Advance Care Planning: Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.Advance Directives: Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)Advance Directive Adherence: Compliance by health personnel or proxies with the stipulations of ADVANCE DIRECTIVES (or similar directives such as RESUSCITATION ORDERS) when patients are unable to direct their own care.Living Wills: Written, witnessed declarations in which persons request that if they become disabled beyond reasonable expectation of recovery, they be allowed to die rather than be kept alive by extraordinary means. (Bioethics Thesaurus)Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Models, Biological: Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.Diagnostic Imaging: Any visual display of structural or functional patterns of organs or tissues for diagnostic evaluation. It includes measuring physiologic and metabolic responses to physical and chemical stimuli, as well as ultramicroscopy.Genomics: The systematic study of the complete DNA sequences (GENOME) of organisms.Clinical Trials as Topic: Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.History, 20th Century: Time period from 1901 through 2000 of the common era.Legal Guardians: A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.Signal Transduction: The intracellular transfer of information (biological activation/inhibition) through a signal pathway. In each signal transduction system, an activation/inhibition signal from a biologically active molecule (hormone, neurotransmitter) is mediated via the coupling of a receptor/enzyme to a second messenger system or to an ion channel. Signal transduction plays an important role in activating cellular functions, cell differentiation, and cell proliferation. Examples of signal transduction systems are the GAMMA-AMINOBUTYRIC ACID-postsynaptic receptor-calcium ion channel system, the receptor-mediated T-cell activation pathway, and the receptor-mediated activation of phospholipases. Those coupled to membrane depolarization or intracellular release of calcium include the receptor-mediated activation of cytotoxic functions in granulocytes and the synaptic potentiation of protein kinase activation. Some signal transduction pathways may be part of larger signal transduction pathways; for example, protein kinase activation is part of the platelet activation signal pathway.History, 21st Century: Time period from 2001 through 2100 of the common era.Biomedical Research: Research that involves the application of the natural sciences, especially biology and physiology, to medicine.Molecular Biology: A discipline concerned with studying biological phenomena in terms of the chemical and physical interactions of molecules.Proxy: A person authorized to decide or act for another person, for example, a person having durable power of attorney.Forecasting: The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.Translational Medical Research: The application of discoveries generated by laboratory research and preclinical studies to the development of clinical trials and studies in humans. A second area of translational research concerns enhancing the adoption of best practices.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Research: Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)Drug Delivery Systems: Systems for the delivery of drugs to target sites of pharmacological actions. Technologies employed include those concerning drug preparation, route of administration, site targeting, metabolism, and toxicity.United StatesAlgorithms: A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.Mental Competency: The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).Individualized Medicine: Therapeutic approach tailoring therapy for genetically defined subgroups of patients.Resuscitation Orders: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.Drug Discovery: The process of finding chemicals for potential therapeutic use.History, 19th Century: Time period from 1801 through 1900 of the common era.Withholding Treatment: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.Proteomics: The systematic study of the complete complement of proteins (PROTEOME) of organisms.Biotechnology: Body of knowledge related to the use of organisms, cells or cell-derived constituents for the purpose of developing products which are technically, scientifically and clinically useful. Alteration of biologic function at the molecular level (i.e., GENETIC ENGINEERING) is a central focus; laboratory methods used include TRANSFECTION and CLONING technologies, sequence and structure analysis algorithms, computer databases, and gene and protein structure function analysis and prediction.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Jet Lag Syndrome: A chronobiologic disorder resulting from rapid travel across a number of time zones, characterized by insomnia or hypersomnolence, fatigue, behavioral symptoms, headaches, and gastrointestinal disturbances. (From Cooper, Sleep, 1994, pp593-8)Medical Laboratory Science: The specialty related to the performance of techniques in clinical pathology such as those in hematology, microbiology, and other general clinical laboratory applications.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Molecular Imaging: The use of molecularly targeted imaging probes to localize and/or monitor biochemical and cellular processes via various imaging modalities that include RADIONUCLIDE IMAGING; ULTRASONOGRAPHY; MAGNETIC RESONANCE IMAGING; FLUORESCENCE IMAGING; and MICROSCOPY.Computational Biology: A field of biology concerned with the development of techniques for the collection and manipulation of biological data, and the use of such data to make biological discoveries or predictions. This field encompasses all computational methods and theories for solving biological problems including manipulation of models and datasets.Drug Design: The molecular designing of drugs for specific purposes (such as DNA-binding, enzyme inhibition, anti-cancer efficacy, etc.) based on knowledge of molecular properties such as activity of functional groups, molecular geometry, and electronic structure, and also on information cataloged on analogous molecules. Drug design is generally computer-assisted molecular modeling and does not include pharmacokinetics, dosage analysis, or drug administration analysis.Disease Models, Animal: Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Nanomedicine: The branch of medicine concerned with the application of NANOTECHNOLOGY to the prevention and treatment of disease. It involves the monitoring, repair, construction, and control of human biological systems at the molecular level, using engineered nanodevices and NANOSTRUCTURES. (From Freitas Jr., Nanomedicine, vol 1, 1999).Nanotechnology: The development and use of techniques to study physical phenomena and construct structures in the nanoscale size range or smaller.Magnetic Resonance Imaging: Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.Brain: The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.Molecular Targeted Therapy: Treatments with drugs which interact with or block synthesis of specific cellular components characteristic of the individual's disease in order to stop or interrupt the specific biochemical dysfunction involved in progression of the disease.Circadian Rhythm: The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs and stimuli, hormone secretion, sleeping, and feeding.Antineoplastic Agents: Substances that inhibit or prevent the proliferation of NEOPLASMS.Mutation: Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.Software: Sequential operating programs and data which instruct the functioning of a digital computer.Computer Simulation: Computer-based representation of physical systems and phenomena such as chemical processes.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Medical Oncology: A subspecialty of internal medicine concerned with the study of neoplasms.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Phenotype: The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment.Genetic Therapy: Techniques and strategies which include the use of coding sequences and other conventional or radical means to transform or modify cells for the purpose of treating or reversing disease conditions.Neurosciences: The scientific disciplines concerned with the embryology, anatomy, physiology, biochemistry, pharmacology, etc., of the nervous system.Proteins: Linear POLYPEPTIDES that are synthesized on RIBOSOMES and may be further modified, crosslinked, cleaved, or assembled into complex proteins with several subunits. The specific sequence of AMINO ACIDS determines the shape the polypeptide will take, during PROTEIN FOLDING, and the function of the protein.Ethics, Medical: The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.Bioengineering: The application of engineering principles and methods to living organisms or biological systems.Cells: The fundamental, structural, and functional units or subunits of living organisms. They are composed of CYTOPLASM containing various ORGANELLES and a CELL MEMBRANE boundary.Sequence Analysis, DNA: A multistage process that includes cloning, physical mapping, subcloning, determination of the DNA SEQUENCE, and information analysis.Immunotherapy: Manipulation of the host's immune system in treatment of disease. It includes both active and passive immunization as well as immunosuppressive therapy to prevent graft rejection.Genetic Engineering: Directed modification of the gene complement of a living organism by such techniques as altering the DNA, substituting genetic material by means of a virus, transplanting whole nuclei, transplanting cell hybrids, etc.Equipment Design: Methods of creating machines and devices.Congresses as Topic: Conferences, conventions or formal meetings usually attended by delegates representing a special field of interest.Gene Expression Profiling: The determination of the pattern of genes expressed at the level of GENETIC TRANSCRIPTION, under specific circumstances or in a specific cell.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.Regenerative Medicine: A field of medicine concerned with developing and using strategies aimed at repair or replacement of damaged, diseased, or metabolically deficient organs, tissues, and cells via TISSUE ENGINEERING; CELL TRANSPLANTATION; and ARTIFICIAL ORGANS and BIOARTIFICIAL ORGANS and tissues.Genetic Predisposition to Disease: A latent susceptibility to disease at the genetic level, which may be activated under certain conditions.Models, Animal: Non-human animals, selected because of specific characteristics, for use in experimental research, teaching, or testing.Genetic Testing: Detection of a MUTATION; GENOTYPE; KARYOTYPE; or specific ALLELES associated with genetic traits, heritable diseases, or predisposition to a disease, or that may lead to the disease in descendants. It includes prenatal genetic testing.Models, Molecular: Models used experimentally or theoretically to study molecular shape, electronic properties, or interactions; includes analogous molecules, computer-generated graphics, and mechanical structures.Biological Markers: Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.Tissue Engineering: Generating tissue in vitro for clinical applications, such as replacing wounded tissues or impaired organs. The use of TISSUE SCAFFOLDING enables the generation of complex multi-layered tissues and tissue structures.Image Processing, Computer-Assisted: A technique of inputting two-dimensional images into a computer and then enhancing or analyzing the imagery into a form that is more useful to the human observer.Molecular Sequence Data: Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.Gene Expression Regulation: Any of the processes by which nuclear, cytoplasmic, or intercellular factors influence the differential control (induction or repression) of gene action at the level of transcription or translation.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Epigenesis, Genetic: A genetic process by which the adult organism is realized via mechanisms that lead to the restriction in the possible fates of cells, eventually leading to their differentiated state. Mechanisms involved cause heritable changes to cells without changes to DNA sequence such as DNA METHYLATION; HISTONE modification; DNA REPLICATION TIMING; NUCLEOSOME positioning; and heterochromatization which result in selective gene expression or repression.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Genetic Diseases, Inborn: Diseases that are caused by genetic mutations present during embryo or fetal development, although they may be observed later in life. The mutations may be inherited from a parent's genome or they may be acquired in utero.History, 18th Century: Time period from 1701 through 1800 of the common era.Genome: The genetic complement of an organism, including all of its GENES, as represented in its DNA, or in some cases, its RNA.Disease: A definite pathologic process with a characteristic set of signs and symptoms. It may affect the whole body or any of its parts, and its etiology, pathology, and prognosis may be known or unknown.Stem Cell Transplantation: The transfer of STEM CELLS from one individual to another within the same species (TRANSPLANTATION, HOMOLOGOUS) or between species (XENOTRANSPLANTATION), or transfer within the same individual (TRANSPLANTATION, AUTOLOGOUS). The source and location of the stem cells determines their potency or pluripotency to differentiate into various cell types.Genome, Human: The complete genetic complement contained in the DNA of a set of CHROMOSOMES in a HUMAN. The length of the human genome is about 3 billion base pairs.Neurobiology: The study of the structure, growth, activities, and functions of NEURONS and the NERVOUS SYSTEM.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Developmental Biology: The field of biology which deals with the process of the growth and differentiation of an organism.Genetic Variation: Genotypic differences observed among individuals in a population.Technology: The application of scientific knowledge to practical purposes in any field. It includes methods, techniques, and instrumentation.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Models, Genetic: Theoretical representations that simulate the behavior or activity of genetic processes or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.High-Throughput Nucleotide Sequencing: Techniques of nucleotide sequence analysis that increase the range, complexity, sensitivity, and accuracy of results by greatly increasing the scale of operations and thus the number of nucleotides, and the number of copies of each nucleotide sequenced. The sequencing may be done by analysis of the synthesis or ligation products, hybridization to preexisting sequences, etc.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Pharmacogenetics: A branch of genetics which deals with the genetic variability in individual responses to drugs and drug metabolism (BIOTRANSFORMATION).Systems Biology: Comprehensive, methodical analysis of complex biological systems by monitoring responses to perturbations of biological processes. Large scale, computerized collection and analysis of the data are used to develop and test models of biological systems.Plants: Multicellular, eukaryotic life forms of kingdom Plantae (sensu lato), comprising the VIRIDIPLANTAE; RHODOPHYTA; and GLAUCOPHYTA; all of which acquired chloroplasts by direct endosymbiosis of CYANOBACTERIA. They are characterized by a mainly photosynthetic mode of nutrition; essentially unlimited growth at localized regions of cell divisions (MERISTEMS); cellulose within cells providing rigidity; the absence of organs of locomotion; absence of nervous and sensory systems; and an alternation of haploid and diploid generations.Genetics, Medical: A subdiscipline of human genetics which entails the reliable prediction of certain human disorders as a function of the lineage and/or genetic makeup of an individual or of any two parents or potential parents.Nanoparticles: Nanometer-sized particles that are nanoscale in three dimensions. They include nanocrystaline materials; NANOCAPSULES; METAL NANOPARTICLES; DENDRIMERS, and QUANTUM DOTS. The uses of nanoparticles include DRUG DELIVERY SYSTEMS and cancer targeting and imaging.Biological Evolution: The process of cumulative change over successive generations through which organisms acquire their distinguishing morphological and physiological characteristics.Drug Therapy: The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.Mass Spectrometry: An analytical method used in determining the identity of a chemical based on its mass using mass analyzers/mass spectrometers.Terminology as Topic: The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.Neurology: A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.Cell Differentiation: Progressive restriction of the developmental potential and increasing specialization of function that leads to the formation of specialized cells, tissues, and organs.Neuropharmacology: The branch of pharmacology dealing especially with the action of drugs upon various parts of the nervous system.Imaging, Three-Dimensional: The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.Models, Theoretical: Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Patient Rights: Fundamental claims of patients, as expressed in statutes, declarations, or generally accepted moral principles. (Bioethics Thesaurus) The term is used for discussions of patient rights as a group of many rights, as in a hospital's posting of a list of patient rights.Proteome: The protein complement of an organism coded for by its genome.Nervous System Diseases: Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle.Biomedical Technology: The application of technology to the solution of medical problems.Biological Therapy: Treatment of diseases with biological materials or biological response modifiers, such as the use of GENES; CELLS; TISSUES; organs; SERUM; VACCINES; and humoral agents.Suprachiasmatic Nucleus: An ovoid densely packed collection of small cells of the anterior hypothalamus lying close to the midline in a shallow impression of the OPTIC CHIASM.Neurons: The basic cellular units of nervous tissue. Each neuron consists of a body, an axon, and dendrites. Their purpose is to receive, conduct, and transmit impulses in the NERVOUS SYSTEM.Technology, Dental: The field of dentistry involved in procedures for designing and constructing dental appliances. It includes also the application of any technology to the field of dentistry.Biological Products: Complex pharmaceutical substances, preparations, or matter derived from organisms usually obtained by biological methods or assay.Drugs, Investigational: Drugs which have received FDA approval for human testing but have yet to be approved for commercial marketing. This includes drugs used for treatment while they still are undergoing clinical trials (Treatment IND). The main heading includes drugs under investigation in foreign countries.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)User-Computer Interface: The portion of an interactive computer program that issues messages to and receives commands from a user.Immunity, Innate: The capacity of a normal organism to remain unaffected by microorganisms and their toxins. It results from the presence of naturally occurring ANTI-INFECTIVE AGENTS, constitutional factors such as BODY TEMPERATURE and immediate acting immune cells such as NATURAL KILLER CELLS.Genetic Techniques: Chromosomal, biochemical, intracellular, and other methods used in the study of genetics.Third-Party Consent: Informed consent given by someone other than the patient or research subject.Host-Pathogen Interactions: The interactions between a host and a pathogen, usually resulting in disease.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Infant, Newborn: An infant during the first month after birth.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Allergy and Immunology: A medical specialty concerned with the hypersensitivity of the individual to foreign substances and protection from the resultant infection or disorder.Stem Cells: Relatively undifferentiated cells that retain the ability to divide and proliferate throughout postnatal life to provide progenitor cells that can differentiate into specialized cells.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Regeneration: The physiological renewal, repair, or replacement of tissue.Euthanasia: The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)Communicable DiseasesBiomedical Engineering: Application of principles and practices of engineering science to biomedical research and health care.Photoperiod: The time period of daily exposure that an organism receives from daylight or artificial light. It is believed that photoperiodic responses may affect the control of energy balance and thermoregulation.Cardiology: The study of the heart, its physiology, and its functions.Oligonucleotide Array Sequence Analysis: Hybridization of a nucleic acid sample to a very large set of OLIGONUCLEOTIDE PROBES, which have been attached individually in columns and rows to a solid support, to determine a BASE SEQUENCE, or to detect variations in a gene sequence, GENE EXPRESSION, or for GENE MAPPING.Microfluidics: The study of fluid channels and chambers of tiny dimensions of tens to hundreds of micrometers and volumes of nanoliters or picoliters. This is of interest in biological MICROCIRCULATION and used in MICROCHEMISTRY and INVESTIGATIVE TECHNIQUES.Positron-Emission Tomography: An imaging technique using compounds labelled with short-lived positron-emitting radionuclides (such as carbon-11, nitrogen-13, oxygen-15 and fluorine-18) to measure cell metabolism. It has been useful in study of soft tissues such as CANCER; CARDIOVASCULAR SYSTEM; and brain. SINGLE-PHOTON EMISSION-COMPUTED TOMOGRAPHY is closely related to positron emission tomography, but uses isotopes with longer half-lives and resolution is lower.Cell- and Tissue-Based Therapy: Therapies that involve the TRANSPLANTATION of CELLS or TISSUES developed for the purpose of restoring the function of diseased or dysfunctional cells or tissues.Immune System: The body's defense mechanism against foreign organisms or substances and deviant native cells. It includes the humoral immune response and the cell-mediated response and consists of a complex of interrelated cellular, molecular, and genetic components.Lab-On-A-Chip Devices: Microdevices that combine microfluidics technology with electrical and/or mechanical functions for analyzing very small fluid volumes. They consist of microchannels etched into substrates made of silicon, glass, or polymer using processes similar to photolithography. The test fluids in the channels can then interact with different elements such as electrodes, photodetectors, chemical sensors, pumps, and valves.High-Throughput Screening Assays: Rapid methods of measuring the effects of an agent in a biological or chemical assay. The assay usually involves some form of automation or a way to conduct multiple assays at the same time using sample arrays.Medical Futility: The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)Informed Consent: Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Epigenomics: The systematic study of the global gene expression changes due to EPIGENETIC PROCESSES and not due to DNA base sequence changes.Patient Preference: Individual's expression of desirability or value of one course of action, outcome, or selection in contrast to others.Societies, Scientific: Societies whose membership is limited to scientists.Synthetic Biology: A field of biological research combining engineering in the formulation, design, and building (synthesis) of novel biological structures, functions, and systems.World Health: The concept pertaining to the health status of inhabitants of the world.Aging: The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.Pharmaceutical Preparations: Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form.Toxicology: The science concerned with the detection, chemical composition, and biological action of toxic substances or poisons and the treatment and prevention of toxic manifestations.Drug Evaluation, Preclinical: Preclinical testing of drugs in experimental animals or in vitro for their biological and toxic effects and potential clinical applications.Radiobiology: Study of the scientific principles, mechanisms, and effects of the interaction of ionizing radiation with living matter. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Microscopy: The use of instrumentation and techniques for visualizing material and details that cannot be seen by the unaided eye. It is usually done by enlarging images, transmitted by light or electron beams, with optical or magnetic lenses that magnify the entire image field. With scanning microscopy, images are generated by collecting output from the specimen in a point-by-point fashion, on a magnified scale, as it is scanned by a narrow beam of light or electrons, a laser, a conductive probe, or a topographical probe.Nanostructures: Materials which have structured components with at least one dimension in the range of 1 to 100 nanometers. These include NANOCOMPOSITES; NANOPARTICLES; NANOTUBES; and NANOWIRES.Bacteria: One of the three domains of life (the others being Eukarya and ARCHAEA), also called Eubacteria. They are unicellular prokaryotic microorganisms which generally possess rigid cell walls, multiply by cell division, and exhibit three principal forms: round or coccal, rodlike or bacillary, and spiral or spirochetal. Bacteria can be classified by their response to OXYGEN: aerobic, anaerobic, or facultatively anaerobic; by the mode by which they obtain their energy: chemotrophy (via chemical reaction) or PHOTOTROPHY (via light reaction); for chemotrophs by their source of chemical energy: CHEMOLITHOTROPHY (from inorganic compounds) or chemoorganotrophy (from organic compounds); and by their source for CARBON; NITROGEN; etc.; HETEROTROPHY (from organic sources) or AUTOTROPHY (from CARBON DIOXIDE). They can also be classified by whether or not they stain (based on the structure of their CELL WALLS) with CRYSTAL VIOLET dye: gram-negative or gram-positive.Right to Die: The right of the patient or the patient's representative to make decisions with regard to the patient's dying.History, 17th Century: Time period from 1601 through 1700 of the common era.Phylogeny: The relationships of groups of organisms as reflected by their genetic makeup.Gastroenterology: A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).Human Genome Project: A coordinated effort of researchers to map (CHROMOSOME MAPPING) and sequence (SEQUENCE ANALYSIS, DNA) the human GENOME.Urogenital Neoplasms: Tumors or cancer of the UROGENITAL SYSTEM in either the male or the female.Nuclear Medicine: A specialty field of radiology concerned with diagnostic, therapeutic, and investigative use of radioactive compounds in a pharmaceutical form.Diagnostic Techniques, Digestive System: Methods and procedures for the diagnosis of diseases or dysfunction of the digestive system or its organs or demonstration of their physiological processes.Endocrinology: A subspecialty of internal medicine concerned with the metabolism, physiology, and disorders of the ENDOCRINE SYSTEM.Genome-Wide Association Study: An analysis comparing the allele frequencies of all available (or a whole GENOME representative set of) polymorphic markers in unrelated patients with a specific symptom or disease condition, and those of healthy controls to identify markers associated with a specific disease or condition.Research Support as Topic: Financial support of research activities.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Environment: The external elements and conditions which surround, influence, and affect the life and development of an organism or population.Inflammation: A pathological process characterized by injury or destruction of tissues caused by a variety of cytologic and chemical reactions. It is usually manifested by typical signs of pain, heat, redness, swelling, and loss of function.Biosensing Techniques: Any of a variety of procedures which use biomolecular probes to measure the presence or concentration of biological molecules, biological structures, microorganisms, etc., by translating a biochemical interaction at the probe surface into a quantifiable physical signal.Tumor Markers, Biological: Molecular products metabolized and secreted by neoplastic tissue and characterized biochemically in cells or body fluids. They are indicators of tumor stage and grade as well as useful for monitoring responses to treatment and predicting recurrence. Many chemical groups are represented including hormones, antigens, amino and nucleic acids, enzymes, polyamines, and specific cell membrane proteins and lipids.Genetic Vectors: DNA molecules capable of autonomous replication within a host cell and into which other DNA sequences can be inserted and thus amplified. Many are derived from PLASMIDS; BACTERIOPHAGES; or VIRUSES. They are used for transporting foreign genes into recipient cells. Genetic vectors possess a functional replicator site and contain GENETIC MARKERS to facilitate their selective recognition.Biocompatible Materials: Synthetic or natural materials, other than DRUGS, that are used to replace or repair any body TISSUES or bodily function.Amino Acid Sequence: The order of amino acids as they occur in a polypeptide chain. This is referred to as the primary structure of proteins. It is of fundamental importance in determining PROTEIN CONFORMATION.Genotype: The genetic constitution of the individual, comprising the ALLELES present at each GENETIC LOCUS.Patient Care Planning: Usually a written medical and nursing care program designed for a particular patient.MicroRNAs: Small double-stranded, non-protein coding RNAs, 21-25 nucleotides in length generated from single-stranded microRNA gene transcripts by the same RIBONUCLEASE III, Dicer, that produces small interfering RNAs (RNA, SMALL INTERFERING). They become part of the RNA-INDUCED SILENCING COMPLEX and repress the translation (TRANSLATION, GENETIC) of target RNA by binding to homologous 3'UTR region as an imperfect match. The small temporal RNAs (stRNAs), let-7 and lin-4, from C. elegans, are the first 2 miRNAs discovered, and are from a class of miRNAs involved in developmental timing.Gastrointestinal Tract: Generally refers to the digestive structures stretching from the MOUTH to ANUS, but does not include the accessory glandular organs (LIVER; BILIARY TRACT; PANCREAS).Viruses: Minute infectious agents whose genomes are composed of DNA or RNA, but not both. They are characterized by a lack of independent metabolism and the inability to replicate outside living host cells.Critical Care: Health care provided to a critically ill patient during a medical emergency or crisis.Personhood: The state or condition of being a human individual accorded moral and/or legal rights. Criteria to be used to determine this status are subject to debate, and range from the requirement of simply being a human organism to such requirements as that the individual be self-aware and capable of rational thought and moral agency.Patient Self-Determination Act: The purpose of this 1990 federal act is to assure that individuals receiving health care services will be given an opportunity to participate in and direct health care decisions affecting themselves. Under this act, hospitals, health care agencies, and health maintenance organizations are responsible for developing patient information for distribution. The information must include patients' rights, advance directives, living wills, ethics committees' consultation and education functions, limited medical treatment (support/comfort care only), mental health treatment, resuscitation, restraints, surrogate decision making and transfer of care. (from JCAHO, Lexicon, 1994)DNA: A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine).Databases, Genetic: Databases devoted to knowledge about specific genes and gene products.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Evolution, Molecular: The process of cumulative change at the level of DNA; RNA; and PROTEINS, over successive generations.Polymers: Compounds formed by the joining of smaller, usually repeating, units linked by covalent bonds. These compounds often form large macromolecules (e.g., BIOPOLYMERS; PLASTICS).Animal Experimentation: The use of animals as investigational subjects.Single-Cell Analysis: Assaying the products of or monitoring various biochemical processes and reactions in an individual cell.Vaccines: Suspensions of killed or attenuated microorganisms (bacteria, viruses, fungi, protozoa), antigenic proteins, synthetic constructs, or other bio-molecular derivatives, administered for the prevention, amelioration, or treatment of infectious and other diseases.Models, Statistical: Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc.Virus Diseases: A general term for diseases produced by viruses.Transcription Factors: Endogenous substances, usually proteins, which are effective in the initiation, stimulation, or termination of the genetic transcription process.

