Academic literature on the topic 'Palliative treatment Study and teaching'

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Journal articles on the topic "Palliative treatment Study and teaching"

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Cornetta, Kenneth, Susan Kipsang, Gregory Gramelspacher, Eunyoung Choi, Colleen Brown, Adam B. Hill, Patrick J. Loehrer, Naftali Busakhala, and F. Chite Asirwa. "Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya." Journal of Global Oncology 1, no. 1 (October 2015): 23–29. http://dx.doi.org/10.1200/jgo.2015.000125.

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Purpose The prognosis for the majority of patients with cancer in Kenya is poor, with most patients presenting with advanced disease. In addition, many patients are unable to afford the optimal therapies required. Therefore, palliative care is an essential part of comprehensive cancer care. This study reviews the implementation of a palliative care service based at the Moi Teaching and Referral Hospital in Eldoret, Kenya, and describes the current scope and challenges of providing palliative care services in an East African tertiary public referral hospital. Methods This is a review of the palliative care clinical services at the only tertiary public referral hospital in western Kenya from January 2012 through September 2014. Palliative care team members documented each patient's encounter on standardized palliative care assessment forms; data were then entered into the Academic Model Providing Access to Health Care (AMPATH)-Oncology database. Interviews were also conducted to identify current challenges and opportunities for program improvement. Results This study documents the implementation of a palliative care service line in Eldoret, Kenya. Barriers to providing optimal palliative cancer care include distance to pharmacies that stock opioids, limited selection of opioid preparations, education of health care workers in palliative care, access to palliative chemoradiation, and limited availability of outpatient and inpatient hospice services. Conclusion Palliative care services in Eldoret, Kenya, have become a key component of its comprehensive cancer treatment program.
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Taubert, Mark, Lucie Webber, Timothy Hamilton, Madeleine Carr, and Mark Harvey. "Virtual reality videos used in undergraduate palliative and oncology medical teaching: results of a pilot study." BMJ Supportive & Palliative Care 9, no. 3 (February 26, 2019): 281–85. http://dx.doi.org/10.1136/bmjspcare-2018-001720.

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BackgroundVirtual reality (VR) immersive environments have been shown to be effective in medical teaching. Our university hospital received funding from our deanery, Health Education in Wales, to film teaching videos with a 360-degree camera.AimsTo evaluate whether VR is an effective and acceptable teaching environment. VR headsets were set up for medical students who rotated through Velindre Cancer Hospital’s Palliative Care department.MethodsStudents were asked to put on a VR headset and experience a pre-recorded 27 min presentation on nausea and vomiting in palliative care settings. They subsequently viewed a radiotherapy treatment experience from a patient’s point of view.ResultsOf the 72 medical students who participated, 70 found the experience comfortable, with two students stating they felt the experience uncomfortable (1=headset too tight; 1=blurry visuals). Numerical scoring on ability to concentrate in VR from 0 to 10 (0=worst, 10=best) scored an average of 8.44 (range, 7–10). Asked whether this format suited their learning style, average score was 8.31 (range 6–10). 97.2 % (n=70) students stated that they would recommend this form of learning to a colleague, with one student saying he/she would not recommend and another stating he/she was unsure. Students left anonymous free-text feedback comments which helped frame future needs in this emerging area.DiscussionThis study suggests that there is room for exploring new ways of delivering teaching and expanding it more widely in palliative care and oncology, but also provides feedback on areas that need further careful attention. Comments from students included: “Might have been the novelty factor but I learnt more from this 20 min VR thing than I have from many lectures”.SummaryThe project has proved sufficiently popular in medical student feedback, that the VR experience is now available on YouTube and has been permanently introduced into routine teaching. Further 360-degree teaching environments have been filmed. Of note is that our 360-degree videos have been viewed in Africa, so this format of teaching could prove valuable due to its global reach.
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Harding, Richard, Shoba Nair, and Maria Ekstrand. "Multilevel model of stigma and barriers to cancer palliative care in India: a qualitative study." BMJ Open 9, no. 3 (March 2019): e024248. http://dx.doi.org/10.1136/bmjopen-2018-024248.

