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This article concerns a 64-year-old woman who was diagnosed with corneal ulcer, and had subsequently undergoing four failed penetrating keratoplasties in eight years. She was admitted to the hospital for her fifth and sixth penetrating keratoplasty operations. During the nursing period{April 6 to May 15, 2021{Gordon's 11 functional health patterns were used for interviews, physical assessment, direct care, and medical record review. The observed symptoms included health problems related to disturbed sensory perception with specified visual perception, knowledge deficit, and sense of hopelessness. By improving the patient's self-care skills, it's possible to prevent accidental damage caused by visual impairment in one eye. Therefore, the author used health education, knowledge of penetrating keratoplasty operation, focused on self-care skills to help the patient understand the poor disease prognosis. Further, a religious intervention, such as meditation and chanting sutra, was used to help improve disease acceptance and reduce the sense of hopelessness. It is suggested that relevant professional groups appoint corneal transplant case managers to intervene in the course of the disease in a timely manner and carefully track the situation, so as to provide continuous and comprehensive care. The author hopes that the sharing of this nursing experience will provide a reference for similar cases. (Tzu Chi Nursing Journal, 2023; 22:4, 105-114) [ABSTRACT FROM AUTHOR]

Copyright of Tourism Tribune / Lvyou Xuekan is the property of Tourism Institute of Beijing Union University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Soochow University Philosophy & Social Sciences Edition is the property of Soochow University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article examines the nursing experience of a young woman in the terminal stage of gastric cancer recurrence, accompanied with abdominal tumor compressing against the intestines and bone metastases. The author used Gordon's eleven functional health patterns to establish that the main health problems were chronic pain, malnourishment, and feeling of despair. Through discussions with the medical team, the treatment and caring strategies were adjusted. From the beginning, the case wasn't able to accept that her condition was terminal. Through palliative medical consultations and sufficient communication with the patient and her family, we implemented holistic health care to help the patient stay positive toward the impact derived from the illness. Based on this experience, Wwe suggest that the quality of care for patients with terminal cancers can be improved by learning nursing skills through interdisciplinary consultations and experience sharing. [ABSTRACT FROM AUTHOR]

Objective To explore the risk factors of pain in de novo Parkinson's disease (PD) patients. Methods A total of 129 de novo PD patients collected from The Affiliated Brain Hospital of Nanjing Medical University from October 2018 to September 2021 were included. According to the Item-17 of the Unified Parkinson's Disease Rating Scale II (UPDRS II-17th), patients were classified as PD patients without pain (UPDRS II-17th was 0, n = 88) and PD patients with pain (UPDRS II-17th ≥ 2, n = 41). Mini-Mental State Examination (MMSE) and corrected Montreal Cognitive Assessment (corrected MoCA) were used to assess cognitive function. Meanwhile, Hamilton Depression Rating Scale-24 Items (HAMD-24) was used to assess the depression status and the UPDRS III was used to assess the motor function. The modified version of Hoehn-Yahr staging was used to assess disease severity. The related risk factors of pain in PD patients were analyzed by univariate and multivariate forward Logistic regression. Results The incidence of pain in PD patients was 31.78% (41/129). Compared with PD without pain group, PD with pain group had lower scores in MMSE (Z = - 2.389, P = 0.017) and corrected MoCA (Z = - 2.166, P = 0.030), but higher scores in HAMD-24 (Z = - 4.024, P = 0.000), UPDRS III (Z = - 3.639, P = 0.000) and Hoehn-Yahr staging grading (Z = - 2.232, P = 0.026). Further analysis of the differences between 2 groups in 7 domains of HAMD-24 showed PD with pain group had higher scores of the anxiety/somatization (Z = - 3.707, P = 0.000), mental disorder (Z = - 2.519, P = 0.012), retardation symptom (Z = - 2.048, P = 0.041), sleep disturbances (Z = - 3.484, P = 0.000) and despair symptom (Z = - 3.069, P = 0.002) than PD without pain group. Logistic regression analysis showed long duration (OR = 1.354, 95%CI: 1.013-1.809; P = 0.041), high HAMD-24 score (OR = 1.095, 95%CI: 1.033-1.162; P = 0.002) and high UPDRS III score (OR = 1.040, 95%CI: 1.001- 1.082; P = 0.046) were risk factors of pain in PD patients. Conclusions Pain in PD has a high incidence in de novo PD patients. Long duration, a depressed state and severe motor symptoms are main risk factors for the development of pain in PD patients. [ABSTRACT FROM AUTHOR]

