Hospice care and palliative care: Is there a difference between the two, and if so, what?
Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.
The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
The document discusses palliative care, providing definitions and describing its goals, history, and key aspects. It defines palliative care as improving quality of life for patients facing life-threatening illness by preventing and relieving suffering. Palliative care aims to treat physical, psychosocial, and spiritual problems without hastening or postponing death. It is ideally provided early in conjunction with curative treatment by an interdisciplinary team and continues through end of life. The document contrasts palliative and hospice care and explores palliative care approaches, settings, costs, and growth. It addresses palliative care for cancer specifically and describes how the approach supports patients and families.
The document discusses fundamentals of nursing palliative care. Nursing and palliative care are natural partners, as all nurses should have palliative care skills. Palliative care aims to improve quality of life for terminally ill patients and their families by preventing and relieving suffering. It involves an interdisciplinary team approach to address physical, psychosocial and spiritual needs. The role of nurses in palliative care focuses on symptom management, especially pain management, and providing 24-hour support.
The document discusses end-of-life care and palliative care. It defines acute care as short-term medical treatment, usually in a hospital, while palliative care aims to relieve suffering for those without curative treatments. The document also outlines a dying person's bill of rights, including their right to die with dignity and participate in decisions. It discusses principles of palliative care, including addressing physical, psychological and spiritual needs, and providing comfort to the terminally ill through symptom control and a peaceful environment.
This document discusses palliative and supportive care in oncology. It defines palliative care as preventing and relieving suffering through early management of pain and other physical, psychosocial, and spiritual problems across the cancer experience. The goals of palliative care are to anticipate, prevent, and reduce suffering and support the best possible quality of life regardless of disease stage. Early palliative care involvement has benefits like improved quality of life and mood over traditional late palliative care. An interdisciplinary team approach to palliative care is recommended.
This document provides an introduction to palliative nursing care. It defines palliative care as an approach that improves quality of life for patients with life-threatening illnesses through pain management and treatment of physical, psychosocial, and spiritual problems. Palliative care aims to prevent and relieve suffering. It has developed since the 1960s in the UK and US and is now integrated into health care systems worldwide. Palliative care can benefit those with advanced diseases, uncertain medical goals, or end-of-life care needs. Effective palliative care is patient-centered, family-supported, communicates effectively, and works with an interdisciplinary team. Barriers to palliative care include cultural views of death and lack of understanding, knowledge, communication skills
This document discusses palliative care, particularly for cancer patients. It defines palliative care as medical care focused on relieving symptoms and improving quality of life for patients with serious illnesses. The goal of palliative care is to minimize suffering and improve quality of life by comprehensively addressing physical, psychosocial and spiritual needs. Palliative care teams include doctors, nurses, social workers and other specialists working together to provide relief from pain and other symptoms for patients and support for their families.
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care aims to improve quality of life for patients with serious illnesses through pain and symptom management as well as addressing physical, psychological, social, and spiritual needs. It focuses on preventing and relieving suffering for the patient and their family from diagnosis through the end of life and into bereavement. Palliative care is provided through interdisciplinary teams in various settings including hospitals, outpatient clinics, nursing homes, and in the community.
Nutrition and hydration are important aspects of palliative care aimed at improving patient comfort and quality of life. Terminal illnesses can negatively impact nutritional status through issues like malabsorption and increased nutrient needs. While nutrition cannot prolong life, optimal nutrition can empower patients by enabling them to fulfill final goals and maintain dignity. A multidisciplinary approach is needed to address individual patient needs, symptoms, and preferences through oral feeding, enteral nutrition, or parenteral nutrition when appropriate. Hydration also seeks to relieve patient discomfort through careful use of oral hydration or alternatives like subcutaneous hydration.
This document discusses cancer of the oral cavity. It notes that oral cancers are often associated with alcohol and tobacco use and occur most commonly in people over age 40. The main types are squamous cell cancers of the lips, tongue, or floor of the mouth. Early symptoms may be minimal but later a non-healing sore or mass is common. Diagnosis involves biopsy of suspicious lesions. Treatment can include surgery, radiation, chemotherapy, or a combination. Nursing care focuses on mouth care, nutrition, pain management, infection prevention, and supporting communication and a positive self-image during treatment.
Palliative care aims to improve quality of life and reduce suffering for those with serious illnesses through early identification and treatment of pain and other distressing symptoms. It can be provided in hospitals, outpatient clinics, homes, and hospice centers using an interdisciplinary team approach. While palliative care and hospice care both focus on comfort, palliative care can be provided at any stage of illness and with curative treatment, whereas hospice care is for those with less than 6 months to live who are no longer pursuing curative options. Barriers to palliative care include lack of awareness, competency and funding as well as consumer fears and delays in diagnosis.