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IntroductionPalliative care coverage and opioid consumption in India are relatively low compared with global data. The literature suggests commonplace concealment and collusion in withholding information, but these hypotheses lack evidence.ObjectivesThis study aimed to develop an explanatory evidence-based model of stigma, communication and access to cancer palliative care in India that can be used to develop, test and implement future interventions.DesignThis cross-sectional qualitative study sampled advanced cancer patients (n=10), their family caregivers (n=10) and oncologists (n=10). Grounded theory procedures were utilised to analyse transcripts, and a theoretical model generated.SettingA tertiary teaching hospital in South India.ResultsThe model explains how stigma associated with communicating a diagnosis of advanced cancer is enacted by treating oncologists, family members and community. This leads to patient expectations of cure and futile treatment uptake. Patients commonly only present needs with respect to pain, not within psychological, social or spiritual domains, likely due to the lack of patients’ insight into their diagnosis and prognosis. As a result of oncologists’ and families’ unwillingness to disclose the prognosis, and patient focus on pain due to their lack of insight, palliative care clinicians view their services as under-utilised, and patients perceive palliative care as a pain management service that is not ‘different’ from other clinical services. Advanced care needs and purchase of futile treatments lead to lost employment among families, increased family debt and high care costs, which are rarely disclosed due to their unwillingness to discuss their needs.ConclusionOur novel theoretical model is an essential first step to ensure that complex interventions are plausible, with mechanisms of action that address the needs of relevant stakeholders. A family-centred approach with an oncology workforce skilled in communication and an enabled patient population could increase access to palliative care, and improved outcomes may be attainable.
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Arain, Abeer Nisar Arain, Zunaira Abdul Ghaffar, Naveed-ur Rehman, M. N. Siddiqi, and Raza Rehman. "KNOWLEDGE AND UNDERSTANDING OF MEDICAL STUDENTS ABOUT RADIOTHERAPY AND PALLIATIVE CARE." Professional Medical Journal 21, no. 02 (December 7, 2018): 325–32. http://dx.doi.org/10.29309/tpmj/2014.21.02.2176.

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Objective: To assess the knowledge of undergraduate medical students aboutradiotherapy, cancer and palliative care in cancer. Method: A descriptive study to assess theknowledge of radiotherapy, cancer and palliative care is conducted among undergraduatemedical students of Dow Medical College. 300 students from each batch of fourth and final yearwere assessed for knowledge of radiotherapy, palliative care, cancer knowledge, cancerprevention, students’ visits to radiotherapy units, source of cancer information, teachingprograms of radiotherapy in medical college, choice of career and participation in palliative carecourse during their undergraduate years. Results: 246 questionnaires were returned. 41% ofstudents correctly answered to different questions related to the knowledge about radiotherapy.Data regarding cancer treatment knowledge among students showed an average of 32%. Thegeneral knowledge regarding cancer among the students was present in approximately twothirds(60%) of participants. The knowledge regarding cancer prevention prevailed around36.04%. Conclusions: There is a need to change the perception of palliative care and radiationtherapy among medical students. Teaching of radiotherapy should begin early in theundergraduate curriculum of MBBS, and it should be mandatory for all the students. Oncologyrotations should be constructed where the principles of radiotherapy and palliative care can beconveyed.
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Wong, Aaron Kee Yee. "Are hospital clinicians aware of legislation surrounding provision of palliative care?" Journal of Clinical Oncology 34, no. 26_suppl (October 9, 2016): 118. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.118.

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118 Background: Many deaths require medical treatment to be withheld or withdrawn. Patients or their substitute decision makers may disagree with these decisions, and sometimes refuse the right to appropriate palliative care. An awareness of legal frameworks surrounding end of life decisions is vital to navigate through these conflicts. Without this, patients suffer unnecessarily. Methods: 542 hospital doctors and nurses were recruited from a large metropolitan public tertiary teaching hospital network involving 5 campuses and 2 medical schools. A questionnaire examined their regarding legislation surrounding end of life care, both in adults with and without capacity. Results: Approximately a quarter of respondents did not believe that the “Not for Resuscitation Form” is legally a medical decision. Most doctors (68%), but not nurses, believed competent patients cannot demand futile treatment. Most clinicians (79% doctors and 85% nurses) erroneously believe that competent patients can refuse appropriate palliative care. There was significant confusion regarding the roles of substitute decision makers. Most clinicians could not find the advance directive. Groups with most correct answers were doctors, had 5-10 years experience, and were in palliative care and critical care specialties. Conclusions: This study confirms poor knowledge regarding legislation surrounding provision of palliative care. An unusually high proportion believed patients could refuse appropriate palliative care. Most clinicians could not locate advance directives. Most nurses believed patients could legally demand futile treatment. Both junior and senior staff had comparably poor knowledge in this area.
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DOSSOUVI, Tamegnon, Rafiou EL-HADJI YAKOUBOU, Komlan ADABRA, Ayi AMAVI, Olivier AMOUZOU Efoé-Ga, Kouliwa KANASSOUA Kokou, Iroukora KASSEGNE, and David DOSSEH Ekoué. "Stomach cancer: epidemiological, diagnostic and therapeutic aspects at the Kara Teaching Hospital, Togo." Archives of Surgery and Clinical Research 6, no. 1 (March 16, 2022): 001–3. http://dx.doi.org/10.29328/journal.ascr.1001062.

