THERAPEUTISCHE UMSCHAU最新文献_第6页

[Gesundheitliche Chancengleichheit in der Geburtshilfe durch transkategoriale Kompetenz]. [通过跨学科能力实现产科健康平等]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Paola Origlia Ikhilor, Anina Haefliger

{"title":"[Gesundheitliche Chancengleichheit in der Geburtshilfe durch transkategoriale Kompetenz].","authors":"Paola Origlia Ikhilor, Anina Haefliger","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Not all mothers and newborns have equal opportunities for a healthy motherhood and a healthy start. Differences exist in various diversity characteristics such as low socioeconomic status, migration background, sexual orientation, gender identity, and disability. In addition to a range of increased health risks for mothers and newborns, barriers in the care process, such as lack of awareness of the specific needs and interaction problems between clients and professionals, hinder the utilization of obstetric and maternity services. The elimination of access barriers and mechanisms of discrimination can be achieved through transcategorial competence. In the context of obstetrics and maternity care, transcategorial competence means, for example, the appropriate involvement of relatives in migrant women's care, recognition, and support of different family forms in LGBTI*Q people, and awareness of discriminatory behavior. Continuity in care provided by gynecologists and midwives facilitates healthcare provision and minimizes misunderstandings. The establishment of transcategorial competence requires institutional awareness of forms of discrimination and disadvantage. Interdisciplinary collaboration and diversity-sensitive education and training are crucial for reducing uncertainties and avoiding stereotyping.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 7","pages":"320-326"},"PeriodicalIF":0.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Kulturelle Kompetenz in der klinischen Ethik]. [临床伦理的文化能力]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Jan Schürmann, Susanne Martina Schmidt, Manuel Trachsel

引用次数: 0

Kulturelle Kompetenz. 文化能力。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Manuel Trachsel

引用次数: 0

[Kulturelle Aspekte (in) der Seelsorge - ein Essay]. [田园关怀的文化层面：随笔]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Luzius Müller

引用次数: 0

Limitations of Trainings in Cross-Cultural Competence - The Practitioner Perspective. 跨文化能力培训的局限性——从业者视角。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Theresa Steinhäuser, Steffen Schödwell, Anna Auckenthaler

{"title":"Limitations of Trainings in Cross-Cultural Competence - The Practitioner Perspective.","authors":"Theresa Steinhäuser, Steffen Schödwell, Anna Auckenthaler","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Objective: Trainings in cross-cultural competence1 are of increasing importance for psychotherapists in order to provide adequate mental health care for patients with a migration background. Yet, little is known about practitioners´ perspectives on working with migrants. Method: Problem-centered interviews with 30 practitioners offering psychotherapy within the German mental health care system have been analyzed using Grounded Theory Methodology to get an insight into practitioners´ experiences with cross-cultural work. Results: Practitioners have to deal with strong feelings of insecurity in their cross-cultural work. Feelings of insecurity were influenced by practitioners' underlying cultural concepts, how specific they perceived the cross-cultural contact to be and how they saw themselves in their professional role as psychotherapists. Interestingly, the analysis shows that trainings in cross-cultural competence which mainly convey \"culture specific\" knowledge on a rather theoretical level might even increase practitioners' feelings of insecurity. Conclusions: Conventional teaching formats in cross-cultural competence might not provide psychotherapists with sufficient space to reflect on their insecurities, their \"cultural concepts\", and their expectations of themselves in their professional role. Therefore, other settings are required. Dealing with practitioners' perceived lack of knowledge in the context of culture could be an effective starting point to deal with cross-cultural insecurities.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 7","pages":"333-342"},"PeriodicalIF":0.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Interkulturelle Kompetenz: Eine Einführung]. [跨文化能力：简介]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Tatjana Weidmann-Hügle

引用次数: 0

[Palliative Care im Migrationskontext]. 移民背景下的姑息治疗。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Klaus Bally

{"title":"[Palliative Care im Migrationskontext].","authors":"Klaus Bally","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Palliative care in the migration context is mainly a diversity-sensitive treatment and care tailored to the individual person. In the case of serious advanced illness and especially at the end of life, people with a migration background have fundamentally similar basic needs as the rest of the population. They want to be as free as possible from pain and other distressing symptoms, and in the process of dying they want encouragement through their relatives and support from competent and committed health professionals with whom they can communicate in their native language whenever possible. A certain transcultural competence and experience in the care of people with a migration background makes it easier to understand values, wishes, but also worries and fears of the patients and their relatives and to meet their needs. The determining factor here is often not the cultural background from which they come, but their life and migration history, their education, their socioeconomic status and their position and role within the social environment. Discussions about the nature and prognosis of a serious illness should always be held with the affected person himself. Only if these discussions and the decision-making authority are delegated by the patient to a family member, indirect communication can be considered, whereby care must be taken to ensure that decisions are made in the interests of the patient and not the person making the decision by proxy.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 7","pages":"307-311"},"PeriodicalIF":0.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The own and the foreign. Philosophical and clinical aspects]. [本国和外国。哲学和临床方面]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Daniel Sollberger, Serena Galli

引用次数: 0

[Ethische Orientierung durch interkulturelle Kompetenz in interkulturellen Behandlungssituationen]. 在跨文化治疗情况下，通过跨文化能力进行道德导向。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-09-01

Ilhan Ilkilic

引用次数: 0

[Vaskuläre Dyspnoe: Pulmonale Hypertonie]. 血管性呼吸困难：肺动脉高压。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2023-08-01

Dora Serény, Silvia Ulrich, Charlotte Berlier

{"title":"[Vaskuläre Dyspnoe: Pulmonale Hypertonie].","authors":"Dora Serény, Silvia Ulrich, Charlotte Berlier","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Pulmonary hypertension (PH) is defined by a mean pulmonary artery pressure > 20 mmHg [1] [2]. Echocardiography is used to screen for pulmonary hypertension, but right heart catheterization is required to confirm the diagnosis. Right heart catheterization is used to measure hemodynamic parameters such as pulmonary arterial pressures and pulmonary artery wedge pressure (PAWP), which normally corresponds to the left ventricular end-diastolic pressure. In addition, cardiac output (CO) is measured using the direct Fick method or thermodilution. The pulmonary vascular resistance (PVR) can be derived from these values. Precapillary PH is defined by PAWP ≤15 mmHg and PVR >2 WU (wood units), postcapillary PH is defined by increased PAWP > 15 mmHg with PVR 2 WU due to passive backflow [3]. However, there are also combined pre- and post-capillary PH with a PAWP > 15 mmHg and elevated PVR > 2 WU. Supportive therapies for all forms of PH include diuretics, supplemental oxygen in case of hypoxemia, gentle exercise under specialized supervision, and anticoagulants for some forms. Specific drug or interventional therapies are available only for pulmonary vascular disease subgroups pulmonary arterial hypertension (group 1) and chronic thromboembolic PH (CTEPH, group 4), while for PH due to heart and lung diseases (groups 2 and 3) as well as mixed forms the therapy of the underlying disease is of major importance. Drug therapy for pulmonary vascular diseases includes endothelin receptor antagonists, phosphodiesterase-5 inhibitors and prostanoids. CTEPH requires clarification regarding surgical pulmonary endarterectomy or interventional balloon angioplasty [4]. Since the diagnosis and therapy of PH is very complex, it must be carried out in an experienced center.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 6","pages":"272-278"},"PeriodicalIF":0.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0