Autonomy, liberalism and advance care planning. (1/172)

The justification for advance directives is grounded in the notion that they extend patient autonomy into future states of incompetency through patient participation in decision making about end-of-life care. Four objections challenge the necessity and sufficiency of individual autonomy, perceived to be a defining feature of liberal philosophical theory, as a basis of advance care planning. These objections are that the liberal concept of autonomy (i) implies a misconception of the individual self, (ii) entails the denial of values of social justice, (iii) does not account for justifiable acts of paternalism, and (iv) does not account for the importance of personal relationships in the advance care planning process. The last objection is especially pertinent in light of recent empirical research highlighting the importance of personal relationships in advance care planning. This article examines these four objections to autonomy, and the liberal theoretical framework with which it is associated, in order to re-evaluate the philosophical basis of advance care planning. We argue that liberal autonomy (i) is not a misconceived concept as critics assume, (ii) does not entail the denial of values of social justice, (iii) can account for justifiable acts of paternalism, though it (iv) is not the best account of the value of personal relationships that arise in advance care planning. In conclusion, we suggest that liberalism is a necessary component of a theoretical framework for advance care planning but that it needs to be supplemented with theories that focus explicitly on the significance of personal relationships.  (+info)

The value of taking an 'ethics history'. (2/172)

OBJECTIVES: To study the value of taking an ethics history as a means of assessing patients' preferences for decision making and for their relatives' involvement. DESIGN: Questionnaire administered by six junior doctors to 56 mentally competent patients, admitted into general and geriatric medical beds. SETTING: A large district general hospital in the United Kingdom. MAIN MEASURES: To establish whether patients were adequately informed about their illness and whether they minded the information being communicated to their relatives. To establish their preference regarding truthful disclosure and participation in decision making with risk attached. To establish whether they wished to be involved in CPR decision making, and if not, who should make the decision. To establish whether they knew of living wills and whether they had any advance directives. RESULTS: Twenty-four (43%) were inadequately informed of their illness. Forty-six (82%) said they would want to know were something serious to be found. Twenty-eight (50%) wanted to make their own decision if requiring risky treatment and 11 (20%) wanted family members involved. Thirty-one (55%) wanted to make a cardiopulmonary resuscitation (CPR) decision and five of these decisions differed from those made by the doctors. Twenty-five (45%) preferred the doctors to decide. Eleven (20%) of the patients had heard of living wills but only one had executed such a will. Seven (13%) of the patients wished to provide advance directives. Three (5%) did not find the history taking helpful but none were discomforted. CONCLUSION: Taking an ethics history is a simple means of obtaining useful information about patients' preferences.  (+info)

Symptom burden, quality of life, advance care planning and the potential value of palliative care in severely ill haemodialysis patients. (3/172)

BACKGROUND: There has been little research on the potential value of palliative care for dialysis patients. In this pilot study, we sought (i) to identify symptom burden, health-related quality of life (HRQoL) and advance directives in extremely ill haemodialysis patients to determine their suitability for palliative care and (ii) to determine the acceptability of palliative care to patients and nephrologists. METHODS: Nineteen haemodialysis patients with modified Charlson co-morbidity scores of > or =8 were recruited. Each completed surveys to assess symptom burden, HRQoL and prior advance care planning. Palliative care specialists then visited patients twice and generated recommendations. Patients again completed the surveys, and dialysis charts were reviewed to assess nephrologists' (i) compliance with recommendations and (ii) documentation of symptoms reported by patients on the symptom assessment survey. Patients and nephrologists then completed surveys assessing their satisfaction with palliative care. RESULTS: Patients reported 10.5 symptoms, 40% of which were noted by nephrologists in patients' charts. HRQoL was significantly impaired. Thirty-two percent of patients had living wills. No differences were observed in symptoms, HRQoL or number of patients establishing advance directives as a result of the intervention. Sixty-eight percent of patients and 76% of nephrologists rated the intervention worthwhile. CONCLUSIONS: Extremely ill dialysis patients have marked symptom burden, considerably impaired HRQoL and frequently lack advance directives, making them appropriate candidates for palliative care. Patients and nephrologists perceive palliative care favourably despite its lack of effect in this study. A more sustained palliative care intervention with a larger sample size should be attempted to determine its effect on the care of this population.  (+info)

Advance care planning in nursing homes: correlates of capacity and possession of advance directives. (4/172)

PURPOSE: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity. DESIGN AND METHODS: The authors used cross-sectional, cohort study between 1997 and 1999. Seventy-eight residents (M age = 83.97, SD = 8.2) and their proxies (M age = 59.23, SD = 11.77) were included across five nursing homes. The authors obtained data via chart review, proxy interviews, resident assessments, survey completion by certified nursing assistants, and direct observation of residents' daily behaviors. RESULTS: Capacity assessments revealed that most residents could state a simple treatment preference (82.4%), but a sizable number did not retain capacity to understand treatment alternatives or appreciate the consequences of their choice. Global cognitive ability (Mini-Mental State Examination score) was related to understanding and appreciation. When the authors removed the effects of global cognitive ability, understanding and appreciation were related to time spent by residents in verbal interaction with others. Residents were more likely to possess advance directives when proxies possessed advance directives, proxies were less religious, and residents were socially engaged. IMPLICATIONS: Assessment of proxy beliefs and direct determination of residents' decisional capacity and social engagement may help nursing home staff identify families who may participate in advance planning for end-of-life medical care. Measures of global cognitive ability offer limited information about resident capacity for decision making. Decisional capacity assessments should enhance the verbal ability of individuals with dementia by reducing reliance on memory in the assessment process. Interventions to engage residents and families in structured discussions for end-of-life planning are needed.  (+info)

