File Name: psychological and cultural considerations in palliative care .zip
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. The combined treatment of psychiatric medication and psychotherapy has become the most common mode of psychiatric treatment in current practice,   but contemporary practice also includes a wide variety of other modalities, e. Treatment may be delivered on an inpatient or outpatient basis, depending on the severity of functional impairment or on other aspects of the disorder in question.
In our growing multicultural society, health professionals need to recognise that applying only] traditional westernised medical practices may no longer be appropriate for many patients and families. This should incorporate beliefs and traditions around death and dying. Recognising and separating our own individual perceptions and preferences is an imperative component in being culturally sensitivite. For health professionals this can be challenging as they work within the framework of accepted medical and health care practices and procedures. Cultural factors that should be considered for children and their families receiving palliative care include:.
Table of contents. See Advance Care Planning. Important and potentially difficult discussions are frequently necessary with palliative care patients who have active, progressive, far-advanced disease, regarding. Decisions must be individualised for each patient and should be made in discussion with the patient and family. The following guide is to help you plan for and hold such discussions. Ask yourself these questions: Would you be surprised if this patient died of their disease within 6 months?
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding. Culture consists of connections not separations. It emphasizes the importance of recognizing not only how ones own values, practices, and beliefs may impact palliative care but also that patient and family values, beliefs, and practices should guide the plan of care. The guidelines comprise eight domains with corresponding criteria that reflect the depth and breadth of the specialty.
pediatric palliative care: maximize family involvement, involve children in decision making,. minimize pain, provide emotional and spiritual support to families.
This article aims to review some psychosocial issues and measures that can be taken to address them. It highlights the various roles and the importance of the clinician, nurse, social worker, and other members of the multidisciplinary team in tackling these issues and will help healthcare professionals in this field achieve better practice in the future. Care of the dying patient has become a specialized discipline within the medical field. For K. His cousin accompanied him from their village, about a three-hour drive, to the clinic on that visit but subsequently he defaulted from treatment.
Palliative care derived from the Latin root palliare, or "to cloak" is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex illness. Palliative care is appropriate for individuals with serious illnesses across the age spectrum and can be provided as the main goal of care or in tandem with curative treatment. It is provided by an interdisciplinary team which can include physicians, nurses, occupational and physical therapists, psychologists, social workers, chaplains, and dietitians. Palliative care can be provided in a variety of contexts including hospitals, outpatient, skilled-nursing, and home settings.
Table of contents. Read more. Palliative care is the care of patients with active, progressive, far-advanced disease, for whom the focus of care is the relief and prevention of suffering and the quality of life. Palliative care should never be withheld until such time that all "active" treatment regimens for the underlying disease have been exhausted. The message of palliative care is that whatever the disease, however advanced it is, whatever treatments have already been given, there is always something which can be done to improve the quality of the life remaining to the patient. Is Palliative Care the same as Hospice Care? Yes, the principles are the same.
А у входа толпились бандиты. - Внимание! - скомандовал Фонтейн.
Дэвид, прости. Он увидел пятна света. Сначала слабые, еле видимые на сплошном сером фоне, они становились все ярче. Попробовал пошевелиться и ощутил резкую боль. Попытался что-то сказать, но голоса не .
- Она направилась к двери. - Ты уходишь. - Ты же знаешь, что я бы осталась, - сказала она, задержавшись в дверях, - но у меня все же есть кое-какая гордость.
Хейл сдавил горло Сьюзан. - Выпустите меня, или она умрет. Тревор Стратмор заключил в своей жизни достаточно сделок, когда на кону были высочайшие ставки, чтобы понимать: Хейл взвинчен и крайне опасен. Молодой криптограф загнал себя в угол, а от противника, загнанного в угол, можно ожидать чего угодно: он действует отчаянно и непредсказуемо.
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