This article discussed the nursing care experience of a patient with terminal rectal cancer in the intensive care unit(ICU). From July 30th, 2018 to August 8th, 2018, we assessed the patient by Gordon's 11 Items Health Function and determined if the patient had an ineffective breathing pattern, hopelessness, and anticipatory grief of the caregiver. We provided appropriate care plans and interventions to meet the physical and mental needs of the patient and cared about the feelings of the caregiver. A consensus was made to let the patient pass away peacefully in the intensive care unit to reduce the caregiver's stress and to optimize the patient's end-of-life experience. Despite the critical care nature of ICU, hospice care could still be implemented successfully outside of hospice wards. We provided a sound supportive environment for the patient and his family in ICU, which was achieved through multidisciplinary teamwork. The author would like to share this nursing experience as a reference. [ABSTRACT FROM AUTHOR]

This article described the emergency care experience of a patient with AIDS combined with Kaposi's sarcoma wound infection. The nursing period lasted from 09:10 on March 16, to 15:00 on March 18, 2018. Data were collected by direct nursing care, observation, interviews, and physical assessment. The author utilized medical records and Gordon's 11 functional health patterns for a comprehensive assessment which confirmed high priority problems including acute pain discomfort, existing wound infections, and hopelessness. For wound infection we implemented infection control principles for changing wound dressing to avoid secondary infections and taught the patient pain relief techniques. During the nursing period we establish a good relationship with the patient, and the author encouraged the patient to express his feeling and established his family support system. To reduce the patient's hopeless of disease and enhance patient's self-confidence, the health professional team discussed the treatment planning with the AIDS case manager. Ultimately, the patient was successfully discharge and recovered gradually. This nursing experience may be a helpful clinical reference for nurses to provide emergency care in the future. [ABSTRACT FROM AUTHOR]

This article describes an experience providing nursing care to a patient under hemodialysis with the end-stage renal disease who had developed depression, loathing, and other, negative personal perceptions and gradually gave up on life goals due to hopelessness. The duration of nursing care, from August 23rd through August 29th, 2019, was revisited to identify the patient's hopelessness in the dimensions of physiology, mental status, society, and spirituality. The author applied Swanson's Caring Theory to facilitate the process of "knowing" and "being with" while performing direct nursing care and attentive listening to assist the patient to become more open-minded and to express personal perceptions toward the disease with the goal of further engaging the patient to increase selfawareness recognition, sense of loss, and negative perceptions. Through "doing for" and "enabling," the author reinforced infection control and identified the symptoms of fluid-overload, moisture, and salinity to raise the patient's self-awareness and self-caring techniques and to lower the risk of hospitalization. Meanwhile, by "maintaining the patient's belief," accompanied by the encouragement and attention from family members and providing linkages to patient-support communities, the patient was guided to identify and aggregate to foster positive thinking and self-worth to increase acceptance of living with the disease. Nursing personnel may apply Swanson's Caring Theory to better consider the patient's perspective, provide individual caring schemes, and strengthen the recognition, selfcaring techniques and supportive systems of patients, increasing patient perceptions of self-worth, restoring their confidence, promoting their adaption to their disease, and improving attentiveness. [ABSTRACT FROM AUTHOR]

Copyright of Foreign Literature Studies is the property of Foreign Literature Studies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The case report described the nursing experience of a 61-year-old male patient with mycotic thoracic aortic aneurysm complicated by aortoesophageal fistula and the physiological and psychological health issues that occurred during hospitalization. Data was collected using intensive observation, individual interviews and chart review during the nursing period between February 12th and April 2nd, 2016. The major health problems identified using Gordon 11-item functional health pattern assessment were existing infection, acute pain, and hopelessness. During the nursing process, the authors utilized multilevel nursing interventions, combined with a collaborative effort with a multidisciplinary team and the patient's family using caring, listening and empathy to encourage and support the patient in self-care and in overcoming the adverse impact of hopelessness. The authors hope to provide this nursing experience of a patient with mycotic thoracic aortic aneurysm complicated by aortoesophageal fistula as a clinical reference for nursing staff when receiving similar patients in the future. [ABSTRACT FROM AUTHOR]

