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Relevant bibliographies by topics / Medical intervention or comfort care

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Academic literature on the topic 'Medical intervention or comfort care'

Author: Grafiati

Published: 30 June 2021

Last updated: 5 February 2022

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Journal articles on the topic "Medical intervention or comfort care"

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Taylor, Genevieve, Melissa Smith, Sarah Dotters-Katz, Arlene Davis, Wayne Price, and Jacquelyn Patterson. "Transitions in Care for Infants with Trisomy 13 or 18." American Journal of Perinatology 34, no. 09 (March 16, 2017): 887–94. http://dx.doi.org/10.1055/s-0037-1600912.

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Background and Objectives The scope of interventions offered to infants with trisomy 13 (T13) or trisomy 18 (T18) is increasing. We describe the spectrum of care provided, highlighting transitions in care for individual patients. Patients and Methods This is a single-center, retrospective cohort of infants with T13 or T18 born between 2004 and 2015. Initial care was classified as comfort care or intervention using prenatal counseling notes. Transitions in care were identified in the medical record. Results In this study, 25 infants were divided into two groups based on their care: neonates who experienced no transition in care and neonates who experienced at least one transition. Eleven neonates experienced no transition in care with 10 receiving comfort care. Fourteen neonates experienced at least one transition: three transitioned from comfort care to intervention and 11 from intervention to comfort care. The three initially provided comfort care were discharged home with hospice and readmitted. Among the 11 cases who transitioned from intervention to comfort care, 9 transitioned during the birth hospitalization, 6 had no prenatal suspicion for T13 or T18, and 5 experienced elective withdrawal of intensive care. Conclusion The spectrum of care for infants with T13 or T18 illustrates the need for individualized counseling that is on-going, goal directed, collaborative, and responsive.

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Downar, J., and J. Mikhael. "60. Using a pocket card to improve end-of-life care on clinical teaching units: A controlled trials." Clinical & Investigative Medicine 30, no. 4 (August 1, 2007): 61. http://dx.doi.org/10.25011/cim.v30i4.2821.

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Although palliative and end-of-life is a critical part of in-hospital medical care, residents often have very little formal education in this field. To determine the efficacy of a symptom management pocket card in improving the comfort level and knowledge of residents in delivering end-of-life care on medical clinical teaching units, we performed a controlled trial involving residents on three clinical teaching units. Residents at each site were given a 5-minute questionnaire at the start and at the end of their medicine ward rotation. Measures of self-reported comfort levels were assessed, as were 5 multiple-choice questions reflecting key knowledge areas in end-of-life care. Residents at all three sites were given didactic teaching sessions covering key concepts in palliative and end-of-life care over the course of their medicine ward rotation. Residents at the intervention site were also given a pocket card with information regarding symptom management in end-of-life care. Over 10 months, 137 residents participated on the three clinical teaching units. Comfort levels improved in both control (p < 0.01) and intervention groups (p < 0.01), but the intervention group was significantly more comfortable than the control group at the end of their rotations (z=2.77, p < 0.01). Knowledge was not significantly improved in the control group (p=0.07), but was significantly improved in the intervention group (p < 0.01). The knowledge difference between the two groups approached but did not reach statistical significance at the end of their rotation. In conclusion, our pocket card is a feasible, economical educational intervention that improves resident comfort level and knowledge in delivering end-of-life care on clinical teaching units. Oneschuk D, Moloughney B, Jones-McLean E, Challis A. The Status of Undergraduate Palliative Medicine Education in Canada: a 2001 Survey. Journal Palliative Care 2004; 20:32. Tiernan E, Kearney M, Lynch AM, Holland N, Pyne P. Effectiveness of a teaching programme in pain and symptom management for junior house officers. Support Care Cancer 2001; 9:606-610. Okon TR, Evans JM, Gomez CF, Blackhall LJ. Palliative Educational Outcome with Implementation of PEACE Tool Integrated Clinical Pathway. Journal of Palliative Medicine 2004; 7:279-295.

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McCracken, James A., Mohamed Nakeshbandi, Carline Sainvil, Eduard Porosnicu, and Roopali Sharma. "160. A Pre- and Post-intervention Study to Implement a Successful Antimicrobial Stewardship Program in Palliative Care." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S89—S90. http://dx.doi.org/10.1093/ofid/ofaa439.205.

