Focuses on methods for enhancing family participation in medical care and for reducing the adverse effects of illness on family functioning. Serves as an aid for practicing social workers, presenting methods of assessing the individual case and a framework for working with families during the planning of services, intervention, and evaluation. Annotation(c) 2003 Book News, Inc., Portland, OR (booknews.com)
Handbook of Families and Health: Interdisciplinary Perspectives presents state-of-the-art summaries of research related to couple, marital, and family influences on health. Editors D. Russell Crane and Elaine S. Marshall, along with a distinguished group of contributors across various disciplines, bring complementary perspectives to a wide range of families and health issues. A major goal of this Handbook is to highlight common issues, concerns, and goals across diverse fields and the benefits of bringing multiple perspectives to these issues. A significant portion of the book is devoted to interventions to improve family health.
This interdisciplinary text examines five different components of family health--biology, behavior, social-cultural circumstances, the environment, and health care--and the ways they affect the abilities of family members to perform well in their homes, workplaces, and communities. Special awareness is paid to health disparities among individuals, families, groups, regions, and nations. The author discusses how health of individual families influences our local, national, and global communities. Families and Health argues that family health is not a privilege for the few, but a personal, national, and global right and responsibility.
Promote culturally competent social work practice with families of many traditions! This broad-ranging book highlights the enormous importance of the family in enhancing individuals’ health and in safeguarding mental health. Families and Health offers an international scope and a multicultural frame of reference. The original research presented here includes both qualitative and quantitative studies on the role of family support in maintaining personal well-being. These empirical studies look at groups as diverse as elderly Samoans living in Hawaii, Nigerian families living in Africa, and children of all races and ethnic groups living in Florida foster care. The results are consistent across the cultures, however. Good family support prevents many health problems and ameliorates such unpreventable ones as aging. Poor family support leads to increased physical and emotional illness as well as higher rates of drug abuse and other addictions. Families and Health discusses the role healthy families play in various health and mental health issues, including: preventing drug use successful treatment for substance abuse caregiving of the frail elderly dealing with relatives who suffer from schizophrenia This helpful book will be of use in promoting culturally competent practice among social workers, psychologists, therapists, and gerontologists. It will also be of interest to policymakers, health and wellness researchers, and scholars in ethnic studies.
Religion is a major social institution in the United States. While the scientific community has experienced a resurgence in the idea that there are important linkages between religion and family life and religion and health outcomes, this area of study is still in its early stages of development, scattered across multiple disciplines, and of uneven quality. To date, no book has featured both reviews of the literature and new empirical findings that define this area for the present and set the agenda for the twenty-first century. Religion, Families, and Health fills this void by bringing together leading social scientists who provide a theoretically rich, methodologically rigorous, and exciting glimpse into a fascinating social institution that continues to be extremely important in the lives of Americans.
ISSUES IN BIOMEDICAL ETHICSGeneral Editors: John Harris, University of Manchester; Soren Holm, University of Manchester.Consulting Editor: Ranaan Gillon, Director, Imperial College Health Service, London.North American Consulting Editor: Bonnie Steinbock, Professor of Philosophy, SUNY, Albany.The late twentieth century has witnessed dramatic technological developments in biomedical science and the delivery of health care, and these developments have brought with them important social changes. All too often ethical analysis has lagged behind these changes. The purpose of this series isto provide lively, up-to-date, and authoritative studies for the increasingly large and diverse readership concerned with issues in biomedical ethics--not just health care trainees and professionals, but also social scientists, philosophers, lawyers, social workers, and legislators. The series willfeature both single-author and multi-author books, short and accessible enough to be widely read, each of them focused on an issue of outstanding current importance and interest. Philosophers, doctors, and lawyers from several countries already feature among the contributors to the series. Itpromises to become the leading channel for the best original work in this burgeoning field. this book: Lainie Friedman Ross presents an original and controversial examination of the moral principles that guide parents in making health care decisions for their children, and the role of children in the decision-making process. She opposes the current movement to increase child autonomy, infavour of respect for family autonomy. She argues that children should be included in the decision-making process but that parents should be responsible for their children's health care even after the children have achieved some threshold level of competency.The first half of the book presents and defends a model of decision-making for children's health care; the second half shows how it works in various practical contexts, considering children as research subjects and as patients, organ donorship, and issues relating to adolescent sexuality.Implementation of Ross's model would result in significant changes in what informed consent allows and requires for paediatric health care decisions.This is the first systematic medical ethics book that focuses specifically on children's health care. It has important things to say to health care providers who work with children, as well as to ethicists and public policy analysts.
