This document provides guidance on how to effectively communicate with your doctor. It emphasizes that open communication helps ensure you receive the best possible care by discussing your disease, treatment options, wishes, fears, symptoms and what's most important to you. It outlines topics to consider such as how much you want to know, who else should be informed, and what your doctor should know about you. Key discussion points include diagnosis and treatment options, risks and benefits, side effects, and how treatment may affect your priorities. The document stresses reporting all symptoms and side effects to enable optimal care and stresses the importance of setting care goals and hopes.
The presentation on How To Talk To Your Doctor discusses issues on what patients can do to get better medical care for themselves and at the same time making patients aware of their responsibility. The presentation was held at Health Education Library for People, Mumbai, India. For more information please log on to www.healthlibrary.com
Happy-ending story: How modern technology can cure - Valerie Verveda, Project...Intersog
March 21, 2015 – our Project Manager Valerie Verveda was invited to share Intersog's eHealth apps development experience with a broader IT community in Ukraine and Eastern Europe at IT Jam 2015. In her presentation, Valerie touches upon the two disruptive apps built recently for our clients in Norway and USA, and how modern technology can help better treat patients and improve their communication with doctors.
Many young people are beginning to habitually use new marijuana, designer drugs, and tobacco products and delivery systems increasingly available on the market. How do we meet youth where they are and help them find motivation to make changes? This training serves to provide insights and hands on practice to answer these questions. We will cover the latest data on adolescent substance use and explore both a school and clinically-based brief intervention model.
The presentation on How To Talk To Your Doctor discusses issues on what patients can do to get better medical care for themselves and at the same time making patients aware of their responsibility. The presentation was held at Health Education Library for People, Mumbai, India. For more information please log on to www.healthlibrary.com
Happy-ending story: How modern technology can cure - Valerie Verveda, Project...Intersog
March 21, 2015 – our Project Manager Valerie Verveda was invited to share Intersog's eHealth apps development experience with a broader IT community in Ukraine and Eastern Europe at IT Jam 2015. In her presentation, Valerie touches upon the two disruptive apps built recently for our clients in Norway and USA, and how modern technology can help better treat patients and improve their communication with doctors.
Many young people are beginning to habitually use new marijuana, designer drugs, and tobacco products and delivery systems increasingly available on the market. How do we meet youth where they are and help them find motivation to make changes? This training serves to provide insights and hands on practice to answer these questions. We will cover the latest data on adolescent substance use and explore both a school and clinically-based brief intervention model.
KEY to Growth ! It is not only knowledge! Also not only innovation!
It is probably the "Will To Grow"! "Will To Grow Evolves"when individual learns about own hidden Qualities!
Exploring the transition to secondary progressive MS (SPMS): patient, carer a...MS Trust
This presentation by Professor Adrian Edwards and Dr Freya Davies from the Institute of Primary Care and Public Health at Cardiff University looks at the experiences of patients, carers and clinicians at the stage of transition to SPMS.
It was presented at the MS Trust Annual Conference in November 2014.
A medical error is a preventable adverse effect of care, whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailment.
In a world where distractions were long thought the enemy, one man befriends that foe and finds freedom and a shining object in her rock. Since then he has embraced the distraction and searches to know better in the epic battle against the norm. And now distracted with Mark Patey.
The digital health solutions that will make a real difference to individuals and populations will be those that support person-centred care pathways, allowing seamless transitions between formal and informal contexts of care. This is the way to move beyond just digitising a flawed system, and start building the healthcare system we actually want. Slides from my talk at Frontiers Health 2016 in Berlin.
"Depression is like living in a glass coffin but not yet buried, watching the world pass by. On one of my two good days a month, I'm screaming to be let out, but most of the rest of the month, I'm begging to be buried."
How our hormones play a significant role in depression.
How Big Pharma play a significant role in depression.
Estrogen deficiency and it's role with depression.
Making a Killing: The Untold Story of Psychotropic Drugging
Movie, slides, & show:
http://menopausemoxie.com/glass-coffin/
#MTR #Moxie #Depression
FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND.docxpauline234567
FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND MEDICATION-INDUCED MOVEMENT DISORDERS
Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.
For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.
TO PREPARE
· Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. (See attached documents)
· Review the video,
Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. – Transcript below
· Consider what history would be necessary to collect from this patient.
· Consider what interview questions you would need to ask this patient.
