死亡臨近的時候是什麼感覺？每個人死亡的時候感覺是一樣嗎？科學家們已經對此作了精密的硏究。硏究顯示瀕死經驗與一種名為「快速動眼睡眠」的睡眠障礙有密切的關係。有過瀕死經驗的人，其中有60%患有這種睡眠障礙，而那些沒有經歷過瀕死經驗的自願者，只有24%患有這種睡眠障礙。本節目拍攝最新瀕臨死亡的科學實驗結果，並且訪問幾位實際體驗過死亡經驗的人。
目前分類：專業 (45)
- Mar 23 Wed 2016 08:45
2016年。四月新片：探討瀕臨死亡經驗
- Mar 23 Wed 2016 08:44
2016年。四月新片：跟死亡競賽：尋找伊波拉療法
本片是醫學倫理與科學的雙重掙扎。2013年爆發了有史以來最糟糕的伊波拉疫情，遏制疫情的努力陸續失敗了。尋找療法，突然間變得更加急迫。本節目訪問在防疫前線，跟伊波拉作戰的醫護人員。並且跟隨科學家，急著找到治療方法，對付地球上最危險的疾病。也傾聽存活者的心聲和不幸罹難者的故事。
在絕望中，如何找到希望？性命交關的時候，您會做出如何極端的抉擇？是什麼信念在支持病患？對於社會視為受詛咒的賤民，為何科學家如獲至寶？為何伊波拉病毒被發現了四十年，卻還沒有安全可用在人體身上的藥物？醫療人員面對這些垂死病患，內心的掙扎為何？實驗藥物還沒有經過「人體試驗」，能夠直接施打在病患身上嗎？藥劑不敷使用時，誰應該最優先被救治？伊波拉研究的最高境界是什麼？從實驗室製造藥物，變成大量生產的難關為何？
- Mar 23 Wed 2016 08:41
2016年。四月新片：醫療抉擇-結束生命的決定
v.1, 探索死亡/Exploring Death-- v.2,結束生命的決定/End of life decision
生命何時開始?何時又該結束?生命結束的真諦為何?如何確保病患生活品質?怎麼做最能維護病患權利?現代醫學延長人們由生到死的的過度時期，卻也在病患飽受疾病折磨時，醫病之間必須兼顧醫療倫理的兩難。
- Dec 31 Thu 2015 12:10
2015年。阿茲海默症專題：阿茲海默症的一天36小時
Alzheimer's, The 36 Hour Day: The Complete Journey
Four years in the making, this program presents a guide to understanding and caring for patients with Alzheimer's disease by nationally acclaimed Alzheimer's expert and best-selling author of "The 36-Hour Day" Peter V. Rabins, MD, MPH.
Using family's experience with Alzheimer's disease, Dr. Rabins provides a universal framework starting with diagnosis and continuing through assisted living/long-term care and finally hospice.
The challenges and care tips presented are of great value to both family and professional caregivers.
Using family's experience with Alzheimer's disease, Dr. Rabins provides a universal framework starting with diagnosis and continuing through assisted living/long-term care and finally hospice.
The challenges and care tips presented are of great value to both family and professional caregivers.
- Dec 31 Thu 2015 12:06
2015年。阿茲海默症專題：阿茲海默症患者棘手行為之道
The Rabins Response to the Challenging Behaviors of Alzheimer's Disease
This DVD presents an interactive workshop with long-term care staff conducted by Dr. Peter V. Rabins addressing the care of Alzheimer's patients presenting challenging behaviors.
Content includes discussion with nursing staff, staff interviews and actual patient-staff vignettes with Dr. Rabins. In discussing patient cases, Rabins asks nursing staff to consider the following questions:
What is the problem behavior?
Why is it a problem? Is it really a problem?
When does the behavior happen?
Where does the behavior happen?
Who is around when it happens?
With information provided by the answers to these questions, Rabins helps care providers identify the triggers which have precipitated the behaviors. Once the triggers have been identified, together they develop strategies to both prevent these behaviors and minimize them if they should occur. Implementing this technique can transform seemingly difficult patients, minimizing upsetting situations for both the patient and staff.