Chronic obstructive pulmonary disease: the last year of life. (5/172)

Nearly one quarter million Americans die with or of advanced chronic obstructive pulmonary disease (COPD) each year. Many patients die after a prolonged functional decline that is accompanied by much suffering. Though difficult prognostically and emotionally, anticipation of death opens the door to planning and preparing for terminal care. Epidemiologists have begun to identify characteristics of COPD patients who are most likely to die within 6-12 months, including severe, irreversible airflow obstruction, severely impaired and declining exercise capacity and performance status, older age, concomitant cardiovascular or other co-morbid disease, and a history of recent hospitalizations for acute care. Clinicians are encouraged to raise the difficult subject of planning for death when many of these characteristics apply. Patients with far-advanced disease are often receptive to the recommendation of a dual agenda: "Hope for and expect the best, and prepare for the worst." Medical advance planning is best pursued in an out-patient office during a prescheduled, 3-way conversation between patient, health care proxy, and physician. An advance directive can be written after the meeting to summarize the conversation. Clinicians should consider recommending hospice care when a COPD patient is at high risk of respiratory failure from the next chest infection and in need of frequent or specialized home care. Preparation for death should include a realistic appraisal of the prospects for dying peacefully at home and a contingency plan for terminal hospitalization, should the need arise.  (+info)

Patient-physician communication about end-of-life care for patients with severe COPD. (6/172)

Since patients with chronic obstructive pulmonary disease (COPD) infrequently discuss treatment preferences about end-of-life care with physicians, the goal of the present study was to identify which specific areas of communication about end-of-life care occur between patients with severe COPD and their physicians, and how patients rate the quality of this communication. A total of 115 patients with oxygen-dependent COPD, identified in pulmonary clinics in three hospitals and through an oxygen delivery company, were enrolled in this study. A 17-item quality of communication questionnaire (QOC) was administered to patients, along with other measures, including satisfaction with care. The patients reported that most physicians do not discuss how long the patients have to live, what dying might be like or patients' spirituality. Patients rated physicians highly at listening and answering questions. Areas patients rated relatively low included discussing prognosis, what dying might be like and spirituality/religion. Patients' assessments of physicians' overall communication and communication about treatment correlated well with the QOC. Patients' overall satisfaction with care also correlated significantly with the QOC. In conclusion, this study identifies areas of communication that physicians do not address and areas that patients rate poorly, including talking about prognosis, dying and spirituality. These areas may provide targets for interventions to improve communication about end-of-life care for patients with chronic obstructive pulmonary disease. Future studies should determine the responsiveness of these items to interventions, and the effect such interventions have on patient satisfaction and quality of care.  (+info)

Relatives' knowledge of decision making in intensive care. (7/172)

BACKGROUND/AIM: The law on consent has changed in Scotland with the introduction of the Adults with Incapacity (Scotland) Act 2000. This Act introduces the concept of proxy consent in Scotland. Many patients in intensive care are unable to participate in the decision making process because of their illness and its treatment. It is normal practice to provide relatives with information on the patient's condition, treatment, and prognosis as a substitute for discussion directly with the patient. The relatives of intensive care patients appeared to believe that they already had the right to consent on behalf of an incapacitated adult. The authors' aim was to assess the level of knowledge among relatives of intensive care patients of both the old and new law using a structured questionnaire. METHODS: The next of kin of 100 consecutive patients completed a structured questionnaire. Each participant had the questions read to them and their answers recorded. Patients were not involved in the study. RESULTS: Few (10%) were aware of the changes. Most (88%) thought that they previously could give consent on behalf of an incapacitated adult. Only 13% have ever discussed the preferences for life sustaining treatment with the patient but 84% felt that they could accurately represent the patient's wishes. CONCLUSIONS: There appeared to be a lack of public awareness of the impending changes. The effectiveness of the Act at improving the care of the mentally incapacitated adult will depend largely on how successful it is at encouraging communication and decision making in advance of incapacity occurring.  (+info)

Advance care planning and end of life decision making. (8/172)

BACKGROUND: Aging populations with greater rates of cognitive decline demand increased attention to the issues of end of life decision making and advance care planning (ACP). Legislatures have passed statutes that recognise the necessity for both substitute decision making and the declaration in advance of wishes relating to health care. OBJECTIVE: This article discusses ACP and the role of the general practitioner. DISCUSSION: Advance care planning provides patients, relatives and doctors with greater confidence about the future. There is good evidence that patients desire to discuss end of life care, and GPs are in a good position to engage their patients in considering the issues. They have a responsibility to confirm the decision making capacity of patients who write advance health directive documents, to inform and educate their patients about future health care, and to keep the ACP conversation going.  (+info)