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Abstract Background In patients receiving palliative care, medical interventions are transitioned away from aggressive and curative attempts to less invasive and more comfort measures. Antimicrobial usage remains a challenging subject in palliative care decisions, where many physicians focus interventions on reduction of patient pain and discomfort, without consideration for adverse effects such as the development of antimicrobial resistance or patient-specific adverse drug events. With limited data on the comfort benefit, we aimed to assess antimicrobial use in patients at the end of life in our institution as well as the success of targeted stewardship interventions in palliative care patients. Methods Patients who expired between November 2018 and August 2019 were assessed retrospectively for antimicrobial use during their last 14 days of life. In January 2020, a prospective stewardship initiative began in collaboration with our institution’s palliative care team to focus antimicrobial interventions on patients involved in goals of care discussions. Results In our retrospective review of 200 patients, 139 (69.5%) of patients received antimicrobials in their last two weeks of life, with 50% having formal palliative care consultations. The most commonly used antimicrobials were piperacillin-tazobactam (64.7%) and vancomycin (60.4%), with primary indications being pneumonia (34.5%) and empiric coverage/sepsis (24.5%). Of note, 46% of antimicrobial regimens were eligible for optimization through stewardship initiatives. From January through February 2020, sixteen stewardship interventions were made on thirteen palliative care patients, with an 81.3% acceptance rate. Duration of therapy based on indication and discontinuation of antibiotics following transition to comfort measures only were the most frequent interventions made. Table 1. Baseline Characteristics Table 2. Antimicrobial Usage - Pre-intervention Table 3. Prospective Intervention Data Conclusion Close of half of patients receiving antimicrobials at the end of life are eligible for interventions to improve antibiotic regimens. These patients are often overlooked in antimicrobial stewardship, and, despite small sample size, our study shows the benefit of targeted stewardship in palliative care populations with an intervention acceptance rate of over 80%. Disclosures All Authors: No reported disclosures

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Pathoulas, James T., Kylie Blume, Justin Penny, Matthew Mansh, Nathan Rubin, and Ronda S. Farah. "Effectiveness of an Educational Intervention to Improve Medical Student Comfort and Familiarity With Providing Gender-Affirming Hormone Therapy." Family Medicine 53, no. 1 (January 8, 2021): 61–64. http://dx.doi.org/10.22454/fammed.2021.612374.

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Background and Objectives: Gender-affirming hormone therapy (GAHT) is a key component in the primary care of transgender and gender-nonconforming (TGNC) people. However, physicians are hesitant to initiate GAHT, citing a lack of knowledge. We developed an educational program for medical students and sought to investigate whether medical students’ comfort and familiarity with GAHT could increase after a short interactive program. Methods: Second-year medical students (N=54) at the University of Minnesota were recruited to attend an hour long interactive lecture on GAHT. We calculated mean change in pre- and postintervention 5-point Likert scale scores from a survey assessing comfort and familiarity with key concepts of GAHT to assess the effectiveness of the intervention. Results: Mean response score change increased significantly after the intervention around the use of chosen names (0.4±0.13, P<.017), the use of informed consent to initiate GAHT (1.8±0.20, P<.001), initiating and managing GAHT in the primary care setting (1.4±0.19, P<.001), medications used in GAHT (2.3±0.21, P<.001), and dosing (2.5±0.60, P<.001). Conclusions: GAHT can be initiated and managed in a primary care setting. There is a push to introduce GAHT in the preclinical years. After participating in a short interactive lecture on GAHT, second-year medical students reported increased comfort and familiarity with GAHT. Inclusion of GAHT in the preclinical curriculum does not require significant teaching time and is important knowledge for all future physicians.

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Pathoulas, James T., Kylie Blume, Justin Penny, Matthew Mansh, Nathan Rubin, and Ronda S. Farah. "Effectiveness of an Educational Intervention to Improve Medical Student Comfort and Familiarity With Providing Gender-Affirming Hormone Therapy." Family Medicine 53, no. 1 (January 8, 2021): 61–64. http://dx.doi.org/10.22454/fammed.2021.612374.

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Background and Objectives: Gender-affirming hormone therapy (GAHT) is a key component in the primary care of transgender and gender-nonconforming (TGNC) people. However, physicians are hesitant to initiate GAHT, citing a lack of knowledge. We developed an educational program for medical students and sought to investigate whether medical students’ comfort and familiarity with GAHT could increase after a short interactive program. Methods: Second-year medical students (N=54) at the University of Minnesota were recruited to attend an hour long interactive lecture on GAHT. We calculated mean change in pre- and postintervention 5-point Likert scale scores from a survey assessing comfort and familiarity with key concepts of GAHT to assess the effectiveness of the intervention. Results: Mean response score change increased significantly after the intervention around the use of chosen names (0.4±0.13, P<.017), the use of informed consent to initiate GAHT (1.8±0.20, P<.001), initiating and managing GAHT in the primary care setting (1.4±0.19, P<.001), medications used in GAHT (2.3±0.21, P<.001), and dosing (2.5±0.60, P<.001). Conclusions: GAHT can be initiated and managed in a primary care setting. There is a push to introduce GAHT in the preclinical years. After participating in a short interactive lecture on GAHT, second-year medical students reported increased comfort and familiarity with GAHT. Inclusion of GAHT in the preclinical curriculum does not require significant teaching time and is important knowledge for all future physicians.

