Bibliografías temáticas / Confidential communications. Therapist and patient

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Literatura académica sobre el tema "Confidential communications. Therapist and patient"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 1 de febrero de 2022

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Artículos de revistas sobre el tema "Confidential communications. Therapist and patient"

Sher, Malvina, Stephanie Freudenberger, Stephanie Auriemmo, Patricia Tufaro, Hope Hunter, Maureen Marren y Philip Chang. "832 Trends for Treatment of Complex Hand Burns in the Acute Setting". Journal of Burn Care & Research 41, Supplement_1 (marzo de 2020): S254. http://dx.doi.org/10.1093/jbcr/iraa024.405.

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Abstract Introduction Complex hand burns require special consideration of therapy practices within the acute setting. Deep hand burns, their associated injuries, and the sequelae of healing can cause significant dysfunction. The purpose of this study was to examine current practices in the inpatient treatment of complex hand burns in order to identify potential trends that may guide clinical practice for edema management, anti-deformity positioning, and range of motion (ROM). Methods A confidential internet survey was sent to burn therapists in this country from the American Burn Association (ABA) Occupational and Physical Therapy (OT/PT) Special Interest Group list. One therapist from each burn center was asked to complete the survey. Results There were 41 respondents representing 33% of burn centers. The majority of respondents were occupational therapists (78%) from burn centers with 500 or less annual admissions (76%) and more than 16 years of experience treating burn patients (68%). Burn therapists most commonly measure composite (57%) and isolated (51%) joint passive/active ROM, followed by measuring distance from fingertip to distal palmar crease (43%). With questionable or confirmed tendon involvement, the majority (68%) of OT/PTs performed isolated joint techniques, with active ROM the most common at 38%. Therapists initiate edema management, other than elevation, within 24 hours (44%) from the patient’s admission. The most prevalent edema management practice is active exercise (94%) compared to other more aggressive practices such as self-adherent wrap (50%). Anti-deformity orthotics are initiated within 24 hours (44%) and are the most common means of post-graft immobilization (41%). For hand stiffness, 53% of therapists utilize casting. For stiff proximal interphalangeal (PIP) joints, joint mobilization (45%) and thermal modality with ROM exercises (32%) were viewed as the most effective interventions, surpassing orthotics and casting. While 88% of centers utilize an interdisciplinary approach to care for the hand, 59% view the hand as a surgical priority. Percutaneous pins are utilized for joint stability, most frequently in PIP joints (62%) and remained 2–3 weeks on average (45%). Conclusions The survey highlights trends directed towards a more conservative management of complex hand burns related to edema management, anti-deformity positioning, and ROM. There is less of a clear consensus among burn therapists on how to approach complicated hand injuries that involve exposed/injured tendons or stiff joints. Interdisciplinary rounds can be utilized to promote communication regarding more aggressive means of therapy intervention in order to improve patient outcomes related to the hand. Applicability of Research to Practice Present current trends in the inpatient treatment of complex hand burns.

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Natarajan, Sriram y Aura Ganz. "SURGNET: An Integrated Surgical Data Transmission System for Telesurgery". International Journal of Telemedicine and Applications 2009 (2009): 1–9. http://dx.doi.org/10.1155/2009/435849.

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Remote surgery information requires quick and reliable transmission between the surgeon and the patient site. However, the networks that interconnect the surgeon and patient sites are usually time varying and lossy which can cause packet loss and delay jitter. In this paper we propose SURGNET, a telesurgery system for which we developed the architecture, algorithms and implemented it on a testbed. The algorithms include adaptive packet prediction and buffer time adjustment techniques which reduce the negative effects caused by the lossy and time varying networks. To evaluate the proposed SURGNET system, at the therapist site, we implemented a therapist panel which controls the force feedback device movements and provides image analysis functionality. At the patient site we controlled a virtual reality applet built in Matlab. The varying network conditions were emulated using NISTNet emulator. Our results show that even for severe packet loss and variable delay jitter, the proposed integrated synchronization techniques significantly improve SURGNET performance.

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Hansson, Anders, Ann Svensson, Britt Hedman Ahlström, Lena G. Larsson, Berit Forsman y Pia Alsén. "Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients". Scandinavian Journal of Public Health 46, n.º 7 (12 de julio de 2017): 680–89. http://dx.doi.org/10.1177/1403494817716001.

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Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

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Mbonihankuye, Scholas, Athanase Nkunzimana y Ange Ndagijimana. "Healthcare Data Security Technology: HIPAA Compliance". Wireless Communications and Mobile Computing 2019 (17 de octubre de 2019): 1–7. http://dx.doi.org/10.1155/2019/1927495.