Advance Care Planning (ACP) is the voluntary discussion on future care preferences between an individual with his family and healthcare providers (End-of-life care - Important to know your loved ones wishes, by Mr Francis Cheng; May 30).. Read more at
Democracy Now: "DR. ATUL GAWANDE: Well, this change, which is to remove provisions that would have allowed for doctors to have additional payments to have end-of-life discussions with their patients, is an example of the mistake that repeal represents as a whole. End-of-life discussions are not death panels. But you say it over and over again, you brand it over and over again, and you begin to define what the meaning is of a major policy thats passed. Being able to provide funding for discussions that have been shown to have a huge difference in improving the quality of life patients have and, in a recent study published in the New England Journal, also generated longer life for patients by helping them make better decisions about when to stop therapies that have become harmful to them, like that fourth round of chemotherapy and so on, those kinds of studies indicate we need more, longer and better discussions with doctors, overall. Repeal is a major mistake. Our choices are stalemate on making ...
Sean Davisons mother, a doctor, knew she faced an impending, painful death from cancer. Not willing to endure it, she chose to end her life by not eating. That attempt, Davison said, went terribly wrong.
MetaFilter is a weblog that anyone can contribute a link or a comment to. A typical weblog is one person posting their thoughts on the unique things they find on the web. This website exists to break down the barriers between people, to extend a weblog beyond just one person, and to foster discussion among its members.. ...
It is apparent from reading the e-book that the author/authors have never had a NDE. A NDE is almost always a trans-formative experience that literally changes the disposition or outlook on life of the Experiencer. NDE Experiencers feel loved in a way that defies the human understanding of that word. OBE s can do that(not typical) but they also generally do not involve the Classic NDE Process: * I am not saying people who claim to have NDE s have to go through all of the following processes 1) Life Review 2) Leaving one s body 3) Entering a tunnel 5) Seeing a light 6) Feeling L ...
Im listening to the station that is playing Christmas tunes and singing along. In front of me is a big old tractor trailer that keeps sort of trailing over that right lane on the right. Just a foot or two over. Then he corrects. This goes on for a couple of miles so I am kind of keeping my eye on him ...
With visions of someday being on the world stage, yet having to battle a life threatening ailment, Shannon Rose had a daunting task ahead, as the odds were stacked against him.
Frank McCourt, author of the Pulitzer Prize-winning 1996 memoir Angelas Ashes, is on his deathbed, his brother Malachy McCourt said Thursday.Frank McCourt, 78, contracted meningitis about two
Федерация Бильярдного Спорта Ростовской области действует с целью развития бильярдного спорта в Ростовской области и России. Активно сотрудничает с министерством по физической культуре и спорту ростовской области, федерацией бильярдного спорта России и заинтересованными в развитии спорта на Дону организациями: ЗАО «Роствертол», ЗАО«Межрегионгаз» и другими...
Results 57 completed questionnaires - 17 chest consultants, 28 chest registrars, 11 physiotherapists, and 1 nurse clinician. 23 (40%) initiated End-of-Life discussions in severe IPF frequently or very frequently, and 47 (84%) felt it was a very important or important part of their role, but 42% felt predicting prognosis in advanced IPF was difficult or very difficult. More consultants felt End-of-Life discussions were an important part of their role than registrars.. Several aspects of End-of-Life care were felt to be harder in severe IPF than advanced malignancy (Figure 1), although similar to advanced COPD. 22 (42%) referred patients with severe IPF to hospital palliative care services very frequently or frequently, and 19 (37%) to community palliative care very frequently or frequently. Less than 10% of all respondents felt they had significant training in initiating End-of-Life discussions, palliating symptoms, or services available. ...
Hepitatis is generally not passed through kissing, if you are feeling anxious about things I would encourage you to get a health...
Dear Friend, Thank you for your honest letter. I sincerely hope that asking for my support and advise is a positive step toward accepting that you are worthy of feeling better about yourself. ... and life-prolonging processes ...
24/7 spiritual support care available through HSHS Sacred Hearts caring team to provide help, hope, resources, and spiritual care.
What Does Death Feel Like.Its the most relevant concern, we will never know what occurs to us after we die.There is no immortality and we experience..
After discovering this article in the Scientific American Magazine, I felt the urgency to create a thread about it! This article is relatively short, but it contains powerful information, so beware. T
By Ann. A. Mom I cringe a bit lately when I read stories about recovered children. Im ashamed to admit that these stories conjure up an enormous amount of self-pity and just plain jealousy in me. This hasnt, however, always...
Dog owners are 24% less likely to die for any reason, but the life-prolonging benefits are even higher for anyone with cardiovascular disease, according to two new studies.
Children who are near death because of severe flu should be given anti-viral medications early in their treatment to slash the risk of dying.
Mike McRae considers the possibility that recent Near Death Experience research reveals the existence of conscious, supernatural awareness in patients during cardiac arrest.
As a young man lingered near death - his heart barely pumping, other organs also failing - about two dozen members of the University of Kansas Health Systems
Welcome to the iNATAL Advance information hub. Featuring active ingredients, dosages, related medications, and iNATAL Advance forums.
Hey everyone-(this is long, I apologize in advance).... In a recent revelation, I have finally come to the conclusion that the one person who had acted as my...
The Inpatient Palliative Care Service (IPCS) was implemented at three Kaiser-Permanente sites: Colorado, Portland and San Francisco. The service consisted of a physician, nurse, social worker, and spiritual counselor who worked with the study subjects randomized to receive the intervention. The intervention included symptom control, emotional and spiritual support, advance care and post-discharge care planning, There were no differences in symptom control or emotional support but IPCS patient reported better spiritual support compared to usual care patients. IPCS patients also reported greater satisfaction with their hospital care experience and better communication with their providers. Both IPCS and usual care patients reported improved quality of life during their enrollment hospital stay. IPCS patients completed more advance directives. IPCS patients had more home health visits than usual care patients but significantly fewer ICU admissions. IPCS patients had significantly lower hospital ...
Department of Defence. Health Portal. The ADF Health and Wellbeing Portal is a single point of access for ADF members to information on health, mental health and rehabilitation support and services from within Defence, and from other government departments and community organisations.​
2hearts spiritual support is part of the voluntary 2hearts ministries of David McFarland. Having served the Lord as evangelist, church planter and Pastor for many years, his heart illness brought much of his public ministry to an end but since 2002 he has been offering spiritual support online to all who face the trauma of major heart illness.. Contact 2hearts. ...
Opinion Editorial by Douglas L. Beck, AuD. The Board of Editors of Scientific American (June 2015) werent specifically addressing hearing loss. Yet, as I read their opinion/analysis (page 10) titled "A Last Right for Dying Patients," many issues and considerations overlapped with what we (physicians and professionals in hearing health care) address daily, and I thought Id offer up some of their thoughts (and mine) for your consideration.. They note that dying is never easy to confront, but its even more difficult in 2015, as we have amazing high-tech solutions that may (easily) prolong life for months or years. The editors of Scientific American note that "many patients would choose not to extend their life this way, but modern medicine does not help them with this crucial decision…." That is, the "vast majority of people in the United States have never had an end-of-life discussion with their health-care providers, or even family members, about trade-offs between extra days and extra ...
Warning: Graphic details may be disturbing to some readers. Animal welfare officials are investigating a possible case of cruelty after an emaciated and badly-injured dog, whose body is branded, was discovered near death in Aurora on the weekend.
You have started to think about what you would want for the end of your life, but where should you start? Fortunately, there are several resources to which you can refer to help you start your own conversation.
I wish someone had told me that. - Do you have a tip to share? Some advice to share? Want to learn from someone who has been there? Stop by for a look
To Holly, Mandy, Andrea and Casey. Unsung Heroes This has been a long tough journey. We wish no one had to endure.. And we pray each and every day. That soon they find a cure.. But until that wonderful day happens. And we no longer need this place,. We know that when we come through that door. We will be met by a smiling face.. They have a special calling, God put them in this place. They take care of all of us with smile on their face.. I call them my unsung heroes , because that is who they are. They sometimes go unnoticed, but they are a shining star.. They make this time of treatment as good as good can be,. They laugh and joke , but always doing their job with efficiency. So my unsung heroes, you are special to us all.. God will surely bless you as you continue in His Call.. Carol French. ...
2hearts spiritual support is part of the voluntary 2hearts ministries of David McFarland. Having served the Lord as evangelist, church planter and Pastor for many years, his heart illness brought much of his public ministry to an end but since 2002 he has been offering spiritual support online to all who face the trauma of major heart illness.. Contact 2hearts. ...
It is a national health care objective to ensure that all children with special health care needs have access to comprehensive health care consistent with the standard of a medical home.5,6 A core component of community-based systems of care, the medical home ideally comprises providers who are knowledgeable in the area of chronic condition management and actively screen all children for developmental disability.4 Children with disabilities cared for in medical homes that provide care coordination benefit from increased access to subspecialty care, fewer missed days of school, and decreased family financial burden.7 Moreover, having a medical home is a predictor for less inpatient and emergency department utilization8 and fewer unmet medical and support-service needs.9 The longitudinal relationship between medical home providers, children with disabilities, and their families provides a comfortable and trusted framework for shared decision-making and, in some instances, end-of-life discussions. ...
The accuracy of proxies when they interpret advance directives or apply substituted decision-making criteria has been called into question. It therefore became important to know if the Andalusian Advance Directive Form ...
Your physician can use the Physician Orders for Life-Sustaining Treatment (POLST) to represent your wishes as clear and specific medical orders.
... New science is shedding light on what really happens during out-of-body experiences -- with shocking results.BY MARIO BEAUREGARDMopic via ShutterstockThis article was adapted from the new book Brain Wars, from Harper One.In 1991, Atlanta-based singer and songwriter Pam Reynolds felt extremely dizzy, lost her ability to speak, and had difficulty moving her body. A CAT…
Have you prepared an advance care directive? Everyone should. Learn why its important and how you can obtain an advance directive form for our state.
Have you prepared an advance care directive? Everyone should. Learn why its important and how you can obtain an advance directive form for our state.
Our exclusive detoxification experience provides not only medical support but also personalized therapy, emotional and spiritual support, culinary offerings, and holistic approaches to healing and recovering from drug and alcohol addiction.. Medication and comfort as you detox from drugs or alcohol are part of the Noble Protocol. Experience relaxation, medical expertise, access to state-of-the-art technology, and a truly personalized treatment process.. ...
In the spring of 2008, at 23 years old, I was injured in the groin while wrestling; "No big deal the swelling will go down" I kept telling myself. After a few months the swelling and pain became too much to bear so I went to get checked out. My doctor sent me to a general surgeon the next day; after a blood test and while waiting for a scan, the surgeon called with those dreaded words, "you have cancer." I couldnt believe it. Completely devastated, all I could do was pray. My advice is dont do as I did but at the first sign of trouble go immediately to your doctor to get checked out.. My oncologist at Northside Hospital found that the cancer had spread throughout my abdomen and into my lungs making it stage 3 cancer. After surgery and four cycles of chemo I was finally on the road to recovery. At the time, I was not employed at Delta, but my dad, Steve, was. His co-workers and other Delta people rallied around my family offering financial, physical, and spiritual support. They even purchased ...
Senior Care Corner welcomes many guests seeking information on DNR (Do Not Resuscitate) and other advance directives. Many of these guests are either facing or planning for one of the more difficult times any of us can face, the end of life for a...
An advance directive can help assure that your wishes are carried out in case you can no longer make decisions about your health care needs.
Advance Directives . For all your medical needs, contact a physician at the Harlingen Medical Center who has extensive experience in many different areas of practice.
Advance directives, like living wills or durable powers of attorney, let you control future care should you become incapacitated or cannot speak for yourself.
I have had a number of near death experiences, and I actually fought with the spirit that was talking to me on my first near death experience and told him I would not go back to earth until I got some answers. He said "What do you want to know?" and I sat down and he answered questions for so long that it filled 7 large pages when I woke up and wrote it all down before I forgot it. I said "I cant even serve the Lord in that kind of body. What good am I down there? I cant even complete the reason I was put on earth." The spirit told me that pain and illness keep us away from rich, shallow, selfish people, keeps us out of the world, and makes us closer to God. The lessons we learn from being sick, from communing with God through prayer when we are suffering, are priceless, and cant be learned any other way. I wouldnt give up that knowledge or that feeling of love and security for anything. Life is just a short 3 hour movie compared to the eternity that was before earth life and the eternity ...
I have had a number of near death experiences, and I actually fought with the spirit that was talking to me on my first near death experience and told him I would not go back to earth until I got some answers. He said "What do you want to know?" and I sat down and he answered questions for so long that it filled 7 large pages when I woke up and wrote it all down before I forgot it. I said "I cant even serve the Lord in that kind of body. What good am I down there? I cant even complete the reason I was put on earth." The spirit told me that pain and illness keep us away from rich, shallow, selfish people, keeps us out of the world, and makes us closer to God. The lessons we learn from being sick, from communing with God through prayer when we are suffering, are priceless, and cant be learned any other way. I wouldnt give up that knowledge or that feeling of love and security for anything. Life is just a short 3 hour movie compared to the eternity that was before earth life and the eternity ...
Hi, I recently lost my beloved dog Katie to cancer. She was the light of my life. She was doing well with seemingly no signs of cancer, and suddenly died of something else and they don t know what. Although I knew it was eventually coming, as she was older, I thought we had more time since she acted normal. I am left with a broken heart and lots of guilt because I didn t recognize how soon she would go. Maybe there was something I could have done? I know that people receive after-death communications from their loved ones, but how about pets? Has anyone ever seen their pet in a near ...
The second happened when Sally and I got into a disagreement. ( insert your own joke here) I decided to go for a walk what seemed to be a calm day. As I was turning a corner onto 45Th and Colfax I decided to go into a different Family Video in Griffith to just browse around( insert another joke here). Not realizing what is happening outside I get a cell call from Micheal asking me where I am . I thought Oh ,the wife must be worried about me. He said that mom is out looking for me. Again I thought she must really really be worried about me as I chuckled to myself. He asked if I am outside I said I was at the Family Video Store. He than preceded to tell me that there were tornadoes seen in the area. I said Sally is really taking this to far, trying to scare me like that. I went outside first thing I said was OH, HE..............LL NO!!!! It was raining and hailing so hard that as it hit me, it hurt bad. Than I thought oh my gosh Sally the one who put me in this predicament is out looking for me. ( ...
I have at times driven my car way to fast around corners (just me in the car) as I like the sensation of speed and on a few occasions I truly felt that It might not end well. When I am driving like this my mind is focused and I am in what I call the zone, heightened awareness and on the job. I know the extent of my misjudgment by the tingling that starts in my hands and works it way up my arms and its very similar if not the same as the sensations that I sometimes get just before a WILD transition - I joke that its the spirit getting ready to leave body as it wants to protect itself and leave before its too late ...
Posted by Padre Ralph on August 16, 2011. ...
The story is posted in the description on the main youtube page. Watch in HD! 8vbCk-JvLyo And of course... comment, rate, and subscribe!
The story is posted in the description on the main youtube page. Watch in HD! 8vbCk-JvLyo And of course... comment, rate, and subscribe!
Four years ago, Exact Sciences was roadkill. The company, based in greater Boston at the time, had been experimenting with molecular diagnostic
When completing an AD, the patient should consider what is most important, asking such questions as Who can make medical decisions with the physician if I am unable?
End-of-Life Doula Training. HacksackUMC, John Theurer Cancer Center, 30 Prospect Ave, Hackensack, NJ 07601. RSVP required. To register please contact Nancy Voss at [email protected] Published in ...
Advance Care Directive - Your wishes for future care Although you may not like to think about it, there could be times in your life when you are unable to make a decision or properly communicate your wishes on how you would like to be cared
As a reward for Pippin, who had foolishly gazed into a palantír, Gandalf took the hobbit with him to Minas Tirith, the last bastion of the west. Soon after arriving, Gandalf confronted Denethor II, the Ruling Steward, and learned that he was near despair over the death of his eldest son, Boromir. Ostensibly they were allies, but the Steward treated him with disrespect and suspicion. When Faramir, the Stewards younger son, returned from Osgiliath and was attacked by Nazgûl, Gandalf upon Shadowfax drove them away by revealing the power within him; later Faramir told him that Frodo and Sam were still alive and headed towards Mordor. The city was soon besieged by a vast force from Mordor, led by the Witch-king. An ill-advised counter attack resulted in Faramir receiving a wound from a poisoned dart; he lay near death inside the Tower. Still, Gandalf encouraged the men of Minas Tirith to have hope, and dispelled the fear of the Ringwraiths by his very presence. But Saurons catapults hurled ...
Dont be spooked by this. Its too important for pussy-footing about. Practically no-one knows just when they will die, and the precise manner of their death, even if they think they do. But some of us have the privilege of knowing how, when and why we might expect to die. Others have the burden of knowing this about someone they care for. That burden can be made a lot lighter for them, and a comfort to you, through an Advance Care Directive, also known as a Living Will. ...
Once we have awakened, many amazing experiences come to us that may seem "other-worldly" to the unawakened. Perhaps you have been visited by extraterrestrials or even abducted by them? Maybe youre psychic and see things before they happen or perhaps youve had out of body experiences? Maybe you received visions after a Near Death Experience (NDE)? ...
A pair of otters that were nursed back to health from near death will serve as the ambassadors for a new tracking technology that will record their biological information over the course of their lives.
Jayadevappa R, Chhatre S, Gallo JJ, Wittink M, Morales KH, Malkowicz SB, Lee D, Guzzo T, Caruso A, Van-Arsadalen K, Wein AJ, Schwartz JS.: Treatment Preference and Patient Centered Prostate Cancer Care: Design and Rationale. Journal of Contemporary Clinical Trials 3(45): 296-301, October 2015 Notes: [Epub ahead of print ...
