Although attention-deficit/hyperactivity disorder (ADHD) is the most prevalent neuropsychiatric disorder of childhood, this disorder continues to be underrecognized. ADHD is a disabling disorder ...associated with a deleterious effect on individual and family functioning. Diagnosis and treatment are required to avoid often detrimental consequences of untreated ADHD. Although ADHD exists in similar rates across cultures, health care disparities exist related to diagnosis and treatment. Despite improved policies in recent years aimed at closing the gaps in care, this problem continues. There is a significant need to ask why and consider the following question: Is it time to look in the mirror?
This comprehensive integrated literature review provides evidence-based information on mindfulness meditation as a primary care treatment for anxiety. A variety of databases were utilized for article ...collection including MEDLINE Complete, CINAHL Plus with full text, Cochrane library, APA PsycInfo, APA PsycTests, Health Source: Nursing/Academic Edition, and PsycARTICLES. Research suggests anxiety can be treated effectively with a minimum of 8 weeks of meditation practice. Meditation is a cost effective and safe treatment modality that can be incorporated into the care of patients struggling with anxiety.
Climate and Environmental Change: A Generation at Risk Chalupka, Stephanie M; Latter, Angela; Trombley, Janna
MCN, the American journal of maternal child nursing,
2023 Jul-Aug 01, Volume:
48, Issue:
4
Journal Article
Peer reviewed
Climate and environmental changes have been described as the biggest global health threat of the 21st century, with the potential to cause immediate harm in early life with important lifelong ...effects, and important consequences for future generations. Pregnant women and children are increasingly being recognized as vulnerable populations in the context of climate change. The effects can be direct or indirect through heat stress, extreme weather events, and air pollution, potentially affecting both the immediate and long-term health of pregnant women and newborns through a broad range of mechanisms. Climate and environmental changes have wide-ranging effects on a woman's reproductive life including sexual maturation and fertility, pregnancy outcomes, lactation, breastfeeding, and menopause. A comprehensive overview of these impacts is presented as well as opportunities for interventions for nurses practicing in perinatal, neonatal, midwifery, and pediatric specialties.
Objective
To examine the strength of the association between different measures of health‐related quality of life (HRQOL), disability, pain, and well‐being in children with chronic arthritis. To ...evaluate whether HRQOL scores vary as a function of disability status beyond chance. To assess the quality of the parent proxy report for HRQOL as compared with disability, pain, and well‐being.
Methods
Measures of HRQOL (visual analog scale VAS of health, Pediatric Quality of Life Inventory PedsQL, Juvenile Arthritis Quality of Life Questionnaire (JAQQ), and modified standard gamble technique SG), disability (Childhood Health Assessment Questionnaire), VAS of pain, and VAS of well‐being (VAS‐well) were completed by the parents (n = 119) and patients ≥8 years (SG: ≥12 years).
Results
HRQOL was highest when measured by the SG, whose utilities were no more than weakly correlated with any of the other outcomes. The values of all other HRQOL measures were at least moderately correlated with each other and with the VAS‐well. Irrespective of the measure used, disability was associated with significantly decreased HRQOL. There was fair to good agreement and moderate consistency of the HRQOL ratings (SG: fair consistency) between patients and parents with marked differences between health domains.
Conclusion
HRQOL measured by the PedsQL, JAQQ, and VAS are moderately to highly correlated with each other in children with chronic arthritis. The children's HRQOL significantly decreases with increasing disability. Despite more pronounced differences for some health domains, parents are moderate to good proxy reporters of HRQOL, disability, and well‐being of children with chronic arthritis.
PDF