Palliative care aims to improve the quality of life of patients facing life-threatening illnesses by preventing and relieving suffering through comprehensive care that addresses physical, psychosocial, and spiritual needs. It focuses on symptom management, support for patients and families, and care that affirms life and dying as a normal process. Palliative care teams provide services like pain management, counseling, therapies, and equipment to help patients live as actively as possible.
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
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?
Today’s presentation focuses on Jean Watson's Theory of Human Caring. During this presentation we will analyze the theoretical framework, review the critical components of the Theory of Caring, and discuss how the theory is utilized in nursing practice. This presentation will also detail application of Watson’s Theory of Caring into the peri-operative environment by instituting a “sacred space” and explain the process of implementing the sacred space. Enjoy!
The presentation enhances the reader to get comprehensive view about Pain ( physiology of pain, assessment of pain and Management of pain). This will help you to management pain effectively.
Palliative care is an approach to care which improves the quality of life of patients and their families facing the problem associated with life-threatening illness.
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?
Today’s presentation focuses on Jean Watson's Theory of Human Caring. During this presentation we will analyze the theoretical framework, review the critical components of the Theory of Caring, and discuss how the theory is utilized in nursing practice. This presentation will also detail application of Watson’s Theory of Caring into the peri-operative environment by instituting a “sacred space” and explain the process of implementing the sacred space. Enjoy!
The presentation enhances the reader to get comprehensive view about Pain ( physiology of pain, assessment of pain and Management of pain). This will help you to management pain effectively.
5 Stages of Palliative Care_ What They Mean.pdftewhimanshu23
On Wednesday morning, the Japanese yen plummeted to its lowest level against the US dollar in 34 years, sparking concerns among Japanese finance officials. For more Information read this news
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
CareXperts Home Healthcare in Dubai is committed to offering premium in-home care in the UAE. We stand as a family to improve the quality of life and comfort of our patients. We strive to serve you better every day by offering best-in-class home nursing solutions in the UAE.
International Association for Hospice and Palliative Care (IAHPC) – Международная ассоциация хосписной и паллиативной Помощи – некоммерческая организация, которая занимается развитием паллиативной помощи по всему миру.
Одно из приоритетных направлений работы ассоциации - образование. Во многих странах учебники по паллиативной помощи дороги или труднодоступны, поэтому IAHPC бесплатно распространяет руководство по паллиативной помощи.
Пока мы выкладываем это руководство на английском языке, но надеемся вскоре перевести его на русский - с вашей помощью, с помощью жертвователей и наших друзей.
Вы тоже можете помочь фонду - достаточно отправить СМС на номер 3443 со словом Вера и суммой пожертвования. Например, Вера 100.
Также пожертвование можно сделать через Пейпал, Яндекс-деньги, или просто кредитной карточкой - все варианты есть у нас на сайте hospicefund.ru/help
Micro teaching on Bed Sore / Pressure ulcer / Decubitus ulcers . The lesson plan covers the topics :
Define Pressure Ulcer
Sites of Pressure Ulcer.
Causes and predisposing factors of Pressure Ulcer
Braiden scale of Pressure Ulcer
Stages of bed sores
Preventive Measures
Management
Complications
Ectopic Pregnancy - Obstetrical & Gynaecological NursingJaice Mary Joy
In ectopic pregnancy, implantation occupies at a site other than the endometrium. Ectopic pregnancies are responsible for approximately 10 percent of all maternal mortality. The prognosis for future reproduction is poor. Only one half of women having an ectopic pregnancy are eventually delivered of a liveborn infant. Various factors contribute to ectopic pregnancies, the most common being infection. Unlike intrauterine spontaneous abortions, genetic factors are not paramount in the etiology of ectopic pregnancy.
In ectopic pregnancy, implantation occupies at a site other than the endometrium. Ectopic pregnancies are responsible for approximately 10 percent of all maternal mortality. The prognosis for future reproduction is poor. Only one half of women having an ectopic pregnancy are eventually delivered of a liveborn infant. Various factors contribute to ectopic pregnancies, the most common being infection. Unlike intrauterine spontaneous abortions, genetic factors are not paramount in the etiology of ectopic pregnancy.
Hyperemesis Gravidarum - Disorder of PregnancyJaice Mary Joy
Hyperemesis gravidarum is characterized by severe nausea and intractable vomiting sufficient to interfere with maternal nutrition causing deleterious effect on her health. It has got deleterious effect on health of the patient and incapacitates her day-to-day activities. According to the national health portal 0.3%-3% pregnant women suffer from hyperemesis gravidarum – commonest indication for hospitalization in the first trimester of pregnancy.
This document covers following topics -
• Introduction
• Definition
• Prevalence
• Etiology
• Risk factors
• Theories behind hyperemesis gravidarum
• Symptoms:
• Signs
• Investigation
• Diagnosis
• Complications
• Prevention
• Management principles
• Nursing management
Lesson Plan on Epidemiological triad - Community Health NursingJaice Mary Joy
The epidemiologic triad is a model for explaining the organism causing the disease and the conditions that allow it to reproduce and spread.