Copyright of Tzu Chi Nursing Journal is the property of Buddhist Tzu Chi General Hospital and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study examines the dialectical mechanism and absurdity, which have occupied the bulk of concerns of contemporary writers, thinkers and philosophers. Zakaria Tamer, who begins the song "Blue Coarse" with a philosophical vision interspersed with absurdity, realistic black criticism and rhetoric toward those influenced by materialism and machinations in this degenerate world where original values and ideals were lost. As such, the basic problem of the research is to determine the role of the text's semantics and its thresholds which help readers absorb the subject mentioned in "the Blue Coarse" to plot based on the theory of French critic Gerard Genette, who shows his critical experience of relations and transcendental transcripts in different ways. The most important findings of this study are based on the descriptive-analytical approach. The title and effectiveness of color, text, space, time, and the character in the semantic field based on the coding and displacement through metaphors, as receptive mechanisms, illustrates the ability of Tamer in the field of creativity and the reflection of absurdity that makes man depart from humanity and self purity. Many of them seek to rebel the pressure and change the harsh conditions and others because of their sense of frustration and despair that are subject to surrender from the absurdity of life that is alienating, sinhrl or suicidal. [ABSTRACT FROM AUTHOR]

Copyright of Tzu Chi Nursing Journal is the property of Buddhist Tzu Chi General Hospital and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article described the nursing experience of applying Maslow's Hierarchy of Needs Theory to assist a colon cancer patient in coping with chemotherapeutic process. During the nursing period from August 5 to November 26, 2014, data was collected via direct care, interview, and chart review. The major health problems were identified as followed: nausea, vomiting, fatigue, and hopelessness. We combined pharmacotherapy and non-pharmacologic intervention to improve the symptoms of nausea, vomiting, and fatigue, and to meet the patient's basic physical needs; provided caring and family companionship to increase the patient's sense of security, and to satisfy her needs for love and belonging; and offered relevant information on treatment protocol to facilitate positive coping in her on the cancer diagnosis, regain hope for the future, and satisfy the higher hierarchy of needs. We hope this experience can serve as a reference for nurses when facing similar cancer patients. [ABSTRACT FROM AUTHOR]

The article described the nursing experience of a hepatocellular carcinoma patient who experienced physical and psychological trauma after liver resection. The nursing period lasted from Jan. 10th to Jan. 16th, 2014. By using Roche's Adaptation Model as a theoretical framework for assessment, data were collected using direct care, observation, interviews, and physical assessment. The analysis of data identified health issues such as acute pain, risk of infection, sleep pattern disturbance, and hopelessness. During the nursing process, we established a trusting patient-nurse relationship through companionship and listening. Numerical rating scale was applied to encourage the patient to express level of pain, and in response appropriate care and pain mitigation techniques were provided. Cluster nursing activities were implemented with earbuds and blindfold to offer a comfortable environment and minimize external stimulation. Empathy was used to confront the depressive mood of the patient with positive energy, assisting the patient to overcome hopelessness, and cope with the alteration to lifestyle induced by the disease. [ABSTRACT FROM AUTHOR]

Demoralization is a relatively new diagnosis that has received increased attention in recent years. This condition is most frequently diagnosed in hospice, cancer, and critical illness patients. Serious demoralization may induce suicide ideation. The current literature on demoralization primarily elaborates on the history of this condition and on the reliability / validation of scales developed to assess demoralization in patients. The present paper conducts a concept analysis of demoralization in accordance with the concept analysis steps outlined by Walker and Avant. We elucidate the definition of relevant terms and identify the characteristic attributes, antecedents, and consequences of demoralization. Additionally, this paper provides examples of model, borderline, contrary, relevant cases and reviews relevant empirical data. We hope this concept analysis enhances the understanding of demoralization among clinical caregivers, increases the general understanding of the methods available to assess demoralization, and, ultimately, helps set patients free of their demoralization haze. [ABSTRACT FROM AUTHOR]

