No abstract available.
Frustration*

No abstract available.
Frustration* ; MMPI*

BACKGROUND: Postherpetic neuralgia is usually defined as pain persisting for more than one month after the onset of the eruption of herpes zoster, although there is a overlap between this and the pain of the acute zoster. Many approaches have been proposed to treat postherpetic neuralgia, however, it remains a source of frustration for both patients and physicians. OBJECTIVE: The purpose of this study was to determine more precisely the relationship between the effects of continuous epidural blockade and the time of treatment on postherpetic neuralgia. METHODS: We analyzed the results of 5 patients with postherpetic neuralgia for whom continuous epidural blockade was performed within 1 month after the onset of postherpetic neuralgia, and compared them with the results of 5 patients for whom continuous epidural blockade was performed after 1 month after the onset of postherpetic neuralgia. RESULTS: Continuous epidural blockade performed within 1 month after the onset of postherpetic neuralgia reduced pain significantly, compared to the results of continuous epidural blockade performed after 1 month after the onset of postherpetic neuralgia. CONCLUSION: Continuous epidural blockade performed within 1 month after the onset of postherpetic neuralgia may be the treatment of choice for the pain.
Frustration ; Herpes Zoster ; Humans ; Neuralgia, Postherpetic*

This study was done to provide a firsthand description and analysis of phenomenological data of the singular, subjective and lived experience of patients with hemophilia. Sixe patients suffering from hemophilia were selected for this study. Data were collected from May to August, 1999 through in-depth interviews. The phenomenological method described by Colaizzi was used for the phenomenogical analysis of the data. After transcribing the recorded interview, the researchers read the data repeatedly to identify significant statements, restated them succinctly, and then formulated meanings, themes, theme clusters, and categories. The formulated meanings were grouped into six categories : fear, loneliness, frustration, sypmtoms of hemophilia, reception of support, and commitment. An exhaustive description of the experience of hemophilia can be deduced from this study. It is as follows: even though patients with hemophilia feel fear, loneliness and frustrations and suffer from symptoms of their disease such as bleeding, pain and functional disorders, they commit themselves to the maintenance of good health and enthusiastic life style with the help of support resources such as family members.
Frustration ; Hemophilia A* ; Hemorrhage ; Humans ; Life Style ; Loneliness

Cognitive decline in dementia patients causes impairment in daily activities as well as occupational or social activities, which results in frustration and anxiety for the patients themselves. Furthermore, from the caregivers' perspective, patients' cognitive decline and abnormal behaviors cause physical, emotional, financial, and social burdens. Most caregivers who visit a medical center need to be counseled in order to reduce these caregiver burdens and to provide better care for the patients. No fixed rules exist for taking care of dementia patients. Rather, coping strategies most ofter should be individualized according to the severity and type of dementia as well as the socioeconomic situation of the patients and caregivers. Therefore, I herein describe a general guideline on caregiving for dementia patients, which was based on the literature review and personal experiences from counseling in a dementia clinic. This guideline may be of help to medical staff in providing counsel to caregivers as well as in preparing their own brochures for caregivers.
Anxiety ; Caregivers ; Counseling ; Dementia* ; Frustration ; Humans ; Medical Staff ; Pamphlets

In the year two thousand and following years, there will be tremendous changes in the field of psychiatry. At this critical period, we should rethink the identity of psychiatry. The characteristics and problems of psychiatry in the near future include a) 'mindless' psychiatry confined into the brain cell, b) a continuous evolution of non-psychiatric practitioners, medical or nonmedical, c) the atrophy of psychiatric practice due to economic pressure by society, and d) psychiatric policy of functional diagnostic criteria and guidelines in practice. The above situations can result in a) the more superficial and easy going attitude of psychiatry in practice, b) superficial understanding of patients and inadequate treatment outccome, c) patients' frustration and seeking help from alternative or quasi-practitioners, and tele-psychiatry or cyber space. Psychiatrists' recognition of a crisis, active coping with the problems and harmonized and integrated education were suggested for the better contribution.
Atrophy ; Brain ; Critical Period (Psychology) ; Education ; Frustration ; Humans