THE ASSIGNMENT
Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
·
Subjective:
· What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis?
· What is the duration and severity of their symptoms?
· How are their symptoms impacting their functioning in life?
·
Objective:
· What observations did you make during the psychiatric assessment?
·
Assessment:
· Discuss the patient’s mental status examination results. What were your differential diagnoses?
· Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the
DSM-5-TR diagnostic criteria for each differential diagnosis and explain what
DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis.
· Explain the critical-thinking process that led you to the primary diagnosis you selected.
· Include pertinent positives and pertinent negatives for the specific patient case.
·
Plan:
· What is your plan for psychotherapy?
· What is your plan for treatment and management, including alternative therapies?
· Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
· Also incorporate one health promotion activity and one patient education strategy.
·
Reflection notes:
· What would you do differently with this patient if you could conduct the .
I NEED THIS 013021 BY 5PMPlease no plagiarism and make sur.docxflorriezhamphrey3065
I NEED THIS
01/30/21
BY 5PM
Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that is current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable.
Each classmate’s post is listed so please respond separately.
Read
your classmates' postings.
Respond
to your classmates' postings.
Respond to all colleagues by discussing the elements of the mini script that you liked, and why. What might you add or have said differently?
1.
Classmate (K. Tri)
Hello, think you for coming in the see us today. I know as a parent this can be hard trying to make the best decision for our children. Based off what you have told me, you want to know what is AHDH and The difference between ADHD? Why do you feel that this maybe the wrong diagnosed for Tonya? Alone with the right treatment plan and medication client should be okay. Medication is a major assets to overcome these type of diagnoses. I want you to know that you are making all the right choices to be proactive with this diagnoses going without having this cared for has short term and long term consequences. Short term it has a big effect on the brain and long term causes struggles with keep relationship. Long term there no cure for ADHD and looking for jump into a state environment. I’m sorry y’all had to come this time and offer gain knowledge. Everyone learn a different ways to discuss what come and stay come go. As you counselor I’m with you every step of the way a strive for my customer satisfaction.
Reference:
Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for
mental health professionals (3rd ed.). Hoboken, NJ: Pearson.
2.
Classmate (L. Mil)
Mini Script
I hear that this diagnosis is new and it may take some time to get used to this. I understand that the idea of your daughter taking medication is new as well. You stated concern with Tonya taking a stimulant medication. There are options for non-stimulant medication. One medication is called Intuniv. It is a common non-stimulant drug. Some side effects include feeling tired or irritable, nausea, and dizziness/drowsiness (Drugs.com, 2021). If you are interested, we can also discuss stimulant medication such as Adderall, Ritalin, or Concerta. It is important to maintain contact with me. As counseling will provide you (mom) with the tools necessary to handle Tonya’s ADHD. Also, Tonya studies show that counseling will help improve your self-esteem and give you a sense of independence (Sinacola, Peters-Strickland & Wyner, 2020).
Lastly, untreat.
Instruction Please add three referenceAssignment Assessing, DiTaunyaCoffman887
Instruction/ Please add three reference
Assignment: Assessing, Diagnosing, and Treating Adults With Mood Disorders
It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning. Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and understanding of how to manage symptoms.
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
To Prepare
Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also
Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video,
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Consider patient diagnostics missing from the video:
Provider Review outside of interview:
Temp 98.2 Pulse 90 Respiration 18 B/P 138/88 objective data
Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)
The Assignment
Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for ...
The research report Presentation addresses the stigma related to the mental health in our society. This study was intended to increase understanding of peoples’ views of mental illness by developing and administering measures of knowledge and attitudes of people toward mental illnesses.
The research conducted through questionnaires regarding the mental health stigma is reviewed and analyzed that indicates that the majority of the general public holds negative stereotypes towards people with psychological problems.
Hence, a model has been proposed to illustrate what are the peoples’ attitudes towards and knowledge about the mental health, why is it a taboo to talk about this topic, how can this stigma prevent the people from getting help for the psychological difficulties and solutions for reducing and dealing with the mental health stigma are discussed.
FAST-NU
COMPUTER SCIENCE DEPARTMENT
PSYCHOLOGY
COURSE INSTRUCTOR: Miss sumarah rashid
Section: GR-4
Group members:
Taban Shaukat 16K3937
Huzaifah Punjani 16K3924
Anas Bin Faisal 16K4064
Abeer Zehra 16K4068
Maria Ahmed 16K4058
I managed the UK campaign for this fun and informative survival guide for first year medical students. I also contributed to the editorial of this publication.