This document discusses palliative care, including its definition, aims, models, barriers to development, and challenges in Indonesia. Some key points include:
- Palliative care aims to relieve suffering and improve quality of life for patients with life-limiting illnesses through pain and symptom management as well as psychological, social, and spiritual support.
- Barriers to palliative care development include lack of funding, opioid availability issues, public and government awareness, and education/training programs.
- Palliative care in Indonesia is developing but still faces challenges related to policy, education, attitudes, and social conditions. It is primarily available in major cities near cancer treatment centers.
- Effective palliative care requires an inter
Palliative care aims to improve quality of life and relieve suffering for patients with serious illnesses. It can be provided along with curative treatment or on its own for comfort care. Total dyspnea involves physical, psychological, social and spiritual factors causing breathing distress. Signs that a patient is actively dying include profound weakness, disorientation, changes in breathing, and vocalizations like grunting.
The document discusses end-of-life care, including palliative care, hospice care, and spiritual care. It defines end-of-life care as care for patients with advanced, progressive, and incurable conditions. The goals of end-of-life care are to provide comfort, improve quality of life, and ensure a dignified death. Palliative care focuses on relieving suffering and improving quality of life for patients with serious illnesses, while hospice care provides support to terminally ill patients and their families. Nurses play a key role in providing holistic care to address physical, emotional, and spiritual needs at the end of life.
The document discusses critical care nursing and the organization and design of intensive care units (ICUs). It defines critical care nursing and its roles/responsibilities. It describes the evolution of ICUs and different levels of ICUs. It discusses the organization of ICUs including staffing, equipment, patient areas, central nursing station, and other therapeutic and support areas. The principles of critical care nursing are also outlined.
Nursing care for patients undergoing radiation therapy focuses on informed consent, treatment side effect management, safety precautions, and patient education. Radiation therapy uses ionizing radiation to target and destroy cancer cells, and can be given externally via a machine or internally via implants. Common side effects include fatigue, skin changes, and hair loss. Nurses ensure proper skin preparation, positioning using tattoos as guides, dietary restrictions, symptom management, activity limitations, and educate patients on safety precautions around radiation exposure and skin care.
Palliative Care Across the Continuum as presented to the The Palliative Care Summit for PeopleFirst Homecare and Hospice that was held in Snowbird Utah on September 15, 2012, following the Rocky Mountain Geriatric Conference.
Basics of palliative care including symptom management: pain, dyspnea, nausea and constipation; family meetings, goals-of-care, end-of-life care, and artificial nutrition.
Nathan Goldstein-Palliative care making the case jewishhome
Palliative care aims to improve quality of life for patients with serious illnesses and their families. Nathan Goldstein argues that hospital-based palliative care is growing in the US for four key reasons: 1) It improves clinical quality by better managing pain and symptoms. 2) It better aligns with patient and family preferences for comfort and honest discussions. 3) It is well-suited to address the growing population of older adults with multiple chronic conditions. 4) It can reduce costs by facilitating decisions to leave the hospital or withhold treatments not achieving patient goals.
The document discusses palliative care, what it is, and its benefits. It provides evidence that palliative care can improve quality of life for patients with serious illnesses, help patients live longer, and reduce healthcare costs. The document proposes developing a palliative care program at HealthAlliance Hospital through a team approach and various models of consultative and inpatient palliative care services.
This document provides an overview of palliative care, including:
1) Palliative care aims to relieve suffering and improve quality of life for patients facing serious illnesses, and involves addressing physical, emotional, and spiritual needs.
2) As the population ages and chronic diseases increase, more patients will benefit from palliative care services to improve end-of-life experiences and outcomes.
3) Prognostication, or predicting a patient's life expectancy, is an important but challenging skill for physicians, and palliative care aims to improve care based on patient preferences near the end of life.
The lecture I gave for the Indiana University Health Joint Transplant Education and Research Lecture Series on palliative care. That's right, palliative care in transplant patients NOT at the end-of-life.
Palliative care aims to improve quality of life for patients facing serious illness through comprehensive pain and symptom management and coordination of care across settings. While some view it as a form of rationing, studies show palliative care can help patients live longer while feeling better. It works to resolve conflicts among clinicians and between clinicians and patients/families around goals of care. Implementing a palliative care program at Cape Cod Hospital could help address frequent ER visits and readmissions at end of life through improved symptom control and advance care planning.