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Information technology (IT) plays an increasingly important and prominent role in the health sector. Data security is more important than ever to the healthcare industry and in world in general. The number of data breaches compromising confidential healthcare data is on the rise. For data security, cloud computing is very useful for securing data. Due to data storage issue, there is a need to use the electronic communication, and a number of methods have been developed for data security technology. Health Insurance Portability and Accountability Act (HIPAA) is one of the methods that can help in healthcare research. On stored database of patient in hospital or clinic, we can develop a conservational and analytical method so as to keep the medical records of the patients in a well-preserved and adequate environment. The method includes the improvement of working possibilities by delivering all the details necessary for the patient. All the information must be identified clearly. The protection of the privacy of the patients and the security of their information are the most imperative obstacles to obtain their intakes when considering the adoption of useful health data in the electronic field of healthcare industries.

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Lupu, Robert Gabriel, Danut Constantin Irimia, Florina Ungureanu, Marian Silviu Poboroniuc y Alin Moldoveanu. "BCI and FES Based Therapy for Stroke Rehabilitation Using VR Facilities". Wireless Communications and Mobile Computing 2018 (2018): 1–8. http://dx.doi.org/10.1155/2018/4798359.

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In recent years, the assistive technologies and stroke rehabilitation methods have been empowered by the use of virtual reality environments and the facilities offered by brain computer interface systems and functional electrical stimulators. In this paper, a therapy system for stroke rehabilitation based on these revolutionary techniques is presented. Using a virtual reality Oculus Rift device, the proposed system ushers the patient in a virtual scenario where a virtual therapist coordinates the exercises aimed at restoring brain function. The electrical stimulator helps the patient to perform rehabilitation exercises and the brain computer interface system and an electrooculography device are used to determine if the exercises are executed properly. Laboratory tests on healthy people led to system validation from technical point of view. The clinical tests are in progress, but the preliminary results of the clinical tests have highlighted the good satisfaction degree of patients, the quick accommodation with the proposed therapy, and rapid progress for each user rehabilitation.

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Roberts, Lisa y Sally J. Bucksey. "Communicating With Patients: What Happens in Practice?" Physical Therapy 87, n.º 5 (1 de mayo de 2007): 586–94. http://dx.doi.org/10.2522/ptj.20060077.

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Background and Purpose Communication is the most important aspect of practice that health care professionals have to master. The purpose of this study was to measure the content and prevalence of verbal and nonverbal communications between physical therapists and patients with back pain. Subjects Seven physical therapists and 21 patients with back pain participated in this study. Methods The first interaction following the initial assessment was recorded with a video camera. The outcome measures were the Medical Communications Behavior System (verbal communication) and frequencies of nonverbal behaviors (affirmative head nodding, smiling, eye gaze, forward leaning, and touch). Semistructured interviews were undertaken with the physical therapists to determine the perceived influence of the video camera. Results A total of 2,055 verbal statements were made. Physical therapists spent approximately twice as much time talking as patients, with content behaviors (such as taking history and giving advice) comprising 52% of verbal communications. The most prevalent nonverbal behaviors were touch by physical therapists (54%) and eye gaze by patients (84%). Discussion and Conclusion The prevalence and content of communication can be measured with video analysis and validated tools. Communication is an extremely important but underexplored dimension of the patient-therapist relationship, and the methods described here could provide a useful model for further research and reflective practice.

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Freebury, D. Ray. "The Therapeutic Alliance: A Psychoanalytic Perspective*". Canadian Journal of Psychiatry 34, n.º 8 (noviembre de 1989): 772–74. http://dx.doi.org/10.1177/070674378903400805.

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Psychoanalysis has long distinguished between the transference neurosis and that part of the communication between therapist and patient which depends upon a relatively intact part of the patient's ego. It has been proposed that it is this capacity of the patient that sustains the difficult work of dealing with communications which are the consequence of transference, and which often threaten the viability of the treatment. This quality has been referred to variously as the unobjectionable positive transference, rational transference, mature transference, therapeutic alliance and working alliance. The ever broadening scope of Psychoanalysis, along with our greater knowledge of early childhood development, has enhanced our understanding of the many influences affecting the treatment alliances. Newer views of the transference, which stress the significance of the therapists' contributions to the therapeutic dyad, make it clear that the therapeutic alliance can no longer be explained as some simple, reality based, conflict free, motivating force. It involves, rather, a complex interaction of several factors, to each of which one must add the therapists' reciprocal reactions. Psychotherapy outcome research will need to take all of these factors into consideration.

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Rodomonti, Martina, Eleonora Fiorenza, Francesco Gazzillo y Nino Dazzi. "Progress in Psychotherapy: The Perspective of Control-Mastery Theory". Psychodynamic Psychiatry 49, n.º 1 (marzo de 2021): 131–59. http://dx.doi.org/10.1521/pdps.2021.49.1.131.