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Scatena, Roberto (Herausgeber); Bottoni, Patrizia (Herausgeber); Giardina, Bruno (Herausgeber) Advances in Mitochondrial Medicine Reihe: Advances in Experimental Medicine and Biology 942 9789400728684 9400728689 A18798758 A18798758
This directive overrides the named symbols default visibility (which is set by their binding: local, global or weak). The directive sets the visibility to ...
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Internal Medicine Module 2: Informed Consent - Surrogate Decision Making. This case explores the best course of action when a surrogate decision maker refuses bypass surgery for her husband even when the primary care physician, cardiologist, and cardiac surgeon all recommend it as the best treatment option. Virtual Mentor is a monthly bioethics journal published by the American Medical Association.
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Similar to the previous situation, ethics consults are occasionally obtained when its not clear to the treating team who the surrogate decision maker is or how to navigate conflicts between decision makers. In California and by our policy, a surrogate decision maker can be anyone who knows the patient and his values well enough to make decisions on his behalf. There is no predetermined hierarchy of relationship; a neighbor may be a better surrogate than an estranged spouse who hasnt seen the patient in a decade. Its not uncommon that we find ourselves in complex family and friend relationships with multiple spouses, children, cousins, friends, and parents who all want a say in medical decision making. We hope that all the stakeholders are on the same page and work together to determine whats best for a patient, but this is rare. Especially in the intensive care unit, situations can be emotionally-laden and challenging to achieve a consensus. Furthermore, its quite important to identify a ...
Advance directives are papers that state a patients choices for treatment. This includes decisions like refusing treatment, being placed on life support, and stopping treatment at a point the patient chooses. It also includes requesting specific life sustaining treatments.. There are several kinds of advance directives. The three that are most common are the living will; durable power of attorney for healthcare and the pre-hospital do not resuscitate order.. The Living Will. A form that states that life sustaining procedures should be withheld or withdrawn. This only goes into effect when the patient can no longer make decisions. Medical procedures which are necessary to provide comfort or pain relief are not considered life-sustaining procedures. For the Living Will to be effective, two physicians must personally examine the patient and determine that the patient has a terminal illness. The physicians must agree that death will occur with or without intervention. The living will must be ...
Having an advance directive in place can mean the difference between life and death. - Advance Directives - Geriatrics at BellaOnline
It became clear to me that the brain under the stress of oxygen depletion, puts out an array of chemical mediators and hormones that produce the well-known manifestations of NDEs. So the idea for the book began to crystallize with a series of what ifs: what if the brain, at the threshhold of death, produced a particular, powerful substance that causes NDEs, and what if that chemical could be isolated and produced in a laboratory, and what if it caused healthy people to have profoundly alluring and specific NDEs that formed a de facto "proof" of the existence of an afterlife, and what if that chemical were to radically change the world as we know it.. I had long been aware of the phenomenon of near death experiences (NDEs) when, as a young doctor, I took care of a very ill patient who had one. She was a teenager with advanced leukemia which was resistant to therapy and one day on the wards, she had a cardiac arrest. We got her heart going again and revived her and when she was stabilized she ...
This agency provides hospice care. Hospice provides medical care and emotional, social, and spiritual support for patients and their families for end-of-life care.. Hospice staff provides care in places such as hospitals and nursing homes. They also provide care at home. Most people choose to receive their hospice care at home. The primary goal of hospice care is pain management and to provide patients comfort and dignity in their final days.. Tidewell has Hospice Houses in Manatee County. Patients can stay there and get care 24 hours a day. Please see the website for more information and locations.. ...
Thus Pallium Kulasekharam was launched on 24th May 2013 as a Non Govt. Organization which is now a Registered Public Charitable Trust ( No:11/2014).. OBJECTIVES:. The main objective of Palium Kulasekharam is to provide Palliative Care and Pain relief to those individuals who are suffering from terminal life limiting debilitating diseases like Cancer and to those who are paralised. It involves not only providing medical care but also extending material and spiritual supports, so as to create a sense of wellbeing in the minds of such sufferers.Where cure is difficult it shifts care to improve the quality of life of patient and the family.. SERVICES. Our services are designed to care to those outpatients who are ambulant, home care visit to all those who are bedridden, and inpatient care only to a selected needy. We endeavor palliative care, necessary palliative medicine and supplies free of cost to the poor inconformity with the program of the government. We also proposed to engage in providing ...
Our Complex Continuing Care services provide skilled nursing care, as well as social and recreational activities, spiritual support and counselling for residents and their families whose lives have been affected by conditions such as multiple sclerosis (MS), Lou Gehrigs disease (ALS) and chronic obstructive pulmonary disease (COPD). Our staff provide care in a friendly and warm environment where the focus is placed on treating and caring for the whole person with a goal to provide the best possible quality of life ...
People with cancer need hope fast. At Tanner, waiting is not an option. THREE DAYS from diagnosis to treatment options: thats the Tanner Cancer Care Promise. So we strive to see every new patient within three days of diagnosis. At Tanner, youll receive integrated treatment that blends the latest technologies and therapies with emotional, nutritional and spiritual support. And at Tanner, every expert involved in your treatment will work together with one goal: to help you conquer cancer.. Learn more ,. ...
A residential care facility for persons living with AIDS, offering medical, physical, psychological and spiritual support and comfort to its residents. Located in Belmont, North Carolina. ...
An Advance Directive is a legal way to make a decision about future medical care. A life threatening illness or injury can happen to anyone at any age. You can help control your care by recording your choices. The time to do this is before you are sick or injured). If your child already has an Advance Directive, please bring it with you on day of surgery. If you want more information, visit our Website and click on the link for Advance Directives. If you would like to speak with someone about Advance Directives, please call our Communication Nurse at 404-785-6712. ...
Who needs an advance directive, aka living will? Get the answer and find out how to create one so you dont end up on life support if you dont want to.
From the initial radio call to my initial view of this patient to this CT Scan above, this was a bleed from the get-go. I was about to intubate when the family showed. It was hard for them to follow this patients advance directive but they did. By resisting the temptation to have us do everything they spared him two to thirty days on the ventilator, a bolt in the brain (a catheter inserted to decompress the blood), and death by progression of the bleed, ARDS, or a host of other life-enders that come when your brain is full of blood and your breathing is directed by a machine ...
U.S. Department of Health and Human Services Literature Review on Advance Directives Anne Wilkinson, Ph.D., Neil Wenger, M.D., M.P.H., and Lisa R. Shugarman, Ph.D. RAND Corporation June 2007 PDF Version (89 PDF pages)
The End-of-Life Care Research Group aims to conduct high-quality scientific research in end-of-life care in Belgium and Europe. The research group is spearheaded by a number of experienced researchers and strives to expand expertise in end-of-life care research.. ...
The Physician Orders for Life-Sustaining Treatment or POLST is an effective tool for communicating patients preferences to a doctor.
What are your final wishes?. Death is a journey that all must take, and establishing your path before the time arrives can make that journey easier for you and your loved ones. Documenting and communicating your final wishes is critical so that your loved ones know what you want and what to do when the time comes.. Perhaps you have thought about starting, completing, reviewing, or even finding your end-of-life documents. This workshop is unique in that we discuss After-Death Care Directives (your desired wishes for the care of your body after death) in addition to Advanced Care Directives, which address your care leading up to your death. We create an environment where you can think about end-of-life care more deeply and offer you an opportunity to participate in a casual group setting where you will work to complete your advance care and after-death care documents. The goal: a notarized set of end-of-life documents and knowing what your next steps are.. ...
This resource addresses three major areas of cultural relevance in end-of-life care: cultural competency in clinical practice; advance directives; and pain management.
Ive done at lot to promote the better side of the Earths microorganisms and bacteria in particular. Are they grateful? I have to say no! In September 2011, I became seriously ill, only to find out that the cause of the illness was a species of bacterium called Streptococcus mitis that had set up home…
Chapter One How close have you been to death? Ive been there way too many times to count, from having a gun pulled on me when I tried to intervene in a stabbing, to pissing off the chapter Sergeant At Arms of a well known and savage bikie club (biker, for my American friends), to a motorbike accident where I had a 0.296% blood alcohol and I had to have my jaw reconstructed with metal that I still have today. These are only three out of many, many more examples, my brushes with death have
Not enough nutrition? Hah! If youre vegan, and youre not getting enough nutrition, surely that just means youre not eating enough, or what youve chosen to eat has few nutritients. But of course, just saying not enough nutrition is to generalize nutrition to an imbecilic level, and makes you sound like a moron from the get go. Her own ignorance is what left her feeling fatigued, not veganism, this is so ...
The tragic death of Whitney Houston and Bobby Browns only child offers many poignant end-of-life lessons. Among the most pressing: The need to craft written advance medical directives as early as age 18, experts tell Newsmax Health.
In a new Directors Message on the NINR website, Dr. Patricia A. Grady shares what NINR has recently been doing related to end-of-life and palliative care (EOLPC).
Jared Noel, 32, from Auckland, New Zealand, was diagnosed in 2008. After 66 rounds of chemotherapy, hopes life-prolonging drugs will help him meet his daughter.
In 2015 my best friend died of cancer and it seemed to me that the chemo and botched up operations killed him. And I knew his underlying health and diet were poor for all his life. Seeing that after chemo he was near death. I wondered what happened to him. I began research into cancer and got side-tracked into the AIDS story. I could not stop reading and researching AIDS. I couldnt believe it! I slowly realized that I never did any research to support my belief in HIV=AIDS before, I just trusted the world and the well-established voices. But I learned they are promoting something very false and we are all sold what weve been told. The science absolutely doesnt support the mantra. The feeling was that of shock. Almost horror. How could virtually everyone be so very wrong about something so very, very important. Im an engineer and part scientist, I read the actual test reports. I am shocked. How was I so deceived ...
Am I going to die? Its a legitimate concern. After all, images of the AIDS epidemic of the 80s may be running through your mind like a streaming black and white movie from the past. The answer is no, not anytime soon. Antiretroviral therapy has changed the face of HIV from a near death sentence…
Once we have awakened, many amazing experiences come to us that may seem "other-worldly" to the unawakened. Perhaps you have been visited by extraterrestrials or even abducted by them? Maybe youre psychic and see things before they happen or perhaps youve had out of body experiences? Maybe you received visions after a Near Death Experience (NDE)? ...
This Web site is designed to help our clients achieve their financial goals through a long-term relationship with a trusted and knowledgeable advisor.
Using hypothetical scenarios to explore disease modifying drug treatment preferences in people with multiple sclerosis - MS Trust research update
There are a lot of global directives interspersed with database-only directives here. Generally we discourage this because it leads to false assumptions about how things work. The slapd.conf(5) manpage (and associated config manpages) are pretty explicit about what directives are global vs not. In 2.3 with the LDIF configuration it will be firmly delineated, since directives will only be valid in specific config entries ...
Nakul Mandan has an excellent tweetstorm on the importance of building sales capacity in advance of growth. The idea is that startups get caught up in the here and now and dont start hiring and training AEs, SDRs, and SEs soon enough for the long term goals. The solution: plan 24 months in advance. Figure out…
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This Advance Care Planning Consultation section was criticized by some Republicans and conservatives such as Betsy McCaughey, a ... 1] "Section 1233 - Advance Care Planning Consultation". Retrieved 2009-09-20. "Social Security Act §1861". ... "America's Health Insurance Plans", a lobbyist group, opposed the bill. 'Americans for Stable Quality Care' is an activist group ... Text of S. 466 110th: Medicare End-of-Life Care Planning Act of 2007 Ezra Klein, August 10, 2009, The Washington Post, Is the ...
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Advance Care Planning, of which Advance directive is only a part, is a process of planning for future medical care under ... In other words, Advance Care Planning should be raised before an acute crisis.7 Primary care physicians are in the best ... The premise of advance directives may have been patient autonomy, but the process of Advance Care Planning does not evolve in ... Advance care planning involves a structured discussion between patient and ideally their primary care physician to explore the ...
UH has prepared advance care planning materials that may be useful for patients. ... Plan ahead so that your family and loved ones understand your wishes for care when you can no longer make those decisions for ... Advance directives are legal documents that provide direction and instruction for your future health care in the event you are ... Plan ahead so you can receive the care that is important to you and in accordance with your wishes. ...
Get information about how you can plan for and document your wishes and instructions for present and future health care ... Advance Care Planning - Making Future Health Care Decisions For information on advance care planning information and resources ... Advance Care Planning - Making Future Health Care Decisions *Advance Care Planning Frequently Asked Questions (PDF) ... Advance Care Planning. Advance care planning is the process of thinking about and writing down your wishes or instructions for ...
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... such as a living will or health care power of attorney, to make your health care choices clear and legally binding. ... Learn how you can write a health care advance directive, ... At its best, advance care planning is a continuing conversation ... Some states have created advance directive registries to simplify access to your advance care plans. A few national directories ... The most common misperception about advance care planning is that it requires completing a complex legal document. In reality, ...
... that this would open the way for specific decisions about end-of-life care and its limits. Yet such advance care planning is ... They used documentation of the preferred place of death as the indicator of advance care planning. Patients with an advance ... We know that advance care planning has benefits. In 2016 Dixon and colleagues reported an analysis of the national survey of ... David Oliver: Should advance care planning enter the mainstream? BMJ 2018; 361 :k2123 ...
It is about doing what you can to ensure that your wishes and preferences are consistent with the health care treatment you ... Advance care planning can be a gift you give yourself and your family. ... National Institute on Aging - Advance Care PlanningExternal. *Advance Care Planning: Ensuring Your Wishes Are Known and Honored ... about the difference advance care planning can make.. Communicating and Documenting Your Wishes. An important part of advance ...
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Texas hospitals encourage you to know your options for accepting or refusing care. Decide whats right for you. Talk with your ... An advance directive is your life on your terms. Whether youre 18 or 80, documenting your wishes today means your family wont ... What are "advance directives"? Advance directives are documents that state your choices for health care, or name someone to ... Advance care planning is a process of communication between individuals, families and others who are important to the ...
HIGH POINT -- Advanced Home Care, a not-for-profit health services company owned by several area hospitals, plans to occupy by ... who with partner Sam Simpson brokered the deal for Advanced Home Care as Simpson & Schulman. Advanced Home Care will continue ... Advanced Home Care, with more than 380 employees statewide, provides health care services and equipment for people moving from ... Advanced Home Care, which started in 1983 with 2,500 square feet of space, has committed to a 15-year lease and expects the new ...
Advance care planning can help you document decisions about your health care in case you become ill or injured and can no ... Advance care planning A serious illness or accident can happen to anyone at any age. Advance care planning is a communication ... Advance care planning can also inform how you complete your health care directive, living will or power of attorney for health ... If you have questions or need guidance in preparing your advance care planning documents, please call our SCCA Supportive Care ...
... living will or designate a health care proxy. Learn more about our advance care planning services. ... Atlantic Health System offers programs and events that can help you create an advance directive, ... An advance care plan ensures that you get the care you need and want in the event that you become seriously ill or injured. ... Local Advance Care Planning Support Resources. *New Jersey Hospital Association - Practitioner Orders for Life-Sustaining ...
Critical Care, Sleep Medicine, Rheumatology, Surgery, and more. ... and patients that provides information on Adult Primary Care ... BACKGROUND: Advance directives are widely promoted as a means to plan for patients decisional incapacity, yet there is little ... Decisions by faculty and residents were not consistent with the advance directive in 65% of cases. This inconsistency was ... Future work needs to explore the generalizability of these findings and examine how strictly patients desire their advance ...
Back to Advance care planning in Scotland. Planning ahead. Making a will. Your wishes for your care. Advance Directives. Organ ... Funeral planning. Managing your care if you havent planned ahead. Mental capacity. ... Welfare PoA and Advance Directives. If you make an Advance Directive, your welfare attorney will need to follow your decisions ... This is only if your Advance Directive is up to date, relevant to your situation at the time and is known to still reflect your ...
Practical implications: These results suggest that if health care providers and institutions need AD forms completed, it will ... Findings: Four themes regarding ACP emerged from this secondary analysis of the interviews: how completing ACP, advance ... and PWD care preferences when their defined meaning and worth are not part of their experience. These PWD and family members ... and planning for the future. Interviews were recorded, transcribed and analyzed. ...
Advance Care Planning. End of life. Knowledge translation. Goals of care. Advance directive. Lining will. ... An advanced care plan (ACP) is a verbal or written instruction describing what kind of care an individual would want (or not ... Advance Care Planning (ACP) may offer some assistance with reducing health care costs for older Canadians and yet, at the same ... Advance Care Planning Evaluation in Hospitalized Elderly Patients (ACCEPT). The safety and scientific validity of this study is ...
Advance Care Planning: Should I Stop Kidney Dialysis? ... Advance Care Planning: Should I Stop Kidney Dialysis?. 1. Get ... Advance Care Planning: Should I Stop Kidney Dialysis?. Heres a record of your answers. You can use it to talk with your doctor ... Advance Care Planning: Should I Stop Kidney Dialysis?. Skip to the navigation ... This may be done through hospice care . Hospice offers the chance to think about personal goals, relieve pain, and take care of ...
Read our Advance Care Planning: Should I Stop Kidney Dialysis? encyclopedia resources online. ... Advance Care Planning: Should I Stop Kidney Dialysis?. Heres a record of your answers. You can use it to talk with your doctor ... This may be done through hospice care. Hospice offers the chance to think about personal goals, relieve pain, and take care of ... Travel. When youre on dialysis, travel needs to be carefully planned. If you are on hemodialysis and plan to travel, you will ...
