ABSTRACTThere is overlap between the symptoms of depression and burnout. Many of those with burnout are also depressed. If the depression is significant, the individual should be referred for ...therapy. However, many articles on therapy for those with burnout are flawed, and the best type of therapy for burnout is controversial. However, cognitive behavior therapy is usually helpful for the emotional exhaustion component of burnout. Counseling and/or coaching may be helpful for those having burnout without significant depression. There are lessons from positive psychology that may be utilized to help counsel those with burnout.
ABSTRACTPhysician burnout can be a contributing factor to depression, substance abuse, problems with relationships, and thoughts of suicide. Burnout of physicians also results in decreased quality, ...safety, and outcomes for patients and more financial costs for health-care institutions. It is not enough for health-care systems to focus on helping the individual; these organizations also need to understand that they are the main cause of physician burnout and take appropriate action to reform their processes.
There are many lessons relevant to burnout from studying the literature on positive psychology. For example, resilience can be taught. A major portion of resilience and fighting burnout is finding ...meaning in work. Positive thinking, optimism, positive self-talk, and ways to diminish stress and increase happiness and engagement can also be learned.
ABSTRACTThe study of positive psychology has brought to light multiple ways to improve oneʼs ability to bounce back from setbacks and deal better with stress. The individual should focus on his/her ...accomplishments, not dwell on mistakes, work to improve relationships with others, find meaning in work, and spend the time required to have happiness. Being able to recognize when situations are too stressful and understand the need to take breaks from them, especially by acquiring new knowledge, is important and effective. It is often quite helpful to utilize coaching based on positive psychology to improve oneʼs resiliency and recover from burnout.
ABSTRACTThere are many lessons relevant to burnout from studying the literature on positive psychology. For example, resilience can be taught. A major portion of resilience and fighting burnout is ...finding meaning in work. Positive thinking, optimism, positive self-talk, and ways to diminish stress and increase happiness and engagement can also be learned.
ABSTRACTSome of the approaches to prevent and recover from burnout focus on the individual, and others focus on organizational initiatives. A common recommendation for the individual with burnout is ...to practice meditation and mindfulness. Mindfulness may be defined as focused awareness without judgment regarding the current instance in time. The practice of mindfulness and the outcome of various mindfulness courses will be discussed in this article. Other approaches on the subject of burnout regarding individual efforts and organizational changes will be discussed in subsequent articles in this series.
ABSTRACTThis article discusses 2 specialized implantable cardioverter defibrillator (ICD) devices. A special type of implantable device is available for cardiac resynchronization therapy, which can ...also have a defibrillator, in which case it is called a CRT-D device. In patients who meet guidelines for eligibility, a CRT-D will diminish the number of significant cardiac events including death. A subcutaneous ICD device does not need any leads placed in the vascular system and therefore does not have some of the complications that may be seen with transvenous ICDs. Also, there are patients who are not candidates for a typical ICD implantation. On the other hand, there are important disadvantages to the subcutaneous ICD.
ABSTRACTThe IMPACT Registry is a repository of information for heart catheterizations for congenital heart disease regardless of age and also the catheterizations for acquired heart disease in ...children. The registry collects information on outcomes, provides quality improvement opportunities for participants, provides reports to participants comparing their results with national results, compares the volume of catheter work done at an institution with the frequency of adverse events, and provides information that may be helpful in evaluating the use of medical devices and treatment options.
ABSTRACTTo compare outcome results from different institutions in a registry, it is necessary to have a way to take into account differences in the risk characteristics of the patients. This model ...has been constructed for the Implantable Cardioverter Defibrillator (ICD) Registry, and the most important variables have been identified. In another study, it has also been found that many of these patients have comorbidities, and the mortality rate 60 months after a replacement ICD was 41.2%. In a third study, it was determined that for individuals at least 65 years of age, 60 months after ICD placement, 50.9% of the recipients used hospice services or were dead.
ABSTRACTPercutaneous coronary interventions (PCI) are done for a variety of indications. Data from the CathPCI Registry is highly useful to evaluate the outcomes from performing a PCI procedure in ...unusual circumstances, such as in cases of chronic total coronary artery occlusion, cardiogenic shock after a myocardial infarction, syncopal patients, asymptomatic patients, and before surgery that is noncardiac. Registry information is also valuable in evaluating the efficacy of coronary stents. This article summarizes some of the information available on these subjects.
