFU/g level, which means that, although the preservative system was not efficient to eliminate bacteria, the lack of free water was enough to prevent the microbial development. Total bacteria and fungi were determined by conventional methodology, according to CTFA Microbiological Guidelines. The microbes were then isolated and characterized as normal skin flora microorganisms. This suggest that products were contaminated by the constant application of lipsticks by consumers. This could lead to cross contamination when the same product is shared by several people. Extra care should be taken into account when this type of products are available to be tested by several consumers in demonstration displays.

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Death Attitude, Death Anxiety and Knowledge toward Advance Directives among Nursing Students (간호대학생의 죽음태도, 죽음불안 및 사전연명의료의향서에 관한 지식)

  • Choo, In Hee;Kim, Eunha
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.211-224
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    • 2020
  • Purpose: This study was conducted to investigate death attitude, death anxiety, and knowledge toward advance directives of nursing students. Method: Participants were 157 nursing undergraduates in Korea. The students responded to a self-reporting questionnaire that included demographics, Death Attitude Profile-Revised (DAP-R), Revised Death Anxiety Scale (RDAS), and knowledge toward advance directives. The data collection period was December, 9-13, 2019. Data were analyzed by descriptive test, independent t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS/WIN 23.0. Results: The mean scores for death attitude, death anxiety, and knowledge toward advance directives were 2.70±0.58, 2.45±0.49, and 7.94±2.04, respectively. Knowledge toward advance directives was significantly different according to age, grade, and experience of end-of-life care education. Death attitude was significantly associated with death anxiety (r=. 27, p<.001). Conclusion: Knowledge toward advance directive was relatively low compared to the findings of previous studies. Therefore, nursing colleges need to include legal and institutional aspects when writing written letters on advance directive, death attitude, and ethical approaches to death anxiety.

Working Experiences of Cleaning Workers (건물 청소노동자의 노동 경험)

  • Kim, Soyeon;Kim, Youngmi
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.183-193
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    • 2015
  • Purpose: The purpose of this study was to describe cleaning workers' working experiences in Korea. Methods: The data were collected in two focus-group interviews with 9 cleaning workers. The phenomenological analytic method suggested by Colaizzi was used to analyze the data. Results: Five theme clusters and thirteen themes emerged from the analysis. The first theme clusters, 'Dead-end choice' included Limits of elderly women workers, Financial difficulties, Lowered self-esteem. The second theme clusters, 'Facing with discriminatory working environments' included Fear and unfair working conditions. The third theme clusters, 'Potential health problems' included Physical overload, Repeated exposure to hazardous substances and Emotional labor. The fourth theme clusters, 'Excluded from protection of the law' included Gloomy reality and Sexual harassment. The fifth theme clusters, 'Desire to get out of social isolation' included Efforts to maintain the status, Desire to live confidently and Desire to change social recognition. Conclusion: The findings of the study provide understanding on cleaning workers' working experiences to explain by their vision and language and should ensure proper working conditions and environment to live a better life.

Arirang is a soul song and a consolation medicine for mental and physical health: Arirang rhapsody (喜怒哀樂; joy, anger, sorrow, and pleasure)

  • Ko, Kyung-Ja;Cho, Hyun-Yong
    • CELLMED
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    • v.12 no.4
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    • pp.15.1-15.3
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    • 2022
  • The purpose of this study is to examine the joy, anger, sorrow, and pleasure of Koreans in Arirang songs. Arirang is a representative song that strengthens the collective identity and social bond of Koreans. For Koreans who mainly eat rice, Arirang represents rice, life, and reason for its existence. Koreans have been singing Arirang together for a long time, overcoming pain, sadness, and hardships and consoling their minds and bodies. Arirang is a national music that is loved more and sung more often than the national anthem. The hill on the mountain is not a place to stay. The pass is a passing place. This gives us a lot of thought. We have various difficulties living in the world. The word Arirang means that Arirang is not one state. The end of joy, anger, sorrow, and pleasure is surely a joy. Arirang Pass (Arirang Gogae) is not a staying pass, but a crossing pass. Arirang, which contains joy, anger, sorrow, and pleasure, is a soul song and a consolation medicine for mental and physical health. We suggest that Arirang song compared to standard care may have beneficial effects on anxiety, hope, pain, and depression in patients.

호스피스와 종교적 죽음이해

  • Sin, Min-Seon;Kim, Mun-Su
    • Korean Journal of Hospice Care
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    • v.6 no.1
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    • pp.1-11
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    • 2006
  • There are various understandings how to define death. In the context of medicine, death is defined as the irreversible change of the tissue according to the cessation of circulation and respiration. According to the psychologists, a person need to accept the finiteness as a human being and remain conscious that the death is not avoidable. And they say if a person doesn't regard death as unavoidable reality of life he or she will not confront the humanistic death and after all will die like animals. In philosophy, death is viewed as an unwelcome reality in the end of the journey of life. Sociologists usually understand that the society is the organization composed with living persons and human beings which construct and transmit the culture from generation to generation between the both ends of life and death. In society, the generation is changed, maintained, and developed through the phenomenon of death. Although death of human being is natural event in society, the death of a specific person brings a sense of loss, crisis, and anxiety to the communities like family, regional society, nation, and the world. In this context, death is not confined to personal dimension and it can be regarded as a social problem. It is valuable to summarize the religious perspectives on the meaning of death for the better hospice care. In shamanism, there are basic idea that although the flesh of human being disappears, soul never die. If human dies, the flesh of human being disappears but soul never disappear and come back to the origin of soul as it is called chaos. So in shamanism, it is said that shaman can solve the mortified feeling, restore the broken harmony, send the soul to comfortable space- the origin, and guarantee the blessing of descendents. Buddhists regard the death as an essential component through the cycles of life. Through this cycle, human being exits as an endlessly transmigrating being and the death is just a restoration to the original status. In Confucianism, the view on the death based on the philosophy of the "Yin and Yang" and "Five elements". In Buddhist tradition, many believers said the philosophy of "Death is the same as life". Unlike usual thoughts that a god governs "life and death" and "fortune and misfortune", Confucianists deny the governance of a god and emphasize the natural orders in which every phenomenon in the world moves according to the principle. Confucianists understand the death as a natural order with this principle. In Confucianists' belief, the essence of human being remains in their own descendent's lives after the death of ancestor, so in Confucianism there is no concept of immortality of the soul. In the history of Christianity, death has been defined generally as the separation of the immortal soul from the mortal body. In the earlier days of Old Testament, the death is regarded as a disappearance of just a flesh and human never disappear and always live in the relationship with God. Later days in Old Testament, we can find the growing concern for the life after the death because of the entrance of the theodicy. In the New Testament, the death is not regarded as the normal process of the human life and regarded as the abnormal status in which death come to human because of sin as a decisive factor and it should be conquered. In fact, the most of us afraid death because not of the fear of death itself but of the sense of the emptiness and regrets. so many people often make the monument hoping to live forever. But Christian usually regard this behavior as a sinful act because human being usually think themselves as a master of their life and attempt to become immortal in this kind of trial mortal. But if we live with God, we cannot confront such a condition because we aware limits as a mortal human being and entrust everything on Him and want to live according to His guidance. Therefore, in the Christian tradition, the death is regarded as accomplishment of life, fruits of life, invitation to the eternal life, and the last stage of human growth. For human being, the death is the great step of maturation as a human in the final stage of life.

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