Breaking bad news
•Download as PPTX, PDF•
1 like•175 views
HERE we are trying to find a way for better communication between physician at a side and patient and his/her family in anther side remember that if doctor do badly, patient will never forgive him but if done good, patient will never forget him and always appreciating the special nature of egyptian patient necessitate special type of communication skills
Report
Share
Report
Share
Recommended
Breaking bad news
This document discusses best practices for breaking bad news to patients. It recommends using the SPIKES model, which involves six steps: 1) setting by ensuring privacy and comfort, 2) assessing the patient's perception, 3) inviting questions, 4) providing knowledge of the medical situation, 5) addressing emotions, and 6) creating a strategy and summary. The goal is to communicate information clearly and support the patient's emotional response, while building trust so patients will "never forget us."
Irm 3
Plasmapheresis is a medical procedure that separates blood components to remove plasma. There are three main types: autologous, therapeutic exchange, and donation. Autologous plasmapheresis removes a patient's own plasma, treats it, and returns it to remove antibodies, immune complexes, or toxins. It is used to treat various neurological, hematological, metabolic, dermatological, and renal diseases. Complications can include hypotension, allergic reactions, hemorrhage, hypocalcemia, and infections from replacement fluids. Plasmapheresis removes drugs and proteins from plasma like IVIG and monoclonal antibodies but not drugs like steroids that are widely distributed in tissues. It is used pre- and
immunomodulation part 1
immunomodulation either stimulation or suppression has a crucial role in clinical practice dealing with either malignancy or infection
organ transplantation also need
atypical presentationS of COVID 19
THIS is a PowerPoint presentation denoting different clinical picture and case report of atypical prese tation
the question is: is it coindenance or autiological relation
New microsoft power point presentation
This document provides recommendations for fasting during Ramadan for those with diabetes. It categorizes risk levels as very high, high, moderate, and low based on factors like blood sugar control and medical history. For each risk level, it recommends whether fasting is advised against or can be done with/without caution. It also reviews common diabetes medications and provides guidance on any dosage adjustments or precautions needed when taking them during Ramadan fasting. Finally, it outlines the religious opinion of the Egyptian Fatwa Authority, which is that fasting should avoid hardship and harm for all patients with diabetes.
Recommended
Breaking bad news
This document discusses best practices for breaking bad news to patients. It recommends using the SPIKES model, which involves six steps: 1) setting by ensuring privacy and comfort, 2) assessing the patient's perception, 3) inviting questions, 4) providing knowledge of the medical situation, 5) addressing emotions, and 6) creating a strategy and summary. The goal is to communicate information clearly and support the patient's emotional response, while building trust so patients will "never forget us."
Irm 3
Plasmapheresis is a medical procedure that separates blood components to remove plasma. There are three main types: autologous, therapeutic exchange, and donation. Autologous plasmapheresis removes a patient's own plasma, treats it, and returns it to remove antibodies, immune complexes, or toxins. It is used to treat various neurological, hematological, metabolic, dermatological, and renal diseases. Complications can include hypotension, allergic reactions, hemorrhage, hypocalcemia, and infections from replacement fluids. Plasmapheresis removes drugs and proteins from plasma like IVIG and monoclonal antibodies but not drugs like steroids that are widely distributed in tissues. It is used pre- and
immunomodulation part 1
immunomodulation either stimulation or suppression has a crucial role in clinical practice dealing with either malignancy or infection
organ transplantation also need
atypical presentationS of COVID 19
THIS is a PowerPoint presentation denoting different clinical picture and case report of atypical prese tation
the question is: is it coindenance or autiological relation
New microsoft power point presentation
This document provides recommendations for fasting during Ramadan for those with diabetes. It categorizes risk levels as very high, high, moderate, and low based on factors like blood sugar control and medical history. For each risk level, it recommends whether fasting is advised against or can be done with/without caution. It also reviews common diabetes medications and provides guidance on any dosage adjustments or precautions needed when taking them during Ramadan fasting. Finally, it outlines the religious opinion of the Egyptian Fatwa Authority, which is that fasting should avoid hardship and harm for all patients with diabetes.