The document discusses palliative care and end-of-life care. It notes that patients often suffer from untreated symptoms, and families are unsatisfied with the current healthcare system. Palliative care aims to improve quality of life for patients with life-threatening illnesses through pain management, psychosocial, and spiritual support. The document also discusses the stresses on family caregivers, noting that over 44 million Americans serve as caregivers and it can negatively impact their health. Palliative care focuses on treating the whole patient and coordinating care across settings.
Primary and Specialty Palliative Care.pptxMike Aref
Palliative care aims to relieve suffering and improve quality of life for patients with serious illnesses and their families. It can be provided alongside curative treatment. The presentation discusses primary palliative care provided in primary care settings and specialty palliative care provided by palliative care specialists. It provides criteria for referring patients to specialty palliative care, such as advanced cancers, organ failures, neurological diseases, and frequent hospitalizations. Early referral to palliative care can improve quality of life and mood and extend survival. While many could benefit from palliative care, there are not enough specialists to meet the need.
Presentation on palliative care given at the Caregiver's Conference for the Cystic Fibrosis Affiliate and Satellite Sites at Riley Children's Hospital.
We will cover the topic of Palliative Care – specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.
Presented by Dr. Jean S. Kutner, MD, MSPH a tenured Professor of Medicine in the Divisions of General Internal Medicine (GIM), Geriatric Medicine, and Health Care Policy and Research at the University of Colorado School of Medicine (UC SOM)
This document provides information about hospice care, including statistics on where people die, myths about hospice, eligibility criteria, levels of care under the Medicare hospice benefit, and considerations for choosing a quality hospice provider. It notes that while most people hope to die at home, approximately 50% die in hospitals, but hospice allows three out of four patients to die at home. It aims to educate healthcare professionals about the benefits of hospice to provide timely, quality end-of-life care for terminally ill patients and their families.
SHARE Presentation: Palliative Care for Womenbkling
Dr. Michael Pearl discusses supportive palliative care for women with cancer, how it differs from hospice care, and the New York Palliative Care Information Act. Dr. Michael Pearl is Professor and Director of the Division of Gynecologic Oncology in the Department of Obstetrics, Gynecology and Reproductive Medicine at Stony Brook University Hospital.
45 minutes of suffering (or Anesthesia Grand Rounds on Palliative Care)Mike Aref
This document summarizes a presentation on palliative care. It discusses:
- The definition and goals of palliative care in alleviating suffering for patients with chronic illnesses
- How palliative care differs from hospice in focusing on symptom management rather than a prognosis of 6 months or less
- The concept of primary palliative care conducted by primary providers to assess physical, psychosocial and spiritual needs
- The importance of establishing goals of care through discussions of patient values, priorities and understanding of their illness
- Strategies for managing common symptoms like pain, depression and dyspnea
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT began with a few clinicians in 2005 and has expanded to include various complementary and alternative medicine services. IMPACT assesses patients' physical, psychosocial and spiritual needs. It also provides education to medical staff and students on palliative care and integrative medicine. IMPACT is researching the effectiveness of interventions like aromatherapy, yoga and alternative diets.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT evolved from initial assessments of patient needs to a multidisciplinary team providing services like herbal medicine, yoga, massage, and spiritual support. It also discusses IMPACT's education initiatives and current research studies exploring topics like the effectiveness of different diets for cancer patients and the impact of therapies like aromatherapy and yoga on symptoms.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to offering additional complementary and alternative medicine services. IMPACT now includes practitioners of herbal medicine, yoga, massage, acupuncture, nutrition counseling, and other therapies. It also provides education to medical students and conducts research on topics like the effectiveness of different diets for pediatric oncology patients.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to incorporate complementary and alternative medicine (CAM) approaches. IMPACT now provides a range of CAM services like yoga, massage, acupuncture, and herbal medicine to improve patients' quality of life. It also conducts education and research on palliative care and CAM for pediatric cancer patients.
The document discusses lessons from the United States on caring for patients with chronic illnesses. It outlines three key functions of primary care teams: panel management to ensure patients receive evidence-based care, health coaching to support behavior change and medication adherence, and complex care management for high-needs patients. High-functioning teams with roles like registry use, panel managers, and health coaches are shown to improve health outcomes and lower costs compared to usual individual physician care.
The document discusses lessons from the United States on caring for patients with chronic illnesses. It outlines three key functions of primary care teams: panel management to ensure patients receive evidence-based care, health coaching to support behavior change and medication adherence, and complex care management for high-needs patients. High-functioning teams with roles like registry use, panel managers, and health coaches are shown to improve health outcomes and lower costs compared to usual individual physician care.