Content includes discussion with nursing staff, staff interviews and actual patient-staff vignettes with Dr. Rabins. In discussing patient cases, Rabins asks nursing staff to consider the following questions:
What is the problem behavior?
Why is it a problem? Is it really a problem?
When does the behavior happen?
Where does the behavior happen?
Who is around when it happens?
With information provided by the answers to these questions, Rabins helps care providers identify the triggers which have precipitated the behaviors. Once the triggers have been identified, together they develop strategies to both prevent these behaviors and minimize them if they should occur. Implementing this technique can transform seemingly difficult patients, minimizing upsetting situations for both the patient and staff.
- Dec 31 Thu 2015 11:51
2015年。阿茲海默症專題：安撫阿茲海默症病患情緒感知的技巧
Nurturing the Emotional Well-Being of the Alzheimer's Patient
In this DVD filmed on-location in a long-term care facility, Dr. Rabins and nursing assistants identify strategies to incorporate emotional well-being into care for patients with Alzheimer's disease. These include: connecting person to person; entering into the world of the person with Alzheimer's disease; accepting the reality of the person with Alzheimer's disease; knowing what treats and activities are enjoyed; using physical touch to comfort and reassure; and eliminating experiences which may be stressful.
With the tools provided in this DVD, staff in long-term care and assisted living, as well as family members, can improve the emotional well-being of the person with Alzheimer's disease -- providing moments and days of happiness.
With the tools provided in this DVD, staff in long-term care and assisted living, as well as family members, can improve the emotional well-being of the person with Alzheimer's disease -- providing moments and days of happiness.
- Dec 31 Thu 2015 11:46
2015年。阿茲海默症專題：察覺阿茲海默症病患的情感需求
Recognizing the Emotional Needs of the Person with Alzheimer's Disease
Because of difficulty with language skills, individuals with Alzheimer's disease are often unable to express their emotions. This video will help viewers discover why it is important to encourage emotional well-being and to assess the emotions of patients, especially those who have difficulty communicating. In a discussion with nursing assistants, Dr. Rabins explores the long ignored reality of the importance of the emotional well-being of the Alzheimer's patients. Nursing assistants explain why a patient's emotions are key to quality care. "If you understand their emotional needs, the rest of their care just falls into place."
Nursing assistants in this DVD explain that by knowing their residents they can easily tell if a person is more confused than usual, sad, frightened, or happy. They explain the importance of observing the resident's body language, facial expressions, and willingness to engage. For Alzheimer's patients, calling out, wandering, refusing to eat, and changes in sleep patterns may all be signals of emotional need. This program includes patient footage, and interactive staff discussions.
- Dec 31 Thu 2015 11:18
2015年。阿茲海默症專題：involving the Alzheimer patient.
The guide for providing quality of life for the Alzheimer patient : maintaining independence and involving the Alzheimer patient.
This DVD filmed on-location in a nursing home, includes a discussion with nursing assistants lead by Dr. Peter V. Rabins as well as resident vignettes showing how staff encourage independence. Content includes: the importance of finding out how much a resident can do for themselves; maximizing the independence of a person with Alzheimer's disease by guiding and cueing; and using positive reinforcement to encourage residents to do as much as possible for themselves.
Dr. Rabins meets with several residents and the nursing assistants caring for them. In discussions with the staff member, he reviews the resident's functional capability and ways to promote function. Content includes: encouraging independence; developing individualized plans responsive both to the stage of the disease and the previous interests of the individual; using cueing and demonstration to guide the resident; avoiding activities that will be frustrating or potentially cause catastrophic reactions; and knowing when to revise plans to meet changing needs of the patient. For residents, the opportunity to maintain as much independence for as long as possible is the key to their well-being. One caregiver notes, "Once you find the door, you'll be amazed at what residents can do and what a difference it makes in their life."
- Dec 31 Thu 2015 10:24
2015年。八月新片：The Resident’s Perspective
The Importance of Faith and Religion: The Resident's Perspective
For many older individuals approaching the end of life, faith and religion become more important, providing them with strength and purpose. In a series of interviews with residents living in long-term care, the vital role of belief becomes apparent as these elderly deal with the loss of their physical strength and functional capabilities as well as the loss of friends and relations who are no longer alive.