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In the classical psychoanalytic tradition, the patient is seen as unconsciously governed by forces that are at odds with the healing process. But over the years, the concept of resistance against change has been subjected to modifications, and the patient's contribution to the therapeutic relationship has come to be seen as more oriented to a conscious and unconscious collaboration with the clinician. This article aims to explore a new way of understanding how progress in psychotherapy is achieved and to reframe the therapeutic relationship from the point of view of Control-Mastery Theory (CMT). According to CMT, people are motivated to achieve adaptive goals, to master their traumas, and to feel better; to this purpose, patients unconsciously assume proactive roles in the therapeutic process. Indeed, they work during therapy to disprove their pathogenic beliefs, testing them in the therapeutic relationship, and helping the therapist through coaching behaviors, attitudes, and communications aimed at providing helpful information to understand the components of their own unconscious plan.

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Abdulrahman, Amal y Deborah Richards. "In Search of Embodied Conversational and Explainable Agents for Health Behaviour Change and Adherence". Multimodal Technologies and Interaction 5, n.º 9 (18 de septiembre de 2021): 56. http://dx.doi.org/10.3390/mti5090056.

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Conversational agents offer promise to provide an alternative to costly and scarce access to human health providers. Particularly in the context of adherence to treatment advice and health behavior change, they can provide an ongoing coaching role to motivate and keep the health consumer on track. Due to the recognized importance of face-to-face communication and establishment of a therapist-patient working alliance as the biggest single predictor of adherence, our review focuses on embodied conversational agents (ECAs) and their use in health and well-being interventions. The article also introduces ECAs who provide explanations of their recommendations, known as explainable agents (XAs), as a way to build trust and enhance the working alliance towards improved behavior change. Of particular promise, is work in which XAs are able to engage in conversation to learn about their user and personalize their recommendations based on their knowledge of the user and then tailor their explanations to the beliefs and goals of the user to increase relevancy and motivation and address possible barriers to increase intention to perform the healthy behavior.

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Perri, Damiano, Martina Fortunelli, Marco Simonetti, Riccardo Magni, Jessica Carloni y Osvaldo Gervasi. "Rapid Prototyping of Virtual Reality Cognitive Exercises in a Tele-Rehabilitation Context". Electronics 10, n.º 4 (13 de febrero de 2021): 457. http://dx.doi.org/10.3390/electronics10040457.

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In recent years, the need to contain healthcare costs due to the growing public debt of many countries, combined with the need to reduce costly travel by patients unable to move autonomously, have captured the attention of public administrators towards tele-rehabilitation. This trend has been consolidated overwhelmingly following the Covid-19 pandemic, which has made it precarious, difficult and even dangerous for patients to access hospital facilities. We present an approach based on the rapid prototyping of virtual reality, cognitive tele-rehabilitation exercises, which reinforce the group of exercises available in the Nu!reha platform. Patients who experienced injury or pathology need to practice continuous training in order to recover functional abilities, and the therapist needs to monitor the outcomes of such practices. The group of new exercises based on the rapid prototyping approach, become crucial especially in this pandemic period. The Virtual Reality exercises are designed on Unity 3D to empower the therapist to set up personalized exercises in an easy way, enabling the patient to receive personalized stimuli, which are essential for a positive outcome in the practice. Furthermore, the reaction speed of the system is of fundamental importance, as the temporal evolution of the scene must proceed parallel to the patient’s movements, to ensure an effective and efficient therapeutic response. So, we optimized the virtual reality application in order to make the loading phase and the startup phase as fast as possible and we have tested the results obtained with many devices: in particular computers and smartphones with different operating systems and hardware. The implemented method powers up the Nu!Reha system®, a collection of tele-rehabilitation services that helps patients to recover cognitive and functional capabilities.

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Tesis sobre el tema "Confidential communications. Therapist and patient"

Berry-Harris, Traci Aaron. "Examining therapists' perceptions of confidentiality across various therapeutic environments, professional organizations, and client development (an exploratory study) /". Morgantown, W. Va. : [West Virginia University Libraries], 2007. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4982.

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Thesis (Ph. D.)--West Virginia University, 2007.
Title from document title page. Document formatted into pages; contains vi, 149 p. Includes abstract. Includes bibliographical references (p. 117-125).

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Michero, Emily. "Master Therapists' Decision Making Process Concerning Adolescent Confidentiality: A Grounded Theory Approach". Thesis, University of North Texas, 2016. https://digital.library.unt.edu/ark:/67531/metadc849705/.