Immunosupp
immunosuppressive drugs after renal transplantation need more adjustment, need immunometery test that help in assessment of immunity state
Irm
This document discusses various topics related to immunosuppressive drugs used in renal transplantation. It begins by reviewing mTOR inhibitors used in combination with calcineurin inhibitors, noting their synergistic effect. It then discusses a study finding lower rates of discontinuation and better graft function with mTORi-CNI compared to MMF/MPA-CNI. Finally, it briefly touches on induction immunosuppression methods, tolerance without immunosuppression, and withdrawal of steroids and calcineurin inhibitors.
immunosuppressive drugs
This document discusses immunosuppressive therapy for renal transplantation. It covers various types of immunosuppressive drugs used for induction and maintenance, including calcineurin inhibitors (CNIs), mTOR inhibitors, steroids, and antiproliferatives. It provides information on monitoring drug levels, drug toxicities, and strategies to improve graft survival like avoiding high intrapatient drug level variability. It also addresses the impact of immunosuppressive drugs on male reproduction and pregnancy.
Diabetes
This document discusses post-transplant diabetes mellitus (PTDM), covering its definition, risk factors, diagnostic criteria, management, and the effects of various immunosuppressive and antidiabetic drugs. It provides questions and answers on topics like the most common cause of end-stage kidney disease in the US, risk factors for PTDM, criteria for diagnosing diabetes and prediabetes, preferred tests for diagnosing diabetes after transplantation, and factors that affect immunosuppressant and antidiabetic drug levels.
New microsoft office power point 97 2003 presentation
Membranoproliferative glomerulonephritis (MPGN) is characterized by three histopathologic findings: proliferation of mesangial and endothelial cells, thickening of peripheral capillary walls, and mesangial interposition into capillary walls. It can present with asymptomatic proteinuria and hematuria, nephrotic syndrome, acute nephritic syndrome, or recurrent gross hematuria. Treatment involves immunosuppression, antiplatelet agents, anticoagulants, and anti-inflammatory drugs. Recurrent disease is common after kidney transplantation.
New microsoft office power point 97 2003 presentation
Membranoproliferative Glomerulonephritis (MPGN) is a type of glomerular disease characterized by three histological findings: proliferation of mesangial and endothelial cells, thickening of capillary walls, and mesangial interposition into capillary walls. It accounts for 6-12% of renal biopsies performed to evaluate glomerular disease. Presentations include asymptomatic proteinuria and hematuria, nephrotic syndrome, acute nephritic syndrome, and recurrent gross hematuria. Recurrence is common after kidney transplantation.
Crrt livertx (1)
This document discusses the role of continuous renal replacement therapy (CRRT) in liver transplantation. It provides details on how to prescribe CRRT, including blood flow, dose, mode, substitution fluid, dialysate flow, fluid removal, fluid addition, and anticoagulation. It compares CRRT to intermittent hemodialysis. It then presents a case scenario of a patient undergoing liver transplantation who develops hepatorenal syndrome and requires CRRT intraoperatively and postoperatively based on their condition of massive blood loss, hypotension, and anuria. The CRRT prescription and monitoring of the patient over one week is described, showing recovering kidney function.
Crrt livertx
This document discusses the role of continuous renal replacement therapy (CRRT) in liver transplantation. It provides details on how to prescribe CRRT, including blood and dialysate flow rates, substitution fluid used, and anticoagulation. It notes CRRT is useful for hemodynamically unstable patients undergoing liver transplant due to complications like blood loss and hypotension. The case scenario describes using CRRT intraoperatively and postoperatively for a patient with liver and kidney failure undergoing liver transplant who experienced blood loss and hypotension.
Sexual tx
This document discusses sexual and reproductive health issues after kidney transplantation. It notes that more than half of male patients with renal failure have biochemical hypogonadism, which is a risk factor for sexual dysfunction. Several medications commonly used after transplantation can negatively impact erectile function and fertility in men. Treatment with phosphodiesterase 5 inhibitors can help erectile dysfunction. Female patients may experience ovulatory and menstrual irregularities due to hypothalamic-pituitary changes from chronic kidney disease. Pregnancy is possible after transplantation if kidney function is good with no proteinuria or hypertension and at least one year post-transplant. Fertility preservation techniques before transplantation like ovum pickup and preservation are discussed.