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El-Jawahri, Areej, Lisa M. Podgurski, April F. Eichler, Scott R. Plotkin, Jennifer S. Temel, Susan L. Mitchell, Yuchiao Chang, Michael J. Barry, and Angelo E. Volandes. "Use of Video to Facilitate End-of-Life Discussions With Patients With Cancer: A Randomized Controlled Trial." Journal of Clinical Oncology 28, no. 2 (January 10, 2010): 305–10. http://dx.doi.org/10.1200/jco.2009.24.7502.

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Purpose To determine whether the use of a goals-of-care video to supplement a verbal description can improve end-of-life decision making for patients with cancer. Methods Fifty participants with malignant glioma were randomly assigned to either a verbal narrative of goals-of-care options at the end of life (control), or a video after the same verbal narrative (intervention) in this randomized controlled trial. The video depicts three levels of medical care: life-prolonging care (cardiopulmonary resuscitation [CPR], ventilation), basic care (hospitalization, no CPR), and comfort care (symptom relief). The primary study outcome was participants' preferences for end-of-life care. The secondary outcome was participants' uncertainty regarding decision making (score range, 3 to 15; higher score indicating less uncertainty). Participants' comfort level with the video was also measured. Results Fifty participants were randomly assigned to either the verbal narrative (n = 27) or video (n = 23). After the verbal description, 25.9% of participants preferred life-prolonging care, 51.9% basic care, and 22.2% comfort care. In the video arm, no participants preferred life-prolonging care, 4.4% preferred basic care, 91.3% preferred comfort care, and 4.4% were uncertain (P < .0001). The mean uncertainty score was higher in the video group than in the verbal group (13.7 v 11.5, respectively; P < .002). In the intervention arm, 82.6% of participants reported being very comfortable watching the video. Conclusion Compared with participants who only heard a verbal description, participants who viewed a goals-of-care video were more likely to prefer comfort care and avoid CPR, and were more certain of their end-of-life decision making. Participants reported feeling comfortable watching the video.

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Becker, Torben K., James F. Skiba, and Cemal B. Sozener. "An Educational Measure to Significantly Increase Critical Knowledge Regarding Interfacility Patient Transfers." Prehospital and Disaster Medicine 30, no. 3 (March 19, 2015): 244–48. http://dx.doi.org/10.1017/s1049023x15000266.

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AbstractBackgroundPatient transfers among medical facilities are high-risk situations. Despite this, there is very little training of physicians regarding the medical and legal aspects of transport medicine.ObjectivesTo examine the effects of a one hour, educational intervention on Emergency Medicine (EM) residents’ and Critical Care (CC) fellows’ knowledge regarding the medical and legal aspects of interfacility patient transfers.MethodsPrior to the intervention, physician knowledge regarding 12 key concepts in patient transfer was assessed using a pre-test instrument. A one hour, interactive, educational session followed immediately thereafter. Following the intervention, a post-intervention test was given between two and four weeks after delivery. Participants were also asked to describe any prior transportation-medicine-related education, their opinions as they relate to the relevance of the topic, and their comfort levels with patient transfers before and after the intervention.ResultsOnly a minority of participants had received any formal training in patient transfers prior to the intervention, despite dealing with patient transfers on a frequent, often daily, basis. Both groups improved in several categories on the post-intervention test. They reported improved comfort levels with the medicolegal aspects of interfacility patient transfers after the intervention and felt well-prepared to manage transfers in their daily practice.ConclusionA one hour, educational intervention objectively increased EM and CC physician trainees’ understanding of some of the medicolegal aspects of interfacility patient transfers. The study demonstrated a lack of previous training on this important topic and improved levels of comfort with transfers after study participation.BeckerTK, SkibaJF, SozenerCB. An educational measure to significantly increase critical knowledge regarding interfacility patient transfers. Prehosp Disaster Med. 2015;30(3):1-5

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Downar, James, Nancy McNaughton, Tarek Abdelhalim, Natalie Wong, Lauren Lapointe-Shaw, Dori Seccareccia, Kim Miller, et al. "Standardized patient simulation versus didactic teaching alone for improving residents’ communication skills when discussing goals of care and resuscitation: A randomized controlled trial." Palliative Medicine 31, no. 2 (July 10, 2016): 130–39. http://dx.doi.org/10.1177/0269216316652278.