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Objective: To report our experience in the management of gastric cancers at the Kara University Hospital (Togo). Materials and methods: This was a retrospective and prospective study which was conducted from January 1, 2018, to July 31, 2021, in the general surgery and hepato-gastroenterology department of the Kara University Hospital (Togo). This study involved all patients treated for gastric cancer during the study period at CHU Kara (Togo). Results: We recorded 32 gastric cancers out of the 218 cases of cancer diagnosed during the study period. We had 20 men and 12 women with a sex ratio (M/F = 1.7). The average age was 58 years with the extremes ranging from 17 to 85 years. The pattern of the consultation was dominated by epigastralgia (100%) and deterioration in general condition (100%). Upper digestive endoscopy with biopsies was performed in all our patients. The antral localization was the most found in 62.5% of cases. The most common macroscopic appearance was ulcers-budding (90.6%) and the dominant histological type was moderately differentiated adenocarcinoma (87.5%). The extension assessment found liver metastasis in 10 cases, multiple regional lymphadenopathies of the hepatic pedicle and celiac trunk in 26 cases, ascites related to peritoneal carcinomatosis in 26 cases. Therapeutically, a 4/5 gastrectomy with D1 dissection was performed in 6 cases; gastrojejunal anastomosis in one case and palliative treatment in 25 cases. Survival at 1 year is 50% (3 patients) among operated patients. All the other patients (78.1%) who received palliative treatment all died within 3 months. Conclusion: Improving the prognosis of stomach cancer like other cancers requires early diagnosis to perform a gastrectomy, the only guarantee of long survival.
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Saka, M. J., S. Akinwale, Z. A. Bakare, M. A. Odunewu, and Abdulrasaq Ishola. "Physical Functionality of Cancer Patients Receiving Disease-Directed Therapy (DDT) with Palliative Care Compare with Patients on DDT Only in Kwara State, Nigeria." Asian Journal of Medicine and Biomedicine 5, no. 2 (October 29, 2021): 19–25. http://dx.doi.org/10.37231/ajmb.2021.5.2.435.

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Physical activity is defined as any bodily movement caused by muscle contractions and resulting in energy expenditure. Palliative care is a special care for patients with active, progressive, advanced disease such as cancer where the prognosis is short and the focus of care is the quality of life. The study assessed the difference in the physical functionality of cancer patients receiving palliative care along with disease-directed therapy and cancer patients receiving only disease-directed therapy in Ilorin, Kwara State Nigeria. The study was a comparative cross-sectional research design conducted among 108 cancer patients at two tertiary institutions in Ilorin, Kwara State Nigeria. Patients who received palliative care alongside cancer-directed therapy were recruited from University of Ilorin Teaching Hospital and compared with cancer patients receiving only cancer-directed therapy from General Hospital Ilorin. About two-third 62.8% of the respondents taking palliative had good physical health, while over half 54.3% of the disease-directed therapy respondents had poor physical functioning. In addition, 34.1% of patients on both therapies reported no trouble in bending, kneeling and stooping, 23.7% could climb one flight of stairs with little help and 45.8% of the respondents reported no difficulty in bathing and dressing themselves. The relationship was statistically significant at p< 0.05. The study demonstrated that addition of palliative care services significantly improves patient outcomes in the domains of physical function. It therefore recommended that palliative care intervention should be part of care for cancer patients from onset of diagnosisas this may prevent subsequent symptoms and inappropriate treatment.
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Thakur, Deepak Kumar, B. Ghimire, and YP Singh. "Trend in Gastric Outlet Obstruction at Patients Attending Tribhuvan University Teaching Hospital, Kathmandu, Nepal." Birat Journal of Health Sciences 2, no. 2 (November 2, 2017): 219–21. http://dx.doi.org/10.3126/bjhs.v2i2.18531.

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IntroductionGastric outlet obstruction (GOO) involves obstruc_on in the antro-pyloric region or bulb of duodenum. Malignancy is common cause of GOO in adults but many patients with GOO have benign causes. Despite the improvement in medical management, about 5% patients with complicated duodenal ulcer disease and 1%-2% with complicated gastric ulcer disease respectively develop this problem.ObjectiveThe purpose of this study was to find the etiologies of GOO, their management options and outcome in Tribhuvan University Teaching Hospital.MethodologyIn this retrospective study, the records of 44 patients admited with diagnosis of GOO from September 2007 to August 2010 in the Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal were retrieved. Patients' demography, etiologies of GOO, treatment given and their outcome were analysed.ResultsThirty two patients (73%) were male and 12 (27%) were female with M:F ratio of 2.7:1. The mean age of patients was 57.40 years and duration of symptoms 2.68 months. Carcinoma of stomach, 28 cases (64%) was most common ecology of GOO followed by PUD, 9 (21%), duodenal malignancy,3 (7%), corrosive stricture, 2 (5%), advanced gallbladder carcinoma, 1 (2%) and chronic pancreatis, 1 (2%). Seventeen (39%) patients were treated by gastrojejunostomy, 14 (32%) by subtotal gastrectomy and gastrojejunostomy, 5 (11%) by truncal vagotomy and gastrojejunostomy, 4 (9%) by medical management, 2 (4.5%) by feeding jejunostomy, and 2 (4.5%) were discharged on request. Complications occurred in 7 (16%) patients and mortality in 1 (2%). Twenty three (52%) patients were candidates for chemotherapy either in an adjuvant or palliative seting.ConclusionGastric malignancy was the most common cause of gastric outlet obstruction. Most of the patients in our setup presented with advanced disease and were candidates of palliative treatment only. Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 219-221
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Castillo, Cecilia, Natalia Camejo, Dahiana Amarillo, Florencia Rodriguez, Florencia Vitureira, Gabriel David Krygier, and Lucia Beatriz Delgado. "Impact of the COVID-19 pandemic on health care activities at a Uruguayan mastology teaching unit: Preliminary results." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e12502-e12502. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e12502.

