... avoid radiation therapy plays a role in the decision process New options are now available for these women and they represent the forefront ofthesurgical therapy for breast cancer patients Oncologic ... standard ofcare for breast cancer patients around the world, the incidence of local recurrence (LR) has been widely studied It occurs in 5-10% of patients at 10 years, and it is more pronounced in the ... previous AND Neoadjuvant Chemotherapy An area of particular interest is the use of SLN biopsy in patients undergoing neoadjuvant chemotherapy, because the number of patients choosing this option...
... Mod (0–9% ofthe time) (10–39% ofthe time) (40–69% ofthe time) Max (>70% ofthe time) Eye squeeze None Min Mod (0–9% ofthe time) (10–39% ofthe time) (40–69% ofthe time) Max (>70% ofthe time) ... system ofthe brainstem, just above the midbrain The assessment of consciousness is closely tied to the assessment of eye findings because ofthe anatomic proximity ofthe midbrain to the nuclei of ... impact the assessment will be the age ofthe child, the family dynamics, the nature ofthe child’s illness, the setting in which the assessment takes place, and input from other member ofthe multidisciplinary...
... general, the longer the retina is detached, the greater the possible loss of vision after reattachment ofthe retina The prognosis is very poor when the detachment involves the macula The longer the ... asymptomatic (i.e., the person often is unaware ofthe loss of an area of peripheral vision) The sudden onset of numerous floaters and the occurrence of flashes of light are hallmarks of a potential retinal ... to the loss ofthe overlying retina If the edge ofthe dialysis remains close to the RPE, then the tear may not be discovered unless scleral depression is performed As the vitreous contracts, the...
... other tasks initially appear in the EHR when a patient arrives in the clinic and a nurse administers an initial screening When the primary care provider opens thepatient s EHR, the results of ... found that use ofthe EHR seemed to improve good communication skills and worsen already poor skills [36]; their findings provide another example ofthe complexity ofthe role ofthe EHR in clinical ... implementation in the context ofthe larger healthcare system It is important to design the system ofcare so that implementation of informatics promotes good clinical practice The following statements...
... at the heart of public services The Stationery Office 2004 Kennedy A, Rogers A, Gately C: Assessing the introduction ofthe Expert Patients Programme into the NHS: a realistic evaluation of recruitment ... between PCT size and the number of courses administered Indeed, the bigger the PCT in terms ofpatient population (based on GMS census figures, 2004), the greater the number of courses run (r = ... findings with the Department of Health's response to EPP in its pilot phase, and, as such, the success ofthe EPP is interpreted primarily in terms ofthe numbers of courses run and the anticipated...
... based on the needs ofthe patients and the skills and abilities ofthe ward staff Both the Audit Commission [57] and the Department of Health working party report ‘Comprehensive Critical Care [55] ... supported the development of outreach care as a means of improving thecareof acutely ill patients in hospital wards The latter report identified three goals for a critical care outreach team The ... recognition and management of patients at risk The problems described above require a systems approach to improving the safe careofthe acutely ill hospitalized patientThe USA, the UK, Australia, Canada...
... Medical Careofthe Liver Transplant Patient, 3E Medical Careofthe Liver Transplant Patient, 3E Edited by Paul G Killenberg, MD Professor of Medicine Division of Gastroenterology ... retransplantation in the context of limited donor organs and the closely related problem of recurrence ofthe original liver disease in the liver graft Although the basic principles of medical care for the liver ... performed when thepatient s condition and the 13 ! 14 ! MEDICAL CAREOFTHE LIVER TRANSPLANT PATIENT natural history ofthepatient s disease portend a poor short-term survival The MELD system,...
... flats, often alone and widely scattered across the streets and suburbs of Australia and there is no register of who they are We hope the meeting of November 2005 will increase awareness ofthe community, ... aged care packages) 1996 Howard government – Aged Care 1997 The Aged Care Act – user pays approach 2004 The Way Forward’ There has been over 50 years of Aged Care, 20 years of HACC Carers ... have seen the presence ofthe churches and the not-forprofit charities holding 60% ofthe business: with a cluster of small family businesses running the rest Now nearly 90 health care and services...
... involved in patient safety We adopted a national perspective, the goal of which was to assess the progress ofthe AHRQ initiative and the activities of other federal agencies in the context ofthe larger ... standards of practice Recent Events Two major events during 2003–2004 either have altered the scope ofthepatient safety initiative or were expected to so One of these was the shift in focus ofpatient ... Portfolio The quality and safety ofpatientcare portfolio is the most mature ofthe ten new portfolios; its scope generally matches that of CQuIPS It contains all ofthe grants bundled with the FY...
