People in a situation of social and economic vulnerability are at a high risk of being compromised in terms of their health and well-being. The concept of vulnerability seems to be relevant to highlight the challenges linked to inequalities and to find conditions for developing innovative actions responding to different contexts. Based on an interdisciplinary reflection, we explored the different views of vulnerability from health and social disciplines to find existing similarities and divergences.
View Article and Find Full Text PDFBackground: Psychological distress and intention to leave school are highly prevalent among nursing students. Academic conditions, including psychosocial stressors and school-work-life conflicts, could contribute to psychological distress and intention to leave school.
Objective: To explore the associations between academic conditions and 1) psychological distress and 2) intention to leave school.
In Québec, one in three people is at risk of being affected by a mental health problem during his lifetime. Women are twice as likely as men to suffer from mild mental health issues such as depression and anxiety. Poverty, violence and sexual abuse, difficulty to have access to adequate and affordable housing and poor working conditions are among the risk for women of being affected by a mental health problem.
View Article and Find Full Text PDFBackground: although they are major consumers of medications, there is little evidence-based data to guide prescribing and deprescribing of medications for very old adults (80+ years).
Objectives: to discover the perceptions of very old adults, caregivers and health professionals in order to further examine the clinical and ethical issues raised by prescribing and deprescribing in very old age.
Methods: individual interviews were conducted with very old adults (n = 10) and caregivers (n = 6), whereas group interviews were conducted with health professionals (n = 11).
Purpose: Successful deprescribing requires understanding the attitudes of older adults and caregivers towards this process. This study aimed to capture these attitudes in four French-speaking countries and to investigate associated factors.
Methods: A multicenter cross-sectional study was conducted by administrating the French version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire in Belgium, Canada, France, and Switzerland.
This study aimed to describe attitudes toward deprescribing among older adults and caregivers. We recruited 110 adults 65 years and above using at least one prescribed medication for at least 3 months, and 95 unrelated caregivers (18+) of older adults with such characteristics, who answered the validated French version of the revised Patients' Attitudes Towards Deprescribing questionnaire. More older adults (84.
View Article and Find Full Text PDFBackground: The revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire allows capture of the beliefs and attitudes of older adults and caregivers towards deprescribing.
Objectives: To translate and validate the rPATD questionnaire into French.
Methods: The French rPATD was translated using forward-backward translation.
Many symptoms of menopause may contribute to poor sleep and insomnia. These symptoms may also be associated with anxiety and affect the quality of women’s lives. The purpose of this study was to assess the effectiveness of a polarity therapy on insomnia and anxiety for women aged 40 to 60 years old.
View Article and Find Full Text PDFIntroduction: Perinatal loss is a complex phenomenon with multiple dimensions and represents a professional challenge for nurses. There are as many different ways of coping with bereavement as there are parents, and nurses must adapt their intervention in order to adequately support grieving parents.
Purpose: This qualitative study explored the factors that influence nursing practice with bereaved families in a secondary obstetric care center in Quebec.
Phosphorylation and activation of p38 MAPK and NFκB pathways, along with the resulting overproduction of interleukin IL-1β, IL-6, and tumor necrosis factor a (TNFα) is a hallmark of inflammatory disorders. Omega-3 polyunsaturated fatty acid (n-3 PUFA) supplementations are known to exert anti-inflammatory properties by reduction of keys cytokines and enzymes involved in inflammation. Here, we investigated the anti-inflammatory pathways and mediators modulated by eicosapentaenoic acid monoglyceride (MAG-EPA) on human peripheral blood mononuclear cells (PBMCs) from healthy donors and stimulated, ex vivo, with lipopolysaccharide (LPS).
View Article and Find Full Text PDFRes Social Adm Pharm
January 2018
Background: While there is evidence that supervised withdrawal of inappropriate medications might be beneficial for individuals with polypharmacy, little is known about their attitudes towards deprescribing.
Objective: This study aimed to describe the situation among older community-dwelling Canadians.
Methods: A self-administered survey was adapted from the Patients' Attitudes Towards Deprescribing questionnaire and distributed to 10 community pharmacies and 2 community centers.
The purpose of this study was to explore sleep satisfaction and its related factors among 130 older adults living in the community. Descriptive analyses indicated a small proportion of participants (n = 20, 15.4%) were not satisfied with sleep.
View Article and Find Full Text PDFRech Soins Infirm
September 2003
This descriptive study examined psychosocial factors associated with the use of psychotropic medication among older adults living in the community (N = 160). Comparative and descriptive statistical analysis were performed. When compared with non users, psychotropic medication users were older and less formally educated; they were less satisfied with their life and their health; they had greater health problems, reported more depressive symptoms and had more limitations in their daily activities; and they scored lower on sleep satisfaction.
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