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e12502 Background: After the government declared a health emergency due to COVID-19 on March, 2020, the Mastology Teaching Unit (UDAM) providing care to breast cancer patients tried to ensure adequate oncological care, and to protect patients from the virus infection and serious complications due to a possible state of immunosuppression. Towards this objective, the Department of Clinical Oncology developed guidelines with some treatment modifications. Objective: To assess the health care activities of the UDAM during the period considered as the “peak” of the pandemic, since its beginning to June 30, 2020. Methods: This is an observational study that collected data from the electronic clinical record system called Oncology Electronic Health Record (HCEO) during the aforementioned period. Results: There werea total of 293 medical appointments (221 in person), through which 131 patients were attended to. The number of medical appointments decreased by 16.7% compared to the same period in 2019 (352 appointments). Of the patients who were attended to during the “peak” period, 109 (83.2%) were on systemic onco-specific treatment and 22 (16.8%) were attended to for disease control. The medical appointments were scheduled to evaluate the continuity of treatment and treatment modifications if necessary (95 patients; 72.5%), for disease control (17; 12.9%), for first-time consultation (12; 9.1%) and to assess paraclinical studies (7; 5.3%). The patients were on hormone therapy (HT) (81 patients; 74%), chemotherapy (CT) (21; 19%), and anti-HER2 therapies (9; 8%). A total of 20 treatments were initiated, 14 with HT and 6 with CT. Of the 21 patients on CT, 14 (66.6%) were on adjuvant/neoadjuvant therapy. Of these, 9 (64.3%) continued with the same regimen with the addition of prophylactic granulocyte colony stimulating factors (G-CSF), and 5 (35.7%), who were receiving weekly paclitaxel, continued the treatment with no changes. The remaining 7 of 21 patients (33.3%) were on palliative CT. Of these, 2 (28.5%) continued the treatment with the addition of G-CSF, 3 (42.8%) continued with weekly capecitabine or paclitaxel with no treatment changes, and 2 (28.5%) changed their treatment regimen (a less myelosuppressive regimen was selected for one of them and this decision was due to the progression of the disease in the other patient). The 90 patients who were receiving adjuvant, neoadjuvant, or palliative criteria HT and/or anti-HER2 therapies, continued the treatment with no changes Conclusions: Although these are preliminary results, the available evidence suggests that, although medical appointments decreased by approximately 17%, the UDAM was able to maintain its healthcare activities and continued most of the treatments. The most modified treatment was CT, with the addition of prophylactic G-CSF, to avoid myelosuppression and potential complications from COVID-19 infection.
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Suryani, Sri, Mirfauddin, Bualkar Abdullah, and Roni Rahmat. "Analysis of Skin Radiation Injury After External Curative and Palliative Radiotherapy of Cervix Cancer with Linac." Gravitasi 21, no. 1 (December 23, 2022): 30–34. http://dx.doi.org/10.22487/gravitasi.v21i1.15918.

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Radiotherapy is a powerful tool for tumour control and treatment for various types of cancer. Despite the technological advances, cancer patients are still experiencing skin radiation injury. This study analyzed the probability of the skin radiation injury experienced by cervical cancer patients after external curative and palliative radiotherapy. This research was conducted at the Hasanuddin University Teaching Hospital in the Radiology section. The instrument used LINAC 6 MV external radiotherapy with the Varian brand. The state of the cancer of the samples was stage 2 B, and 3 B. The application of the dose rate for the two stages in curative therapy did not differ, such as 6.06 Gy/min to 8.26 Gy/min. On the contrary, palliative therapy uses a dose rate of 11.06 Gy/min to 13.47 Gy/min. This dose rate is higher than the curative dose rate because this therapy aims to reduce the size of cancer.
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Dissertations / Theses on the topic "Palliative treatment Study and teaching"

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Watts, Tessa Elisabeth. "Educating undergraduate pre-registration nursing students for complexity in contemporary palliative nursing." Thesis, Swansea University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678375.

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Gentry, W. Michael. "A comparison of two palliative methods of intervention for the treatment of mathematics anxiety among female college students." Diss., Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/53620.

