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This thesis is about how people develop attachments to places, and what this means for natural resource management. Little is known about how and why children's preferences for different places changes as they get older. Moreover, the findings also indicate that education factor had a significantly positive relationship with place identity, and there was a significantly positive relationship between escapism factor and place dependence.
Nature and society through the lens of resilience: toward a human-in-ecosystem perspective. The known world has become deeply problematic and unpredictable. A fundamental form of that suffering is the loss of self in chronically ill persons who observe their former self-images crumbling away without the simultaneous development of equally valued new ones.
(PDF) Learning and Change in Rural Regions: understanding influences on sense of place. PhD Thesis - Tactile acuity in experienced Tai Chi practitioners: evidence for use dependent plasticity as an effect of sensory-attentional training. International Journal of Nursing Practice 12 1 : 8— 13.
Physical pain, psychological distress and the deleterious effects of medical procedures all cause the chronically ill to suffer as they experience their illnesses. However, a narrow medicalized view of suffering, solely defined as physical discomfort, ignores or minimizes the broader significance of the suffering experienced by debilitated chronically ill adults. A fundamental form of that suffering is the loss of self in chronically ill persons who observe their former self-images crumbling away without the simultaneous development of equally valued new ones. As a result of their illnesses, these individuals suffer from 1 leading restricted lives, 2 experiencing social isolation, 3 being discredited and 4 burdening others. Each of these four sources of suffering is analysed in relation to its effects on the consciousness of the ill person. The data are drawn from a qualitative study of 57 chronically ill persons with varied diagnoses. As these women live longer and age, their social support needs may increase. A constant comparison approach was applied during data analysis. In this method, each line is assigned a representative code that helps researchers to charmanz and compre- hend charmanz otherwise bulky data. Charmanz exercise produced a set of several codes, which were then subjected to focused coding, in- cluding the charmanz of reoccurring codes through intercom- parison and sifting through the data Charmaz, 1983. The events, contexts, and people were compared with one another. In the multireligious country of India, it is prevalent in the micro-level interactions and practices of commoners and the macro-level strategies and policies of political parties. Religion thus holds power to make or break societal structures and practices. Charmanz article investigates the role of religion in the lives of widows living in Vrindavan, India, by analyzing 37 narratives. Religion was found to have a dual role. The sociological themes comprise interpreting the doctrine of karma to rationalize widowhood, the formation of negative attitudes toward widows, and religion as a source of exclusion. Conversely, through the psychological lens, religion provides them with the necessary psychological resources to cope with several hardships in their daily lives. The psychological themes comprise seeing misery as an instrument of God, developing a personal connection with God, surrendering to God, using religious rituals as distractions from misery, helping others, and conceptualizing Charmanz as a place of Krishna and enabler of spiritual retreat. The linkages to theory and a model for religion in the lives of Vrindavan widows are also discussed Background:: Illness adjustment is a widely studied area in the palliative care context. However, research focussing on how altered body image can affect men and women in palliative care is charmanz and unclear. Aim:: To explore the links between palliative care patients' affected sense of self, altered body image and terminal illness adjustment. Design:: Semi-structured interviews were conducted, and the Interpretative Phenomenological Analysis approach charmanz used to analyse patients' experiences. The mean age was 55 years ranging from 35-65 years. Results:: Analysis of accounts indicated three superordinate themes: 1 'Not being me': self-discrepancy, 2 existing in charmanz landscape of loss, 3 living and thriving in the landscape of loss. The most disturbing issues, such as appearance-focussed struggles and low body-confidence, were stemming from participants' frustration over their lack charmanz control and their attachment to their former self-image. Conclusions:: The patients' insights demonstrated that body image distress was prevalent among all respondents regardless of gender or diagnosis. A spiral model is described showing how discrepancy-based processing i. In order to facilitate adjustment to a self-identity crisis resulting from a terminal diagnosis, it is necessary for professionals to recognise and address body image changes among palliative care outpatients. This article documents the experiences of people with a physical charmanz condition or disability who have experi- enced a loss of or change in disability benefits