Holistic care means addressing the patient as a person; providing high-quality care by focusing on individual needs. Our goal is to implement a survey that quantifies the patients' physical, mental, and spiritual health to enable improvements in client-centered therapy in lower-limb amputees. For this, we worked with a 43-year-old Hispanic male with a medical history of insulin-dependent diabetes complicated by sequential lower limb amputations. The second amputation cost him his job and left him homeless. The patient was hospitalized after developing severe depression, to the point that he had command auditory hallucinations to kill himself. He was discharged back into the community after a three-week hospitalization. However, he was readmitted to the hospital a week later due to a resurgence of suicidal ideation. Our team engaged the patient using the "Holistic Health and Wellness Survey" of Raymond W. Smith, which we used to assess and address various domains of his mental, spiritual, and physical health. We were able to create obtainable goals for the patient for each category on which he scored low in the health and wellness survey. The patient's overall health and attitude improved substantially through his client-centered therapy, which addressed his quantified health needs; and he began to take an active role in developing short-and longterm goals that he found attainable as he adjusted to life as a double-amputee.This case illustrates the potential for improving client-centered therapy in lower-limb amputees. We believe that providers may benefit from implementing this health and wellness survey to better assess how to provide client-centered care for their patients.
BACKGROUND
YouTube is a popular platform with many videos which have potential educational value for medical students. Due to the lack of peer review, other surrogates are necessary to determine the content quality of such educational videos. Few studies have analyzed the research background of the physicians associated with the production of YouTube videos for medical education. The research background of those physicians may be a reflection of the content quality of these educational videos.
OBJECTIVE
This study identifies physicians associated with the production of educational YouTube videos about shingles and analyzes the physicians based on their research background.
METHODS
Using the YouTube search engine with default settings, the term “shingles” was searched on May 8, 2020. A cross-sectional study was performed using the first 50 search results. A search on Scopus for each identified physician was performed and data regarding their research background was recorded.
RESULTS
Of the 50 YouTube videos, 35 (70%) were categorized as academic. From the academic videos, 24 (71%) featured physicians totaling 25 physicians overall. Five physicians (20%) had at least 1 shingles-related publication. Eight physicians (32%) had an h-index >10. Twenty-one physicians (84%) held an academic affiliation.
CONCLUSIONS
These results ensure to a certain degree the quality of the content in academic videos on YouTube for medical education. However, more evaluation is needed for this growing platform.
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