Epidemiological triad model demanded a broader concept of disease causation that synthesized the basic concept of agent, host and environment. This model helped epidemiologist to focus on different classes of factors, especially with regard to infectious disease.
Case Study on Cerebro Vascular Accident (CVA) Jaice Mary Joy
Case study on cerebro vascular accident (CVA) or stroke. It include History, Physical Examination, nursing care plan and Orem's nursing theory applied.
Cerebrovascular disorder or CVA is damage to part of the brain when its blood supply is suddenly reduced or stopped. The part of the brain deprived of blood dies and can no longer function. Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). Symptoms following a stroke come on suddenly and may include: weakness, numbness, or tingling in the face, arm, or leg, especially on one side of the body trouble walking, dizziness, loss of balance, or coordination inability to speak or difficulty speaking or understanding, trouble seeing with one or both eyes, or double vision, confusion or personality changes, difficulty with muscle movements, such as swallowing, moving arms and legs, loss of bowel and bladder control, severe headache with no known cause, and loss of consciousness.
Non projected av aids - Charts, Poster, flash cardsJaice Mary Joy
Non-Projected AV Aids are aids that do not need the use of equipment for projection. These are the most widely used media in many isolated and rural areas around the world.
Nursing Education - Philosophy of Education
Philosophy means “love of wisdom.” Philosophy and education are closely interrelated. Education is application of philosophy or philosophy of education is applied philosophy. It is the application of philosophy to study of the problems of education that is known as philosophy of education.
Quality Assurance - Nursing Management
QA programmes in long-term care do provide a mechanism for continuously evaluating & improving nursing practice skills that ultimately make a clinical difference at the bedside. So, the professionals must assume responsibility for their professional actions and be answerable to the recipients for their care. Quality assurance program is thus the need of the hour.
Poisoning in Children - Child Health NursingJaice Mary Joy
POISONING
Children are curious & explore their world with all their senses, including taste. As a result, the home & its surrounding can be a dangerous place when poisonous substances are inadvertently ingested.
Normal puerperium - Obstetrical and Gynecological NursingJaice Mary Joy
The word puerperium is originated from the Latin words ‘puer’ – child and ‘pams’ – bringing forth.
Also known as the post-partum, post-natal, or post-delivery period.
The mother during puerperium is termed as puerpera.
Spina bifida is a condition that affects the spine and is usually apparent at birth. It is a type of neural tube defect (NTD). Spina bifida can happen anywhere along the spine if the neural tube does not close all the way.
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
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
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.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. INTRODUCTION
The word ‘palliate’ comes from the Latin word ‘palliare’ means ‘to cloack’ or ‘to
cover’.
Palliative care is an approach that improves the quality of life of patients and their
families facing the problems associated with life threatening illnesses, through the
prevention and relief of suffering by addressing physical, psychosocial and spiritual
issues.
DEFINITION
Palliative care is an approach that improves the quality of life of patients and their
families facing the problem associated with life-threatening illness, through the
prevention and relief of suffering by means of early identification and impeccable
assessment and treatment of pain and other problems, physical, psychosocial and
spiritual. (WHO 2002)
At the core, palliative care, whether it is practiced in hospital, community or
hospice is a patient and family centered approach which makes use of the
different skills of the palliative care team, a team which needs to include family
members as well as health care professionals. The standard of quality to judge
palliative care is simple.
PRINCIPLES OFPALLIATIVE CARE
Affirms life and regards dying as a normal process
Neither hastens nor postpones death
Provides relief from pain and other distressing symptoms
Integrates the psychological and spiritual aspects of care
Offers a support system to help patients live as actively as possible until death
Offers a support system to help patients' families cope during the patient's illness
and in their own bereavement
ESSENTIALCOMPONENTSOFPALLIATIVE CARE
Symptom control
3. Support for the family
Support for the patient
SERVICES PROVIDED BYPALLIATIVE CARE
Interdisciplinary team care- nursing services, medical, social, pastoral
counselling, home health aide.
Bereavement counselling
Dietary counselling
Physical therapy
Occupational therapy
Speech therapy
Investigations and drugs
Durable medical equipment and supplies.
THE PALLIATIVE CARE APPROACH
The Palliative Care approach aims to promote physical, psychosocial and spiritual
well-being. It is a vital and integral part of all clinical practice, whatever the illness or
its stage, informed by a knowledge and practice of palliative care principles.