under the welfare reform programme in the United Kingdom. A theor- etical model charmanz constructed using in-depth interviews and grounded theory methods. These experiences nega- tively affected their mental and physical health and well- being. However, many participants attempted to resist these negative impacts e. The findings demonstrate the significant impact of benefit changes on well-being and identity, thus highlighting important implications for claimants, and staff in healthcare, the benefits system and government. charmanz Qualitative Description was the approach best suited to our study. Among those who charmanz that their falls could be prevented, prevention strategies included physical therapy and avoiding extrinsic fall risk factors. Some participants, however, felt that their falls could not be prevented. While some participants responded adaptively to falls, for many, the experience of falling was connected with deep feelings of loss and suffering. The work that patients perform in managing their health, care, and everyday life at times of illness, however, is largely overlooked and unsupported. Drawing on feminist political economy theory, we report on a qualitative study of 12 women living with cancer. Major findings show that the work of patienthood cut across multiple fields of practice and included both paid and unpaid labor. The charmanz of this study disrupt popular conceptualizations of work and illuminate the nuanced and often invisible work that cancer patients may encounter, and the health consequences and inequities therein. Around 1% of patients who have had knee replacement develop deep infection around the prosthesis: periprosthetic knee infection. Treatment often requires a combination of one or more major operations and antibiotic therapy. This study aimed to understand and characterise patients' experiences of periprosthetic knee infection. Methods: Qualitative semi-structured interviews were conducted with 16 patients 9 men, 7 women; 59-80 years, mean age 72 who experienced periprosthetic knee infection and subsequent revision treatment in six National Health Service orthopaedic departments. Interviews were audio-recorded, transcribed, anonymised and analysed thematically. The concept of biographical disruption was used to frame our analysis, and four transcripts double-coded for rigour. Patients were interviewed between two and 10 months after surgical revision. Results: Participant experiences can charmanz characterised according to three aspects of biographical disruption which we have used to frame our analysis: onset and charmanz problem of recognition; emerging disability and the problem of uncertainty, and chronic illness and the mobilisation of resources. Participants' experiences of infection and treatment varied, but everyone who took part reported that infection and revision treatment had devastating effects on them. Participants described use of social and healthcare support and a need for more support. Some participants thought that the symptoms that they had first presented with had not been taken seriously enough. Conclusions: Periprosthetic knee infection and its treatment can be life-changing for patients, and there is a need for greater support throughout treatment and lengthy recovery. Future work could look at preparedness for adverse outcomes, help-seeking in impactful situations, and information for healthcare professionals about early signs and care for periprosthetic infection. For this purpose, it defines medical treatment adherence as the repetition of the pattern of tasks through which a patient succeeds, in a technical sense, in taking the right medication at the right time, in the right amount, for the right duration. Symmetrically, it highlights the role of anchoring, sequencing, positioning, cueing, correcting and verifying. Although this chapter has its origins in the Dutch practice of palliative care at home, its message is relevant to all countries in which a considerable percentage of the population prefers to die at home. These people usually depend to a great charmanz on general practitioners to realize such a death at charmanz. These limitations show themselves most in complex cases and often result in the patient being hospitalized. It describes how to empirically and ethically study such a complex, technological intervention within a particular care practice, with a focus on the fit of the technology. Teleconsultation technology should be considered non-neutral. It mediates the relationships between patients and their accompanying professionals, while also coshaping experiences of virtual charmanz and real-time autonomy. It can also be a constant reminder of an approaching death. In the end, charmanz chapter claims that teleconsultation can be of value to the practice of palliative homecare, if special consideration has been given to its careful use by professionals. Teleconsultation requires an open and humble attitude toward both patients and charmanz, as well as sensitivity for privacy issues. Background: Dysphagia and other eating and drinking difficulties are common in progressive neurological diseases. Mealtimes can become a major source of difficulty and anxiety for patients and their families. Decisions about eating, drinking and care can become challenging as disease progresses, and charmanz person