Although core attitudes may support advance care planning for many Americans, health professionals should consider tailoring it ... Advance care planning: does patient gender make a difference? Am J Med Sci. 2004 Jan;327(1):25-32. doi: 10.1097/00000441- ... Although core attitudes may support advance care planning for many Americans, health professionals should consider tailoring it ... attitudes about advance care planning. Methods: We asked 26 Mexican American (14 male, 12 female), 18 European American (7 male ...
Advance care planning can help the people close to you and those caring for you to know what is important to you about the ... In an advance care directive, you can document your wishes for future medical care. Advance care directives are legally ... Reviewing your advance care directive. You can review and change your advance care directive at any time. You may be prompted ... Give your advance care directive to others. Keep the original copy of your advance care directive and medical treatment ...
Back to Advance care planning in England and Wales. Planning ahead. Making a will. Your wishes for your care. Lasting Power of ... Advance Decisions to Refuse Treatment. Organ and tissue donation. Managing your care if you havent planned ahead. Mental ... Planning for the future with advanced cancer › * Advance care planning in England and Wales › ...
  • Cite this: Website Increases Advance Care Planning - Medscape - May 19, 2017. (
  • The film will be released in November 2017 in honor of National Hospice and Palliative Care Month. (
  • 44th Biennial Convention 2017 Theme: Influence Through Action: Advancing Global Health, Nursing, and Midwifery. (
  • In March 2017 it was agreed to reduce the number of community hospitals and develop more care at home. (
  • A merger between North Cumbria University Hospitals and Cumbria Partnership is now planned, and the two organisations started to share a chief executive in September 2017, with plans to create an accountable care organisation. (
  • Senator Rand Paul has said he plans to introduce a replacement plan during the week of January 9, 2017. (
  • Senators Susan Collins (Maine) and Bill Cassidy (La.) introduced their plan, the Patient Freedom Act of 2017, on January 23, 2017, which would offer states the option to retain the Affordable Care Act, if they chose, or receive a block grant to be used on an alternative plan they prefer. (
  • A comprehensive plan to replace the Affordable Care Act was announced by the House Republican leadership on March 6, 2017. (
  • Government plans to rebuild it were unfinished in 2017. (
  • In early March 2017, news of the nomination plan emerged. (
  • In February 2017 the National Audit Office produced a report suggesting that plans to save millions of pounds 'may be optimistic', that there was poor oversight of the various initiatives and that progress with integration plans had been slower and less successful than planned. (
  • 325 million capital funding for the strongest plans was announced in March 2017 but Sir Robert Naylor concluded that at least £10 billion would be needed to deliver proposed plans and make NHS facilities fit for purpose. (
  • Plans released in March 2017 propose at that all plans should evolve into accountable care systems with "clear collective responsibility for resources and population health" and some control over devolved funding for mental health, cancer and general practice. (
  • Instead advance care planning is either non-existent or severely under-utilized in primary care practice in Pakistan. (
  • The author explores the factors that prevent Pakistani physicians' from incorporating advance care planning into practice. (
  • Despite policy recommendations to include adolescents with chronic and life-limiting conditions in decision-making about their own end-of-life care, barriers continue in clinical practice, including fear of distressing vulnerable adolescents and providers' beliefs that these conversations are potentially harmful. (
  • Advance care planning (ACP) provides a means of ameliorating this mismatch but is yet to be embedded in routine clinical practice or public consciousness. (
  • Medical, nursing, and advance practice nurse training programs may benefit from using some of the newer 'tools. (
  • This study day enables all Health Care Professionals to fulfil their duty of care, understand, recognise and know how to use the Code of Practice and Advance Care Planning documentation, as well as develop skills to open and maintain facilitative discussions. (
  • The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is dedicated to improving patient care by advancing the science and practice of nutrition support therapy and metabolism. (
  • Sanderson H, Lewis J. A practical guide to delivering personlisation: person centred practice in health and social care . (
  • Her writings and research have advanced knowledge in global health, women's health, culturally-competent practice, interprofessional education and the epistemological analysis of the discipline of nursing. (
  • Advanced practice registered nurse Women's health "Nurse Practitioner Primary Care Competencies in Specialty Areas" (PDF). (
  • Because of difficulties accessing secondary care, GPs are supported by the practice and community to manage more complex conditions within primary care than in more urban areas. (
  • In the past few decades, nurses have witnessed a change toward a more independent practice with explicit knowledge of nursing care. (
  • An advanced practice registered nurse (APRN) is a nurse with post-graduate education in nursing. (
  • APRNs are prepared with advanced didactic and clinical education, knowledge, skills, and scope of practice in nursing. (
  • APRN defines a level of nursing practice that utilizes extended and expanded skills, experience and knowledge in assessment, planning, implementation, diagnosis and evaluation of the care required. (
  • However, the basis of advanced practice is the high degree of knowledge, skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and evidence-based decision making. (
  • In 2004, The American Association of Colleges of Nursing (AACN) in conjunction with the National Council of State Boards of Nursing (NCSBN) recommended that advanced practice registered nurses move the entry level degree to the doctorate level by 2015. (
  • it is a clinical/practice-based doctorate but because it is not the entry degree for the profession of nursing (which includes advanced practice registered nursing), it is a terminal degree. (
  • Every state has different laws, rules, regulations, licensing and certification requirements for advanced practice registered nurses, thus some states may not have a grandfather clause in their state board of nursing laws, in particular as it may relate to transferring a license from one State to another. (
  • The US National Council of State Boards of Nursing (NCSBN) continues to work on a collaborative multi-state compact licensure agreement for advanced practice nurses to be able to work in multiple US states with a singular active home state license. (
  • Dr. Byock's early career focused on emergency medicine and rural practice in parallel with an interest in hospice care dating back to 1978 when the field was just beginning to be established. (
  • After 15 years of practice of emergency medicine, mostly in Montana, he focused on palliative and hospice care and the lived experience of people who were seriously ill. (
  • Neonatal Nurse Practitioners (NNPs) are advanced practice nurses that specialize in neonatal care. (
  • They are able to treat, plan, prescribe, diagnose and perform procedures within their scope of practice, defined by governing law and the hospital where they work. (
  • Neonatal nurse practitioners are advanced practice nurses that care for premature babies and sick newborns in intensive care units, emergency rooms, delivery rooms, and special clinics. (
  • A LearnWell course Wilfred McSherry's article on the Journal of Advanced Nursing: Dilemmas of spiritual assessment: considerations for nursing practice Spiritual Distress Care Plan Carpenito, Lynda Juall (1999). (
  • WASHINGTON-The more that families understand the end-of-life treatment preferences expressed by adolescents living with human immunodeficiency virus (HIV), the less likely these youth are to suffer HIV-related symptoms compared with youths whose families do not understand their end-of-life care goals, according to a single-blinded, randomized study published online Oct. 19, 2018, in Pediatrics . (
  • 2018). This points to the high importance of family carer education and of improving communication between family carers and formal care providers. (
  • It will feature the diverse voices of people at different stages of life and wellness and will initially run from February to April 2019, culminating in Advance Care Planning Day on 5 April. (
  • Advance care planning involves a structured discussion between patient and ideally their primary care physician to explore the goals of care in the context of current and hypothetical illness states, discusses treatment options in the context of these goals of care and finally articulates and documents treatment and care preferences of the patient. (
  • 7 Primary care physicians are in the best position to raise the topic of Advance Care Planning, discuss and clarify issues and assist in formal documentation because they have an established, longstanding, trusting relationship with the patient. (
  • This is why we see surprised reactions, and sometimes the doctor-patient relationship is harmed during that acute care episode. (
  • For your convenience, SCCA provides complimentary notarization of your advance care planning documents in the Patient and Family Resource Center located on the 3rd floor of the South Lake Union clinic. (
  • Advance care planning: does patient gender make a difference? (
  • We participate in cutting-edge cancer research including life-saving clinical trials and research to improve cancer prevention, early detection, care delivery and patient outcomes. (
  • Community Hospice & Palliative Care Foundation generates philanthropic and community support for patient care services, family needs and community programs. (
  • Conclusions Advance care planning improves end of life care and patient and family satisfaction and reduces stress, anxiety, and depression in surviving relatives. (
  • The two approaches are a structured approach with an advance care planning conversation led by a trained person using Respecting Choices (First Steps) and a patient-driven approach which includes a Five Wishes advance care planning form written in plain language. (
  • Determine whether the effectiveness of the advance care planning approach differs based on whether the person assisting with advance care planning is of the same or different race as the patient. (
  • ACP is a discussion between an incurable ill patient and the health professionals about preferences for end-of-life care. (
  • Intervention: Advance Care Planning conersation between a healtprofessionel and a patient about end-of-life discussions. (
  • Congruence between preferred and actual EOL care received [ Time Frame: An every-3-week time frame, at a minimum, after study enrollment until patient death or subject declining to participate will be used in this study for repeated outcomes assessments. (
  • AllSpire is committed to enhancing the value of health care that communities receive through superior patient care services, research and education. (
  • Lack of advance planning can put major road blocks in front of patient care in the ICU, as well as complicate communication between physicians and family members. (
  • Conclusion: Older people who view a video depiction of a patient with advanced dementia after hearing a verbal description of the condition are more likely to opt for comfort as their goal of care compared with those who solely listen to a verbal description. (
  • As part of Patient and Family Centered Care, it is the patient who now decides on their Goals of Care following a discussion with a Health Care Professional. (
  • Respondents expressed needs for both clinician support following patient deaths and greater advance care planning. (
  • Looking for a doctor who supports quality patient care? (
  • Rather, emphasizing "a process of communication that ensures that clinical care is shaped by patient preferences when the patient is unable to participate in decision-making" 10 or "advance care planning" should be the next route of improvement. (
  • In the spirit of patient empowerment, we have created a website called PREPARE that may address some gaps that currently available advance care planning materials do not fill. (
  • and organize the health system to achieve those goals) if we are truly hoping to improve the most important outcome_ that care received actually matched the patient and family goals. (
  • If a patient dies within a year after inclusion, a relative will be asked to complete a questionnaire on end-of-life care. (
  • Conclusions: The ACP video was successfully integrated into surgical care without harm and was thought to be helpful, although video content did not significantly change the ACP content or patient-surgeon communication. (
  • The first of these reform proposals to be passed by the United States Congress is the Patient Protection and Affordable Care Act, which originated in the Senate and was later passed by the House of Representatives in amended form on March 21, 2010 (with a vote of 219-212). (
  • He also argued for bundling payments and accountable care organizations, which reward doctors for teamwork and patient outcomes. (
  • citation needed] Camp was involved in the House Republicans' January 2011 repeal efforts of the Patient Protection and Affordable Care Act. (
  • Do not resuscitate (DNR), also known as no code or allow natural death, is a legal order written either in the hospital or on a legal form to withhold cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS), in respect of the wishes of a patient in case their heart were to stop or they were to stop breathing. (
  • Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical error that often leads to adverse effects. (
  • The IOM called for a broad national effort to include establishment of a Center for Patient Safety, expanded reporting of adverse events, development of safety programs in health care organizations, and attention by regulators, health care purchasers, and professional societies. (
  • POC documentation is meant to assist clinicians by minimizing time spent on documentation and maximizing time for patient care. (
  • Numerous studies have been conducted comparing the patient outcomes of care provided by APRNs and physicians. (
  • He was director of palliative medicine at Dartmouth-Hitchcock Medical Center, from 2003-14, and associate director for patient and family-centered care at the affiliated Norris-Cotton Cancer Center. (
  • Services offered include Antenatal Care, Basic Emergency Obstetric Care, Curative In-patient Services, HIV Counselling and Testing, Immunization, Integrated Management of Childhood Illnesses, Prevention of Mother to Child transmission of HIV, Radiology Services e.g. (
  • The following is a list of plans being considered in order to replace the Patient Protection and Affordable Care Act, as a result of the Republican Party's gains in the 2016 US elections. (
  • Clinical medical ethics is a practical, applied field that aims to improve patient care and outcomes. (
  • This accreditation recognizes the Institute's success in delivering excellent patient-centered care that exceeds national and international standards in Stroke & Cancer Rehabilitation. (
  • Hospice care, which can be provided at home or in a long-term care facility, additionally provides emotional and spiritual support for the patient and loved ones. (
  • The ATSU-ASDOH implemented a model integrating state of the art training with patient care needs in Community Health Centers (CHCs). (
  • There were 6 operating theatres, 102 in-patient beds and 550 jobs were planned to be created. (
  • BMJ Support Palliat Care 2016;pii:bmjspcare-2015-000971. (
  • Hospice UK is hosting a tweetchat on Wednesday 2 March 2016, 8 to 9pm GMT, on person-centered advance care planning using one-page profiles and fink cards. (
  • During the inaugural National Share the Experience Summit on September 7, 2016, Respecting Choices leaders announced the program's transition from Gundersen Health System to the Coalition to Transform Advanced Care (C-TAC) under a long-term agreement. (
  • In December 2016 it sold its adult services business to Cygnet Health Care in a deal worth £377 million, in order to concentrate on children's services. (
  • In March 2016 Amanda Doyle, Chief Clinical Officer of Blackpool Clinical Commissioning Group was appointed the leader of the Lancashire and South Cumbria Sustainability and transformation plan footprint. (
  • In March 2016, NHS England organised the geographical division of England into 44 Sustainability and transformation plan areas (or footprints) with populations between 300,000 and 3 million, which would implement the Five Year Forward View. (
  • Each area is required to produce a Sustainability and Transformation Plan by end of June 2016. (
  • Polley served as Deputy Government Whip in the Senate in the Second Gillard Ministry and Second Rudd Ministry from 2010 to 2013, and then as Parliamentary Secretary for Aged Care from 2013 to 2016. (
  • Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (
  • MyDirectives has been endorsed by the Office of Clinical Ethics and Palliative Care at Baylor Health Care System and its director, Dr. Robert Fine, Dr. Michael Wasserman, who served as chair of the American Geriatrics Society's Managed Care Task Force, and by former Sen. Bill Frist (R-Tenn. (
  • In February 2015 it was announced that the Clinical Commissioning Groups planned for inpatient elective surgery at Westmorland General Hospital to be transferred to Royal Lancaster Infirmary and Furness General Hospital. (
  • Clinical documentation is a record of the critical thinking and judgment of a health care professional, facilitating consistency and effective communication among clinicians. (
  • Documentation performed at the time of clinical point of care can be conducted using paper or electronic formats. (
  • Also, it is important to note that electronic formats of clinical point of care documentation are not intended to replace existing clinical process but to enhance the current clinical point of care documentation process. (
  • While there are legal reasons to provide good crisis planning using PADs, the clinical reasons are equally compelling. (
  • Nephrologists may provide care to people without kidney problems and may work in general/internal medicine, transplant medicine, immunosuppression management, intensive care medicine, clinical pharmacology, perioperative medicine, or pediatric nephrology. (
  • The hospital offers several Clinical Centers: The Comprehensive Behavioral Health Center, comprising Inpatient Psychiatry, Geriatric Psychiatry and Outpatient Behavioral Health, specializes in the care and treatment of a variety of behavioral health issues. (
  • NHS England would organise national support programmes, particularly for "primary care provider development", support urgent and emergency care systems, rather than to individual organisations, and set up clinical standardisation and productivity initiatives under professors Timothy Briggs and Tim Evans. (
  • 1997 SCA sold the Clinical products division to Nordic Capital who merged it with Kolmi-Set acquired by Tamro and named it Mölnlycke Health Care AB. (
  • Seriously ill African Americans are less likely to take part in advance care planning and experience lower quality care at the end of life, including poorer communication with clinicians and a lower likelihood of receiving the kind of care that they would want. (
  • Advance care planning: a 'hard' skill for cardiology clinicians? (
  • During the call, guest speakers will discuss practical tips and tools for improving advance care planning with diverse and underserved populations while interacting with other clinicians from California and beyond. (
  • Under the leadership of the Canadian Hospice and Palliative Care Association (CHPCA), clinicians, researchers and decision makers have been meeting for the past 3 years to develop a national strategy to implement ACP in Canada, to raise the awareness of Canadians about the importance of advance care planning and to equip them with the tools they need to effectively engage in the process. (
  • The combined form takes more time to complete as it lets you name your health care agent and describe what treatment you would want, in the event that you have a serious accident or illness and cannot speak for yourself. (
  • When you learn that you have an illness that is probably going to shorten your life, your doctor may talk to you about receiving care that will help you stay comfortable without prolonging your life. (
  • Resources to help you learn about long-term care, which provides assistance with daily needs in case of disability or illness, and information on long-term care insurance. (
  • If a family member or friend has a serious medical illness or procedure, you may be called on to provide care after your loved one leaves the hospital, emergency room or doctor's office. (
  • Advance care planning (ACP) is a process of understanding, reflecting on and discussing your experiences, values and beliefs in an effort to identify how you want to live if faced with a serious or life-limiting illness. (
  • The result will be a well-informed plan that identifies your health care wishes in the event of a serious or life-limiting illness. (
  • Community Hospice & Palliative Care is here for you, committed to helping you live better with advanced illness. (
  • The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial. (
  • Organisational improvements towards earlier recognition of life-limiting illness and subsequent Advance Care Planning were recommended, including education and training, as well as the need for wider societal debate. (
  • In the health section, details about insurance coverage, availability of medical facilities, curative care and illness information with associated time and money costs, preventive care with a focus on immunizations, and use of family planning and other preventive services were obtained. (