Dr. Murphy presents slides discussing general screening trends in the US, including how the US compares to other countries, different screening modalities, and differences in screening by:
-Age
-Gender
-Geography
-Race/Ethnicity
Looking to kick start your physical activity? Hoping to learn about how body movement can be a huge benefit for CRC patients and survivors? Curious about Climb for a Cure? Join this interactive webinar featuring Karia Coleman, MSK, personal trainer and athletic strength coach, and Fight CRC advocates as they discuss the importance, challenges, and joys of physical activity.
From bowel frequency, pain, and more, many colorectal cancer treatments lead to digestive side effects. Join this webinar with Dr. Cathy Eng to learn all about the digestive system, the side effects that are common due to CRC treatment, and how to manage those side effects.
Maine recently passed major colorectal cancer (CRC) policy at the state level. Join us to listen to their story and learn what worked well for CRC state advocacy!
Indiana just passed major colorectal cancer (CRC) policy this year. Join us to listen to their story and learn what worked well for CRC advocacy in Indiana!
Kentucky was one of the first states in the US to pass major colorectal cancer (CRC) policy. Join us to listen to their story and learn what worked well for CRC state advocacy!
Join Fight CRC in a webinar about biomarkers. In this session, Dr. Chris Lieu will focus the discussion on the NTRK biomarker, in addition to ctDNA, and Next-Generation Sequencing.
Join us as Eden Stotsky-Himelfarb, BSN, RN from Johns Hopkins Medicine discusses how to manage after a colorectal cancer diagnosis. In this session, she will cover understanding diagnoses, shared decision making, managing mental health, talking to family and colleagues, and more.
Some colorectal cancer treatments lead to side effects of the skin. In this webinar, Dr. Nicole LeBoeuf will discuss these specific side effects. She will talk about why they occur, how to prepare for them, and how to manage them.
Hear about the latest breaking colorectal cancer research! Fight CRC will be joined by Dr. Axel Grothey who will spend the hour detailing the research presented at the 2020 Gastrointestinal (GI) Cancers Symposium hosted by the American Society of Clinical Oncology.
Anticipating the end of life and making decisions about medical care at this time can be difficult and distressing for people with cancer and their loved ones. However, it is incredibly important to plan for the transition to end-of-life care.
In this webinar, we will discuss questions to ask when considering an end to curative treatment, what to expect with hospice and end-of-life care, a new medical care team, advance directives and healthcare proxies, options for pain, the role of caregivers and loved ones, and more.
This webinar discussed clinical trials for colorectal cancer. It addressed myths about clinical trials and provided resources for finding open trials. Presenters included physicians, researchers, and a three-time colon cancer survivor who works as a clinical trials curator. The curator discussed her experience being trained to evaluate trials for inclusion on the Fight CRC Clinical Trial Finder website. Challenges to enrollment were covered, and advice was given by a physician on searching for and participating in a clinical trial. The webinar concluded with a question and answer session.
In this webinar, Dr. Popp will discuss everything you need to know about palliative care! This is an important webinar for colorectal cancer patients and their loved ones.
eeling worn out and exhausted all the time? You may be experiencing cancer-related fatigue. Tune in to this webinar to learn what cancer-related fatigue is, how to spot it, and how to manage it.
In this webinar, Dr. Azad discusses colorectal cancer recurrence. She addresses things to do to help reduce the risk of recurrence, in addition to what steps should be taken if colon or rectal cancer returns.
Join Fight CRC and Dr. Scott Kopetz to learn about the latest breaking colorectal cancer research from the American Society of Clinical Oncology 2019 Annual Conference.
May 2019 – What You Need to Know About Chemotherapy Induced Neuropathy WebinarFight Colorectal Cancer
Neuropathy is a common side effect for colorectal cancer patients. It is a side effect that can be incredibly challenging to manage, and can affect daily living. Join this informative webinar to learn all about neuropathy—why it happens, how to prepare for it, and methods to try and reduce its effects. This is an important webinar for all survivors and patients! Dana will speak from both the medical professional and patient angle, as she is a colon cancer survivor herself!
A cancer diagnosis and cancer treatment can be traumatic. An experience with cancer can lead to serious psychological distress that should be addressed. In this webinar, Schuyler Cunningham, Clinical Social Worker, talks about what trauma is, how to identify it, and what steps to take next.
This presentation gives a clear explanation of hemodynamics and cardiac electrophysiology which will be helpful for students of bpharmacy sem 5 as a part of the pharmacology. the presentation is explained diagramatically which makes ease for the students.