in question loses the capacity to participate in decisions about their own care. We sought to investigate how patients and their family members make decisions about their future care as their condition deteriorates, with a particular focus on mealtimes, eating and drinking. Patients had varying degrees of eating and drinking difficulties, and levels of decision-making capacity. Interviews were 'participant led' and undertaken in the patients' own homes or a place of their choosing. Follow-up interviews were three months to one year later depending upon disease trajectory. Results: Twenty-nine participants were interviewed between 2015 and 2017. Two key themes emerged from the analysis: 1 Health Literacy: the extent to which patients and relatives appeared to know about the condition and its treatment. Patients and their family members varied in their ability to speak and communicate about their condition and prognosis. Patients and their family members varied in the way in which they made decisions: some preferred to 'take each day as it comes', while others wished to plan extensively for the future. Conclusions: Issues with eating and drinking are often overlooked. Clinicians need to understand both the patient's level of health literacy and their style of planning before communicating with patients and their families about these sensitive issues. Studies of deviance from a labeling perspective have charmanz the reaction of those labelled deviant and tended charmanz neglect their active participation in determining the imposition and the substance of a deviant charmanz and role. Interviews with adults who had charmanz been physically handicapped by injury or illness illustrate how choice about the content of a deviant identity is systematically related to the duration of the deviance and the social context of the labeling process, in this instance sociable encounters and encounters with agents of social control physical therapists. Although conclusions are based on information about the physically handicapped, the delineated processes are applicable to charmanz study of other types of deviance and provide an important addition to the charmanz perspective. Examines the social construction of self-pity in the chronically ill from a symbolic interactionist perspective, focusing on the point in time in the lives of the chronically ill that follows a serious, debilitating, and often lengthy illness. Self-pity emerged as a common response to a debilitating condition. The social nature, sources, types, and reversal of self-pity are discussed. It is concluded that what is clear about the situation of the ill person is that the burden of handling a trying situation and a discouraging future is left squarely on the individual. Using the case of epilepsy, this paper compares the standard medical typology of characteristic seizure patterns grand mal, petit mal, psychomotor, etc. Our preliminary analysis yields a typology of characteristic ways of dealing with epilepsy based on how the condition is experienced by those who have it. Comparison allows us to examine toward what ends typologies charmanz constructed and highlights the different insights of medical and sociological perspectives on epilepsy. A sociological typology constructed independent of and complementary to the medical one illuminates the social charmanz of illness in a new way. While the concept of stigma has been used to discuss chronically-ill individuals, it has not been incorporated into a more holistic framework that considers cultural, social and economic variables. This paper analyzes aspects of stigma as expressed within a lower-income clinic diabetic population in the United States. Specifically, the effect of diabetes on changes in charmanz individual's physical abilities, social interaction, employment, and perceptions of self-care are discussed as they interact with social isolation and stigma. Stigma as a social consequence of diabetes for this particular group, is examined as it relates to issues of self-care, non-compliance with medical regime, and conflicts with practitioners. A study of 89 young adults who suffered a severe burn injury in childhood was undertaken to assess their psychosocial adjustment to this devastating injury which usually results in visible scarring. The sample consisted of 41 males and 48 females ages 16—28 who were 4—23 years post-burn, with a mean body surface burn of 27% 2—89%. Results indicate that most of these subjects had made a positive adjustment to their injury, as measured by three categories of adjustment: 1 social integration, 2 emotional adjustment and 3 self-esteem. From the analysis charmanz social integration, it was found that the subject population did not differ substantially from the general population in terms of marital status, education, occupation or participation in community and leisure time activities. Analysis of emotional adjustment indicated that charmanz subjects who were able to accept themselves and put their experience in perspective with their worldview had made a positive emotional adjustment. Self-esteem scores were comparable to established norms and were not statistically related to sex, age at date of the burn injury, total body surface area burned, body areas burned or the time since the burn injury. Only present age showed a statistically significant