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The Evaluation Of Predictors Of Decisional Control In Adolescents And Young Adults With Complex Medical Conditions


The Evaluation Of Predictors Of Decisional Control In Adolescents And Young Adults With Complex Medical Conditions
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The Evaluation Of Predictors Of Decisional Control In Adolescents And Young Adults With Complex Medical Conditions


The Evaluation Of Predictors Of Decisional Control In Adolescents And Young Adults With Complex Medical Conditions
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Author : Sarah J. Miano
language : en
Publisher:
Release Date : 2018

The Evaluation Of Predictors Of Decisional Control In Adolescents And Young Adults With Complex Medical Conditions written by Sarah J. Miano and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical care categories.


Adolescents and young adults (AYA) faced with complex medical conditions encounter a number of treatment decisions but may have variable levels of desire for involvement in medical decision-making. Currently, there are few studies quantifying decision-making preferences in the AYA population. This dissertation work evaluated the degree of decisional control AYA patients preferred to have in medical decisions and to what extent factors such as self-efficacy for decision-making, social and autonomy support, and self-regulatory skills predict role preferences of decision control. A crosssectional,descriptive correlational design examined AYA patient decision-making role preferences using the Control Preference Scale and explored relationships in a proposed conceptual model of decision control in this population. A total of 46 AYA patients with various complex medical diagnoses completed the study. Overall, the majority of patients preferred active collaborative (39%) or shared decision-making (34%) roles. Further analyses revealed a statistically significant difference based on medical diagnosis in this sample, with oncology AYA patients preferring a more passive role by comparison to non-oncology AYA patients. Time since diagnosis also positively correlated with control preference, with patients preferring a more active level of decisional control as the number of days from diagnosis increased. While no other statistically significant relationships were found between factors put forth in the exploratory study model and decision control, there were strong associations between the factors themselves that warrant future exploration. Self-efficacy for decision-making was strongly correlated with other factors, such as social support, perceived autonomy, and self-regulatory skill. Perceived autonomy and medical diagnosis predicted the degree of shared decisionmaking that was reported by AYA patients in this study. The findings advance the knowledge of AYA preferences for medical decision-making involvement, which enhances our ability to identify patients at risk for low healthcare engagement in their treatment planning and self-management. This dissertation provides a foundation forfuture research to explore the consequences of limited or impaired decisional capacity and preferences for low involvement so that healthcare providers can balance the need to promote self-management with the patient desire for decisional control.



Evaluation Of Healthcare Transition Outcome Predictors For Adolescents Young Adults Living With Chronic Medical Conditions


Evaluation Of Healthcare Transition Outcome Predictors For Adolescents Young Adults Living With Chronic Medical Conditions
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Author : Michele S. Tsai Owens
language : en
Publisher:
Release Date : 2016

Evaluation Of Healthcare Transition Outcome Predictors For Adolescents Young Adults Living With Chronic Medical Conditions written by Michele S. Tsai Owens and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.




Adolescent Health Services


Adolescent Health Services
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2008-12-03

Adolescent Health Services written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-12-03 with Medical categories.


Adolescence is a time of major transition, however, health care services in the United States today are not designed to help young people develop healthy routines, behaviors, and relationships that they can carry into their adult lives. While most adolescents at this stage of life are thriving, many of them have difficulty gaining access to necessary services; other engage in risky behaviors that can jeopardize their health during these formative years and also contribute to poor health outcomes in adulthood. Missed opportunities for disease prevention and health promotion are two major problematic features of our nation's health services system for adolescents. Recognizing that health care providers play an important role in fostering healthy behaviors among adolescents, Adolescent Health Services examines the health status of adolescents and reviews the separate and uncoordinated programs and services delivered in multiple public and private health care settings. The book provides guidance to administrators in public and private health care agencies, health care workers, guidance counselors, parents, school administrators, and policy makers on investing in, strengthening, and improving an integrated health system for adolescents.



The Promise Of Adolescence


The Promise Of Adolescence
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-07-26

The Promise Of Adolescence written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-07-26 with Social Science categories.


Adolescenceâ€"beginning with the onset of puberty and ending in the mid-20sâ€"is a critical period of development during which key areas of the brain mature and develop. These changes in brain structure, function, and connectivity mark adolescence as a period of opportunity to discover new vistas, to form relationships with peers and adults, and to explore one's developing identity. It is also a period of resilience that can ameliorate childhood setbacks and set the stage for a thriving trajectory over the life course. Because adolescents comprise nearly one-fourth of the entire U.S. population, the nation needs policies and practices that will better leverage these developmental opportunities to harness the promise of adolescenceâ€"rather than focusing myopically on containing its risks. This report examines the neurobiological and socio-behavioral science of adolescent development and outlines how this knowledge can be applied, both to promote adolescent well-being, resilience, and development, and to rectify structural barriers and inequalities in opportunity, enabling all adolescents to flourish.