... The key principles of best practice (listed below) ensure that due care and process is followed to promote the delivery ofthe highest standards ofcare across all care settings, and by all care ... Practice Statement: Careofthe Older Person’s Skin BPS2.indd 3 3/11/06 16:04:15 Introduction As the largest organ ofthe body, comprising 15% ofthe body’s weight, the skin reflects the individual’s ... Careofthe Older Person’s Skin BPS2.indd 15 15 3/11/06 16:04:20 v v v v The management ofthe wound bed of a pressure ulcer should adhere to the principles of moist wound management unless the...
... discharges, 249 Careof discharges from the bowels and bladder, 249 Bath water, 250 Careofthe hands, 250 Careof utensils, 251 Careof linen, 251 Disinfection ofthe person, 252 Termination of quarantine, ... the air cling to the moist surfaces ofthe air-passages and never reach the lungs Mucous membranes lining the mouth and other cavities ofthe body would prove favorable sites for the growth of ... hundreds of times during the day's round ofthe individual The cook spreads his saliva on the muffins and rolls, the waitress infects the glasses and spoons, the moistened fingers ofthe peddler...
... engaged As the innovation matures, adoption then levels off After five years ofthepatient safety initiative, the United States stands at the threshold ofthe upward moving portion ofthe curve ... QIOs to promote the adoption of other kinds of health IT in a variety of health care settings AVAILABILITY OFPATIENT SAFETY MEASURES The absence of a comprehensive set of national patient safety ... has the lead responsibility for awarding and managing the health IT grants The two centers are also working together on the new ambulatory care patient- safety program At the start ofthe patient...
... Clinical Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one ofthe most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling” ... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening the general...
... years of life as the two is providing health care to a growing and increascentral goals ofthe nation’s health care agenda These ingly diverse aging population By 2030, the segissues remain of critical ... 2050.12 These figures underscore the scale ofthe pubin mind, in this paper, we use a case study on Alzheimlic health problem facing the nation13 and the need er’s disease as an example ofthe profound ... tive are numerous, as the injustices of health care are significantly Age is a key risk factor for developing reflected through the inability ofthe most vulnerable one ofthe most feared, misunderstood,...
... contains a list ofthepatient conditions that the author is using to specify the selection of pieces of text The right-hand portion ofthe screen contains a window on the text ofthe master document ... are persuasive to thepatient For more discussion, see DiMarco, et al (1995) other parts ofthe system—i.e., the user interface for the clinician, the software interface to the online medical-records ... simplest kind of tailoring is inclusion of simple numerical or alphabetic data from thepatient s record, such as the name ofthepatient or of a prescribed medication—in effect, filling in the blanks...
... capacity ofthe medical and paramedical professionals as well as the care- takers within the family for providing health care to the elderly To provide referral services to the elderly patients ... NPHCE All the other specialists will be from existing human resources ofthe institution The Institution shall not wait for the commissioning ofthe building for 16 provision of OPDs They will ... disabled elderly need care close to their homes As per the NPOP, Ministry of Health & Family Welfare was entrusted with the following agenda to attend to the health care needs ofthe elderly: Establishing...
... trends of selfcare: the nature ofthe turning-points of life, the way to react, the resources, the meaning of self -care and the experience of ageing The individual histories of self -care were interpreted ... different ways Because ofthe lack of knowledge ofthe levels of self careof home-dwelling elderly people this study is based on Backman’s theory 15 1999 ofthe self careof home-dwelling elderly ... from the present situation, and in compliance with the projections of changing the age structure ofthe population in the future period, the aim ofthe programme of nurse education in the field of...
... 10 11 The psychosocial careof children in the perioperative area – Linda Shields Children’s perceptions ofthe operating theatre The effect of hospitalisation on children Models ofcareThe presence ... Perioperative Careofthe Child Consequently, the models ofcare used with children in the perioperative environment (as in all branches of health care) must be cognizant of children’s needs Models ofcare ... The psychosocial careof children in the perioperative area 21 Conclusion When a child comes to the OR, their psychosocial care is every bit as important as their surgicalcareThe presence of...
... characteristics A total of 104 patients participated in the study Patient characteristics ofthe enrollment sample are summarized in Table The average age ofthe sample was 65.1 years Page of (page number ... clinical characteristics ofthe study population at baseline The analysis ofthe OPSAT-Q data focused on how well the items satisfied assumptions underlying The distributions ofthe individual OPSAT-Q ... to assess the impact of osteoporosis on a patient' s quality of life [12,13] For the psychometric evaluation study ofthe OPSAT-Q, the OPTQoL was administered, which includes domains, the following...