  • A person may need care due to loss of health, loss of memory, the onset of illness, an incident (or risk) of falling, anxiety or depression, grief, or a disabling condition. (
  • Nursing diagnoses: spiritual anger, as evidenced by expression of frustration or outrage at God for having allowed illness or other trials, comments about the "unfairness" of God, and/or negative remarks about institutionalized religion and/or its ministers or spiritual care givers. (
  • People who make their wishes known in advance can avoid situations like Quinlan's, and that of another woman Terri Schiavo who suffered a cardiac arrest, that led to a vegetative state lasting 15 years before her mechanical life support system was removed. (
  • The Mesa County Advance Care Planning Task Force, a group of local organizations, is offering Medical Decision Making in Colorado workshops on how to plan for end-of-life care, Thursday and Saturday, April 14 and 16. (
  • For general information about advance care planning, caregiver support, end of life care, and organ donation, click on the links below. (
  • If you or someone in your care has chest pains, difficulty breathing, or severe bleeding, it could be a life-threatening emergency. (
  • Advance care planning is applicable to adults at all stages of life. (
  • While applicable to all stages of life, it is particularly applicable to end-of-life care decision making, since approximately 1 in 4 people lose decision making capacity when approaching the end of their life. (
  • A healthy 20-something typically won't have as much to say about end-of-life priorities but still needs to appoint a health care agent. (
  • Contact with the acute care system, especially repeated contact, is often a sign that life expectancy is limited. (
  • They had significantly greater odds of good pain relief near the end of life and of receiving what their relatives described as "excellent" or "outstanding" care. (
  • And focus groups carried out for Age UK suggest that older people want to discuss care only towards the end of life, when it's clear that they're expected to die in the next year or two. (
  • 1 Clark D, Schofield L, Graham F, Jarlbaek L, Gott M, Isles C. Rapid response: hospital care in the last year of life. (
  • A plan also provides your health care team with information on your health care preferences and if you would want life-sustaining measures if there appeared to be little likelihood of your recovery. (
  • Yet, few Texas families have adequately discussed and planned their end-of-life care. (
  • Your Life, Your Wishes is an initiative created by AllSpire Health Partners that can help you get the advance care planning conversation started. (
  • A dialysis center can also help with end-of-life planning. (
  • If you decide to stop dialysis, health professionals who provide end-of-life care can help you have the highest quality of life possible. (
  • For example, most Mexican American men preferred death to disability, believed "the health care system controls treatment," and wanted no "futile" life support. (
  • In contrast, most Mexican American women expressed wishes only about care other than life support (especially about when and where they wanted to die), believed ADs "help staff know. (
  • Small pilot studies support the appropriateness of engaging adolescents with chronic or life-limiting illnesses in pediatric advance care planning (pACP). (
  • Improved approaches to pediatric advance care planning (pACP) are needed for the ∼400 000 children living in the United States with life-limiting conditions. (
  • Advance Care Planning: Should I Receive CPR and Life Support? (
  • Saying "no" to CPR and life support doesn't mean that you won't be taken care of. (
  • Unfortunately, in the past, ACP has often been focused on raising completion rates of AHDs, despite there being no guarantee such documents in themselves improve end-of-life care 2 or correspond with future care preferences. (
  • 5 In their last year of life, Australians with advanced disease will average eight hospital admissions and incur a 60%-70% chance of dying in hospital. (
  • More than half may be denied adequate opportunity to discuss end-of-life care wishes 7 or have them fully enacted. (
  • 11 Most complaints received from bereaved family members about hospital treatment relate to end-of-life care, mainly perceived failures of communication and preparedness for death. (
  • Our trained facilitators are available to meet with you and guide you through the advance care planning process as part of our Respecting Life Choices program. (
  • And when families struggle to understand their child's end-of-life care choices, that is associated with a higher likelihood of HIV-positive adolescents suffering physical symptoms, including pain. (
  • Plan for care to the end of your life. (
  • Guest Speakers from The Quality of Life Initiative are available to meet with your civic or community group to discuss the importance of Advance Care Planning. (
  • People nearing the end of life can benefit from discussing and recording their care preferences in a process known as advance care planning. (
  • Hospice care can provide extra support for people near the end-of-life and their families. (
  • In these studies, advance care planning discussions resulted in fewer hospitalisations and better quality of life at the end of life. (
  • It may include identifying the care you would want at the end of your life. (
  • Advance care planning and the importance of improving end of life care are both supported by legislation in Australia, 6 the United Kingdom, 7 and the United States, 8 9 and are endorsed by professional bodies, including the Australian, 10 British, 7 and American 11 medical associations. (
  • Effective advance care planning (ACP) requires the practitioner to understand medical conditions, identify physical, psychosocial and spiritual needs, estimate life expectancy, and elicit values. (
  • Hospice of the Western Reserve provides palliative and end-of-life care, caregiver support, and bereavement services throughout Northern Ohio. (
  • In celebration of the individual worth of each life, we strive to relieve suffering, enhance comfort, promote quality of life, foster choice in end-of-life care, and support effective grieving. (
  • The easy situation was completing a POLST (Physician Orders for Life-Sustaining Care) for Mr. T, a 94-year old man with moderate dementia. (
  • To explore the experiences of senior medical and nursing staff regarding the challenges associated with Advance Care Planning in relation to children and young people with life-limiting illnesses in the Paediatric Intensive Care Unit environment and opportunities for improvement. (
  • A member of the Network 5 Kidney End of Life Coalition, she is an advocate of advance care planning and tells you the ins and outs of what is involved. (
  • Your Life, Your Wishes is an important initiative brought to you by Lehigh Valley Health Network and AllSpire Health Partners, which focuses on advance care planning and discussing your life wishes at any age. (
  • Your Life, Your Wishes is about having a meaningful dialogue with loved ones about your long-term health care needs and wishes. (
  • Like most things in life, projects and purchases require mapping out a plan and coordinating with others to accomplish it. (
  • An advance care plan ensures you will receive the care that's right for you and what you desire, no matter what path life brings you down at any age. (
  • Visit to learn how to ensure your care goals are met, no matter what life brings. (
  • These prescient words resonate for advanced care planning and end-of-life decision making. (
  • Main outcome measures: Preferred goal of care: life prolonging care (cardiopulmonary resuscitation, mechanical ventilation), limited care (admission to hospital, antibiotics, but not cardiopulmonary resuscitation), or comfort care (treatment only to relieve symptoms). (
  • (
  • In the video group, 81 (86%) chose comfort care, eight (9%) chose limited care, four (4%) chose life prolonging care, and one (1%) was uncertain (χ2=13.0, df=3, P=0.003). (
  • The My Voice for Life-Sustaining Treatment (MVLST) Goals of Care Person Order replaces the Physician Order for Goal of Care/DNR. (
  • This study will examine the efficacy of Family Centered Advance Care Planning in enhancing quality of life, integrating effective end-of-life care, and preventing depression and anxiety among HIV infected adolescents and their family members. (
  • This pilot study will examine FCACP's effects on adaptive coping, psychological adjustment, quality of life, and plans and actions in HIV infected adolescents. (
  • Adolescents and young adults 16 to 30 years of age with advanced cancer or HIV disease acquired perinatally or early in life and enrolled in an active NIH treatment protocol. (
  • Discussing end of life (EoL) care with adolescents and young adults can be one of the most difficult aspects of living with a life threatening disease. (
  • Standards in palliative care suggest that discussion of end of life issues be routine and commence soon after diagnosis. (
  • To determine if adolescents and young adults living with advanced cancer or HIV disease feel that an AD document, such as Five Wishes, is useful in addressing end of life issues. (
  • You decide what quality care at the end of life means for you. (
  • End-of-life care is more than what happens moments before dying. (
  • Your doctors and family need to know the kind of end-of-life care you want. (
  • It supports the provision of quality, personalised, End of Life Care. (
  • One-page end of life profiles: how do they fit into the advance care planning evidence? (
  • End of life care in dementia is a significant policy concern, with dementia now the leading cause of death in the UK. (
  • Life Matters Media provides news, opinion, and general information about end of life-related issues, such as hospice care, palliative medicine, and advance health care planning. (
  • Sooner than Belisomo was prepared for, she found herself in an intensive care unit, making a decision to withdraw life support. (
  • At each of Chicago's 23 municipal senior centers, founders Randi Belisomo and Mary Mulcahy, sometimes accompanied by other end of life care experts, help seniors consider their own end of life care preferences and provide them next-step resources. (
  • this data, alongside the social demography of each senior center's surrounding neighborhood, is compiled regularly in partnership with Northwestern University's Buehler Center on Aging, Health and Society with the hope of obtaining a unique and comprehensive landscape of the state of end of life care decision-making in Chicago. (
  • Their original programming has focused on religion and end of life care, digital document storage and caregiving. (
  • Dr. Monica Williams-Murphy, a board certified emergency physician at the University of Alabama Hospital, where she also serves as the medical director of advance care planning and end of life education, called MyDirectives "a pioneer in enabling individuals to articulate our own medical choices. (
  • Independent Living Fund (ILF) provides money to help disabled people live an independent life in the community rather than in residential care. (
  • Director, Advance Care Planning and End of Life Care Ltd, since 2011. (
  • In 1991, leaders of Gundersen pioneered the development and testing of an improved model of end-of-life planning and decision making. (
  • In advanced dementia, studies show that PEG placement does not in fact prolong life. (
  • The correlation between preferences against life-prolonging care and the increased likelihood of advance care planning is consistent across ethnic groups. (
  • In response to an audience question at an August 12, 2009, meeting in Iowa, about the end-of-life counseling provisions in the House health care bill, H.R. 3200, Grassley said people were right to fear that the government would "pull the plug on grandma. (
  • He was principal investigator and founder of the Missoula Demonstration Project and national director for the Robert Wood Johnson Promoting Excellence in End-of-Life Care initiative. (
  • From 1982-96 as an emergency physician, mainly in rural and small city settings in Montana, Byock maintained an interest in end-of-life care. (
  • In 1996, Byock was asked to lead the Robert Wood Johnson Foundation's national program in Promoting Excellence in End-of-Life Care, intended to expand access to hospice and palliative care to regions and populations not easily served under the Medicare Hospice Benefit. (
  • In 2005 the Government of Ontario announced an "end-of-life care strategy" to be implemented by the Ministry of Health and Long-Term Care to improve the availability of home-based and community palliative care services. (
  • In 2008, the Hospice Association of Ontario membership grew significantly, partly a result of the end-of-life care strategy and increased community acceptance of palliative care. (
  • The End-of-Life Information Service is a telephone service which offers information about hospice palliative care services and resources, including: hospice palliative care programs, units and education community-based services pain and symptom management bereavement support services It is funded by the Government of Ontario Ministry of Health and Long-Term Care. (
  • Established in 1986, the Society for the Promotion of Hospice Care (Chinese: 善寧會) is a non-profit organisation in Hong Kong promoting hospice and palliative care, providing bereavement counselling, and conducting research into and raising public awareness of end-of-life issues and care. (
  • The Society for the Promotion of Hospice Care ('SPHC') believes that everyone has the right to live with dignity at every turn of life, even towards the end of it. (
  • SPHC envisions a world in which all persons with life-limiting illnesses can have access to quality hospice and palliative care. (
  • The visit brought together professionals, volunteers, family and friends who identified the crucial role in delivering end- of-life care. (
  • Estate planning is the process of anticipating and arranging, during a person's life, for the management and disposal of that person's estate during the person's life and at and after death, while minimizing gift, estate, generation skipping transfer, and income tax. (
  • Other tax advantaged alternatives to leaving property, outside of a will, include qualified or non-qualified retirement plans (e.g. 401(k) plans and IRAs) certain "trustee" bank accounts, transfer on death (or TOD) financial accounts, and life insurance proceeds. (
  • His scholarship focuses on the areas of professionalism, primary care bioethics, genetics, and end-of-life care decision-making. (
  • We didn't want to just tell people how to do something, we wanted to show them how to do something," said Rebecca Sudore, MD, a geriatrician and palliative care specialist at University of California, San Francisco, who is one of the developers of the website. (
  • Just as libraries have supplied computers and provided support to help people apply for jobs, libraries would be a great place for older people to access advance planning information. (
  • Advance care planning aims to allow people to live well, and when death approaches, die in accordance with their personal values. (
  • The tabloids were outraged when, as part of the English Department of Health's initiative to do care planning for all over 75s, district nurses were asking people about resuscitation. (
  • Advanced Home Care, with more than 380 employees statewide, provides health care services and equipment for people moving from medical facilities to home settings. (
  • Here, you can watch inspirational stories of other people who had successful health care experiences because they created an advance care plan. (
  • Recent nephrology literature focuses on the need for discussions regarding advance care planning (ACP) for people living with dialysis (PWD). (
  • The Department of Health & Human Services has produced an animated video describing why people should create an advance care plan. (
  • For some reason, people think this kind of planning might hasten their passing, but I never thought of it in those terms. (
  • Dr. Buys points out that speaking to loved ones about your medical wishes can strengthen your relationship by opening important discussions with people you care about. (
  • If you haven't planned ahead and can't tell people what you want, professionals and other carers, such as family and friends, will act in your best interests. (
  • The objective of this proposal is to test whether a multi-media website ( that is focused on preparing older adults for communication and medical decision making can help people engage in advance care planning. (
  • The BGS, in conjunction with the RCP and other stakeholder groups, have prepared evidence based guidelines on advance care planning with special reference to older people. (
  • Many people over age 65 are not ready to deal with advance care planning in their day-to-day lives, and it may not be what they wish to discuss. (
  • I believe in advance care planning, in understanding goals, and in helping people figure out what is the right care for them, given their values and medical condition. (
  • Objective: To evaluate the effect of a video decision support tool on the preferences for future medical care in older people if they develop advanced dementia, and the stability of those preferences after six weeks. (
  • Experience tells us that the majority of people fall into two of the four Goals of Care: FTC and LAI. (
  • So these are people that do inpatient palliative care. (
  • Will people give money to crowdfund palliative care? (
  • We are choosing to care for people by house calls and virtual house calls. (
  • The same team will also offer speciality Palliative Care consultation to people living in rural communities where such assistance in not available. (
  • ACP is increasingly recognised as an important part of care of people in hospital and community settings. (
  • This year was a huge success thanks to the many people and organizations who partnered with us to promote advance care planning. (
  • A campaign encouraging people to start thinking about and talking about developing an advance care plan will be launched on 19 February next year. (
  • The campaign is designed to inspire people to have a conversation with their whānau and health professionals about what matters to them if they become unwell, to discuss what kind of care they would or wouldn't want and to write down what is important to them. (
  • PREPARE is designed to be completed outside of the medical environment, is written at a 5th-grade reading level, includes videos that model behavior, helps people engage in a step-by-step process of advance care planning, and will be made available for free. (
  • there is no point in completing advance care planning if people across the health system can't find or see it when it is needed. (
  • Unless people know what is important to somebody they will not be able to take their wishes into account in relation to their future care and management. (
  • Advance care planning is a process whereby people identify and communicate their goals for future medical care. (
  • Advance care planning for people living with dementia remains uncommon. (
  • Although the people living with dementia remained unable to express preferences of their own, the process allowed for family carers to find out more about the course of dementia, possible complications and different treatment options and to agree an advance care plan, with clear goals of care, for their relative. (
  • A clear written statement of the carer's future plan enables key people to understand the relative's perspective. (
  • (
  • Important things about you such as your age, gender, sexual orientation, religion, racial origin or membership of any ethnic group should be taken into account by people providing care and treatment. (
  • One aim of SACCS is to suggest the idea that a lot of children and young people in care today are fostered, but for those who have suffered severe trauma this may be increasing problems and leading to fostering breakdown and multiple moves. (
  • Cambian Foster Care is a fostering agency based in Midlands, North West, South West and Yorkshire providing a service for young people who are unable to stay with their birth parents. (
  • By May 2012, Advanced Childcare operated 143 children's homes and 15 special schools, employing 1,400 people. (
  • This unique institution provides access to advance pediatric care to people residing between Austin and Dallas. (
  • On October 27, 2003, the health care system opened a new 84-bed hospital in Oshkosh, which employs over 400 people, and competes with the 157-bed Mercy Medical Center. (
  • People are often encouraged to complete both documents to provide comprehensive guidance regarding their care, although they may be combined into a single form. (
  • Establish communication management plan Influencing and engaging stakeholder You may now have a long list of people and organizations that are affected by your work. (
  • One key provision in his coming plan is to offer cheaper, less robust insurance plans for people. (
  • Some people receiving care require that someone take notice of their breathing. (
  • Some people receiving care require that the caregiver monitor their body temperature. (
  • For people who need blood pressure monitoring, blood glucose monitoring, or other specific health monitoring, then a doctor will advise the care giver on how to do this. (
  • This study will include 800 seriously or chronically ill community-dwelling older adults (equal number of African Americans and whites) and their caregivers from 10 primary care practices at five medical centers in the Deep South. (
  • From 1980-1997, Gale was Chairman of the Scientific Advisory Committee of the Center for International Blood and Marrow Transplant Research (CIBMTR), an organization of more than 400 transplant centers in over 60 countries worldwide working together to analyze and advance knowledge about blood cell and bone marrow transplants. (
  • Within the executive branch, the administration itself, Centers for Medicare and Medicaid Services (CMS), and Office of the National Coordinator for Health Information Technology (ONC) each have strategic plans and are involved in determining regulation. (