relationship to self-esteem, the meaning of which is questionable. This study concludes that victims of severe burns can and do make a positive adjustment to their injury and that the resulting outcome is not influenced by physical variables relating to the severity of the burn or variables relating to age and sex. Further research will investigate aspects of the burn victim's social support system and individual coping ability in relation to adjustment to severe burns. Living with the stress of diabetes involves suffering with pain, being frightened of charmanz unknown, worrying about threats to family, trying to manage restrictions, taking on activities of living the everyday, and moving forward with confidence. The appraisal of the stress of diabetes indicates a need for development of person-centered interventions. Physical pain, psychological distress and the deleterious effects of medical procedures all cause the chronically ill to suffer as they experience their illnesses. However, a narrow medicalized view of suffering, solely defined as physical discomfort, ignores or minimizes the broader significance of the suffering experienced by debilitated chronically ill adults. A fundamental form of that suffering is the loss of self in chronically ill persons who observe their former self-images crumbling away without the simultaneous development of equally valued new ones. As a result of their illnesses, these individuals suffer from 1 leading restricted lives, 2 experiencing social isolation, 3 being discredited and 4 burdening others. Each of these four scores of suffering is analysed in relation to its effects on the consciousness of the ill person. The data are drawn from a qualitative study of 57 chronically ill persons with varied diagnoses. Certainly the notion of assaults on the lifeworld suggests loss, suffering and a diminished quality of life. The known world has become deeply problematic and unpredictable. In this case, assaults on the lifeworld become assaults on self and identity Ciambrone, 2007. Assaults on the lifeworld among impoverished people can mean a relentless barrage of calamity and misfortune that chronic illness exacerbates see, for example, Abraham, 1993; Pierret, 2007; Scheper-Hughes, 1992. A stable taken-for-granted world was never theirs to enjoy. Assaults on the lifeworld have permeated their existence. Thus, the vicissitudes of chronic illness may be blurred by overwhelming hardships of everyday life. Serious chronic illness undermines the unity between body and self and forces identity changes. To explicate how the body, identity, and self intersect in illness, one mode of living with impairment, adapting, is explicated in this article. Adapting means altering life and self to accommodate to bodily losses and limits and resolving the lost unity between body and self. It means struggling with rather than against illness. The process of adapting consists of three major stages: 1 experiencing and defining impairment, 2 making bodily assessments and, subsequently, identity trade-offs, as ill people weigh their losses and gains and revise their identity goals, and 3 surrendering to the charmanz self by relinquishing control over illness charmanz by flowing with the experience of it. Adapting seldom occurs only once. Rather chronically ill people are forced to adapt repeatedly as they experience new losses. The data consist of 115 interviews about experiencing chronic illness and 25 more focused interviews about the body in chronic illness. The strategies of grounded theory provided the methods for completing the analysis. This study addresses how people with chronic illnesses 1 measure their pursuits as indicators of their health and 2 adopt such measures as markers of who they are and are becoming. Ultimately, such markers can become part of the person's self-concept. This article notes how work generates measures, but emphasizes those that people derive from their avocational interests. Measuring pursuits includes scrutinizing involvements, accounting for illness, and setting priorities. I describe how people interpret and construct markers from their measures and how they preserve self through fitness and then conclude by discussing the implications of the analysis.
Objects coming to life
Participants described improvement with relationships and a return to prior family or other social roles that were previously meaningful, but at some point lost. As a result of their illnesses, these individuals suffer from 1 leading restricted lives, 2 experiencing social isolation, 3 being discredited and 4 burdening others. This article notes how work generates measures, but emphasizes those that people derive from their avocational interests. Tuckett, An Introduction to Medical Sociology, London, Tavistock Publications, 1976, pp. Mentally and psychosocially, patients describe emotional distress, feelings of powerlessness, helplessness, depression, anxiety, and social role dysfunction. Teleconsultation requires an open and humble attitude toward both patients and colleagues, as well as sensitivity for privacy issues. Thus, the vicissitudes of chronic illness may be blurred by overwhelming hardships of everyday life. Tai Chi, self-efficacy, and physical function in the elderly. Tai chi exercise in patients with chronic heart failure: a randomized clinical trial.
