Articles: patients.
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This study explored how a variety of demographic and illness-related factors were associated with telephone follow-up among patients visiting the emergency department for acute asthma. ⋯ In contrast to some reports in the literature, telephone contact rates were high. However, successful contact was not equally likely among all patient groups. Although the high contact rates support the feasibility of telephone follow-up of asthmatic patients visiting the ED, the results also act as a reminder of the potential biases that may arise when using telephone contact for clinical, quality assurance, and research reasons. [Boudreaux ED, Clark S, Camargo CA Jr, on behalf of the MARC Investigators. Telephone follow-up after the emergency department visit: experience with acute asthma. Ann Emerg Med. June 2000;35:555-563.].
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The present study examines the relationship between different psychological variables (including anxiety, depression, locus of control, expectations of pain intensity and social support) and postoperative pain, analgesic consumption and satisfaction with the pain management in a study sample of 67 patients. ⋯ While pain experience could be predicted by stable psychological traits, satisfaction was associated with the state variables, like anxiety and depression. It is precisely satisfaction with the pain therapy that could be improved by special preoperative psychological training and/or general information about the postoperative pain intensity.
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Historical Article
[The scenes of doctor-patient meeting in the contemporary Korean novels: chiefly on the basis of doctor's reading on patients].
"Medicine as an art" implies that there is something in medicine beyond the limit of science. The practice of medicine is far more than the simple application of scientific principles to a particular biologic aberration. The communication between a doctor and a patient is the core component of medical practice, but little attention has been generally drawn to it. ⋯ And the 3 parts of whose figure and relationship with Sorok Island have changed throughout the work. The doctors should have abundant experiences of life to make the dialogic reading possible. The dialogic reading can be realized, in its true sense, only if they see the patient not as a disease, but as a man and only if they make efforts to understand his circumstances.
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Despite a recent increase in the attention given to improving end-of-life care, our understanding of what constitutes a good death is surprisingly lacking. The purpose of this study was to gather descriptions of the components of a good death from patients, families, and providers through focus group discussions and in-depth interviews. Seventy-five participants-including physicians, nurses, social workers, chaplains, hospice volunteers, patients, and recently bereaved family members-were recruited from a university medical center, a Veterans Affairs medical center, and a community hospice. ⋯ Although there is no "right" way to die, these six themes may be used as a framework for understanding what participants tend to value at the end of life. Biomedical care is critical, but it is only a point of departure toward total end-of-life care. For patients and families, psychosocial and spiritual issues are as important as physiologic concerns.