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Background: Communication skills are important when discussing goals of care and resuscitation. Few studies have evaluated the effectiveness of standardized patients for teaching medical trainees to communicate about goals of care. Objective: To determine whether standardized patient simulation offers benefit over didactic sessions alone for improving skill and comfort discussing goals of care. Design and intervention: Single-blind, randomized, controlled trial of didactic teaching plus standardized patient simulation versus didactic teaching alone. Participants: First-year internal medicine residents. Main measures: Changes in communication comfort and skill between baseline and 2 months post-training assessed using the Consultation and Relational Empathy measure. Key results: We enrolled 94 residents over a 2-year period. Both groups reported a significant improvement in comfort when discussing goals of care with patients. There was no difference in Consultation and Relational Empathy scores following the workshop ( p = 0.79). The intervention group showed a significant increase in Consultation and Relational Empathy scores post-workshop compared with pre-workshop (35.0 vs 31.7, respectively; p = 0.048), whereas there was no improvement in Consultation and Relational Empathy scores in the control group (35.6 vs 36.0; p = 0.4). However, when the results were adjusted for baseline differences in Consultation and Relational Empathy scores in a multivariable regression analysis, group assignment was not associated with an improvement in Consultation and Relational Empathy score. Improvement in comfort scores and perception of benefit were not associated with improvements in Consultation and Relational Empathy scores. Conclusion: Simulation training may improve communication skill and comfort more than didactic training alone, but there were important confounders in this study and further studies are needed to determine whether simulation is better than didactic training for this purpose.

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Kaplow, R. "Use of nursing resources and comfort of cancer patients with and without do-not-resuscitate orders in the intensive care unit." American Journal of Critical Care 9, no. 2 (March 1, 2000): 87–95. http://dx.doi.org/10.4037/ajcc2000.9.2.87.

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BACKGROUND: Little is known about the level of comfort experienced by cancer patients with do-not-resuscitate orders and how use of nursing resources affects their comfort. OBJECTIVE: To explore the relationship between use of nursing resources and comfort in cancer patients with and without do-not-resuscitate orders in the intensive care unit. METHODS: The sample consisted of 30 adult patients who had do-not-resuscitate orders and 30 randomly selected patients who did not. Pairs consisting of 1 patient from each group were admitted to the study simultaneously and were evaluated during the same observation period. Level of comfort was assessed by using the PACU Behavioral Pain Rating Scale. Data on use of nursing resources, determined with the Therapeutic Intervention Scoring System, and on demographics and severity of illness were abstracted from the medical records. RESULTS: Chi-square analyses revealed no significant relationship between comfort and use of nursing resources. Differences between the 2 types of patients in comfort and in use of resources were not significant. Evaluation of the multivariate relationship between comfort and use of resources, with do-not-resuscitate status added as a further predictor variable, revealed no significant relationships. Severity of illness and a patient's number of visitors were predictors of use of nursing resources. CONCLUSIONS: Despite high use of nursing resources, nurses continue to focus on comfort as an outcome of care irrespective of patients' do-not-resuscitate status.

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Badger, James M. "Factors That Enable or Complicate End-of-Life Transitions in Critical Care." American Journal of Critical Care 14, no. 6 (November 1, 2005): 513–21. http://dx.doi.org/10.4037/ajcc2005.14.6.513.

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• Background Nurses in medical intensive care units are routinely involved in negotiations to maintain or withdraw life support. How nurses move from aggressively attempting to extend life to letting life end is not well understood. • Objective To explore nurses’ experiences of moving from cure- to comfort-oriented care and to describe factors that inhibit or facilitate such transitions. • Method A descriptive qualitative research design with brief observation of participants and focus group interviews was used. Participants were 19 female and 5 male nurses in an 18-bed medical intensive care unit in a 719-bed acute care hospital in the northeastern United States. • Results The transition point between cure- and comfort-oriented care was unclear. Nurses reported that the patient’s age, misunderstanding of the illness by the patient’s family, family discord, and shifting medical care decisions made end-of-life transitions difficult. Conversely, developing a consensus among patients, patients’ families, and staff about the direction of medical therapy; exhausting treatment options; and patients’ lack of response to aggressive medical interventions helped nurses move toward comfort care. • Conclusions The most distressing situations for staff were dealing with younger patients with an acute life-threatening illness and performing futile care on elderly patients. End-of-life transitions were difficult when patients’ families had conflicts or were indecisive about terminating treatment and when physicians kept offering options that were unlikely to change patients’ prognosis. The most important factor enabling nurses to move from cure- to comfort-oriented care was developing a consensus about the treatment.

