This article displays the results of an investigation about a popular District Health Program in Medellin carried in 2003. Objective: To obtain knowledge of protective processes and deteriorating determinants in the health conditions of 160 users of the program Methodology and materials: The study is descriptive cross-sectionial. It integrates some qualitative and quantitative techniques to explore the conditions of health and the perceptions that users and community actors have in relation to hypertension. Theoretical-methodological elements of critical epidemiology and epidemiological monitoring were applied. Results, discussion: The influence of the socioeconomic and political context in the process health-disease process and the negative impact of the health reform in the prevention programs are stressed. It highlights the valuation of the users regarding the suburban attention centers and the program as encounter and refuge scenario against solitude and paint, the deficiencies of the social support networks and the weak familiar support in the care of the patients. Conclusions: 83% of the users are women of the third age, their majority (85%) belongs to the low layer, but (50%) of them were not tied to any Health Regime. That explains the destructive processes of their health which should be intervened by epidemiological monitoring.
Objective: Reiki has been introduced as part of the complementary therapy program for oncology patients in two major university hospitals to which our institution is affiliated, with the objective to provide whole person care. Reiki is a deep relaxation technique that promotes balance, healing and harmony in all aspects of the person – body, mind, emotions and spirit. A Reiki session is given using very light or no touch on a fully clothed individual, sitting or lying down. Reiki is best understood by actually experiencing a session.The objective of this preliminary study is to document how Reiki can support and benefit oncology patients in facing the day-to-day challenges related to their illness.Methodology: Weekly Reiki sessions lasting from 20 to 60 minutes have been conducted with adult patients. Inclusion criteria: any patient living with cancer: all stages, from pre-diagnosis to diagnosis, ongoing treatment (in and out-patients), post-treatment and palliative care. Data has been collected using a questionnaire and a symptom scale, before and after sessions, as applicable. Qualitative experiences from palliative care patients will also be obtained from staff and family caregivers.Results: Preliminary results after each session indicate a significant reduction of anxiety and stress, in addition to improving regulation of pain, fatigue, emotional state, and digestive issues. Patients commonly express a feeling of serenity, calmness, and peace. Qualitative results will be presented.Conclusion: Data collected so far suggests that Reiki as a complementary therapy, improves overall quality of life for patients. A more relaxed and less anxious patient facilitates the intervention of medical staff and lightens the efforts of caregivers and family. Closer communication between the medical and complementary therapies staff can manifestly enrich the whole person care.
The objective of this paper is describe the process of validation of scale type Likert used for measure the knowledge and attitudes that nursing professionals of Antioquia (Colombia) had in the communities health care in the 2003. At this meaning an instrument was elaborated using a Likert scale, with closed questions, referred to the areas of communities care, health promotion, prevention of disease, human development, social participation and education for health, intention of the thought about questions was guided to value the opinions, enjoyments, the satisfaction and the knowledge about mentioned areas. Their application explored the tendencies and the variances the answers had about attitude toward the health care, either positive or negative. The more notable result was a positive direction in attitude (59%) in the Likert’s scale at the Nursing professionals toward their practice in the human communities care.
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