Donor esnt
This document discusses living kidney donors for transplantation. It notes that living donation is beneficial as it provides superior graft survival and reduces waiting lists compared to deceased donation. Potential living donors are screened based on health criteria like being over 21, having normal kidney function, and no uncontrolled medical issues. While criteria have been expanded, donors must be carefully monitored long term to ensure no excess mortality or health issues result from donation.
Journal
During a 6-year period, 499 patients with morbid obesity and either end-stage renal disease or chronic kidney disease were evaluated for possible sleeve gastrectomy surgery. A total of 243 patients, 198 with end-stage renal disease and 45 with chronic kidney disease, underwent sleeve gastrectomy from December 2011 through February 2018. Immunosuppressive drugs, graft biopsy, and median follow-up period of 5.8 years were examined.
Presentation
The document discusses hepatitis C virus (HCV) infection in patients with kidney disease. It covers several topics:
1) HCV is highly prevalent among patients undergoing dialysis, with rates ranging from 1.4-28.3% in developed countries and 4.7-41.9% in developing countries.
2) HCV can accelerate progression of chronic kidney disease and increase risk of end-stage renal disease. Successful treatment of HCV with antiviral therapy can improve kidney function and reduce dialysis risk.
3) Several direct-acting antiviral regimens, including paritaprevir/ritonavir/ombitasvir/dasabuvir, paritaprevir/
I.vc
1) The document discusses using ultrasound measurement of the inferior vena cava (IVC) diameter to assess volume status in patients.
2) Measuring the IVC is a fast, reliable, and non-invasive method to detect volume status changes compared to other methods like central venous pressure measurement.
3) The document reviews the technique for measuring IVC diameter using ultrasound and interpreting the results to help guide clinical decisions like fluid administration in patients with abnormal volume status.
Transplantchapter
A 23-year-old man with ESKD underwent a kidney transplant. On day 10, he developed sterile pyuria. On day 17, a biopsy showed acute rejection with glomerulitis, peritubular capillaritis and tubulitis. He received pulse steroids, plasma exchange and IVIG. His creatinine improved with treatment. A literature review discussed causes of sterile pyuria and outcomes of acute rejection treatment. The case will be followed to monitor for infection or ongoing rejection.
May2019
The document discusses common errors in non-tunnelled hemodialysis catheter insertion and ways to prevent them. It notes that ultrasound guidance should be used for all insertions and specific sites like the femoral and internal jugular veins are preferable to the subclavian site. Common errors include failing to use ultrasound, not following infection control protocols, inserting guidewires too far, failing to replace catheters at new sites, and inadequate preparation. Adhering closely to insertion checklists and training can help reduce errors.
May2019 2
This document discusses several factors that may contribute to worse outcomes for women on hemodialysis compared to men, despite generally better life expectancies for women in the general population. It suggests that women are more likely to start dialysis with greater muscle wasting and residual kidney function loss. Women may also receive less dialysis clearance due to using standardized targets based on total body water that underestimate clearance needs for their smaller size but higher metabolic organ compartments. Shorter dialysis sessions for women aim to achieve targets but increase health risks. Assessments of physical function like 6-minute walk tests and SF-36 surveys show impairments for dialysis patients related to mortality risks.
Nutrition
we can use food as a method of prevention of CKD
Fasting and breaking fasting is an important issue that affect general health in normal and disease
Presentation: HCV in dialysis
This document discusses hepatitis C virus (HCV) infection in patients with kidney disease. It covers several topics:
1. HCV can cause a variety of systemic effects beyond liver disease, including cardiovascular disease, diabetes, renal disease, cryoglobulinemia vasculitis, and B-cell lymphomas.
2. Diagnostic tests for HCV have evolved from antibody tests to include RNA tests to detect active infection and genotype testing to determine the viral strain. Imaging and non-invasive markers of liver fibrosis are also used.