For them, the world has changed often leaving them only the support of religion. They look forward to coming together at services, singing songs they have always known, and being comforted by familiar passages in the bible. While not all residents wish to participate in religious activities, nursing staff who see this DVD will realize the importance of making sure that those who receive comfort from their faith and religion are given every opportunity to participate in weekly services, holidays and conversations with their faith leaders.
This DVD is appropriate for all staff working in long term care, assisted living and for students training to work with the elderly.
- Dec 31 Thu 2015 10:19
2015年。八月新片： Negative and Abusive Responses
Preventing and Reducing Negative and Abusive Responses
Everyone who works in long term care or assisted living comes in contact with resident behaviors that could potentially precipitate negative or abusive caregiver responses. These behaviors are generally related to a medical condition and can include such things as calling out, swearing, racial slurs, striking out, grabbing or refusing necessary care. Nursing staff in this program relate their personal experiences with residents having these behaviors. They make a number of valuable suggestions to prevent and reduce negative responses.
All agree, rule number one is always remaining calm. They explain that knowing your resident will help you decide the most appropriate way to handle a verbal or physical outburst. For some residents distraction or re-direction works, for others, simply walking away and coming back several minutes later is the solution. They also discuss many other strategies including: the importance of knowing when to get help; safety issues; and the emotional cost of dealing with these behaviors.
This DVD provides both ways to prevent the escalation of destructive behaviors as well as guidelines for caregivers on how to reduce negative and abusive responses should these behaviors be encountered.
This program is presented by Georgia Stevens, PhD, APRN, BC.
All agree, rule number one is always remaining calm. They explain that knowing your resident will help you decide the most appropriate way to handle a verbal or physical outburst. For some residents distraction or re-direction works, for others, simply walking away and coming back several minutes later is the solution. They also discuss many other strategies including: the importance of knowing when to get help; safety issues; and the emotional cost of dealing with these behaviors.
This DVD provides both ways to prevent the escalation of destructive behaviors as well as guidelines for caregivers on how to reduce negative and abusive responses should these behaviors be encountered.
This program is presented by Georgia Stevens, PhD, APRN, BC.
- Dec 31 Thu 2015 10:17
2015年。八月新片：Why Residents Refuse Necessary Care
Resident's Rights: Why Residents Refuse Necessary Care
When residents refuse care or make poor health choices, nursing assistants find themselves in a difficult position. At some point, all nursing assistants will be confronted with residents who refuse to be bathed, change soiled clothes, take medications, or refuse other necessary care. The challenge for the nursing assistant is to respect the resident's right to make these choices, however still make sure necessary care is provided.
In this DVD, filmed on location at a nursing home, staff identify some frequent reasons for refusing care including: a resident not wanting to do something at particular time of day; resident wanting the same person to always care for them; resident being fearful when approached by strangers; resident needing gentle coaching and reassurance; and resident having privacy issues.
Only by understanding the reasons why care is being refused, can solutions be found. Nursing staff and the social worker offer the following positive suggestions. Always remember the resident has a right to refuse care. Never use physical force to overcome resistance to care, and never address the resident with an angry voice or punitive manner. Encourage resident with positive reinforcement and use distraction, talking about their areas of interest. If care is refused, always document the specific care refused and communicate with the team. Identify who has had success with the resident and what they are doing that makes a difference. Working as a team, it is generally possible to find ways to deliver necessary care.
In this DVD, filmed on location at a nursing home, staff identify some frequent reasons for refusing care including: a resident not wanting to do something at particular time of day; resident wanting the same person to always care for them; resident being fearful when approached by strangers; resident needing gentle coaching and reassurance; and resident having privacy issues.
Only by understanding the reasons why care is being refused, can solutions be found. Nursing staff and the social worker offer the following positive suggestions. Always remember the resident has a right to refuse care. Never use physical force to overcome resistance to care, and never address the resident with an angry voice or punitive manner. Encourage resident with positive reinforcement and use distraction, talking about their areas of interest. If care is refused, always document the specific care refused and communicate with the team. Identify who has had success with the resident and what they are doing that makes a difference. Working as a team, it is generally possible to find ways to deliver necessary care.
