Browse Items (83 total)

“It’s about time you got in here.” I was just a few minutes late getting started for Kathleen’s appointment, so it seemed apparent she was in a hurry. Kathleen sat in a chair next to our examination table. She was restless and her excess body weight…

This article advances understanding of career construction counseling (CCC) by viewing it through the lens of the innovative moments model (IMM) of how clients construct change. The IMM conceives clients' narrative transformations as resulting from…

Introduction: Telemedicine is a growing practice with minimal training in US medical schools. Telemedicine OSCE (TeleOSCE) simulations allow students to practice this type of patient interaction in a standardized way. Methods: The Insomnia-Rural…

More than a decade has elapsed since the original statement of life design as an innovative and internationally-constructed paradigm for careers science and practice. Responding to the challenges of work and career in contemporary times, life design…

The overrepresentation of people with serious mental illness in the criminal justice system is a complex problem. A long-standing explanation for this phenomenon, the criminalization hypothesis, posits that policy changes that shifted the care of…

In this study, we examine the relationships among reflected appraisals, self-views, and well-being for individuals diagnosed with severe and persistent mental illness. We also test a perceptual control model of identity to determine whether…

The article offers information on social justice within clinical ethics training. Topics discussed include with a more deliberative effort toward a deeper understanding of justice as it relates to care, efficiency, and public health; mentions no…

This chapter explains how practitioners use narrative psychology to help clients revise their career stories to increase comprehension, coherence, and continuity. Narrative therapy is an umbrella term that encompasses a variety of approaches to…

Categories are essential to doctors' thinking and reasoning about their patients. Much of the clinical categorization learned in medical school serves useful purposes, but an extensive literature exists on students' reliance on broad systems of…

This is a story of three patients seen by a newly licensed physician shortly after completing residency training. The physician was born, raised, and educated in the northeastern United States before moving to Texas where he was unprepared to handle…

BACKGROUND: Poor sleep is prevalent in lung transplant recipients and affects quality of life negatively. To improve quality of sleep, it's important to identify the causes of poor sleep. We conducted a survey to identify the reasons for poor sleep…

Objective. To examine and compare the prevalence of mental health problems, help-seeking attitudes, and perceptions about mental health problems among US pharmacy and medical students. Methods. A cross-sectional analysis was conducted using existing,…

OBJECTIVES: To highlight a severe case of rhinotillexomania (compulsive nasal picking) and its potential to manifest as empty nose syndrome (ENS). METHODS: A single case report with the presentation and management of a patient with severe…

Risk stratification uses a mix of objective and subjective data to assign risk levels to patients. Practices can systematically use patient risk levels to make care management decisions, such as providing greater access and resources to patients in…

PURPOSES: To evaluate 2 commonly overlooked sources of error in measuring blood pressure (BP) in the office, improper patient positioning and frequency of terminal digit bias (TDB) using manual and automated (BP) devices. METHODS: BPs recorded by 3…

Purpose: Medical student specialty choices have significant downstream effects on the availability of physicians and, ultimately, the effectiveness of health systems. This study investigated how medical student specialty preferences change over time…

My next patient to be seen during office hours is the typical one whose name is instantly recognizable and causes a shiver much like what a sour candy ball does to your mouth. The interaction is pleasurable enough, but the end result is always…

BACKGROUND: Maternal mental health status remains an important area of study due to its influence on maternal health outcomes. Past reviews on anxiety in pregnancy have included multiple mental health diagnoses and pre-existing conditions. A…

Several years ago, when I had a painful cyst on my ovary, my family doctor referred me to an OB/GYN. He is not the physician I would have chosen. I prefer female doctors, but I was anxious to get care quickly, and the physician seemed knowledgeable…

This chapter describes the framework and elements of the Career Construction Interview during which practitioners ask story-crafting questions, which scaffold career construction. The Career Construction Interview consists of stimulus questions that…

The current study extended prior work on the Normative Male Alexithymia Scale (NMAS), a unidimensional measure of some men's limitations in expressing emotion that results from gender-based socialization informed by the masculine norm of …

PURPOSE: The primary objective of this project is to evaluate an existing interprofessional, nonmalignant pain service by measuring the difference in patient pain scores (numeric rating scale-11) before and after a pharmacist-led pain education class…

Urban corner stores in Northeast Ohio have a reputation for contributing to neighborhood demise. Sales of liquor, cigarettes, lottery tickets, and other high-calorie low-nutrition foods along with high check-cashing fees have given corner stores…

The patient was a 33-year-old, highly educated, white female. She was pregnant with monochorionic-diamniotic identical twins, or twins that shared the same placenta but were in separate amniotic sacs. She had been cleared from her reproductive…

Sequential intercept mapping is an approach to address the overrepresentation of adults with mental illness in the criminal justice system. This approach follows the sequential intercept model, a nationally recognized framework conceptualizing the…

Background: Predicting mortality risk in patients is important in research settings. The Pitt bacteremia score (PBS) is commonly used as a predictor of early mortality risk in patients with bloodstream infections (BSI). Here, we determined whether…

Work in the 21st century leaves people feeling anxious and insecure. Jobless work and automation have produced 'insecure workers,' especially those peripheral and external employees who perform temporary assignments. Depending upon a client's needs,…

The need to remain current with updated skills continues as a challenge for adults and older adult workers. Learning new information and skills to keep abreast with changes in everyday activities and in the workplace is a lifelong challenge. In this…

Career counseling practitioners hope that clients leave career counseling having experienced a process of transformative learning that has brought them into contact with their deepest sense of vitality. If so, clients are able to narrate a more…
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