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Bandura’s (1978) self-efficacy theory provided the conceptual basis for two math-anxiety interventions: cognitive restructuring (CR) and modified progressive relaxation (MPR). These two palliative techniques were chosen since considerable evidence exists which indicates that both intrapsychic and symptom-directed methods are effective as therapeutic interventions for a wide range of stress-related problems. In addition to the treatment variable, there were two other independent variables: level of achievement in mathematics (SAT), and level of participation in mathematics (remedial, intermediate, or advanced). The sample consisted of sixty—two female subjects enrolled in a small private liberal arts college for women. Four research questions were investigated (1) When administered over a six-week treatment period, are CR and MPR equally effective in reducing mathematics anxiety among female college students? (2) Are any combinations of treatment and level of achievement in mathematics characterized by lower levels of anxiety than other combinations? (3) Are any combinations of treatment and level of participation in mathematics characterized by lower levels of anxiety than other combinations? (4) To what extent do physiological indicators of mathematics anxiety and paper-and-pencil assessments measure the same construct? Data were collected in two stages. The first stage occurred at the end of a six-week treatment period, at which time Sandman’s (1973) Mathematics Attitude Inventory (MAI) and an electromyograph (EMG) were used to obtain self-report and physiological measures of mathematics anxiety, respectively. The second stage occurred eight weeks later, at which time the MAI was re-administered. Inferential methods revealed that: (1) when mathematics anxiety was measured with Sandman’s MAI, for both the immediate and delayed posttests, the difference between the mean levels of self-reported anxiety for CR and MPR subjects was not statistically discernible; (2) when anxiety was operationally defined as skeletal muscle tension and measured with an electromyograph, CR led to significantly greater reductions in anxiety than MPR (F=2.81, p=.036); (3) there was no interaction between type of intervention and level of achievement in mathematics; (4) when anxiety was operationally defined as skeletal muscle tension and measured with an electromyograph, a statistically discernible (F=3.925, p=.O27) synergistic effect was detected between type of intervention and level of participation in mathematics, indicating that CR is superior to MPR for subjects at advanced levels of participation in mathematics; (5) there was insufficient evidence to indicate that a linear relationship exists between paper-and-pencil (MAI) and physiological (EMG) measures of mathematics anxiety, implying that the two instruments may be tapping different dimensions of the mathematics anxiety construct.
Ed. D.
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Terkildsen, Sheryl Ramona. "End of life nursing education consortium grant implementation project." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2324.

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This project addressed the continuing education needs of nursing staff and other health care professionals for delivering competent and compassionate palliative or end of life care. The scope of the project included, writing a grant application, training and certification by the end of life Nursing Education Consortium and implementing an education program for staff at the Loma Linda Veterans Affairs medical center.
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Greaves, Judith M. "Understanding palliative care: An ethnographic study of three Australian palliative care services." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2005. https://ro.ecu.edu.au/theses/1553.

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Palliative care commenced in Australia in the early 1980s. Although the value of palliative care has become more widely recognised by the public and other health care professionals, there is still a lack of understanding about what palliative care is and the depth and scope of this specialty area of health care. The research that I present in this thesis is based on examination of palliative care practice in a selection of Australian services, undertaken with the aim of enhancing understanding of Palliative Care. The significance of the research arises from the notion that members of the Australian community should be well informed about health care options available to them. Understanding palliative care and the ability to differentiate palliative care from other end-of-life care is important if people are to make informed decisions about supporting, accessing, and using services appropriate to their needs. An interpretive ethnographic study from a symbolic interactionist perspective was undertaken in three palliative care services, one in each of the major Australian cities of Sydney. Melbourne, and Perth. Each palliative care service had been established for at least ten years, and was part of a larger health care facility. A fourth service, a purpose-built three-year-old unit, was added during the course of the research to provide contrast to the emerging analyses. As an experienced palliative care nurse, I assumed the role of marginal native as the primary research instrument. Data collection was by means of participant observation, formal and informal interviews, and examination of supplementary data sources, with two months spent in each of the three study sites. Interpretations made from ethnographic observation of these Australian palliative care services showed a diversity of practice, best understood within the context of the particular service. The major findings are presented under the headings of Politics, Place, People, and Practice of Palliative Care. Common approaches to provision of care were found in creating an appropriate physical environment for patients, with an underlying mission to "make the best of things." Patients cared for in the settings were a similar cohort of middle aged to elderly cancer patients. In general, staff shared expectations of appropriate types of patients and showed discomfort or lack of understanding in caring for non-cancer patients, or patients from non-Australian, non-Christian, and non-English speaking backgrounds. Practice diversity was highlighted by the range of technology used and variations in the availability of social activities for patients in the services. These two: areas in particular warrant further research to examine the outcomes associated with these variations, in terms of survival time, quality of life, and service costs. These findings are particularly relevant at this time when the Australian Government is attempting to enhance access to palliative care. The diversity of practice uncovered in this study suggests that discussions and decisions about allocation of resources and development of services must take into consideration the various interpretations of palliative care services that may exist. The findings also reinforce the need for sound evidence-based studies to examine the impact of variations and the types of populations that might be best served by different types of palliative care support.
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McConigley, Ruth. "Rural palliative care nursing: A modified grounded theory study." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/986.