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Dissertations / Theses on the topic "Medical intervention or comfort care"

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Chen, Yen-Yuan. "The Influence of Two Different Do-Not-Resuscitate Orders on the Outcomes of Patients in a Medical Intensive Care Unit." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1224664388.

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Elfarawi, Hunaydah. "Alobar Holoprosencephaly: Parental Perspectives on Prenatal Decision-making, Prenatal Provider Prognostication, and Quality of Life." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1617108856885634.

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Walker, Annette Clare, of Western Sydney Nepean University, and Faculty of Nursing and Health Studies. "Nurse and patient work: comfort and the medical-surgical patient." THESIS_FNHS_XXX_Walker_ A.xml, 1996. http://handle.uws.edu.au:8081/1959.7/286.

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This grounded theory study investigates the experiences and perceptions of comfort and discomfort of hospital patients admitted for medical-surgical conditions, with a focus on the post-accute stage of hospitalisation. In-depth post-discharge interviews were conducted with seventeen English speaking adults who had been admitted to nine Australian hospitals. A substantive theory of finding comfort and of managing discomfort was generated. Processes of self-talk (anticipating, interpreting, accepting, making allowances and maintaining perspective) and self-care (self-help and seeking help, which involved accommodating to the level and type of help available through deferring, avoiding, persisting or desisting) were used to find comfort and to manage discomfort. The study has implications for nursign practice, management, research and education. Existing practice in the areas of assessment, communication, individualised care planning and the management of discomfort need to be strengthened if nursing care is to make a difference for this category of patient. The study revealed that integrated caring by nurses perceived by informants as 'experts', contributed most to the experience of finding comfort and managing discomfort in this group of informants
Doctor of Philosophy (PhD)

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Badger, James Mark. "Nurses' experiences of moving from cure-oriented to comfort-oriented care in the medical intensive care unit setting /." View online ; access limited to URI, 2003. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3115620.

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Crawford, Kathryn J. "Assessment of noise in a medical intensive care unit." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/2061.

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Exposure to noise in hospital intensive care units (ICUs) can disrupt patients’ sleep and delay their recovery. In this intervention study, noise levels were measured in eight patient rooms of a medical ICU (MICU) every minute with sound level meters for eight weeks before and after an intervention. Implemented over six weeks, the intervention was designed to educate nurses and other staff members to reduce noise levels through behavior modification, including instituting a “quiet time” in the afternoons, encouraging patients to keep televisions off or at lower volumes, and speaking more quietly during conversations. Sound equivalent levels (Leq) were calculated from one-minute measurements for each hour in each room. These hourly Leq (Leq-H) values were compared by pod (group of rooms within the MICU), room position (in proximity to a central nurses’ station), occupancy status, and time of day. Days with more than ten hours of one-minute noise levels above 60 dBA were flagged as the loudest time periods and compared to MICU activity logs. The intervention was ineffective with Leq-H values always above World Health Organization guidelines for ICUs (35 dBA in day; 30 dBA at night) before and after the intervention. Leq-H values frequently exceeded more modest project goals during the day regardless of the intervention (50% of Leq-H > 55 dBA both pre- and post-intervention) and at night (68% and 62% of Leq-H > 50 dBA pre- and post-intervention). Statistical analysis of the Leq-H suggests a general source is contributing to the high baseline noise in the MICU, most likely the heating, ventilation, and air-conditioning (HVAC) system. Our analysis of one-minute data indicated that high noise was often associated with high-volume respiratory-support devices. We concluded that our intervention focusing on administrative controls (e.g., education and training) was not enough to reduce noise in the MICU but that an intervention designed with engineering controls (e.g., shielding, substitution) would be more effective.

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Chung, Yuk-lan Ida. "A systematic review on integrated care pathway for children who need surgical intervention /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36396886.

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Osborne, Michelle. "EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885.

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Chung, Yuk-lan Ida, and 鍾玉蘭. "A systematic review on integrated care pathway for children who need surgical intervention." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011758.

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Doll, Richard P. "Continuity of care : a study of alternate forms of intervention." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26246.

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The aim of this study is to determine the effect of two approaches of social work intervention, a continuity approach, and a team approach, upon the three dependent variables of subject satisfaction, control, and mood. In order to determine differences in outcome, subjects were administered psychological tests to determine changes in their reported sense of control and mood (hopelessness) in relation to their response to the diagnosis and treatment of cancer. At follow-up, subjects also completed a questionnaire designed to determine their satisfaction with social work services received. The amount of time spent in contact with social workers was also assessed at this time. The analysis of the relationship between these variables revealed that there were no statistically significant differences between the study groups; subjects were equally satisfied with the two approaches in social work intervention, and there were no major differences between the reported changes in mood and control by the subjects in the study groups.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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Johal, Kirandeep Kaur. "Psychological Well being of Residents in Senior Care Homes Case work Intervention." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-45511.

