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Paxil CR

By K. Tukash. University of California, Hastings College of Law. 2017.

CHAPTER FOUR An Alternative Model of Healing While I have shown that there are very real problems in conceptualizing alternative healing residually by distinguishing it from biomedical treatment paxil cr 25 mg on line, residual means of definition proved very popular among the people who participated in this research. The particular distinguishing criteria used by the people who participated in this research can be grouped into three broad categories: the focus and purpose of therapy, the nature of the client/practitioner relationship, and alternative healing techniques. THE FOCUS AND PURPOSE OF THERAPY The people who took part in this research used a series of alternative versus allopathic statements in explaining what they see as distinctive about the focus and purpose of alternative therapy. Some informants highlighted the general approach to health problems, for example holism; while others focussed on specific techniques they associated with alternative healing, such as natural remedies. What is common in all cases, however, is that they distinguish alternative therapy by differentiating it from what they see as the negative standard of Western biomedical treatment (see Figure 4. Acute All the people who spoke with me said that serious, acute, and emergency situations are the proper sphere of allopathic medicine. For example, Roger told me that while he is extremely reluctant to use allopathic therapies, he does feel that “medicine has some very powerful weapons” to mobilize in cases of acute illness. As Richard graphically put it: “If someone comes to you with their finger half cut off you don’t give them herbs to make it grow back. If I’m having a heart attack I want to go to an allopathic medical doctor. For instance, Lindsay told me, “If I had a ruptured appendix I don’t think I’d go see a naturopath, I think I’d probably be here at [the hospital]. But, you know, for long-term things alternative therapies really helped me. However, if it’s not an acute thing that requires emergency service, I will turn to my alternative health care. Dualistic Holism is perhaps most often cited as a defining criterion of alternative approaches to healing (Lowenberg1992).

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Bladder care Patients are taught the most effective method of bladder emptying (see chapter 7) purchase paxil cr 25mg mastercard. Although men with high tetraplegia can often tap over the bladder to induce a detrusor contraction, they may require help to apply a sheath and to fit Figure 12. In women with high tetraplegia the bladder is often assess pressure distribution, which helps to prevent skin breakdown. Patients whose bladder emptying method • Intermittent self-catheterisation is preferred method for those involves an indwelling catheter are taught to regularly use a with acontractile bladders catheter valve (which can be opened and closed), to maintain • Condom sheath drainage in contractile bladders bladder volume and compliance. Intermittent clean self- • If indwelling catheter, suprapubic catheter is preferable to urethral catheter, to avoid urethral damage. Use catheter valve to catheterisation is the preferred method for most women and maintain bladder compliance and capacity men with paraplegia and some with low tetraplegia. Long-term bladder management Urinary tract infections are common but may be reduced by adequate hydration and often by urinary acidification. In general antibiotics are given only when an infection causes systemic symptoms. If recurrent urinary tract infections occur the patient should be investigated for underlying causes such as stones in the Box 12. Various surgical • Treat with antibiotics only if systemic symptoms present interventions are available in selected patients (see chapter 7). Patients with high tetraplegia generally have poor balance and have to be hoisted on to a padded shower chair which can be wheeled over a toilet. In some circumstances bowel evacuation may need to take place on the • Upper motor neurone cord lesion bed with the patient in the left lateral position.

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