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This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling techniques were used to identify the six palliative care nurses working in rural Western Australia who participated in this study. Data was generated using in depth interview and participant observation techniques. Constant comparative analysis of the data was employed to allow concepts to emerge from the data. The central theme that developed from the data Living Palliative Care describes the all-consuming nature of the rural palliative care nurses’ role. Three related categories, Wearing Many Huts, Being the Expert and Surviving in Palliative Care are also discussed. This research has explored issues that rural palliative care nurses feel are relevant to their professional practice and it describes the basic social processes inherent in the rural palliative care nurse’s role. Recommendations for nursing research, education, administration and clinical practice are presented.
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Hill, Hazel Catherine. "Psychosocial support within the everyday work of hospice ward nurses : an observational study." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/24356.

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Psychosocial support is said to be an inherent component of nursing care and a major focus of palliative care. Literature exists which outlines perceptions of the psychosocial needs of patients and how psychosocial support should be provided. However, there is a lack of empirical evidence on how psychosocial support is operationalised in practice. This study provides a valuable and substantial new contribution to the evidence on the psychosocial needs expressed by patients in a hospice ward and how nurses immediately respond to these needs within their everyday practice. A study gathering data via observations with matched interviews of patients and nurses, organisational, documentary, and demographic variables, was conducted over an eight month period. Thirty-eight nurses (registered and auxiliary) and 47 patients were included in a maximum variation sampling strategy. Data was analysed using constant comparative qualitative techniques. Patients expressed a wide variety of psychosocial needs, often only signalling them whilst receiving care for other reasons. Considering these needs in relation to Maslow’s (1943) hierarchy of needs suggests that in-patients more commonly express prerequisites to physiological care and ‘lower level’ safety needs rather than the more thoroughly researched and espoused ‘higher’ level psychosocial needs. The nurses reacted to these psychosocial needs with a range of responses which indicated a diminishing level of immediate support: ‘dealing’, ‘deferring’, ‘diverting’ and ‘ducking’. The majority of the nurses were observed using each of these responses at some point during data collection. A variety of the responses were used for each type and context of psychosocial need. These responses were influenced by the ward’s workplace culture. This study demonstrates a requirement for more thorough consideration of the true psychosocial needs of patients, which appear to vary dependent on the context of care. Consideration should be v given to workplace culture and its influence over psychosocial support, with nurses being supported to expand their response repertoire so that patients’ psychosocial needs are acknowledged more. Increasing nurses’ knowledge of the reality of psychosocial support through education and research will encourage formalisation of the place of psychosocial support in the planning, documentation and provision of care. This study shows that ward nurses can offer psychosocial support as an inherent component of their everyday work. Findings derived from this research indicate that developing an understanding of how patients express psychosocial needs in practice, through a consideration of Maslow’s (1943) hierarchy of needs, may increase recognition and support of psychosocial needs and enable nurses to respond more comprehensively.
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Tanner, Carolyn A. "Perception of palliative care practice of health care professionals in a mental institution : a descriptive study." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29703.

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The purpose of this descriptive study is to investigate the perception of practice of health care professionals at a mental institution, as it pertains to their work with dying patients, and also to identify areas of change. The conceptual framework is constructed of six factors important to palliative care that have been identified from the literature. These are personal death anxiety, organizational structure of the hospital system, role expectations of professionals, teamwork, education and training for care of the dying, and conveyance and exchange of diagnostic information. The sample surveyed by a written questionnaire included physicians, psychiatrists, health care workers, social workers and pastoral care workers from the Geriatric Division of Riverview Hospital, Port Coquitlam. The findings indicate that age, sex, marital status and length of working experience at Riverview Hospital had no significant association with personal death anxiety. Informal education such as workshops and in-services had a significant correlation with personal death anxiety, as did perception of being competent and/or confident about working with the dying. The study also raised concerns that not all was being done for the dying patients and their families at this institution. Suggestions such as education and training, support mechanisms, and less stereotyping of professional roles were offered to improve this situation. As well, findings indicated that there was a need for palliative care service either in the form of a team or separate unit, or simply the practicing of the palliative care philosophy.
Arts, Faculty of
Social Work, School of
Graduate
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Reid, Noreen. "An action research study to investigate the strategies that can be used by health care professionals, during video consultations with palliative care patients, to enhance the therapeutic alliance." Thesis, University of Stirling, 2017. http://hdl.handle.net/1893/27690.