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ABSTRACTINTRODUCTION: Aging is an unstoppable phenomenon which starts fromconception to last until death. During person’s life goes through certain changes suchas biological, psychological, sociological, and environmental. From all periods of life, Old age is one of important part of person’s life when psychological and sociologicalrelations drifts. It can be defined by three ways (1) chronology, (2) shift in socialstatus, and (3) change in capacity. In a nutshell, aging is a dynamic process that leadsto physical and mental shifts. The change cannot be stopped or reversed, but it may bedelayed by aiding older people in continuing to live their existing lifestyles. AIM: For Nordic countries, aging population is the most pressing challenge incontemporary period. The aim is to assess the psychological wellbeing of old agepeople staying in care home or institution care. METHODS AND ANALYSIS: By using scooping methodology and old age peopleage limit 65 to 84 yrs took data from secondary validated sources in which explainabout good and very good health countries such as Sweden and Norway and Finlandwith lower percentage of good health in both genders and also how decrease mortalityrate increase the dependency ratio in these countries. CONCLUSION: In Nordic countries, Government provide numerous facilities fortheir residents such as home care, institution care for their well being. But even aftergood care, old people suffer from psychological problems such as loneliness, depression and suicide. The conclusion of this study include some interventions whichcan improve their mental as social health such lifelong learning participation , activeaging policies to stay active at their own capacity, identify the vulnerable groups anduse compensatory strategies to stay active and participate in social activities.This ideais not only explain the individual's right and responsibility to remain active, but alsothe government's responsibility to create an age-friendly social system andcommunity environment. Moreover, I focus on quality of health care provided toresidents and also on emotional well being of old people.

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Books on the topic "Medical intervention or comfort care"

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J, Karren Keith, ed. Prehospital emergency care & crisis intervention. 4th ed. Englewood Cliffs, N.J: Prentice Hall, 1992.

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A, Clark David, ed. Newborns at risk: Medical care and psychoeducational intervention. 2nd ed. Gaithersburg, Md: Aspen Publishers, 1994.

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A, Clark David, ed. Newborns at risk: Medical care and psychoeducational intervention. Rockville, Md: Aspen Publishers, 1986.

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Hafen, Brent Q. Prehospital emergency care. Edited by Karren Keith J, Mistovich Joseph J, and Hafen Brent Q. 5th ed. Upper Saddle River, N.J: Brady, Prentice Hall, 1996.

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Denney, Robert E. Civil War medicine: Care & comfort of the wounded. New York: Sterling Pub., 1994.

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Denney, Robert E. Civil war medicine: Care & comfort of the wounded. New York: Sterling, 1994.

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Massachusetts. Office of Emergency Medical Services. Comfort care/do not resuscitate order verification protocol. [Boston, Mass.]: Massachusetts Dept. of Public Health, Office of Emergency Medical Services, 1997.

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Q, Hafen Brent, and Karren Keith J, eds. Prehospital emergency care. 7th ed. Upper Saddle River, N.J: Brady Prentice Hall Health, 2004.

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Kramer-Kile, Marnie. Chronic illness in Canada: Impact and intervention. Burlington, Mass: Jones & Bartlett Learning, 2012.

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Health, Law Conference (1989 Halifax N. S. ). Not only a legal operation =: Plus qu'une intervention juridique. Ottawa, Ont: Canadian Bar Association, 1989.

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Book chapters on the topic "Medical intervention or comfort care"

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de Graaf, S., P. P. Kint, and C. Schellekens. "The Therapeutic Intervention Scoring System ( T I S S ) Computerized in a Coronary Care Unit." In Medical Informatics Europe 85, 753–57. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93295-3_146.

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Hunter, Christopher L., Jeffrey L. Goodie, Mark S. Oordt, and Anne C. Dobmeyer. "Clinical pathways and shared medical appointments." In Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention., 289–97. Washington: American Psychological Association, 2017. http://dx.doi.org/10.1037/0000017-018.

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Reiter, Austin, Andy Ma, Nishi Rawat, Christine Shrock, and Suchi Saria. "Process Monitoring in the Intensive Care Unit: Assessing Patient Mobility Through Activity Analysis with a Non-Invasive Mobility Sensor." In Medical Image Computing and Computer-Assisted Intervention – MICCAI 2016, 482–90. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-46720-7_56.