3. HCV infection is considered a systemic disease due to its many potential extrahepatic manifestations. Successful treatment of HCV has been shown to improve some of these associated conditions.
Prevention of renal disaeses
المحاضرة ضمن سلسلة محاضرات للتوعية بطرق الوقاية من امراض الكلى التي تنظمها ادارة التدريب التابعة لمديرية الشئون الصحية بالدقهلية
Vaccination copy (1)
This document provides guidelines for vaccination strategies in kidney transplant patients. It states that kidney transplant recipients are at higher risk for infections due to immunosuppression but some vaccines may not be beneficial or could be harmful. The guidelines recommend that kidney transplant patients receive inactivated vaccines as recommended for the general population but should not receive live vaccines. Specific guidance is provided around timing of vaccination, monitoring immune response, vaccination of close contacts, and vaccines for hepatitis B and pneumonia.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
More Related Content
More from drsalwa22000
Immunosupp
immunosuppressive drugs after renal transplantation need more adjustment, need immunometery test that help in assessment of immunity state
Irm
This document discusses various topics related to immunosuppressive drugs used in renal transplantation. It begins by reviewing mTOR inhibitors used in combination with calcineurin inhibitors, noting their synergistic effect. It then discusses a study finding lower rates of discontinuation and better graft function with mTORi-CNI compared to MMF/MPA-CNI. Finally, it briefly touches on induction immunosuppression methods, tolerance without immunosuppression, and withdrawal of steroids and calcineurin inhibitors.
immunosuppressive drugs
This document discusses immunosuppressive therapy for renal transplantation. It covers various types of immunosuppressive drugs used for induction and maintenance, including calcineurin inhibitors (CNIs), mTOR inhibitors, steroids, and antiproliferatives. It provides information on monitoring drug levels, drug toxicities, and strategies to improve graft survival like avoiding high intrapatient drug level variability. It also addresses the impact of immunosuppressive drugs on male reproduction and pregnancy.
Diabetes
This document discusses post-transplant diabetes mellitus (PTDM), covering its definition, risk factors, diagnostic criteria, management, and the effects of various immunosuppressive and antidiabetic drugs. It provides questions and answers on topics like the most common cause of end-stage kidney disease in the US, risk factors for PTDM, criteria for diagnosing diabetes and prediabetes, preferred tests for diagnosing diabetes after transplantation, and factors that affect immunosuppressant and antidiabetic drug levels.
New microsoft office power point 97 2003 presentation
Membranoproliferative glomerulonephritis (MPGN) is characterized by three histopathologic findings: proliferation of mesangial and endothelial cells, thickening of peripheral capillary walls, and mesangial interposition into capillary walls. It can present with asymptomatic proteinuria and hematuria, nephrotic syndrome, acute nephritic syndrome, or recurrent gross hematuria. Treatment involves immunosuppression, antiplatelet agents, anticoagulants, and anti-inflammatory drugs. Recurrent disease is common after kidney transplantation.
New microsoft office power point 97 2003 presentation
Membranoproliferative Glomerulonephritis (MPGN) is a type of glomerular disease characterized by three histological findings: proliferation of mesangial and endothelial cells, thickening of capillary walls, and mesangial interposition into capillary walls. It accounts for 6-12% of renal biopsies performed to evaluate glomerular disease. Presentations include asymptomatic proteinuria and hematuria, nephrotic syndrome, acute nephritic syndrome, and recurrent gross hematuria. Recurrence is common after kidney transplantation.
Crrt livertx (1)
This document discusses the role of continuous renal replacement therapy (CRRT) in liver transplantation. It provides details on how to prescribe CRRT, including blood flow, dose, mode, substitution fluid, dialysate flow, fluid removal, fluid addition, and anticoagulation. It compares CRRT to intermittent hemodialysis. It then presents a case scenario of a patient undergoing liver transplantation who develops hepatorenal syndrome and requires CRRT intraoperatively and postoperatively based on their condition of massive blood loss, hypotension, and anuria. The CRRT prescription and monitoring of the patient over one week is described, showing recovering kidney function.