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Background: The use of telemedicine was gaining momentum. Although the strength of the therapeutic alliance (TA) correlated with treatment outcomes, there was no research exploring the skills, attitudes and behaviours that enhanced the TA during Skype consultations in palliative care. Aims: This study identified the skills, attitudes and behaviours that affected the TA between palliative care patients and health care professionals during Skype consultations and identified strategies that enhanced the TA. Study Design: Two cycles of action research engaged the participants in self-reflective inquiry and encouraged the identification of strategies that enhanced the TA and the Skype experience. Participants: Six health professionals and nine patients were recruited from a Hospice out patient service in one Health Authority in England. Data Collection: Data from the audio-recorded consultation were managed quantitatively and the TA was measured using the Working Alliance Inventory (S). Qualitative data were collected from participant interviews and focus groups attended by the professionals. Data Analysis: The analysis ran in parallel with the data collection, started after the first consultation and all sources of data were cross-referenced. Thematic analysis was used to sequentially code the qualitative data to help identify, examine and record patterns within the data set. Findings: The findings suggested that it was possible to establish and a positive therapeutic alliance between health professionals and palliative care patients when using Skype. There was a shift in perception for those health professionals who had reservations about their ability to establish a therapeutic alliance (TA) via a computer link. It was demonstrated that advanced communication skills were transferrable between face to face and video consultations. No additional communication skills training was needed to enable a strong TA when using Skype. Including some social talk, working with the patient’s as opposed to the professional’s agenda and actively offering solutions improved the Skype experience for the patients. The strategies that health professionals promoted to enhance the TA included using Skype with appropriately selected patients to complement the existing Service. Mandatory training in the effective use of Skype was recommended even for those health professionals who used Skype socially. Clarification to address the challenge of clinical governance was recommended. In keeping with an action research design the change impacted on both the health professionals own practice and the Organisation’s approach to telemedicine. The potential for using action research to engage nurses and doctors in critical self-reflective inquiry and to empower them to be change facilitators was demonstrated. Conclusion: Although a small sample size, this study identified strategies that enhanced the TA during Skype consultations. The findings were significant because they added to the current body of knowledge about using Skype to facilitate consultations within the palliative care population. Additionally, the findings may be transferable to different populations and healthcare contexts.
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Carolan, Clare. "The experience of emotional distress and help-seeking for distress in families living with advanced cancer and receiving palliative care : a multi-perspective case study approach." Thesis, University of Stirling, 2018. http://hdl.handle.net/1893/28047.

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The emotional impact of serious illness in families is recognised. To enhance well-being in families living we must understand how distress is experienced within families; from this, evidenced-based systemic distress interventions can be derived. However, the success of systemic intervention programmes is reliant on whether families will seek help (or not) for distress. This PhD by publication explores emotional distress and help-seeking in families living with advanced cancer. Papers one and two used systematic review techniques. Paper one evidenced distress as a systemic construct and proposes the tiered model of distress to convey current understandings. Paper two offers the attaining normality model to convey why some people seek help for distress to achieve a new normality whereas some choose not to seek help to maintain normality. Together, these papers evidence gaps in systemic understandings of distress and help-seeking; from this an exploratory cross-sectional multiple case study of families was proposed. Papers three and four provided methodological underpinning to this research through the development of the DESCARTE model: The Design of Case Study Research in Healthcare (paper three) used in the case study design; paper four reflects on multi-perspective interviewing methods used. Distress and help-seeking are conceived as systemic relational phenomena, occurring within the family system and arising from relational interaction with healthcare. Distress is conveyed through four themes: interdependent distress, living in uncertainty, unnecessary distress and oscillatory distress; from this, possible systemic intervention designs are offered (paper five). Non-help-seeking for distress was the predominant response in families. The mutuality model of help-seeking is proposed to synthesise current understandings (paper six). Families describe how healthcare interactions cause unnecessary distress and shapes families’ help-seeking behaviours. Findings indicate significant gaps between the rhetoric of palliative care policy and families’ experience. To improve families’ wellbeing, relational care must be embedded in policy and practice.
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Dlangamandla, F. N. N. "A case study of a teacher's oral error treatment strategies in an English language classroom." Thesis, Rhodes University, 1996. http://hdl.handle.net/10962/d1003315.

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Theoretical perspectives on error treatment in second language acquisition research are divided on the effect and desirability of corrective feedback on the learner's output. Theorists like Krashen (1982), believe that correction hampers acquisition because it encourages the learners to avoid difficult structures and to focus on form rather than on meaning, while Long (1977) contends that error treatment possibly speeds up interlanguage development although errors disappear slowly. Edmondson (1985) asserts that bringing errors to the learner's attention helps learning and that error - treatment contributes to consciousness-raising which is important for language acquisition. Research findings present conflicting evidence on the effects of corrective feedback on those for whom correction is meant. Some researchers report no concrete findings on the relationship between corrective feedback and learning outcomes (Hendrickson (1978) and Brock, Day and Long (1986)). Others, for example, Chaudron (1977) and Crookes and Rulon (1985) report differential effects of corrective treatments. Salica, Ramirez and Stromquist and Wren (cited in Chaudron 1988) report some evidence of feedback on error resulting in the learner's ability to self-correct. However, Hendrickson (1978) reports that some direct types of corrective procedures have been found to be ineffective. This research investigated a teacher's oral error treatment policy in different types of English lessons in a situation where L2 pupils study English as a subject according to an LI syllabus. The findings of this case study reveal that the teacher's manner of correction, when he decides to correct, is subtle and indirect. Rarely does he correct overtly and explicitly as his concern is to avoid hurting the error maker's feelings. He defers treatment and ignores most of the oral errors that learners make during classroom interaction. Pupil perceptions of their teacher's corrective treatments were positive although some of the pupils reported that they found his corrections confusing and intimidating at times. Most of them expressed , a wish to have their speech errors attended to explicitly, preferably by their teacher as his treatments were found to be motivational and unabrasive. Some of the pupils were opposed to peer correction for fear of ridicule. They also felt that fellow pupils did not always provide correct treatments. All the pupils in this study were of the opinion that oral error treatment is desirable because they believe that it improves their performance in English.
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Books on the topic "Palliative treatment Study and teaching"