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O'Grady, Megan A., and Sandeep Kapoor. "Screening, brief intervention, and referral to treatment in medical and integrated care settings." In Screening, brief intervention, and referral to treatment for substance use: A practitioner's guide., 105–23. Washington: American Psychological Association, 2020. http://dx.doi.org/10.1037/0000199-007.

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Hunter, Christopher L., Jeffrey L. Goodie, Mark S. Oordt, and Anne C. Dobmeyer. "Population health and the patient-centered medical home." In Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention., 11–16. Washington: American Psychological Association, 2017. http://dx.doi.org/10.1037/0000017-002.

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Frick, Eckhard. "Charting Spiritual Care: Psychiatric and Psychotherapeutic Aspects." In Charting Spiritual Care, 171–80. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47070-8_10.

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Abstract Proactively addressing religious and spiritual (r/s) issues has a strong intervention effect on patients, which is generally more important than the detailed content of spiritual screenings and assessments. When asked about r/s needs or problems, patients may feel bothered, surprised, annoyed, or, conversely, satisfied, supported, acknowledged in their coping efforts. Consequently, documentation should first and foremost reflect the patient’s reaction towards the clinician’s r/s intervention and to what extent the patient wishes this interaction to be shared within the healthcare team. In psychiatry and psychotherapy, patients’ spirituality is less pathologized than in former times and more and more accepted as a universal dimension of human experience, transcending individual religions. In mental health and in other medical fields, r/s may be part of the problem or part of the solution (K. Pargament), or both. Consequently, spiritual charting should not only differentiate pathological/negative and resilient/positive coping but consists of the patient’s r/s healthcare preferences and goals as well as the role he or she attributes to the health professional.

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Zatzick, Douglas, Joan Russo, Cory Michael Kelly, Roselyn Peterson, Jeff Love, Leah Ingraham, Victoria Neam, et al. "Information Technology Enhancements Targeting Screening, Intervention and Linkage for Acute Care Medical Patients with PTSD and Related Co-morbidity: An Evolving Model." In Comprehensive Guide to Post-Traumatic Stress Disorder, 1–16. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08613-2_36-1.

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Emmett, Anne. "Outcome Analysis." In Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy, 43–52. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64492-5_6.

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AbstractTo understand and hence improve the positive impact of any healthcare activity, procedure or intervention, it is essential that there is an objective analysis of the activity, procedure or intervention based on predetermined standards.In the field of haematopoietic stem cell transplantation, outcome analysis is the process by which the results of a transplant procedure are formally assessed. It includes a series of reviews for evaluating the effectiveness of the health care provided and for identifying the most promising therapies and transplant approaches, given the available medical evidence and healthcare resources.Outcome analysis allows the transplant team to understand the effects of their practice and improve quality. Its relevance is due to transplant involving high treatment-related risk, significant practice variations, and continual practice developments – for example, recent developments in CAR-T and IEC therapies.The main aim of this chapter is to discuss how to find outcome data and how and when to present it. This will need to be adapted to the local programme.

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Mackey, Regina M., and Jacob J. Strand. "Palliative Care in Mechanical Circulatory Support." In Mechanical Circulatory Support, 23–28. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190909291.003.0004.

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Palliative care teams are increasingly involved in the care of patients with advanced circulatory failure and play an important role in the care of patients undergoing implantation of left ventricular assist devices. Palliative care teams focus on symptom management, caregiver support, and robust advance care planning for patients in the pre-implantation and post-implantation phase of care. Preoperative envolvement of Palliative care is effective in helping the patient articulate his/her goals and reason for pursuing surgical intervention as well as declaring just how committed the patient is to long term medical care should various types of complications occur in the perioperative period. This provides comfort to the family when a difficult decision has to be made at a time when the patient can’t take an active part in making that decision. Effective Palliative care teams are present to celebrate the victories as well as the failures in patient care.

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Mahant, Sanjay, Michelle Meiring, and Adam Rapoport. "Feeding, cachexia, and malnutrition in children’s palliative care." In Oxford Textbook of Palliative Care for Children, edited by Richard Hain, Ann Goldman, Adam Rapoport, and Michelle Meiring, 231–43. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198821311.003.0022.

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Feeding a child is considered basic care. As such, when a medical condition impacts a child’s desire or ability to feed and grow, the concerns and negative feelings experienced by the family can be profound. This chapter reviews strategies to promote safe feeding in children, especially those with underlying neurological impairment, in an effort to optimize growth and overall quality of life. The indications and challenges with enterostomy tubes and total parental nutrition (TPN) are also discussed. The concept of ‘feeding for comfort’ at the end of life in children who no longer desire to feed or when feeding causes suffering are explored, as well as the medical and psychosocial interventions to address anorexia and cachexia. Lastly, while the authors wholeheartedly support steps to rectify global malnutrition, a palliative care approach is provided to this problem which continues to result in chronic morbidity and mortality in millions of children annually.