Interventional radiology is a medical specialty that uses imaging techniques, such as X-rays, CT scans, and ultrasound, to guide minimally invasive procedures to diagnose and treat a variety of conditions. These procedures can be an alternative to open surgery, often resulting in shorter recovery times for patients.
कायाकल्प क्लिनिक: पटना के अग्रणी सेक्सोलॉजिस्ट और स्किन केयर विशेषज्ञ
पटना का एक शानदार स्वास्थ्य सेवा प्रदाता, कायाकल्प क्लिनिक, आपके स्वास्थ्य और त्वचा की देखभाल में विशेषज्ञता प्रदान करता है। हमारे नवीनतम तकनीकी समाधानों और अनुभवी विशेषज्ञों के साथ, हम पुरुष और महिलाओं के स्वास्थ्य सम्बंधित मुद्दों को हल करते हैं। यहां पर हम प्रदान करते हैं:
Expert Treatment for Sex Issues at Kaya Kalp Clinic in Patna -best sexologist in patna
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Discover the Best Sexologist in Patna: Expert Care at Kayakalp Clinic
Kayakalp Clinic - Best Sexologist in Patna
Kayakalp Clinic - Best Sexologist in Patna
When it comes to sexual health, finding the right expert is essential for effective diagnosis and treatment. At Kayakalp Clinic in Patna, we pride ourselves on providing exceptional care for a wide range of sexual health issues. If you’re searching for the best sexologist in Patna, look no further. Our team of highly skilled professionals is here to help you navigate and resolve your concerns with confidentiality and compassion.
Why Choose Kayakalp Clinic?
1. Experienced Professionals
Our sexologists are highly trained and experienced in dealing with various sexual health issues. They stay updated with the latest advancements in the field to provide the best care possible.
2. Comprehensive Services
At Kayakalp Clinic, we offer a wide range of services, including:
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We understand that every individual is unique, and so are their health concerns. Our sexologists take the time to understand your specific needs and create personalized treatment plans to ensure the best outcomes.
The Revolutionary Nature of Needleless Double Transfer Spikes in HealthcareNanchang Kindly Meditech
It's likely that you have witnessed medical personnel using needles to transmit fluids or medicines if you have ever visited a hospital or other healthcare facility. But as technology advances, needleless double transfer spikes are becoming more and more common and revolutionizing the delivery of healthcare.
These simplified lecture slides by Dr Sidra Arshad offer a concise look at the cardiovascular effects of heart failure:
1. Define cardiac failure, its pathophysiology and clinical manifestations
2. Differentiate between the factors causing hyper-effective and hypo-effective heart functions
3. Differentiate between right and left heart failure based on their presentation
4. Outline the physiology of treatment of cardiac failure
Principles of Cleaning
Nonsurgical root canal treatment is a predictable method of retaining a tooth that otherwise would require extraction. Success of root canal treatment in a tooth with a vital pulp is higher than that of a tooth that is necrotic with periradicular pathosis. The difference is the persistent irritation of necrotic tissue remnants, and the inability to remove the microorganisms and their by-products. The most significant factors affecting this process are tooth anatomy and morphology, and the instruments and irrigants available for treatment. Instruments must contact and plane the canal walls to debride the canal.
Morphologic factors such as lateral and accessory canals, canal curvatures, canal wall irregularities, fins, cul-de-sacs, and isthmuses make total debridement virtually impossible. Therefore the goal of cleaning not total elimination of the irritants but it is to reduce the irritants.
Currently there are no reliable methods to assess cleaning. The presence of clean dentinal shavings, the color of the irrigant, and canal enlargement three file sizes beyond the first instrument to bind have been used to assess the adequacy; however, these do not correlate well with debridement. Obtaining glassy smooth walls is a preferred indicator. The properly prepared canals should feel smooth in all dimensions when the tip of a small file is pushed against the canal walls. This indicates that files have had contact and planed all accessible canal walls thereby maximizing debridement (recognizing that total debridement usually does not occur).
Principles of Shaping
The purpose of shaping is to
1) facilitate cleaning and
2) provide space for placing the obturating materials.