Presentation given by me and Dr. Novack about assessing and managing delirium in patients receiving palliative care and hospice care.
Original presentation was shared with NHPCO - this is a version of the slides provided there.
This presentation JoAnne Nowak and I gave for NHPCO last spring addresses the prevention, assessment and treatment of delirium - particularly in hospice and palliative care settings.
More Related Content
Similar to How to speak with your doctor (when you have cancer...)
KEY to Growth ! It is not only knowledge! Also not only innovation!
It is probably the "Will To Grow"! "Will To Grow Evolves"when individual learns about own hidden Qualities!
Exploring the transition to secondary progressive MS (SPMS): patient, carer a...MS Trust
This presentation by Professor Adrian Edwards and Dr Freya Davies from the Institute of Primary Care and Public Health at Cardiff University looks at the experiences of patients, carers and clinicians at the stage of transition to SPMS.
It was presented at the MS Trust Annual Conference in November 2014.
A medical error is a preventable adverse effect of care, whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailment.
In a world where distractions were long thought the enemy, one man befriends that foe and finds freedom and a shining object in her rock. Since then he has embraced the distraction and searches to know better in the epic battle against the norm. And now distracted with Mark Patey.
The digital health solutions that will make a real difference to individuals and populations will be those that support person-centred care pathways, allowing seamless transitions between formal and informal contexts of care. This is the way to move beyond just digitising a flawed system, and start building the healthcare system we actually want. Slides from my talk at Frontiers Health 2016 in Berlin.
"Depression is like living in a glass coffin but not yet buried, watching the world pass by. On one of my two good days a month, I'm screaming to be let out, but most of the rest of the month, I'm begging to be buried."
How our hormones play a significant role in depression.
How Big Pharma play a significant role in depression.
Estrogen deficiency and it's role with depression.
Making a Killing: The Untold Story of Psychotropic Drugging
Movie, slides, & show:
http://menopausemoxie.com/glass-coffin/
#MTR #Moxie #Depression
FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND.docxpauline234567
FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND MEDICATION-INDUCED MOVEMENT DISORDERS
Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.
For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.
TO PREPARE
· Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. (See attached documents)
· Review the video,
Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. – Transcript below
· Consider what history would be necessary to collect from this patient.
· Consider what interview questions you would need to ask this patient.
THE ASSIGNMENT
Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
·
Subjective:
· What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis?
· What is the duration and severity of their symptoms?
· How are their symptoms impacting their functioning in life?
·
Objective:
· What observations did you make during the psychiatric assessment?
·
Assessment:
· Discuss the patient’s mental status examination results. What were your differential diagnoses?
· Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the
DSM-5-TR diagnostic criteria for each differential diagnosis and explain what
DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis.
· Explain the critical-thinking process that led you to the primary diagnosis you selected.
· Include pertinent positives and pertinent negatives for the specific patient case.
·
Plan:
· What is your plan for psychotherapy?
· What is your plan for treatment and management, including alternative therapies?
· Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
· Also incorporate one health promotion activity and one patient education strategy.
·
Reflection notes:
· What would you do differently with this patient if you could conduct the .
I NEED THIS 013021 BY 5PMPlease no plagiarism and make sur.docxflorriezhamphrey3065
I NEED THIS
01/30/21
BY 5PM
Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that is current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable.
Each classmate’s post is listed so please respond separately.
Read
your classmates' postings.
Respond
to your classmates' postings.
Respond to all colleagues by discussing the elements of the mini script that you liked, and why. What might you add or have said differently?
1.
Classmate (K. Tri)
Hello, think you for coming in the see us today. I know as a parent this can be hard trying to make the best decision for our children. Based off what you have told me, you want to know what is AHDH and The difference between ADHD? Why do you feel that this maybe the wrong diagnosed for Tonya? Alone with the right treatment plan and medication client should be okay. Medication is a major assets to overcome these type of diagnoses. I want you to know that you are making all the right choices to be proactive with this diagnoses going without having this cared for has short term and long term consequences. Short term it has a big effect on the brain and long term causes struggles with keep relationship. Long term there no cure for ADHD and looking for jump into a state environment. I’m sorry y’all had to come this time and offer gain knowledge. Everyone learn a different ways to discuss what come and stay come go. As you counselor I’m with you every step of the way a strive for my customer satisfaction.