ELEMENTS OF PALLIATIVE CARE
1. Primary goal
2. Patient population
3. Patient and family centred care
4. Timing of palliative care
5. Comprehensive care
6. Interdisciplinary team
7. Communication skills
8. Skill in care of the dying and bereaved
9. Continuity of care across settings
10. Equitable access
11. Quality improvement
4. ADVANCED CARE PLANNING
ACP is a process of discussion between an individual and their care providers
irrespective of discipline. The difference between ACP and planning more generally
is that it usually takes place in the context of an anticipated deterioration in the
individual’s condition in the future, with attendant loss of capacity to make decisions
and/or ability to communicate wishes to others.
With the individual’s agreement, discussions should be:
Documented
Regularly reviewed
Communicated to key persons involved in their care.
If the individual wishes, their family and friends may be included.
Examples of what an ACP discussion might include are:
The individual’s concerns
Their important values or personal goals for care
Their understanding about their illness and prognosis, as well as particular
preferences for types of care or treatment that may be beneficial in the future
and the availability of these.
ETHICAL ISSUES IN PALLIATIVE CARE
Four cardinal principles of medical ethics:
The four cardinal principles of medical ethics provide a frame work for decision
making in difficult situations. They are-
1. Respect for patient’s autonomy
2. Beneficence or ‘do good’
3. Non malficence or ‘do no harm’
4. Justice or fare use of available resources
SYMPTOMATIC MANAGEMENT
1. Pain management
2. Management of nausea & vomiting
3. Stomatitis (sore mouth)
4. Constipation
5. 5. Dyspnoea
6. Palliative management of secretions
7. Delirium in palliative care
PALLIATIVE CARE EMERGENCIES
Delirium
Sepsis in neutropenic patients
Spinal cord compression
Superior vena cava obstruction
Convulsions
Hypercalcemia
PALLIATIVE CARE NURSING
Palliative care nursing reflects a “whole person” philosophy of care implemented
across the lifespan and across diverse health settings. The patient and family is
the unit of care.
The goal of palliative nursing is to promote quality of life along the illness
trajectory through the relief of suffering, and this includes care of the dying and
bereavement follow-up for the family and significant others in the patient’s life.
This is the essence of skilled palliative nursing care—to facilitate the “caring”
process through a combination of science, presence, openness, compassion,
mindful attention to detail, and teamwork.
Reflects whole aspects care. It combines the humanistic approach with a scientific
approach.
Physical wellbeing: Free of pain and discomfort, functional ability etc.,
Psychological well being: free from anxiety/fears, ability to experience happiness
etc.,
Social well being: Purposeful life role, free from financial burden.
Spiritual well being: feelings of hope, meaning to life.
Palliative care competencies / skills
Communication skills
6. Physical skills
Psychosocial skills
Teamwork skills
Intrapersonal skills
Life closure skills
ORGANIZTIONS IN INDIA FOR PALLIATIVE CARE
Indian Association of palliative care
It is the national organisation for palliative care in India.
Formed in 1994 in consultation with WHO and GOI
Aimed at the care of people with life limiting illnesses such as cancer ,AIDS,
and end stage chronic medical diseases.
Mission: to promote affordable and quality palliative care across the country
through networking and support to palliative care institutions
Pallium india
Pallium India is a national registered charitable trust formed in 2003 with the
following vision and mission:
Vision- An India in which palliative care is integrated in all health care so that every
person has access to effective pain relief and quality palliative care along with
disease–specific treatment and across the continuum of care.
Mission- To catalyze the development of effective pain relief and quality palliative
care services and their integration in health care across India through delivery of
services, education, building capacities, policy, research, advocacy and information.
Cansupport
Cancer survivor Ms Harmala Gupta founded Cansupport in 1996. It is working
towards a caring and supportive society where people with cancer and their families
live with dignity, hope and comfort. Mission is to enable these people to make
informed choices while receiving appropriate physical, emotional, social and spiritual
support.
7. BIBLIOGRAPHY
1. CCEPC_Handbook.pdf [Internet]. [cited 2018 Nov 21]. Available from:
http://palliativecare.in/wp-content/uploads/2014/09/CCEPC_Handbook.pdf
2. WHO | WHO Definition of Palliative Care [Internet]. WHO. [cited 2018 Nov 20].
Available from: http://www.who.int/cancer/palliative/definition/en/
3. Khosla D, Patel FD, Sharma SC. Palliative Care in India: Current Progress and
Future Needs. Indian J Palliat Care. 2012;18(3):149–54.
4. Hinkle JL, Cheever KH. Brunner & Suddarth’s textbook of medical-surgical
nursing. Edition 13. Philadelphia: Wolters Kluwer Health/Lippincott Williams &
Wilkins; 2014. 213–234 p.
5. Hall S, Kolliakou A, Petkova H, Froggatt K, Higginson IJ. Interventions for
improving palliative care for older people living in nursing care homes. Cochrane
Pain, Palliative and Supportive Care Group, editor. Cochrane Database Syst Rev
[Internet]. 2011 Mar 16 [cited 2018 Nov 28]; Available from:
http://doi.wiley.com/10.1002/14651858.CD007132.pub2