The main objective of shaping is to maintain or develop a continuously tapering funnel from the canal orifice to the apex. This decreases procedural errors when cleaning and enlarging apically. The degree of enlargement is often dictated by the method of obturation. For lateral compaction of gutta percha the canal should be enlarged sufficiently to permit placement of the spreader to within 1-2 millimeters of the corrected working length. There is a correlation between the depth of spreader penetration and the apical seal.5 For warm vertical compaction techniques the coronal enlargement must permit the placement of the pluggers to within 3 to 5 mm of the corrected working length.6
As dentin is removed from the canal walls the root is weakened.7 The degree of shaping is determined by the preoperative root dimension, the obturation technique, and the restorative treatment plan. Narrow thin roots such as the mandibular incisors cannot be enlarged to the same degree as more bulky roots such as the maxillary central incisors. Post placement is also a determining factor in the amount of coronal dentin removal.
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....bkling
Join Dr. Kevin Kalinsky, breast oncologist and researcher from Emory Winship Cancer Institute, to learn about the latest updates from The American Society of Clinical Oncology (ASCO) annual meeting 2024.
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga
MALE CIRCUMCISION consists of the surgical act of removing the foreskin (skin that covers the glans of the penis), leaving the glans more prominent and better cleanable.
MALE CIRCUMCISION itself has medical as well as sociocultural implications, as it has been proven to be an act that can minimize SEXUALLY TRANSMITTED INFECTIONS (STIs), especially HIV, but it also represents the SOCIOCULTURAL IDENTITY of some people, respectively.
Now, in a SERO-EPIDEMIOLOGICAL PROFILE like that of Mozambique where the prevalence of HIV is around 12.5% which corresponds to approximately 2 million people living with HIV, where the province of GAZA is the most seroprevalent with a positivity rate of 21% (INSIDA, 2021), it is extremely necessary to THOROUGHLY scrutinize all possibilities for preventing or minimizing the spread of HIV and other STIs.
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn J...rightmanforbloodline
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
an huge problem we are facing about the anaemia , we slight our contribution to aware with one of its class , with detailed description. it is usefull for health , medicine , pharmacy , nursing.
These lecture slides, by Dr Sidra Arshad, offer a simplified description of the physiology of insulin and glucagon.
Learning objectives:
1. Describe the synthesis and release of insulin
2. Explain the mechanism of action of insulin
3. Discuss the metabolic functions of insulin
4. Elucidate the effects of insulin on adipose tissue, skeletal muscle, and liver
5. Enlist the factors which stimulate and inhibit the release of insulin
6. Explain the mechanism of action of glucagon
7. Discuss the metabolic functions of glucagon
8. Elucidate the role of insulin and glucagon in glucose homeostasis during the fasting and fed states
9. Discuss the role of other hormones in the glucose homeostasis
10. Differentiate between the types of diabetes mellitus
11. Explain the pathophysiology of the features of diabetes mellitus
12. Discuss the complications of diabetes mellitus
13. Explain the rationale of oral hypoglycemic drugs
14. Describe the features of hyperinsulinemia
Study Resources:
1. Chapter 79, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 24, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 39, Berne and Levy Physiology, 7th edition
4. Chapter 19, Human Physiology, From Cells to Systems by Lauralee Sherwood, 9th edition
5. Chapter 3, Endocrine and Reproductive Physiology, Bruce A. White and Susan P. Porterfield, 4th edition
6. Insulin and Insulin Resistance, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/
7. Complications of diabetes mellitus,
https://pdb101.rcsb.org/global-health/diabetes-mellitus/monitoring/complications
Are you ready to reap the benefits of this best magnesium supplement now? Visit us today to learn more about its health and vitality benefits.
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- Video recording of this lecture in English language: https://youtu.be/AWaobASkZM4
- Video recording of this lecture in Arabic language: https://youtu.be/1cQRmJ3SKWc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Hemodialysis: Chapter 11, Venous Catheter - Basics, Insertion, Use and Care -...NephroTube - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/QeWTw_fYPlA
- Video recording of this lecture in Arabic language: https://youtu.be/fUWI9boFc7w
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
HIV weakens the immune system, increasing the risk of TB in people with HIV. Infection with both HIV and TB is called HIV/TB coinfection. This presentation is an overview on "HIV-Tuberculosis Coinfection"
1. Welcome!
Palliative Care vs. Hospice Care
Part of Fight Colorectal Cancer’s Monthly Patient Webinar Series
Our webinar will begin shortly
www.FightColorectalCancer.org
877-427-2111
2. Fight Colorectal Cancer
1. Tonight’s speaker: Dr. Jim Meadows
2. Archived webinars: Link.FightCRC.org/Webinars
3. Follow up survey to come via email. Get a free Blue Star of
Hope pin when you tell us how we did tonight.