Reference:
Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for
mental health professionals (3rd ed.). Hoboken, NJ: Pearson.
2.
Classmate (L. Mil)
Mini Script
I hear that this diagnosis is new and it may take some time to get used to this. I understand that the idea of your daughter taking medication is new as well. You stated concern with Tonya taking a stimulant medication. There are options for non-stimulant medication. One medication is called Intuniv. It is a common non-stimulant drug. Some side effects include feeling tired or irritable, nausea, and dizziness/drowsiness (Drugs.com, 2021). If you are interested, we can also discuss stimulant medication such as Adderall, Ritalin, or Concerta. It is important to maintain contact with me. As counseling will provide you (mom) with the tools necessary to handle Tonya’s ADHD. Also, Tonya studies show that counseling will help improve your self-esteem and give you a sense of independence (Sinacola, Peters-Strickland & Wyner, 2020).
Lastly, untreat.
Instruction Please add three referenceAssignment Assessing, DiTaunyaCoffman887
Instruction/ Please add three reference
Assignment: Assessing, Diagnosing, and Treating Adults With Mood Disorders
It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning. Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and understanding of how to manage symptoms.
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
To Prepare
Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also
Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video,
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Consider patient diagnostics missing from the video:
Provider Review outside of interview:
Temp 98.2 Pulse 90 Respiration 18 B/P 138/88 objective data
Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)
The Assignment
Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for ...
The research report Presentation addresses the stigma related to the mental health in our society. This study was intended to increase understanding of peoples’ views of mental illness by developing and administering measures of knowledge and attitudes of people toward mental illnesses.
The research conducted through questionnaires regarding the mental health stigma is reviewed and analyzed that indicates that the majority of the general public holds negative stereotypes towards people with psychological problems.
Hence, a model has been proposed to illustrate what are the peoples’ attitudes towards and knowledge about the mental health, why is it a taboo to talk about this topic, how can this stigma prevent the people from getting help for the psychological difficulties and solutions for reducing and dealing with the mental health stigma are discussed.
FAST-NU
COMPUTER SCIENCE DEPARTMENT
PSYCHOLOGY
COURSE INSTRUCTOR: Miss sumarah rashid
Section: GR-4
Group members:
Taban Shaukat 16K3937
Huzaifah Punjani 16K3924
Anas Bin Faisal 16K4064
Abeer Zehra 16K4068
Maria Ahmed 16K4058
I managed the UK campaign for this fun and informative survival guide for first year medical students. I also contributed to the editorial of this publication.
Presentation given by me and Dr. Novack about assessing and managing delirium in patients receiving palliative care and hospice care.
Original presentation was shared with NHPCO - this is a version of the slides provided there.
This presentation JoAnne Nowak and I gave for NHPCO last spring addresses the prevention, assessment and treatment of delirium - particularly in hospice and palliative care settings.
These are the slides I presented at RWJ School of Medicine Grand Rounds, University Day when new faculty were inducted into the Master Educator's Guild.
In this talk about integrative medicine, I outline the need to teach clinicians - doctors, nurses, holistic healers, psychologists, naturopaths, etc. - about deep healing. We are taught to deconstruct the human into anatomic parts, cells, physiology in order to cure. But to heal, we need to help a person reintegrate all those parts - and rediscover themselves - as a person with family, hopes, dreams, beliefs, culture, tradition, hobbies.
We seek healthcare not for the experience of healthcare, but because the process helps us live more fully, and enjoy the things we love. This reintegration can happen at any stage of life and illness. It is holism. It is deep healing.
Building on the lecture I gave (and uploaded) "Palliative Care: what every primary care doctor should know" I built this talk. It is geared for 1st year medical students who are learning anatomy, physiology, and perhaps some pharmacology and pathophysiology.
In this talk, I do not explicitly address hospice care - as that was provided in an online chapter for students at UMass. I will later upload another slide set on that topic.
I hope you enjoy it.
FYI- the link to the youtube video: http://www.youtube.com/watch?v=XHtHXGhTIC4
Link to PDF of the slide show: https://files.me.com/s.mak/8fzat6
A lecture given at a Primary Care Conference in Massachusetts - on the important role primary care physicians could play in ensuring good palliative care for patients, communication, hospice, myths & realities
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
How to speak with your doctor (when you have cancer...)
