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Related Concept Videos

Humanistic Therapy01:24

Humanistic Therapy

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Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
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Psychotherapy01:28

Psychotherapy

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Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
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Family Therapy01:30

Family Therapy

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Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
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Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Elements Crucial for Effective Psychotherapy01:25

Elements Crucial for Effective Psychotherapy

25
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
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Modeling in Therapy01:26

Modeling in Therapy

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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
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Related Experiment Video

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Targeting Neuronal Fiber Tracts for Deep Brain Stimulation Therapy Using Interactive, Patient-Specific Models
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Goal-directed therapy: what is the goal again?

Amy Yerdon1, Ken Taylor2, Katie Woodfin3

  • 1University of Alabama at Birmingham BSN-DNP Nurse Anesthesia Pathway, Birmingham, AL, USA. ady0002@uab.edu.

Perioperative Medicine (London, England)
|May 16, 2025
PubMed
Summary

Intraoperative hypotension (IOH) management is crucial. An algorithm-guided, goal-directed approach, focusing on individualized care rather than just mean arterial pressure, may reduce postoperative acute kidney injury.

Keywords:
Goal-directed therapyHemodynamic instabilityHemodynamic managementIndividualized careIntraoperative hypotension

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Area of Science:

  • Anesthesiology
  • Nephrology
  • Critical Care Medicine

Background:

  • Intraoperative hypotension (IOH) and hemodynamic instability are areas of increased focus.
  • Increased awareness to limit IOH, coupled with fluid restriction and vasopressor use, correlates with a rise in postoperative acute kidney injury (AKI).
  • Current literature advocates for enhanced intraoperative monitoring of mean arterial pressure (MAP), judicious fluid management, and appropriate vasopressor/inotropic support.

Purpose of the Study:

  • To introduce an algorithm for managing IOH.
  • To minimize iatrogenic harm by guiding anesthesia clinicians in selecting optimal interventions.
  • To promote a comprehensive evaluation of IOH contributing factors.

Main Methods:

  • Implementing a structured algorithm for IOH management.
  • Focusing on individualized, goal-directed therapy.
  • Evaluating contributing factors like fluid deficits, myocardial depression, and vasodilation.

Main Results:

  • The algorithm guides clinicians to appropriate interventions at optimal times.
  • Comprehensive evaluation of IOH causes is ensured.
  • A shift towards individualized care may improve patient outcomes.

Conclusions:

  • An algorithm-based approach to IOH management is proposed.
  • Individualized, goal-directed therapy may enhance patient outcomes.
  • Minimizing iatrogenic harm is a key objective in hemodynamic management.