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Ethical codes and laws provide counselors with guidance for how to approach confidentiality, but there is a gap in the literature surrounding counselors' process of decision-making when managing confidentiality with adolescent clients. This study explored the decision-making process of master therapists concerning adolescent clients. I conducted semi-structured interviews with peer identified master therapist (N=10), all of whom were licensed professional counselors with 15 or more years of counseling experience and whose case load contained 25% or more adolescent clients. Participants included seven females and three males; nine participants identified as Caucasian, and one participant identified as Hispanic. Participants ages ranged from 39-61. I analyzed the data, along with two research partner, according to Grounded Theory (GT) methodology. Through constant comparative analysis, a grounded theory emerged from the data in which participants converged understanding of client safety, relationships, clinical intuition in a process of integrated experience and consultation. With the exception of mandated reported and mortal danger, ethical guidelines and laws did not seem to factor into participants' decision making. Implications for counseling practice, preparation, and research are provided.

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Dahlstrom, Glenda. "Privacy and confidentiality of patient health information". MU has:, 2002. http://wwwlib.umi.com/cr/mo/fullcit?p3052167.

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Le, Poire Beth Ann 1964. "Communication strategies to restore or preserve informational and psychological privacy; the effects of privacy invasive questions in the health care context". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276798.

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This investigation explored the role of informational and psychological privacy in the health context by examining the relationship between type of relationship (physician versus acquaintance), type of observation (self-report versus observation), and communication strategies used to restore or preserve privacy (interaction control, dyadic strategies, expressions of negative arousal, blocking and avoidance, distancing, and confrontation). It was hypothesized and confirmed that individuals report exhibiting more behaviors to restore or preserve informational privacy in response to an informationally privacy-invasive question posed by an acquaintance than by a physician. The hypothesis that presentation of an informationally privacy invasive question by the physician causes patients to exhibit more communication strategies after the privacy invasive question than before, was unsupported. Finally, the hypothesis that individuals actually exhibit more privacy restoration behaviors than they report using in a similar situation with their physician was also unsupported. Patients reported using more communication strategies than they actually exhibited. One confound to the self reports was that videotaped participants reported the use of fewer direct privacy restoring communication strategies than non-videotaped.

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Libros sobre el tema "Confidential communications. Therapist and patient"

Dimond, Bridgit. Legal aspects of patient confidentiality. Dinton: Quay Books, 2002.

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Von der stummen zur sprechenden Medizin: Über das Verhältnis von Patient und Arzt. Frankfurt: Campus, 1986.

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Hekimin sır saklama yükümlülüğü. İstanbul: Vedat Kitapçılık Basım Yayım Dağıtım, 2009.

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Saunders, Janet M. McGee. Patient confidentiality. 3^a ed. Salt Lake City, UT: Medicode, Inc., 1996.

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National Health Service in Scotland. NHS code of practice on protecting patient confidentiality. [Edinburgh]: Scottish Executive, 2003.

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1934-, Weiner Myron F., ed. The psychotherapist-patient privilege: A critical examination. Springfield, Ill., U.S.A: C.C. Thomas, 1987.

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Saunders, Janet McGee. Patient confidentiality: [alphabetized guide to the release of medical information]. 4^a ed. Salt Lake City, UT: Medicode, Inc., 1998.

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Meades, Christopher. The last hiccup: A novel. Toronto: ECW Press, 2012.

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Bender, Albrecht W. Das postmortale Einsichtsrecht in Krankenunterlagen: Ein zivilrechtliches Spannungsverhältnis zwischen ärztlicher Dokumentations- und Schweigepflicht. Berlin: Duncker & Humblot, 1998.

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Lindgren-Ericsson, Noémi. Databehandlad patient: Sekretess- och integritetsaspekter på ADB-stödd patientregistrering inom den offentliga hälso- och sjukvården. Stockholm: Institutet för rättsinformatik, Stockholms universitet, 1989.

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Capítulos de libros sobre el tema "Confidential communications. Therapist and patient"

Gupta, Mona. "Mental illness is not a myth: Epistemic favoritism in research funding". En Thomas Szasz, editado por C. V. Haldipur, James L. Knoll y Eric v. d. Luft, 224–36. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198813491.003.0018.

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Szasz noted that how we define mental illness determines ethical responses to those considered mentally ill. He insisted that mental illness cannot be a disease because disease must be grounded in pathophysiology, that what we call “mental illnesses” comprise “problems in living” and ought to be addressed through voluntary, confidential conversations between therapist and patient. Implicitly, perhaps unwittingly, psychiatric researchers have embraced Szasz’s quest to link clinical manifestations of mental illnesses to underlying pathophysiological mechanisms. Preoccupation with the disease model has been accompanied by a lack of research interest in clinical psychiatric interactions. Many aspects of clinical practice are taken for granted without much conceptual or empirical substantiation. Researchers and clinicians know little about how or when habitual clinical practices ought to be used. Paradoxically, Szasz’s analysis may have pushed psychiatry to prove him wrong at the expense of knowledge that might enrich the very types of care that he supported.

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