1. How to talk with your doctor
Suzana Makowski, MD MMM FACP
Associate Director of Palliative Care in the Cancer Center
Assistant Professor of Medicine
UMass Memorial Medical Center
Friday, March 16, 12
2. Why talk about this?
Helps you get the best care possible:
your disease and treatment
your wishes and values
your hopes and fears
your symptoms and side effects
what’s most important
Friday, March 16, 12
5. Things to consider
How much do you want to know?
Everything? Nothing?
Friday, March 16, 12
6. Things to consider
How much do you want to know?
Everything? Nothing?
Who else should know?
Friday, March 16, 12
7. Things to consider
How much do you want to know?
Everything? Nothing?
Who else should know?
What should my doctor know about me?
Friday, March 16, 12
8. Things to consider
How much do you want to know?
Everything? Nothing?
Who else should know?
What should my doctor know about me?
Consider bringing a notebook/folder,
or an organized & trusted friend
to record notes & questions
Friday, March 16, 12
12. Diagnosis and Treatment
What treatment options do I have?
Risks and benefits
Side effects
How should I feel?
Friday, March 16, 12
13. Diagnosis and Treatment
What treatment options do I have?
Risks and benefits
Side effects
How should I feel?
Friday, March 16, 12
14. Diagnosis and Treatment
What other treatment options do II have?
What treatment options do have?
Risks and benefits
Side effects
How should I feel?
Friday, March 16, 12
15. Diagnosis and Treatment
What other treatment options do II have?
What treatment options do have?
Risks and benefits
Side effects
How should I feel?
Friday, March 16, 12
21. Symptoms and side effects
Knowing your symptoms and side effects
gives doctors clues on how best to care for
you.
Friday, March 16, 12
22. Symptoms and side effects
Knowing your symptoms and side effects
gives doctors clues on how best to care for
you.
Untreated symptoms or side effects can
drain you physically and emotionally.
Friday, March 16, 12
23. Symptoms and side effects
Knowing your symptoms and side effects
gives doctors clues on how best to care for
you.
Untreated symptoms or side effects can
drain you physically and emotionally.
The only way we know is if you tell us.
Friday, March 16, 12
34. Symptoms and side effects
• Tell doctor or your nurse
• Write down your symptoms
• Bring a friend or family member
What kind of symptom? • pain • nausea • breathlessness • anxiety • thinking
How bad is it? • mild • moderate • severe
Where is it?
Timing? • constant • worse in morning/night • intermittent
What makes it better?
What makes it worse?
How does it effect your life, activities?
Friday, March 16, 12
35. Symptoms and side effects
Knowing your symptoms and side effects
gives doctors clues on how best to care for
you.
Untreated symptoms or side effects can
drain you physically and emotionally.
The only way we know is if you tell us.
Friday, March 16, 12
39. Prognosis
• Talking about prognosis does not change
the prognosis
• Most doctors wait for patients to ask this
question
• Helps us plan - even when the prognosis is
good
Friday, March 16, 12
40. End-of-life
Where do you want to be?
How do you want to be
cared for?
Who do you want with you?
Who can best help advocate
for you?
Finding hope
Friday, March 16, 12
43. Goals of care
What’s important to me?
What am I fighting for?
What are my goals and hopes?