Crrt livertx
This document discusses the role of continuous renal replacement therapy (CRRT) in liver transplantation. It provides details on how to prescribe CRRT, including blood and dialysate flow rates, substitution fluid used, and anticoagulation. It notes CRRT is useful for hemodynamically unstable patients undergoing liver transplant due to complications like blood loss and hypotension. The case scenario describes using CRRT intraoperatively and postoperatively for a patient with liver and kidney failure undergoing liver transplant who experienced blood loss and hypotension.
Sexual tx
This document discusses sexual and reproductive health issues after kidney transplantation. It notes that more than half of male patients with renal failure have biochemical hypogonadism, which is a risk factor for sexual dysfunction. Several medications commonly used after transplantation can negatively impact erectile function and fertility in men. Treatment with phosphodiesterase 5 inhibitors can help erectile dysfunction. Female patients may experience ovulatory and menstrual irregularities due to hypothalamic-pituitary changes from chronic kidney disease. Pregnancy is possible after transplantation if kidney function is good with no proteinuria or hypertension and at least one year post-transplant. Fertility preservation techniques before transplantation like ovum pickup and preservation are discussed.
Donor esnt
This document discusses living kidney donors for transplantation. It notes that living donation is beneficial as it provides superior graft survival and reduces waiting lists compared to deceased donation. Potential living donors are screened based on health criteria like being over 21, having normal kidney function, and no uncontrolled medical issues. While criteria have been expanded, donors must be carefully monitored long term to ensure no excess mortality or health issues result from donation.
Journal
During a 6-year period, 499 patients with morbid obesity and either end-stage renal disease or chronic kidney disease were evaluated for possible sleeve gastrectomy surgery. A total of 243 patients, 198 with end-stage renal disease and 45 with chronic kidney disease, underwent sleeve gastrectomy from December 2011 through February 2018. Immunosuppressive drugs, graft biopsy, and median follow-up period of 5.8 years were examined.
Presentation
The document discusses hepatitis C virus (HCV) infection in patients with kidney disease. It covers several topics:
1) HCV is highly prevalent among patients undergoing dialysis, with rates ranging from 1.4-28.3% in developed countries and 4.7-41.9% in developing countries.
2) HCV can accelerate progression of chronic kidney disease and increase risk of end-stage renal disease. Successful treatment of HCV with antiviral therapy can improve kidney function and reduce dialysis risk.
3) Several direct-acting antiviral regimens, including paritaprevir/ritonavir/ombitasvir/dasabuvir, paritaprevir/
I.vc
1) The document discusses using ultrasound measurement of the inferior vena cava (IVC) diameter to assess volume status in patients.
2) Measuring the IVC is a fast, reliable, and non-invasive method to detect volume status changes compared to other methods like central venous pressure measurement.
3) The document reviews the technique for measuring IVC diameter using ultrasound and interpreting the results to help guide clinical decisions like fluid administration in patients with abnormal volume status.
Transplantchapter
A 23-year-old man with ESKD underwent a kidney transplant. On day 10, he developed sterile pyuria. On day 17, a biopsy showed acute rejection with glomerulitis, peritubular capillaritis and tubulitis. He received pulse steroids, plasma exchange and IVIG. His creatinine improved with treatment. A literature review discussed causes of sterile pyuria and outcomes of acute rejection treatment. The case will be followed to monitor for infection or ongoing rejection.
May2019
The document discusses common errors in non-tunnelled hemodialysis catheter insertion and ways to prevent them. It notes that ultrasound guidance should be used for all insertions and specific sites like the femoral and internal jugular veins are preferable to the subclavian site. Common errors include failing to use ultrasound, not following infection control protocols, inserting guidewires too far, failing to replace catheters at new sites, and inadequate preparation. Adhering closely to insertion checklists and training can help reduce errors.
May2019 2
This document discusses several factors that may contribute to worse outcomes for women on hemodialysis compared to men, despite generally better life expectancies for women in the general population. It suggests that women are more likely to start dialysis with greater muscle wasting and residual kidney function loss. Women may also receive less dialysis clearance due to using standardized targets based on total body water that underestimate clearance needs for their smaller size but higher metabolic organ compartments. Shorter dialysis sessions for women aim to achieve targets but increase health risks. Assessments of physical function like 6-minute walk tests and SF-36 surveys show impairments for dialysis patients related to mortality risks.