4. Ask a question in the panel on the right side of your screen
5. Or call the Fight Colorectal Cancer Answer Line at 877-427-2111
www.FightColorectalCancer.org
877-427-2111
3. Fight Colorectal Cancer
Upcoming Webinars
Sex After Rectal Cancer
Dr. Joel Tepper, UNC
October 17, 2012
8 - 9:30 PM Eastern time
Talking Turkey and Lynch Syndrome
Variety of speakers
November 14, 2012
8-9:30PM EasternTime
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4. Fight Colorectal Cancer
Funding Research Directly
Lisa Dubow Fund
http://fightcolorectalcancer.org/research/lisa-fund
5. Fight Colorectal Cancer
Disclaimer
The information and services provided by Fight Colorectal
Cancer are for general informational purposes only.
The information and services are not intended to be substitutes
for professional medical advice, diagnosis, or treatment.
If you are ill, or suspect that you are ill, see a doctor
immediately. In an emergency, call 911 or go to the nearest
emergency room.
Fight Colorectal Cancer never recommends or endorses any
specific physicians, products or treatments for any condition.
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6. Fight Colorectal Cancer
Dr. Jim Meadows
Director of Palliative Medicine
Tennessee Oncology
Board certified in Palliative Medicine & Family Medicine
www.FightColorectalCancer.org
877-427-2111
7. Palliative vs. Hospice Care
Jim Meadows, MD
Director of Palliative Medicine
Tennessee Oncology
9. Objectives
• What is Palliative Medicine?
• Who can receive Palliative Medicine?
• What are the benefits and risks of Palliative
Medicine?
• Is Palliative Medicine simply hospice care?
• How can I see a Palliative Medicine team?
10. What is it?
• Palliative care is a medical specialty
focused on aggressive symptom
management.
• Experts whose primary goal is to
improve quality of life.
11. What is it?
Palliative care is patient and family-centered
care that optimizes quality of life by
anticipating, preventing, and treating suffering.
Palliative care throughout the continuum of
illness involves addressing
physical, intellectual, emotional, social, and
spiritual needs to facilitate patient
autonomy, access to information, and choice.
13. Why have a specialty?
• Diseases are complex
• Treatments are complex
• Symptoms are complex
• Patients are complex
• The system is complex
14. Evolution
• With time, new needs are realized
• Focus on quality is growing
• Knowledge is rapidly expanding
• Benefits are being discovered
15. Who can receive PM
Anyone with a serious condition in
need of improved quality of life,
regardless of prognosis or diagnosis.
16. What’s Quality of Life
How do you measure quality?
Typically includes
Pain Shortness of
Nausea Breath
Anxiety Caregiver Distress
Depression Spiritual Suffering
Fatigue Financial Difficulty
Constipation Loss of Control
Poor Appetite
Insomnia
17. Palliative Medicine in Action
• A patient is referred to a Palliative
specialist
• Palliative visits tend to focus less on
the actual disease and more on what
impact it has on the patient’s life
• Together, a plan of action is reached,
which includes multiple modalities
18. Benefits
• Better control of symptoms
• Better understanding of what effects
a disease has on the patient
• Better communication among the
patient, caregivers, and treatment
team
19. Patient Benefit:
Proof Palliative Medicine
Works
“Do Palliative Consultations Improve Patient Outcomes?”
Casarett D, et al, Journal of the American Geriatrics Society 56 (4) (April): 593-599 (2008)
In a multivariable linear regression model, after adjusting for the likelihood of
receiving a palliative consultation (propensity score), palliative care patients
had higher overall scores: 65 (95% confidence interval (CI)=62-66) versus
54 (95% CI=51-56; P<.001) and higher scores for almost all domains.
Earlier consultations were independently associated with better overall
scores (beta=0.003; P=.006), a difference that was attributable primarily to
improvements in communication and emotional support.
CONCLUSION: Palliative consultations improve outcomes of care, and
earlier consultations may confer additional benefit.
20. Patient Benefit
Phase II Study of an Outpatient Palliative Care
Intervention in Patients With Metastatic Cancer
Follwell, et al. JCO January 10, 2009 vol 27 no. 2 206-213
This study assessed prospectively the efficacy of an Oncology Palliative Care
Clinic (OPCC) in improving patient symptom distress and satisfaction.
• 150 patients enrolled, 123 completed 1-week assessments, and 88 completed
4-week assessments
• The mean improvement in EDS was 8.8 points (P < .0001) at 1 week and 7.0
points (P < .0001) at 1 month
• Statistically significant improvements were observed for pain, fatigue,
nausea, depression, anxiety, drowsiness, appetite, dyspnea, insomnia,
and constipation at 1 week (all P ≤ .005) and 1 month (all P ≤ .05)
• The mean improvement in FAMCARE score was 6.1 points (P < .0001) at 1
week and 5.0 points (P < .0001) at 1 month.
