Articles: patients.
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Patients were questioned pre-operatively to assess the level of their knowledge with regard to anaesthetic qualifications, anaesthesia and the role of anaesthetists. Thirty-five percent did not realise that anaesthetists were qualified doctors and only 25% could mention any duties that anaesthetists might have outside the operating theatre. However, those questioned were better informed about the anaesthetist's role in monitoring the patient during surgery and recovery.
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Social science & medicine · Feb 1994
Are bereaved family members a valid proxy for a patient's assessment of dying?
To compare assessments made retrospectively by bereaved family members (or the nearest carer to the patient) with assessments made before death by palliative staff and, where available, by patients themselves or the family member. ⋯ Retrospective assessments by bereaved family members may be valid for some items related to service provision, but not as the sole assessment of a patient's pain, symptoms or anxiety. We suggest that studies which rely on these retrospective ratings should assess the validity of their responses and record more information about the mood and grief of the family member.
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Abstract We have previously reported that a patient (DF) with visual form agnosia shows accurate guidance of hand and finger movements with respect to the size, orientation, and shape of the objects to which her movements are directed. Despite this, she is unable to indicate any knowledge about these object properties. In the present study, we investigated the extent to which DF is able to use visual shape or pattern to guide her hand movements. ⋯ Little evidence was found for an ability to use contour boundaries defined by Gestalt principles of grouping (good continuation or similarity) or "nonaccidental" image properties (colinearity) to guide her movements. We have argued elsewhere that the dorsal visual pathway from occipital to parietal cortex may underlie these preserved visuomotor skills in DF. If so, the limitations in her ability to use different kinds of "pattern" information to guide her hand rotation suggest that such information may need to be transmitted from the ventral visual stream to these parietal areas to enable the full range of prehensive acts in the intact individual.
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Within a prospective longitudinal study of 111 patients with acute radicular pain and lumbar disc prolapse who underwent conservative or surgical treatment, we examined the importance of specific pain coping strategies, which have received little attention in psychological pain research: appeals to "stick it out" on the cognitive level and endurance strategies on the behavioural level. Prior to treatment we conducted a psychological and neurological examination. The psychological tests included the Kiel Pain Inventory (KPI) and the Beck Depression Inventory (BDI). ⋯ Patients in group A were a specially high risk group: at the time of discharge they had no pain, but from the first week after discharge up to the 6-month follow up they had increasing pain. Additionally at the 6 month follow up they seemed less likely to return to work and 8 times more of them had applied for early retirement than in the groups of patients without psychological risk factors. The results suggested several suggestions for modification of medical and psychological therapy for chronic pain patients.