Background: Breast cancer has risen to become the most common form of cancer in women in Taiwan. The side effects of medications used in radical mastectomy and chemotherapy cause physical discomfort and often cause negative emotions such as loss and hopeless, complicated interpersonal relationships, and reduced life satisfaction and hope. Purpose: This study explores the efficacy of spiritual reminiscence group activities on improving life satisfaction and hope in breast-cancer and post-chemotherapy women. Methods: A quasi-experimental, two-group pre-and posttest design was used. Convenience sampling recruited a total of 39 post-mastectomy patients who were currently receiving chemotherapy, with 19 assigned to the experimental group and 20 assigned to the control group. Both groups completed a life satisfaction scale and the Herth Hope Index Scale during the first and sixth week of the study. The experimental group participated in a one-hour spiritual reminiscence small-group activity on a weekly basis for six weeks. Generalized estimating equation analysis was used to analyze results data. Time of the correlation matrix effects was controlled, and robust standard errors were calculated for statistical significance. Results: No significant intergroup differences between pre- and post-intervention life-satisfaction-scale scores were found. However, significant intergroup differences were found in scores on the Herth Hope Index Scale. The six-week spiritual reminiscence small-group activity in this study significantly increased hope in experimental group participants. Conclusions: Spiritual reminiscence small group activities may be used in nursing interventions to improve the spiritual wellbeing of breast cancer women after chemotherapy. [ABSTRACT FROM AUTHOR]

The article described a nursing experience of a female patient with laryngeal cancer. The patient exhibited negative emotional responses such as depression, sobbing and hopelessness upon receiving a confirmed diagnosis of early-stage laryngeal cancer. The disease was complicated by damage to the throat mucosa post laryngeal microsurgery. The patient was to remain silence to avoid tension and vibration to the vocal cord, resulting in communication conflicts between the patient and the family. From August 10 to September 20, 2010, the author applied attentive listening, written communication and Roy's adaptation model as a full evaluation of the patient, confirming major issues including hopelessness, body image disturbance and impaired verbal communication. During the caring process, the author assisted the patient psychologically through life review and religious tenet to rebuild her faith in life and accept the scars left from the surgery. On the physical side, the author suggested written communication during silence period in conjunction with sketchpads and hand gestures for the patient to express her needs and feelings and furthermore improve her social communication skill. These nursing interventions were implemented to ultimately aid the patient to adjust by studying coping techniques. [ABSTRACT FROM AUTHOR]

This article illustrated the nursing experience of a 65 year-old woman, whom received pubovaginal sling procedure for the treatment of stress urinary incontinence, and was complicated with postoperative voiding dysfunction which required re-admission. The duration of nursing care was between May 22nd and May 25th, 2009. Gordon's eleven health functional patterns were applied to evaluate the patient's condition along with data collected through direct observation, interviews, physical assessments and telephone polling. Three health-related problems were identified: pain, voiding dysfunction and hopelessness. The patient showed her despair and expressed frustration toward her debilitating condition and repetitive medical visits. When handling negativity and complaints of the patient, the author applied an empathetic approach by means of active listening, assistance provision, giving advices and encouraging the patient to express her concerns. In addition, by recoding voiding diary and delivering concise patient-education information, the patient acknowledged her disease progression, which facilitated the acceptance of treatment with a positive attitude, increased medical compliance, achieved a physical and psychological harmony and reduced the sense of hopelessness. The author wished to share this unique nursing experience to provide a reference for other colleagues when encountering similar cases. [ABSTRACT FROM AUTHOR]

Later in his life, Derrida showed an increasing tendency toward more pragmatic fields such as politics, law, ethics and theology. His few lectures/works on law have laid a solid theoretical foundation for post-modern study of law, especially his Force de loi, Le Fondement mystique de l'autorit (The Force of Law : The Mythical Foundation of Authority), which covers a wide range of topics in law, justice, violence, authority and the mythical nature of authority, and has played a decisive role in the study of law, politics and literature. Derrida uses his theory of deconstruction to expose the complex ties between these sectors. He looks into the relations between law and language, and between justice and violence, laying bare the paradoxical relation between law and justice. He believes that law can be deconstructed, but justice cannot. Exactly because justice can't be deconstructed, it is possible to employ deconstruction in studying justice, justice, indeed, is not meant to be reached, but without such an unreachable ideal, we would have nothing to expect. Despite the widespread misinterpretation of his deconstruction, Derrida advocates an elevation of responsibility through deconstruction. In the post-modern era, deconstruction makes thinking possible where there is a dead end, and thus makes it possible to construct new ideas. [ABSTRACT FROM AUTHOR]