21. Patient Preference
Symptom management needs of oncology outpatients
Whitmer K, Et al. J Palliat Med. 2006 Jun;9(3):628-30
More than half of surveyed patients would attend a symptom management
clinic, if offered, for the following:
• Pain (50%)
• Fatigue (40%)
• Nausea/Vomiting (30%)
• Insomnia (30%)
22. Caregiver Benefit
• 34 million households with caregivers deliver care at home to a
seriously ill older relative (Houser and Gibson 2008)
• On average they’re spending about 21 hours per week in caregiving
• Nearly one-half of all caregivers consider their caregiving
responsibilities to be highly stressful, which puts them at a significantly
increased risk for death, major depression, and other serious illness
(Schulz and Beach 1999)
• A very conservative estimate suggests that family caregivers’ unpaid
contributions are approximately $375 billion per year (Houser and
Gibson 2008)
23. Caregiver Benefit
Patients’ families are not very happy with us as a health care
industry either
• Joan Teno and colleagues (2004) studied caregivers of people who
died in various institutions in the United States.
• 80% reported that patients and families didn’t have enough contact
with their physician and didn’t get enough support
• Half the patients didn’t have enough support or enough information
about what to expect in a setting of serious illness
• Thirty-eight percent of families said they didn’t get enough support and
one in five said they didn’t get enough help with their own emotional
needs.
24. Landmark Research
“Early Palliative Care for Patients with Metastatic Non-Small-Cell Lung
Cancer.”
Temel JS, et al. New England Journal of Medicine 363 (8) (August 19 2010): 733-742.
• Patients assigned to palliative care had better quality of life, reflected in a
mean FACT-L score of 98.0 at 12 weeks compared with 91.5 for the control
group (P=0.03)
• Additionally, only 16% of the palliative care group had depressive symptoms
versus 38% of the control group (P=0.01)
• Palliative-care patients were also less likely to receive aggressive end-of-life
care. The authors reported that 33% of patients receiving palliative care had
aggressive end-of-life care versus 54% of the standard-care group (P=0.05).
• Median survival in the patients who received early palliative care was 11.6
months compared with 8.9 months in the control group (P=0.02).
27. ASCO
Provisional Clinical Opinion: Based on strong evidence from a phase III
RCT, patients with metastatic non–small-cell lung cancer should be offered
concurrent palliative care and standard oncologic care at initial diagnosis.
While a survival benefit from early involvement of palliative care has not yet
been demonstrated in other oncology settings, substantial evidence
demonstrates that palliative care–when combined with standard cancer care or
as the main focus of care–leads to better patient and caregiver outcomes.
These include improvement in symptoms, QOL, and patient satisfaction, with
reduced caregiver burden. Earlier involvement of palliative care also leads to
more appropriate referral to and use of hospice, and reduced use of futile
intensive care. While evidence clarifying optimal delivery of palliative care to
improve patient outcomes is evolving, no trials to date have demonstrated
harm to patients and caregivers, or excessive costs, from early involvement of
palliative care. Therefore, it is the Panel's expert consensus that combined
standard oncology care and palliative care should be considered early in the
course of illness for any patient with metastatic cancer and/or high symptom
burden. Strategies to optimize concurrent palliative care and standard
oncology care, with evaluation of its impact on important patient and caregiver
outcomes (eg, QOL, survival, health care services utilization, and costs) and
on society, should be an area of intense research.
28. Palliative vs. Hospice
• Both focus on improved qualify of life
• Both are delivered by specialists
• Both have been shown to improve
survival
29. Palliative vs. Hospice
• Both tend to be delivered by a team
of individuals with knowledge of
complex symptom management
• Both work with the patient’s other
clinicians to provide an additional
layer of patient care
30. Palliative vs. Hospice
• Hospice is a medical insurance
benefit, with its own set of
regulations
• Hospice care is typically provided in
the home, whereas palliative tends
to be hospital or clinic based
31. Palliative vs. Hospice
• Hospice specifically cares for
patients with terminal conditions
where survival is typically <6 months
• Palliative medicine is delivered
irrespective of prognosis
• Both are provided regardless of
diagnosis
36. Involving Palliative Care
• Talk with your oncologist
• Palliative Care and Medical Oncology work
as a team
• Use online resources to find local
programs
• www.getpalliativecare.org
• Once arranged, have open, honest
dialogue
38. Fight Colorectal Cancer
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