Friday, March 16, 12
44. Finding hope:
good communication means:
Partnership: doctor-patient
Optimal treatment
Personalized care
Symptom control
Dignity & integrity
Friday, March 16, 12
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
How does the stage of the illness effect outcomes and options?\n\n
What treatment options do I have?\nRisks and benefits\nSide effects\nHow should I feel?\nOther options may include less aggressive options with fewer side effects?\nOn risks and benefits: we talk about how treatments may give patients more time - ask about how much time and at what cost. Some treatments may give 3 more months, and others a few more weeks. Some may cause more hospitalizations - how much is too much? If this has a chance for a cure? What sort of chance - there is a difference between relative and absolute risk - ask about this.\nWhat about alternative therapies?\nWhat about home care?\n
What treatment options do I have?\nRisks and benefits\nSide effects\nHow should I feel?\nOther options may include less aggressive options with fewer side effects?\nOn risks and benefits: we talk about how treatments may give patients more time - ask about how much time and at what cost. Some treatments may give 3 more months, and others a few more weeks. Some may cause more hospitalizations - how much is too much? If this has a chance for a cure? What sort of chance - there is a difference between relative and absolute risk - ask about this.\nWhat about alternative therapies?\nWhat about home care?\n
What treatment options do I have?\nRisks and benefits\nSide effects\nHow should I feel?\nOther options may include less aggressive options with fewer side effects?\nOn risks and benefits: we talk about how treatments may give patients more time - ask about how much time and at what cost. Some treatments may give 3 more months, and others a few more weeks. Some may cause more hospitalizations - how much is too much? If this has a chance for a cure? What sort of chance - there is a difference between relative and absolute risk - ask about this.\nWhat about alternative therapies?\nWhat about home care?\n
What treatment options do I have?\nRisks and benefits\nSide effects\nHow should I feel?\nOther options may include less aggressive options with fewer side effects?\nOn risks and benefits: we talk about how treatments may give patients more time - ask about how much time and at what cost. Some treatments may give 3 more months, and others a few more weeks. Some may cause more hospitalizations - how much is too much? If this has a chance for a cure? What sort of chance - there is a difference between relative and absolute risk - ask about this.\nWhat about alternative therapies?\nWhat about home care?\n
How will it interfere with work?\nHow about caring for my family?\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
Doctor’s visits are about exchanging information: symptoms and side effects help us take care of you. \nTests don’t tell us how you feel.\nWe have options to take care of your symptoms: you don’t have to be in pain, have nausea, not sleep, feel anxious or afraid.\n
Doctor’s visits are about exchanging information: symptoms and side effects help us take care of you. \nTests don’t tell us how you feel.\nWe have options to take care of your symptoms: you don’t have to be in pain, have nausea, not sleep, feel anxious or afraid.\n
Doctor’s visits are about exchanging information: symptoms and side effects help us take care of you. \nTests don’t tell us how you feel.\nWe have options to take care of your symptoms: you don’t have to be in pain, have nausea, not sleep, feel anxious or afraid.\n
I get so nervous waiting to hear my test results that my mind goes completely blank.\n
I’m worried if I ask my doctor about minor things like not being able to sleep, or nausea, it will distract her from treating my cancer. I don’t won’t to sound like a complainer.\n
He saw my test results, so he knows what I’m feeling. I am sure that if he had something to make me feel better, he would have told me.\n
\n
\n
If you feel embarrassed or awkward telling your doctor, tell them that too: “I have this bizarre symptom - I feel silly telling you about it, but...”\n
Doctor’s visits are about exchanging information: symptoms and side effects help us take care of you. \nTests don’t tell us how you feel.\nWe have options to take care of your symptoms: you don’t have to be in pain, have nausea, not sleep, feel anxious or afraid.\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
\n
We are not statistics - and one reason doctors hesitate to give a straight answer is that we are bad at prognosticating. It used to be about all that doctors could offer, but as antibiotics were invented, as therapies for cancer improved, our focus became on therapy rather than on prognosis.\nWe tend to be optimistic. We don’t want to let you down. And sometimes when asked, we balk at the question. But we can give you a general sense, if you want to know.\nWhy would you want to know? Perhaps there is a trip planned - maybe the date should be earlier? Perhaps knowing will change your choice of treatment.\n
Let your doctor or nurse know about this early on - not at the time of panic or fear. \nThere was a recent study about early palliative care for patients with lung cancer - that they lived better and longer with early support from palliative care while getting treatment. I think these conversations helped secure that place.\nWhen time is getting closer, when disease is progressing - how should your doctor tell you? what do you think you would want? more chemotherapy, to know you are fighting? or more time with family? The earlier your doctor knows your wishes, the better prepared he and your family will be for that time. It will be sad, however far off that time will be, but being prepared will ease the transition if you have planned for it before hand.\nCode status is one example: nobody wants to have chest compressions or to be intubated and nobody wants to die. But when that time comes - \n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
Today we will address how to speak with your doctor about:\ndiagnosis & treatment\nSymptoms\nthe elephant in the room\nand finding hope.\n
For some people - the fight is the most important: another day, regardless of where and how. Dr. Groopman and Hertzberg wrote a book recently called “Your Medical Mind” - it explains the way different people approach choices in medical care. Some people, they found, are maximalists - wanting the most aggressive, intensive care possible. Others are minimalists - wanting care that will make a difference, but not if it interfers with life and living.\nHigh blood pressure example.\nWhere do you fit? How might you tell your doctor about this?\n