A Systematic Review of Interventions for Elder Abuse

The purpose of this study was to use rigorous systematic review methods to summarize the effectiveness of interventions for elder abuse. Only eight studies met our inclusion criteria. Evidence regarding the recurrence of abuse following intervention was limited, but the interventions for which this outcome was reported failed to reduce, and may have even increased, the likelihood of recurrence. Elder abuse interventions had no significant effect on case resolution and at-risk caregiver outcomes, and had mixed results regarding professional knowledge and behavior related to elder abuse. The included studies had important methodological limitations that limit our ability to draw conclusions about the effectiveness of these interventions.     

Commentary: The Physician's Role in Nursing Home Quality of Care: Focus on Restraints

The physician can play an important role in managing high-risk nursing home residents without restraints and working with interdisciplinary care teams in comprehensive fall evaluations. A reduction or elimination of physical restraints can be measured for a facility over time, and it represents a relevant quality indicator of physician and facility interactions during the process of care. We discuss how the physician's role fits into this quality of care equation for nursing homes and its implications for new clinical, research, and policy directions for long-term care.     

Informed Consent in the Twenty‐First Century: What It Is,What It Isn't,and Future Challenges in Informed Consent and Shared Decision Making

Consent evolved from judge‐made law in Great Britain in 1767. The term informed consent entered the judicial lexicon in 1957. The first court case to articulate a reasonable person standard adopted by the high courts in Canada and Australia was heard in the U.S. in 1972. Today, informed consent continues to develop in four areas: (i) the court‐based doctrines of consent and informed consent in clinical care in judge‐made law; (ii) federal regulations related to research on human study participants; (iii) shared decision making adopted by care organizations and medical societies in the US, Canada, and Europe; and (iv) areas including decision analysis, discourse analysis, ethics, linguistic analysis, patient–physician communication, risk and evidence communication, and social theory. In this paper, we will focus on consent and informed consent in the first part of the twenty‐first century. We will examine a range of information and decision making frameworks from the oldest court‐established frameworks of consent and informed consent to recent conceptions of information and decision making in evidence‐based decision making and shared decision making in the patient–physician relationship. This paper is divided into three parts: I. What informed consent is, II. What informed consent isn't, and III. Future challenges in informed consent and shared decision making.     

The Place of Values In Psychotherapy

Psychotherapy is a value-laden process because the very notions of therapeutic', 'cure', and 'health' involve patients and therapists in making value choices. Two hierarchies of health values as they apply to therapy are reviewed. The first guides the therapist in setting limits on pathological behavior and constitutes the so-called 6 D's of pathology: destructiveness, dysphoria, disorganization, deviancy, dependency, and disillusionment. The second illuminates the therapist's role-modeling or ideal-setting function and takes the form of a developmental sequence of positive health values, as derived from Kohlberg's work on moral judgment. These health values, from the lowest to the highest forms, are fit-survival, pleasure-seeking, social-belonging, structural duty, adaptive flexibility, and universal commitment. this hierarchy has important implications for understanding the nature of therapeutic changeand the appropriate matching of therapist and patients     

Forced Migration and the Expatriation of the Rohingya: A Demographic Assessment of Their Historical Exclusions and Statelessness

This paper attempts to outline the forced migration and consequent flee and displacement of the Rohingya Muslims in Northwestern Arakan State of Myanmar after several violent clashes and insurgencies between the Rohingya Muslims, the Buddhists and government security forces. More than 400,000 Rohingya Muslims have fled from Myanmar in August 2017 violence which has been described as “a textbook example of ethnic cleansing” by United Nations High Commissioner for Human Rights (UNHCHR). Being only visible as “refugee problem” of this mass expatriation, the continuous forced migration and displacement of the Rohingya have been rendered invisible. In this context, this paper attempts a demographic assessment of Rohingya people through historical process of their exclusions and the magnitude of the forced migration to the neighboring countries as illegal, economic burden, stateless migrants. This paper analyses the historical origin of the underlying situation, identity politics, ethnic crisis, and statelessness for better understanding the demographic decline of the Rohingya in this geographic region. Finally, it highlights the international community's responses to this undergoing humanitarian crisis of the Rohingya.     

Adaptation and Coping in Childhood and Adolescence for those at Risk for Depression in Emerging Adulthood

Emerging adulthood is a time of great possibility and of considerable risk. This qualitative study explored the adaptation and coping strategies used over time by twenty-five emerging adults. Respondents were selected from a longitudinal community study cohort of 26-year-olds and had experienced adversity in early life. Participants mentioned using a variety of strategies, such as active evasion, seeking support, and “letting go,” in order to cope with difficulties. These strategies varied by context and according to respondents’ developmental level at the time of the adversity. Flexibility in understanding life circumstances and in choosing coping strategies to deal with specific adversities was noted as beneficial through childhood, adolescence, and emerging adulthood.     

Medical Complications of Female Genital Mutilation

Abstract

More than 130 million women are subjected to genital mutilation. Despite increasing efforts to reduce the practice, there are many obstacles to eliminating this 2,000-year-old practice, which is based on strong cultural traditions. As college health clinicians provide care to more international students from countries where female genital mutilation is performed, increased awareness and knowledge of the procedure will enable clinicians to understand and manage its complications. We report a case of obstructive uropathy resulting in hydronephrosis secondary to female genital mutilation and review the medical literature regarding this and other complications of genital mutilation “surgery.”     

The History of College Health Nursing

Abstract

Almost from the beginning of formal college health programs in the second half of the 19th century, college health nurses were there to care for students in college and university settings. By the end of the 20th century, the role of college health nurses had evolved with the nursing field in general, but with enough unique features for the American Nurses’ Credentialing Center to recognize college health nursing as a professional subspecialty and administer the first College Health Nurse Certification examinations. In addition, new nurse practitioner programs provided practicing nurses with more independence, and their duties continued to expand beyond care of the sick to include health promotion, administrative, and teaching activities. As a result of these changes, college health nurses now play a larger role in the life of students and promoting a healthy campus community than ever before in the history of college health.     

Dealing with Disruptive Students

Abstract

Gerald Amada. Coping With the Disruptive College Student: A Practical Model. Asheville, NC: College Administration Publications. 1994. 110 pps. $14.95.