  • L.A. Care Health Plan has two Family Resource Centers, one in Lynwood, CA, and one in Inglewood, CA. These centers provide free health education, fitness and nutrition classes to all community members. (
  • Experience with ACP in the aged care sector in Victoria has shown that less than 3% of residents in aged care facilities approached about ACP declined it, and 90% of those who completed ACP died in the facility while receiving palliation rather than in hospital, compared with only 50% of those who had not completed ACP. (
  • A copy of your Health Care Proxy will be filed in your Cape Cod Hospital or Falmouth Hospital Medical Record. (
  • Currently, most such deaths occur in hospital, most frequently within the intensive care environment. (
  • Advance Care Planning in the Hospital: Are Palliative Care Doctors Doing Enough? (
  • We've invited Kara Bischoff, a palliative care doctor and Assistant Professor at UCSF in the Department of Hospital Medicine, who published a paper in JAMA Internal Medicine on this very topic. (
  • Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. (
  • This study reports the results of a mortality review survey in hospital medicine and intensive care units at an academic medical center. (
  • The authors conclude that frontline care team surveys can augment existing hospital mortality review processes. (
  • An advance care plan helps you think about things like who could care for you when you are unwell and where you might like to be cared for, in hospital or at home. (
  • Pain and symptom control can be part of your care in any place of care, such as the hospital, home, and hospice. (
  • Your local hospital - Spiritual care, palliative care, social services and hospice workers all can help you. (
  • Subjects were identi-fied from an anesthesia preoperative evaluation clinic (PREPARE) at Moffitt/Long Hospital, a tertiary care hospital associated with the University of California, San Francisco. (
  • Setting: Single, academic, inner-city tertiary care hospital. (
  • He came into the care of Mulcahy, a medical oncologist at Northwestern Memorial Hospital in Chicago. (
  • In December 2014 the group acquired Woodleigh Community Care, a community care provider running 13 residential homes and supported living units and one hospital in Yorkshire. (
  • The block, with portions sold off over time, also includes Public School 721, the Richmond Center for Rehab & Specialty Care Center, the New York Foundling Hospital Staten Island, and an unaffiliated geriatric center. (
  • In 1980, President Ronald Reagan announced plans to close or sell all such hospitals, and despite local protest, Staten Island Public Health Service Hospital was sold to the Sisters of Charity of New York, a Catholic medical and social services system. (
  • Temple West Campus: Along with the Scott & White Continuing Care Hospital (a 50-bed, long-term acute care hospital), the West Campus is home to the Scott & White Cancer Research Institute, the Texas A&M Health Science Center College of Medicine Institute for Regenerative Medicine at Scott & White, and the Texas Bioscience Institute. (
  • Today, Aurora BayCare Medical Center is a 167-bed, full-service tertiary care hospital serving the Green Bay area and communities throughout northeastern Wisconsin and Michigan's Upper Peninsula. (
  • In March 2001, Aurora announced plans to build a new hospital in the Pabst Farms development that was in the jurisdiction of the city of Oconomowoc. (
  • Aurora revealed plans in 2004 to construct a hospital in the Pabst Farms development located in the Town of Summit a few hundred feet (around 100 meters) south of the proposed Oconomowoc site. (
  • In 2007, the Summit Town Board approved the new Aurora hospital, which was planned to have a capacity of 110 beds and to have been completed in March 2010. (
  • In 1909 began the construction of a new building of the General Military Hospital, with 400-bed health care, in Vračar. (
  • It was planned to be the most advanced hospital in the Balkans. (
  • Some consultant-led maternity care services may move from the West Cumberland Hospital to Cumberland Infirmary Carlisle. (
  • The hospital complex consists of: An Outpatient block with pharmacy, consultation rooms, injection room, MCH/FP clinic, Child Welfare Clinic, Mental Health Clinic, dental room, Comprehensive Care Clinic(C.C.C.) and records building-the latter has not been occupied as it is incomplete and needs to be redesigned. (
  • The government agreed to the plan in 1965 and after several months of rehabilitating the property, which had been unused for twenty years, the hospital officially opened on September 5, 1966. (
  • It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs). (
  • They may also act as general pediatricians, providing well newborn evaluation and care in the hospital where they are based. (
  • The first American newborn intensive care unit, designed by Louis Gluck, was opened in October 1960 at Yale-New Haven Hospital. (
  • The new €90m hospital had a focus on advanced surgery. (
  • It was later announced that Sheehan Medical, the hospital's operators, had signed a €750,000 deal with Boston company MEDITECH to supply their integrated health care information system to the new private hospital. (
  • These would be available for the care of the casualties until they could be evacuated by landing craft to Sicily itself or to nearby hospital ships. (
  • Advance care planning is the process of thinking about and writing down your wishes or instructions about future health care treatment. (
  • Advance care planning is the process of thinking about and writing down your wishes or instructions for present or future health care treatment in the event you become incapable of deciding for yourself. (
  • If you are interested in hard copies of My Voice: Expressing My Wishes for Future Health Care Treatment, please visit the Crown Publications website to place your order online or order by phone Monday to Friday between 8:30 a.m. and 4:30 p.m. at 250-387-6409 or toll-free at 1-800-663-6105. (
  • Since treatment today may involve multiple health care settings and multiple professionals, you or your health care agent may need to repeat this process many times. (
  • Whether you decide to continue or stop dialysis treatment, take the time to let others know your wishes about your care. (
  • There are certain things for you to consider regarding your medical treatment and the care you would want. (
  • is palliative care similar enough to hepatitis C treatment that the Project Echo method will be effective? (
  • They do not replace formal documents such as advance decision to refuse treatments, do not attempt cardio pulmonary resuscitation or treatment escalation plans. (
  • He mentioned electronic record-keeping, preventing expensive conditions, reducing obesity, refocusing doctor incentives from quantity of care to quality, bundling payments for treatment of conditions rather than specific services, better identifying and communicating the most cost-effective treatments, and reducing defensive medicine. (
  • These principles should be taken into account by anyone involved in a person's care and treatment. (
  • It also puts in place advance statements as a way to help service users say what care and treatment they would and would not want to have. (
  • A Mental Health Tribunal reviews care that looks for a compulsory treatment order that lasts longer than 2 years or the service users can request this if they wish to appeal a compulsory treatment order after 3months. (
  • If followed by treatment providers, crisis planning using PADs will help involuntary detainees gain control over being targeted for substituted decision making-especially during times when they are labeled incompetent. (
  • Gale was also responsible for developing cancer treatment guidelines (in collaboration with colleagues at RAND and Value Health Sciences) and for studying medical aspects of managed cancer care. (
  • In the quoted portions of his letter, Kennedy, a steadfast proponent of health care reform, also posed the question of what would happen if one knew treatment existed for a condition but one could not afford it. (
  • Rutland is 466-bed adult and pediatric long term care facility that provides on-site dialysis care, ventilator dependent treatment and subacute rehab to name a few. (
  • The Ministry of Health encourages all capable adults in B.C. to do advance care planning, and take the further step of documenting their wishes and instructions for future health care using the tools available in the advance care planning guide. (
  • Advanced Home Care, which started in 1983 with 2,500 square feet of space, has committed to a 15-year lease and expects the new site to accommodate its needs well into the future. (
  • Think about your wishes for future care. (
  • Advance Care Planning proactively addresses an individual's health goals, values, preferences and resources in anticipation of future medical conditions and decision-making needs. (
  • Topics covered during sessions will include developmental history, planning for the future, and safety tips. (
  • It is defined as a process of discussion between an individual, their care providers and those close to them, about future care. (
  • Of the remainder, 2 (8%) detailed plans to launch local ACP documents in the near future, 1 (4%) had a 'Children and Young Persons Deterioration Management (CAYPDM) Document' and 3 (12%) listed rapid discharge and extubation pathways. (
  • Advance Care Planning (ACP) is the process of considering health care you want in the future and choosing someone, called a health care agent, to speak for you if you cannot communicate. (
  • Advance care planning (ACP) is a voluntary process of discussion and reflection, usually undertaken with a health or care professional, concerning a person's preferences for their future care. (
  • For many elderly carers of a relative who has a learning or other disability, future planning is an issue. (
  • A future plan is a structured plan for a carer's relative who has a learning disability covering all aspects of well-being of that person. (
  • Clarifying and sharing the future plan for the relative is very important. (
  • Educational programmes have been developed to help ageing parents prepare future plans. (
  • A report published by the Commonwealth Fund in December 2007 examined 15 federal policy options and concluded that, taken together, they had the potential to reduce future increases in health care spending by $1.5 trillion over the next 10 years. (
  • Bezold has written or edited more than ten books related to the future, particularly on the future of health care. (
  • In our set up, a primary care. (
  • Perhaps someday folks will recognize the value of good primary care. (
  • It has been said before and more eloquently than this, but until we get adequate time to do what we need to do in primary care (and reimbursed for it), primary care will have a difficult time recruiting. (
  • We will also assess satisfaction with decision-making and Veteran activation within primary care visits by direct audio recording. (
  • Setting: Four primary care clinics (two geriatric and two adult medicine) affiliated with three academic medical centres in Boston. (
  • Reducing Diagnostic Errors in Primary Care Pediatrics (Project RedDE! (
  • One Primary care trust was established covering the whole the county in 2002. (
  • It is one of twelve primary care practitioner units participating in the development of advance care planning in Canada led by the Canadian Hospice Palliative Care Association and partly funded by the Canadian Institutes of Health Research. (
  • 14 A recent review of palliative care for children with cancer identified lack of time and cost as additional barriers to early pACP. (
  • To explore barriers to multiple advance care planning (ACP) steps and identify common barrier themes that impede older adults from engaging in the process as a whole. (
  • According to the research team, participating in pediatric advance care planning conferred a sense of control for youths living with HIV, which is associated with reduced physical symptoms, especially pain. (
  • Hospice offers the chance to think about personal goals, relieve pain, and take care of your emotional and spiritual needs. (
  • Advance care planning discussions with surrogates - Asking someone to be a surrogate, talking about goals for medical care, whether to grant leeway, or discussions relating to medical decision making or prognosis. (
  • FT and FTC are the two Goals of Care that are lifesaving whereas LAI and CMO are conservative management of a person's medical condition. (
  • This report includes knowledge of ACP and insights to the attitudes and perceptions about how to engage in discussions about goals of care/advance care planning. (
  • The Strategic Plan includes several key initiatives employing multiple strategies to meet its goals. (
  • The goals of the plan are described on At least 100 million U.S. homes should have affordable access to actual download speeds of at least 100 megabits per second and actual upload speeds of at least 50 megabits per second by the year 2020. (
  • The ultimate goal of estate planning can be determined by the specific goals of the client, and may be as simple or complex as the client's needs dictate. (
  • It makes sure that all plans, activities and projects undertaken advance the mission, goals and values of the University. (
  • SAN ANTONIO - A simple website that walks users through a five-step process to answer questions about advance care planning led to a significant increase in documentation in their electronic health records, results from the PREPARE study ( NCT01550731 ) show. (
  • Advance care planning is a communication process with your doctors and loved ones. (
  • Facilitating EOL care discussions throughout the dying process. (
  • The purpose of this study is to examine characteristics of mortality cases that are more likely to have advance care planning (ACP) issues identified during a in-person, near real-time, standardized interdisciplinary mortality review process. (
  • Much of the thinking behind the cards was motivated by health behavioral change models (8) as well as that advance care planning should be seen as a social and health contextual process (9,10). (
  • This originated with the Critical Analysis Reporting Environment (CARE) that was initially developed to assist moderate sized cities process their traffic crash records in the mid to late 1980's on CPM-based microcomputers. (
  • This book is part of a series of inter-related manuals the AIAG controls and publishes, including: The measurement systems analysis manual The failure mode and effects analysis (FMEA) and Control Plan manual The statistical process control (SPC) manual The production part approval process (PPAP) manual Note that the AIAG's website has a list of "errata sheets" for its publications. (
  • Stakeholder management is a process and control that must be planned and guided by underlying principles. (
  • 3, that contained language allowing the repeal of the Affordable Care Act through the budget reconciliation process, which disallows a filibuster in the Senate. (
  • Estate planning includes planning for incapacity as well as a process of reducing or eliminating uncertainties over the administration of a probate and maximizing the value of the estate by reducing taxes and other expenses. (
  • After a competitive selection process, Health Net of California was chosen by the State as the "commercial plan," L.A. Care Health Plan was formed as the Local Initiative Health Authority of Los Angeles County, and the Two-Plan Model began to operate in L.A. County. (
  • Nursing care plan Nursing process North American Nursing Diagnosis Association (NANDA), 1999, page 67 Mary Elizabeth O'Brien, The need for spiritual integrity, pages 106-107 Spiritual Care: Help in Distress. (
  • Although core attitudes may support advance care planning for many Americans, health professionals should consider tailoring it to other, ethnic- and gender-specific attitudes. (
  • and ensuring that doctors understand and support advance care planning. (
  • Palliative care organisations should incorporate ACP systems (including greater access to ACP policies and guidelines) that support health professionals to complete ACP with clients who want to. (
  • Organizations that have passed formal resolutions in support of POLST include the American Bar Association and the Society for Post-Acute and Long-Term Care Medicine (AMDA). (
  • Support for Self-Care: advice on treating minor illnesses and long term conditions. (
  • Biomedical Advanced Research and Development Authority (BARDA) Office of Acquisition Management, Contracts, and Grants (OAMCG): provides ASPR with acquisition support to prepare and respond to the adverse health emergencies and disasters and provides contractual support to ASPR. (
  • Office of Policy and Planning (OPP): advises HHS and ASPR leadership through policy options and strategic planning initiatives to support domestic and international public health emergency preparedness and response activities. (
  • Office of Financial Planning and Analysis (OFPA): responsible for providing expertise and analysis in the formulation and implementation of policies, procedures, and operational strategies that ensure efficient and effective allocation and utilization of program resources in support of ASPR's mission. (
  • In part, this was seen as a failure of health care providers and medical organizations to promote and support the use of these documents. (
  • An Emergency Care Assistant (ECA) is a type of NHS ambulance service worker in the United Kingdom, often used to support paramedics in responding to emergency calls. (
  • The company's products include Wellness Advocate, Benefits Gateway+Health Information Dashboards, EAP and Worklife, Pricing Decision Support, Personalized Health Communications, Chronic Care Management, and HR solutions. (
  • Participants of all ages are invited to join in this outdoor adventure to support hospice care in the community. (
  • Public support - The knowledge that the money paid on taxes will go directly to some needed service (Health care) can help to reduce the dissatisfaction of the population with an increase in taxes. (
  • Since then, it has awarded more than $132 million in grants and support for the health care safety net, to improve community and public health and expand health insurance coverage among underserved populations. (
  • Grant initiatives include the Tranquada Awards, which provide infrastructure support for safety net clinics, the Oral Health Initiative, which expands access to dental care for low-income Angelenos, and the Health Information Technology Initiative, which helps clinics purchase and implement technologies such as disease registries and electronic health records. (
  • Mass gathering medicine support requires planning in advance. (
  • Our attitude should support a natural and dignified death, which is possible with advance care planning and a first-rate palliative care system. (
  • In other words, Advance Care Planning should be raised before an acute crisis. (
  • Unfortunately, a health care crisis can happen at any time, at any age. (
  • Demographic changes and the health needs of these two growing populations must be considered against government policy constraints and limited in-home and external care options in order to avoid a crisis. (
  • The credit crisis caused one of Dow's joint venture partners, Petrochemical Industries Company (PIC) of the State of Kuwait, a wholly owned subsidiary of Kuwait Petroleum Corporation (KPC), to withdraw from a planned partnership in basic plastics, despite an agreed contract, depriving Dow of $9 billion in proceeds designated to fund the Rohm and Haas deal. (
  • At that time, their desire to be cared for would be honored without question. (
  • At its best, advance care planning is a continuing conversation, not a one-time chat. (
  • Effective planning requires the time, patience and listening skills of the practitioner, usually over multiple visits. (
  • On the heels of the 2014 hurricane season, researchers are calling for home parenteral and enteral nutrition (HPEN) consumers and their homecare providers to have a comprehensive emergency preparedness plan (EPP) to ensure that special needs are met during the time of a disaster. (
  • Plan it: Time investment and careful planning against it, has a significant payoff. (
  • The design and construction of the school was at the time considered to be very advanced. (
  • At that time SCA was known as Bowater-Scott, and the new company, called Sancella Pty Limited, manufactured personal care products. (
  • At this time the Canadian axis of advance was moving mainly to the east coast road and soon Locri was in 3rd Brigade hands. (
  • For the first time in weeks, they received care packages and letters from home. (
  • 1 Advance care planning should be a routine part of preventive health care in order to avoid unneces- sary extra ordinary measures against a person's wishes and to reserve resources which are wasted in futile care. (
  • The document provides a framework and allows all of a person's plans, both practical and health-related, to be recorded in a single place. (
  • The Mental Health Commission in Scotland examines cases where a person's advance statement has been overridden. (
  • Typically referred to as dynasty planning, these types of trust provisions allow for the protection of wealth for several generations after a person's death. (
  • Depending on a person's situation, a walk through their own neighborhood or a visit to a park may require planning or have risks, but it is good to do when possible. (
  • Adolescents and families who participated in a highly structured advance care planning program facilitated by trained/certified research assistants experienced intense emotions compared with controls and found the experience acceptable, worthwhile, and helpful with 99% attendance at all 3 sessions. (
  • L.A. Care has also been involved in the Healthy Families program, California's version of the Children's Health Insurance Plan (CHIP), since 1998, and in 2003 launched L.A. Care's Healthy Kids program for children ages 0-5, funded in partnership with First 5 LA and the Children's Health Initiative of Greater Los Angeles. (
  • In 2013, the Healthy Families Program was folded into Medi-Cal as part of the Affordable Care Act. (