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Conference papers on the topic "Medical intervention or comfort care"

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Gallego, Julian D., Juan C. Franco, J. Rios-Soto, F. Zuleta, and Jairo J. Perez. "Medical clothing: machine for the calculation of comfort in clinical textiles." In 2015 Pan American Health Care Exchanges (PAHCE). IEEE, 2015. http://dx.doi.org/10.1109/pahce.2015.7173354.

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Isern, David, Miquel Millan, Antonio Moreno, Gianfranco Pedone, and Laszlo Z. Varga. "Home Care Individual Intervention Plans in the K4Care Platform." In 2008 21st International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2008. http://dx.doi.org/10.1109/cbms.2008.62.

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Pazienza, Andrea, Roberto Anglani, Giulio Mallardi, Corrado Fasciano, Pietro Noviello, Corrado Tatulli, and Felice Vitulano. "Adaptive Critical Care Intervention in the Internet of Medical Things." In 2020 IEEE Conference on Evolving and Adaptive Intelligent Systems (EAIS). IEEE, 2020. http://dx.doi.org/10.1109/eais48028.2020.9122762.

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Pohl, Charles E. "Evaluation of Residents' Level of Comfort with Palliative Care Concepts Before and After Educational Intervention." In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.380.

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Ochoa, N., S. M. Giraldo, B. E. Angel, and N. J. Escobar. "Development of a method for measuring thermal comfort in medical clothing through the hot plate apparatus." In 2013 Pan American Health Care Exchanges (PAHCE). IEEE, 2013. http://dx.doi.org/10.1109/pahce.2013.6568336.

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Clark, Brendan J., Alexandra Smart, Darren M. Boe, Robert House, Ivor S. Douglas, and Marc Moss. "Spectrum Of Alcohol Use In The Medical Intensive Care Unit: Opportunities For Intervention?" In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4560.

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Netzer, Giora, Xinggang X. L. Liu, Michael Terrin, Carl Shanholtz, Anthony Harris, Avelino C. Verceles, and Theodore J. Iwashyna. "Substantial Changes In Several Outcomes With A Multi-Component Intervention In A Tertiary Care Medical Intensive Care Unit." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a2405.

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Dewhurst, Felicity, Alex Nicholson, Lindsay Garcia, Isabel Gonzalez, Martin Johnson, and Tony Roberts. "121 Acute palliative intervention (API): facilitating enhanced working between the critical care outreach team (CCOT) and the hospital specialist palliative care team (SPCT) to ensure appropriate comfort care for the acutely ill." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.141.

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Montoya, Y., I. C. Ortiz, L. M. Hoyos, and J. Bustamante. "Intervention in an in-vitro model of human cardiomyocytes with aluminum, titanium and silver doped multi-walled carbon nanotubes: Cell viability analysis." In 2016 Global Medical Engineering Physics Exchanges/Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2016. http://dx.doi.org/10.1109/gmepe-pahce.2016.7504654.

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Somoracki, A., K. Sterba, E. Johnson, E. Warr, J. L. Byrne, and D. W. Ford. "Nurse Presentation During Rounds QI Intervention: Identifying Barriers to the Implementation of Interdisciplinary Patient Care Rounds in the Medical ICU." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3410.

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Reports on the topic "Medical intervention or comfort care"

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EUROPEAN STANDARDS OF CARE FOR NEWBORN HEALTH. Chernivtsi, Ukraine: Higher State Educational Establishment of Ukraine Bukovinian State Medical University, 2019. http://dx.doi.org/10.24061/2413-4260.ix.3.33.2019.1.

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Medical treatment and care for preterm and sick newborn babies in European countries varies greatly. Significant differences are not only limited to the survival rates of such infants. In some European countries, preterm birth is also more commonly associated with chronic physical and mental disability than in others. This effect is exacerbated by the fact that in some parts of Europe, further assistance to these vulnerable children after discharge from the hospital (follow-up and early intervention) is not structured or even does not exist at all. Given the high level of inequality in health care delivery, agreed definitions and clear recommendations for infrastructure, medical processes, care procedures, and staffing capabilities are needed to compare and adjust the conditions of care in Europe. Therefore, there is an absolute need to ensure that high-level care is equally available throughout and for everyone. European standards of care for newborn health, developed on the initiative and under the project of the European Foundation for the Care of Newborn Infants (EFCNI), will help to overcome differences in clinical practice, structure and organization of care, as well as training of healthcare professionals. This publication presents the part of the standards regarding health care for preterm and sick infants.

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