ABSTRACT
Acute colonic pseudo-obstruction (ACPO) or Ogilvie's syndrome is characterized by acute colonic dilatation in the absence of mechanical obstruction. It usually occurs in hospitalized patients with acute illness or following surgical procedures, but several medications such as cytotoxic chemotherapy can also induce ACPO. We report three cases of patients with Ogilvie's syndrome after induction therapy with vincristine-containing chemotherapy. Conservative management failed in all three cases. Awareness for this syndrome is necessary when administrating vincristine, because delay in diagnosis may lead to colonic ischaemia and perforation.
Subject(s)
Colonic Pseudo-Obstruction , Colonic Pseudo-Obstruction/chemically induced , Colonic Pseudo-Obstruction/diagnosis , Conservative Treatment , Humans , Research Design , Syndrome , Vincristine/adverse effectsABSTRACT
Little is known concerning specific psychological interventions in home care for older adults with behavioral problems. This case study of a male with offensive verbal behaviour gives an impression of a targeted psychosocial intervention program. Interventions in which irrational cognitions are detected and challenged, and replaced with more helpful attitudes, were trained in role-playing. Psychosocial interventions are of importance in homecare. The dependency and vulnerability of the elderly patient make explicit principles relevant, which are outlined in this article.
Subject(s)
Cognitive Behavioral Therapy , Geriatric Psychiatry/methods , Social Behavior Disorders/therapy , Home Care Services , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
An application in a psychogeriatric nursing home. This article describes the application of mediative behaviour therapy in a psychogeriatric nursing home. Behavioural interventions carried out by the nursing team addressed a variety of problems: quarreling between an institutionalised woman and her visiting husband, complaining about this staff by the husband to team members of another department, and the patient who let herself drop on the floor about once a week. Special regard is given to the analysis of the problems, the learning of appropriate responses by team members, as well as changing their cognitions and emotions about the problem behaviours. A meaningful reduction of the problem behaviours and of the burden experienced by team members was achieved.
Subject(s)
Nurse-Patient Relations , Nursing, Team/organization & administration , Psychotherapy, Rational-Emotive/methods , Social Behavior Disorders/nursing , Accidental Falls/prevention & control , Aged , Alzheimer Disease/complications , Family Therapy/methods , Female , Geriatric Psychiatry/methods , Homes for the Aged , Humans , Male , Middle Aged , Nursing Homes , Program Evaluation , Social Adjustment , Social Behavior Disorders/complications , Treatment OutcomeABSTRACT
In this article a model is presented to deal with motivational problems of rehabilitation patients. The problem of motivation is not covered yet in relevant psychological disciplines like rehabilitation psychology, neuropsychology and health psychology. An important source of the model is cognitive psychology. Applications are presented in the communication between rehabilitation workers and the patient. The model can be put into practice in a wide range of patients with physical and/or cerebral handicaps.