Investing In The Health And Well Being Of Young Adults


Investing In The Health And Well Being Of Young Adults
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Author : National Research Council
language : en
Publisher: National Academies Press
Release Date : 2015-01-27

Investing In The Health And Well Being Of Young Adults written by National Research Council and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-01-27 with Medical categories.


Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.



Cumulated Index Medicus


Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 2000

Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medicine categories.




Index Medicus


Index Medicus
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Author :
language : en
Publisher:
Release Date : 2004

Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Medicine categories.


Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.



Nelson Textbook Of Pediatrics E Book


Nelson Textbook Of Pediatrics E Book
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Author : Robert M. Kliegman
language : en
Publisher: Elsevier Health Sciences
Release Date : 2015-04-17

Nelson Textbook Of Pediatrics E Book written by Robert M. Kliegman and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-17 with Medical categories.


After more than 75 years, Nelson Textbook of Pediatrics remains your indispensable source for definitive, state-of-the-art answers on every aspect of pediatric care. Embracing the new advances in science as well as the time-honored art of pediatric practice, this classic reference provides the essential information that practitioners and other care providers involved in pediatric health care throughout the world need to understand to effectively address the enormous range of biologic, psychologic, and social problems that our children and youth may face. Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies. Form a definitive diagnosis and create the best treatment plans possible using evidence-based medicine and astute clinical experiences from leading international authors—many new to this edition. A NEW layout provides superior portability and exceptional ease of use. Gain a more complete perspective. Along with a broader emphasis on imaging and molecular diagnoses and updated references, the new edition includes an increased focus on international issues to ensure relevance in pediatrics practice throughout the world. Effectively apply the latest techniques and approaches with complete updates throughout 35 new chapters, including: Innovations in Addressing Child Health and Survival in Low Income Settings; Developmental Domains and Theories of Cognition; The Reggio Emilia Educational Approach Catatonia ; Refeeding Syndrome; Altitude-associated Illness; Genetic Approaches to Rare and Undiagnosed Diseases; Healthcare−Associated Infections; Intrapartum and Peripartum Infections; Bath salts and other drugs of abuse; Small Fiber Polyneuropathy; Microbiome; Kingella kingae; Mitochondrial Neurogastrointestinal Encephalomyopathy; Nonalcoholic Fatty Liver Disease; Plagiocephaly; CNS Vasculitis; Anterior Cruciate Ligament Rupture; and Sports-Related Traumatic Brain Injury. Recognize, diagnose, and manage genetic and acquired conditions more effectively. A new Rehabilitation section with 10 new chapters, including: Evaluation of the Child for Rehabilitative Services; Severe Traumatic Brain Injury; Spinal Cord Injury and Autonomic Crisis Management; Spasticity; Birth Brachial Plexus Palsy; Traumatic and Sports-Related Injuries; Meningomyelocele; Health and Wellness for Children with Disabilities. Manage the transition to adult healthcare for children with chronic diseases through discussions of the overall health needs of patients with congenital heart defects, diabetes, and cystic fibrosis. Understand the principles of therapy and which drugs and dosages to prescribe for every disease.



Judgment And Decision Making As A Skill


Judgment And Decision Making As A Skill
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Author : Mandeep K. Dhami
language : en
Publisher: Cambridge University Press
Release Date : 2012

Judgment And Decision Making As A Skill written by Mandeep K. Dhami and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Education categories.


Identifies how human judgment and decision making may evolve, develop and be learned or trained.



Adolescent Decision Making


Adolescent Decision Making
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Author : National Research Council and Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1999-06-14

Adolescent Decision Making written by National Research Council and Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-06-14 with Social Science categories.


Interest in the role that decision making plays in adolescents' involvement in high-risk behaviors led the Office of the Assistant Secretary of Planning and Evaluation of the U.S. Department of Health and Human Services to request the Board on Children, Youth, and Families to convene a workshop on adolescent decision making. The Board on Children, Youth, and Families is a joint activity of the National Research Council (NRC) and the Institute of Medicine. A workshop was held on January 6-7, 1998, to examine what is known about adolescents' decision-making skills and the implications of that knowledge for programs to further their healthy development.