Introduction: There is an increasing awareness in the field of cardiology regarding the need for improved delivery of palliative care in patients with heart failure (HF). Professional guidelines have drawn attention to the importance of discussing the heart failure trajectory with patients and their families. These discussions can include, for example, talking about the prognosis, expectations for the future, and care at the end-of-life. It seems difficult for health care professionals to choose the right time for initiating these discussions. They often avoid these conversations because they are afraid of taking away hope and make the patients and their families anxious. Aim: The overall aim of this thesis was to improve communication about the heart failure trajectory in patients, their families, and health care professionals. Design and methods: This thesis includes five studies using different designs and data collection methods. Study I has a cross-sectional design using a questionnaire to collect data to describe heart failure nurses’ perceptions of and practice in discussing prognosis and end-of-life care with heart failure patients. Study II has a descriptive and comparative design, where a survey was performed to describe Swedish and Dutch heart failure nurses’ reasons for discussing or not discussing prognosis and end-of-life care with patients. Study III has an inductive and exploratory design, where HF patients participated in focus groups or individual interviews. Data was collected based on their perceptions of communication about the heart failure prognosis. Study IV was a small-scale ethnographic study describing and evaluating the delivery of a simulation when teaching third-year nursing students about end-of-life care at a Swedish university. Study V used co-design in which patients with HF from primary care, their family members and health care professionals (physicians and nurses) from palliative and HF care were invited to be constructive participants in the design process of a communication intervention. Health care professionals participated in a first feasibility testing of the intervention. Results: Most Swedish HF nurses had discussed prognosis (96%) and end-of-life care (84%) with a HF patient at some point in clinical practice. The nurses often reported that a physician was to have the main responsibility for such discussions (69%), but that the nurse was also believed to have a role to play (I). Prognosis and end-of-life care were, together with sexual activity, () the three least frequently discussed topics in HF clinics in both Sweden and the Netherlands (II). In conversations with 1,809 Swedish and Dutch HF patients, prognosis was discussed with 38% of the patients and end-of-life care was discussed with 10%. In study III, patients expressed different experiences of and preferences for communication about their HF prognosis. Many patients described that the health care professionals had not provided them with any prognosis information at all. The patients had different understandings of HF as a chronic illness, which had an impact on their preferences for communication about their prognosis (III). The simulation training described in the ethnographic study (IV) was part of an end-of-life care simulation during the last term of the 3- year bachelor degree level nursing education program, where students learn and practice basic palliative care. The students felt that the simulation training was a good opportunity to practice handling end-of- life situations as it gave them a chance to experience this situation and their own feelings and thoughts on death and dying. In study V, an intervention to improve communication about prognosis and end-of-life care in HF care was developed and some areas were feasibility tested. Heart failure patients, their families and health care professionals working in HF care or palliative care participated in the development process. Health care professionals (nurses and physicians) participated in the following feasibility testing of the intervention. Conclusions: This thesis shows that prognosis and end-of-life care are seldom discussed with HF patients in Swedish and Dutch heart failure care. and that many heart failure nurses have ambiguous attitudes towards discussing these topics with patients and their families (I+II). The patients described that they receive different messages concerning their heart failure, and that they also have different preferences for discussing the heart failure trajectory with health care professionals. The professionals need to understand the impact of heart failure on each patient and adapt the communication to each individual (III). End-of-life care simulation with skilled supervisors shows great promise for health care professionals to learn good communication skills in end-of-life care conversations (IV). A Question Prompt List and a communication course might be useful for improving communication about the heart failure trajectory in patients, their families, and health care professionals
This volume describes a myriad of policy, research and practice issues related to families of children with serious emotional disorders. It centres on families' direct and indirect roles in children's mental health services - for example, families can determine if and when the child enters treatment, and they can provide the context within which all therapeutic gains are played out. The contributors discuss: family-centred service delivery characteristics and strategies; society's role in strengthening the family and preventing emotional disorders in children and young people; supports for and barriers to parent-professional partnerships; the complexities of assessing family functioning; and culturally sensitive service del