- Dec 31 Thu 2015 10:13
2015。八月新片：strategies to overcome resistance to care
Resident's Rights: Strategies to Overcome Resistance to Care
Staff in long term care and assisted living are often faced with the dilemma of a resident refusing necessary care. Staff know residents have the right to refuse care but they also fully appreciate the importance of supporting positive health outcomes and quality of life.
Find out how nursing staff prevent confrontations, respect residents' rights and still deliver the necessary care. Their recommendations start with recognizing the importance of building a relationship with a resident and taking the time to find out who the resident is. Finding out about their family and their past interests lets residents know you care about them as a person. This relationship is very likely to ensure you'll be able to provide necessary care.
If a resident refuses care, staff suggest the following: try coming back a short time later, using a soft voice and a reassuring manner explain why the care is necessary. Some nursing assistants use humor, or offer some type of "bribe/reward," while others use personal conversation as a distraction. If you're not successful, ask someone who knows the resident better to help out. When a resident continues to refuse care, prioritize the importance of the care and decide if it can be provided at a later time. Always document and report specifically what care has been refused. Filmed in a long-term care facility with commentary from a nurse practitioner, LPNs, nursing assistants, and a social worker.
Find out how nursing staff prevent confrontations, respect residents' rights and still deliver the necessary care. Their recommendations start with recognizing the importance of building a relationship with a resident and taking the time to find out who the resident is. Finding out about their family and their past interests lets residents know you care about them as a person. This relationship is very likely to ensure you'll be able to provide necessary care.
If a resident refuses care, staff suggest the following: try coming back a short time later, using a soft voice and a reassuring manner explain why the care is necessary. Some nursing assistants use humor, or offer some type of "bribe/reward," while others use personal conversation as a distraction. If you're not successful, ask someone who knows the resident better to help out. When a resident continues to refuse care, prioritize the importance of the care and decide if it can be provided at a later time. Always document and report specifically what care has been refused. Filmed in a long-term care facility with commentary from a nurse practitioner, LPNs, nursing assistants, and a social worker.
- Dec 31 Thu 2015 09:40
2015。阿茲海默專題：recognizing pain
The guide for providing quality of life for the Alzheimer patient : recognizing pain.
Nationally recognized leader in Alzheimer's care, Dr. Peter Rabins, leads an interactive discussion with nursing staff at a long-term care facility to identify the importance and impact of providing patient-centered care for individuals with Alzheimer's disease. Filmed on-location in a nursing home, the commentary made by staff relates to patients who are also introduced in the video. Guidelines to providing patient-centered care include: the importance of recognizing an individual's past life and discovering their life-long interests; finding out and respecting individual preferences in food, routine, clothing and activities; relating to each person as an individual with unique physical and emotional needs; and, understanding what is appropriate today, may not be tomorrow. Patient-centered care for individuals with Alzheimer's disease is particularly important and requires special skills for staff. In order to find out how to develop a person-centered approach for each patient, staff needs to team with other staff as well as families to get essential background information. As individuals with Alzheimer's disease have diminished communication capabilities, when working with these patients, choices should be presented throughout the day in such a way to gather information through one word responses. In this way, patients will be able to successfully guide the caregiver with their preferences despite limited language. Staff will find that not only does individualized care minimize catastrophic reactions, fearful behaviors and aggressive responses, it gives patients the best possible quality of life and the opportunity to be more fully involved in life for as long as possible.
- Oct 29 Mon 2012 18:37
重回青春逆轉勝
- Oct 29 Mon 2012 18:35
基因科學的轉捩點(二)：全球首例複製羊
- Oct 29 Mon 2012 18:34
基因科學的轉捩點(一)：全球首例試管嬰兒
- Oct 29 Mon 2012 18:33
人體解密(四)：神奇的腦力 BRAINPOWER
- Oct 29 Mon 2012 18:30
人體解密(三)：感覺系統 SENSATION
- Oct 29 Mon 2012 18:23
人體解密(二)：身體的力量 STRENGTH
- Oct 29 Mon 2012 18:21
人體解密(一)：視覺系統 SIGHT