Nutrition
we can use food as a method of prevention of CKD
Fasting and breaking fasting is an important issue that affect general health in normal and disease
Presentation: HCV in dialysis
This document discusses hepatitis C virus (HCV) infection in patients with kidney disease. It covers several topics:
1. HCV can cause a variety of systemic effects beyond liver disease, including cardiovascular disease, diabetes, renal disease, cryoglobulinemia vasculitis, and B-cell lymphomas.
2. Diagnostic tests for HCV have evolved from antibody tests to include RNA tests to detect active infection and genotype testing to determine the viral strain. Imaging and non-invasive markers of liver fibrosis are also used.
3. HCV infection is considered a systemic disease due to its many potential extrahepatic manifestations. Successful treatment of HCV has been shown to improve some of these associated conditions.
Prevention of renal disaeses
المحاضرة ضمن سلسلة محاضرات للتوعية بطرق الوقاية من امراض الكلى التي تنظمها ادارة التدريب التابعة لمديرية الشئون الصحية بالدقهلية
Vaccination copy (1)
This document provides guidelines for vaccination strategies in kidney transplant patients. It states that kidney transplant recipients are at higher risk for infections due to immunosuppression but some vaccines may not be beneficial or could be harmful. The guidelines recommend that kidney transplant patients receive inactivated vaccines as recommended for the general population but should not receive live vaccines. Specific guidance is provided around timing of vaccination, monitoring immune response, vaccination of close contacts, and vaccines for hepatitis B and pneumonia.
More from drsalwa22000 (20)
New microsoft office power point 97 2003 presentation
New microsoft office power point 97 2003 presentation
New microsoft office power point 97 2003 presentation
New microsoft office power point 97 2003 presentation
Recently uploaded
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Recently uploaded (20)
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Breaking bad news
- 1. by Salwa M. Elwasif, MD. Communication Skills: Breaking Bad News
- 2. YOU ARE US
- 5. “If we do it badly, the patients or family members may never forgive us; if we do it well, they may never forget us.” (Buckman, 1992) The task of breaking bad news
- 7. Information that negatively alters the patient’s view of the future (Buckman, 1992) What is bad news?
- 8. • Situations where there is a feeling either no hope or the choices convey patient life • Not welcomed • Not comfortable BAD NEWS
- 10. “Nothing travels faster than the speed of light with the possible exception of bad news, which obeys its own special laws.” Douglas Adams Quote
- 11. Quote The bad news is that only the bad people reach the news because they are noisier. Javier Bardem https://www.brainyquote.com/quotes/quotes/j/javierbard458964.html
- 18. • Setting • Perception • Invitation • Knowledge • Emotions • Strategy & Summary SPIKES MODEL: THE SIX STEPS
- 19. • Provide privacy • Introduce self • Determine who else should be present • Ensure no interruptions • Provide comfortable space • Create welcoming environment Setting the environment
- 20. • Prepare before speaking • Ask about patient’s perception of what is going on Perception
- 21. Ask questions to invite the patient into conversation Ask how much information the patient wants to hear Invitation
- 22. Deliver the message Use plain language Be mindful of body language Get to the point Give information in small chunks Pause Wait for reaction, Use “teach back” Knowledge
- 23. Be prepared for patient’s and family’s emotional response Anticipate fear, anger, sadness, denial, guilt Be mindful of your own response Comfort the patient Emotions
- 26. • Assess patients readiness for planning • Negotiate next steps • Acknowledge and answer questions Summarize plan • Use “teach back” technique • Follow up. Strategy and summery
- 31. • Medical term • Probably • May be • Language barrier • Mask face • Patient own language • Clear words • Body language Not clear Clear ENSURE THAT
- 32. Good news Bad news IF YOU HAVE 2
- 33. USE SANDWICH TECHNIQUE IF AVAILABLE
- 36. Thank you