During ventilatory support via tracheostomy tube, the desire to communicate verbally is common and loss of speech may result in great fear, frustration in the long-term tracheostomized patients. Several methods of communication have been developed in an effort to alleviate this discomfort and anxiety. This case presents our experience of using speaking tracheostomy tube which allowed the patient to talk while on a vetilatior. A small catheter(inner diameter 1mm) which provided an opening with gases flowed upward through the vocal cords was adapted to the standard tracheostomy tube and connected to an oxygen flowmeter(3~5L/min.) with a Y shaped connector for intermittent control. When the open side of the Y connector was occluded, gases flowed into the subglottic area, allowing for vocalization. Though experience with this method was somewhat disappointing than normal sound, their use in long-term and chronic ventilating patients was proved satisfactory.
Anxiety ; Frustration ; Gases ; Humans ; Oxygen ; Tracheostomy* ; Vocal Cords

There has been a recent tendency to attach special importance to writing education. Books on 'writing to heal' are being written in or translated into Korean. According to these texts, writing is a valuable tool for internal healing, depending on the mode of application. Writing can have positive effects and give hope to an individual or group, but it can also be a source of frustration and despair. Based on the distinct effects of writing, we cannot overemphasize the significance of writing education. Writing is generally taught during a premedical course that targets students who will eventually practice medicine. Many reports have examined immorality in medical students and health care providers, which is a reason that writing education is important for medical systems. 'Writing for Healing' is open to freshmen at Yonsei University Wonju College of Medicine. The aim of this subject is to help students identify and acknowledge internal diseases to lead a healthier life and eventually become positive and responsible health care providers. However, in addition to the vague definition of what 'healing' is, the concept of 'writing for healing' has not been defined. This paper attempts to define the concept of 'writing for healing' and considers what influences it can have on a humanities curriculum in medical colleges.
Curriculum ; Frustration ; Health Personnel ; Humanities ; Humans ; Students, Medical ; Writing

The Purpose of the study was to understand the experience of chronic renal failure patients for the qualified individual care for them. The purpose of this study was to explore the experience of patients living with chronic renal failure and to identify the meaning and structure of their experience. The subjects were four patients, two females and two males. The age range was from 21 to 54. Data was collected with a few in-depth interviews by the authors until the data was fully saturated. The framework and methodology of this study was based on Parse's "Human Becoming methodology," an existential phenomenological research methodology. The findings of this study were as follows. Three experience structures of chronic renal failure patients were : 1. Sufferings and conflicts originated in the frustration caused by uncurable disease. 2. Dependence upon God and significant others with complex emotions. 3. Acceptance of sufferings, emerging hope for serving people, and gratitude for living. In conclusion the experience of chronic renal failure patients could be described from the findings (three structures) as "Experiencing the sufferings, conflicts originated in the frustration caused by uncurable disease, dependence upon God and significant others with complex emotion, acceptance of the suffering and hope for serving people, and gratitude for living." The three structures of the lived experience of patients with chronic renal failure, the findings of this study, could be explained by the three concepts of "Theory of Human Becoming," the first structure could be explained with values, the second with revealing-concealing, and the third with transforming.
Female ; Frustration ; Hope ; Humans ; Kidney Failure, Chronic* ; Male ; Research Design

Diabetes can be a difficult and burdensome disease, and feelings of distress are common among patients. The constant stress and frustration of diabetes management can lead to "diabetes burnout". Many patients may feel overwhelmed, frustrated, or defeated by diabetes, and may become preoccupied or worried by the fear of complications. As a result, patients may feel unmotivated to adhere to the regimen required for diabetes care. Chronically elevated blood glucose levels may result if appropriate diabetes self-management cannot be achieved or maintained. Therefore, proper identification and treatment of diabetes burnout is a very important aspect of diabetes management.
Blood Glucose ; Diabetes Mellitus ; Frustration ; Humans ; Self Care