Altruism and creative expression in a long-term older adult psychotherapy group

This article describes the use of altruism and creative expression in an older adult psychotherapy group. These interventions, for which theoretic rationale and clinical examples are provided, are designed to decrease feelings of powerlessness that accompany life changes; to facilitate insight into feelings, coping, and preventative strategies for adaptation to change and loss; and to combat stereotypes, false beliefs, and myths imposed by a youth-oriented society. An integrated therapeutic model, combining psychodynamic, supportive, and cognitive/behavioral approaches, was used in the design of this group intervention for older adults. The authors, using rich clinical examples coupled with discussion of related theoretic background, provide the psychotherapist with an interesting perspective on this unique use of group psychotherapy with older adults. Such groups can provide a context within which to offer these patients the hope of relatedness, the opportunity to gain independence, and a heightened sense of integrity and possibility in one's later years.     

创造性故事疗法对轻度认知障碍老年人的干预效果研究

目的 建立适合中国轻度认知障碍老年人的创造性故事疗法的标准路径。方法 对30例轻度认知障碍老年人开展1周2次,持续6周的创造性故事疗法。通过计划、行动、观察、反思的行动研究过程,不断修整并完善标准路径。采用蒙特利尔认知评估量表、日常生活活动量表、自制创造性故事疗法活动观察表和反馈表对活动进行总体评价。结果 通过行动研究,优化并完善了适合中国轻度认知障碍老年人的创造性故事疗法标准活动路径。干预前后患者的认知功能及日常生活能力得分比较,差异无统计学意义（P＞0.05）。患者出席活动意愿、注意力、表达能力、与 人交往能力、参与程度、享受活动程度皆有显著的提高（P<0.001）。患者认为创造性故事疗法能激发他们的创造力和表达能力,帮助他们获得更多的社会支持和信任,从而更愿意投入并配合开展团体活动。结论 以行动研究法优化并完善的创造性故事疗法标准路径是一项切实有效的非药物认知治疗模式,可为老年服务产业提供一种经济、便捷、易实施且参与度高的护理适宜路径。     

The creative teacher

The challenge to adequately prepare students for the increasingly diverse profession of nursing is great. Due to a more heterogeneous population of nursing students, educators have to be more flexible in their approaches to education. As a result, educators are searching for more creative approaches to teaching. The authors examined what makes teaching creative. They identified creative nursing educators and examined their common approaches and strategies.     

Don't overlook creative thinking

Effective problem solving often requires staff creativity. Here's how to foster out-of-the-box ideas at your facility.     

Pattern of expanding consciousness in midlife women: creative movement and the narrative as modes of expression

This study is based on Newman's theory of expanding consciousness; it expands Newman's method to include creative movement as a mode of expression. The researcher engaged in two in-depth interviews and one creative movement group experience with each of 17 midlife women. Results demonstrate expanding consciousness at midlife, with patterns of meaning identified in relationships with others, self, and spirit as well as challenges of loss, illness, and threats to relationships. Activities of consciousness were choosing, balancing, accepting, and letting go. Concepts of flow, turbulence, and a movement dialectic were identified in study findings. Creative movement supported self-awareness.     

Hypnotic enhancement of creative drawing

A hypnotically based intervention to enhance creativity in drawing was evaluated in a controlled study. Participants were randomly assigned to either a hypnotic treatment or a nonhypnotic (task-motivational) control treatment. Subjects drew a standard still-life tableau twice. The first drawing involved no special instructions and provided a baseline measure of creativity in drawing. The second drawing was completed after the creativity-enhancement procedure. The drawings were rated blindly on several dimensions of artistic creativity. Hypnotizability, absorption, and debriefing measures were also administered. Results indicated that the hypnotic procedure had significantly greater effects on creativity in drawing. However, there were no significant main effects or interactions involving hypnotizability or absorption. Hypnotic and task-motivational groups did not differ on debriefing measures regarding their experience.     

Marketing: the creative advantage

Success is celebrated best by sharing the process that led to its achievement. The marketing of nursing products at the 507-bed Akron General Medical Center is a success worth sharing with other nurse executives. The authors describe the marketing process that generated new sources of revenue to support staff education and clinical specialist services.     

Promoting Health by Promoting Comfort

While comfort is a concept frequently addressed in the nursing literature, few have adequately addressed this concept as a central patient objective. At present, our literature focuses more on comfort as a nursing action than on comfort as an individualized patient goal. Comfort may be more likely to be the driving force for patients obtaining healthcare services than health itself. This patient need, coupled with nursing interventions to assist them in identifying and implementing constructive ways of promoting their own comfort needs, will help to achieve an optimal state of health.     

巨肌酸激酶引起肌酸激酶-MB活性大于总肌酸激酶1例报告

目的：探讨CK和巨CK的临床意义,提高临床医生对CK的认识。 方法： 对1例巨CK引起CK-MB大于总CK活性病例的临床资料报道,对CK-MB活性大于总CK的可能原因进行分析。结果： 出现CK-BB或巨CK的干扰时,免疫抑制法测定CK-MB总活性假性升高。巨CK1不具有病理意义,而巨CK2往往提示预后不佳。 结论：CK-MB超过总CK活性浓度的30%以上,一定要警惕有无巨CK存在。