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Virginia. General Assembly. Joint Commission on Health Care. Palliative care study: Report of the Joint Commission on Health Care to the Governor and the General Assembly of Virginia. Richmond: Commonwealth of Virginia, 2001.

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Éros et Thanatos sous l'oeil des nouveaux clercs. Montréal, Qué: VLB, 1991.

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Larouche, Jean-Marc. Éros et Thanatos sous l'oeil des nouveaux clercs: [essai socio-historique sur la sexologie et la thanologie dans la société Québécoise]. Montréal: VLB, 1991.

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Partridge, Sharman V. Implementing the principles of palliative care: A comparative study of six different service providers. Birmingham: School of Continuing Studies, The University of Birmingham, 1997.

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F, Knight Carol, Reiter Gary S, Alexander Carla S, and Reiter Gary S, eds. Hospice/palliative care training for physicians: A self-study program. 2nd ed. New York: Mary Ann Liebert, 2003.

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Lynn, Borstelmann, and Hospice and Palliative Nurses Association., eds. Study guide for the generalist hospice and palliative nurse. 2nd ed. Dubuque, Iowa: Kendall/Hunt Pub. Co., 2005.

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LLC, Mometrix Media. CHPNA exam secrets study guide: Your key to exam success. Beaumont, Tex.]: Mometrix Media LLC, 2011.

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Seepersad, Sam. Water treatment program training manual: Heating and cooling systems. Edmonton, Alta: Alberta Public Works, Supply and Services, Property Management Division, 1987.

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McLeod, Brucie. Program development for diabetes. Toronto: Canadian Diabetes Association = Association canadienne du diabète, 1988.

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Institute, Neuroscience Education. From neurobiology to treatment: Bipolar disorder and schizophrenia unraveled. Carlsbard, Calif: NEI Press, 2009.

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Book chapters on the topic "Palliative treatment Study and teaching"

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Kenar, Necla, and Hyun Soo Lim. "In Vivo Study of Laser Irradiation Techniques for the Treatment and Palliation of Lung Cancer Using Photodynamic Therapy." In Palliative Care for Chronic Cancer Patients in the Community, 551–60. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-54526-0_50.

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Zhang, Yuhua. "Study on the Feasibility of Sports Prescription to Treatment of Young Internet Addiction." In Advanced Technology in Teaching - Proceedings of the 2009 3rd International Conference on Teaching and Computational Science (WTCS 2009), 877–84. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-11276-8_118.

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Olfos, Raimundo, Masami Isoda, and Soledad Estrella. "Multiplication of Whole Numbers in the Curriculum: Singapore, Japan, Portugal, the USA, Mexico, Brazil, and Chile." In Teaching Multiplication with Lesson Study, 25–35. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28561-6_2.

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AbstractThis chapter shows how the teaching of multiplication is structured in national curriculum standards (programs) around the world. (The documents are distributed by national governments via the web. Those documents are written in different formats and depths. For understanding the descriptions of the standards, we also refer to national authorized textbooks for confirmation of meanings.) The countries chosen for comparison in this case are two countries in Asia, one in Europe, two in North America, and two in South America: Singapore, Japan, Portugal, the USA (where the Common Core State Standards (2010) are not national but are agreed on by most of the states), Mexico, Brazil, and Chile, from the viewpoint of their influences on Ibero-American countries. (The National Council of Teachers of Mathematics (NCTM) standards (published in 2000) and the Japanese and Singapore textbooks have been influential in Latin America. Additionally, Portugal was selected to be compared with Brazil). To distinguish between each country’s standard and the general standards described here, the national curriculum standards are just called the “program.” The comparison shows the differences in the programs for multiplication in these countries in relation to the sequence of the description and the way of explanation. The role of this chapter in Part I of this book is to provide the introductory questions that will be discussed in Chaps. 3, 4, 5, 6, and 7 to explain the features of the Japanese approach. (As is discussed in Chap. 1, the Japanese approach includes the Japanese curriculum, textbooks, and methods of teaching which can be used for designing classes, as has been explored in Chile (see (Estrella, Mena, Olfos, Lesson Study in Chile: a very promising but still uncertain path. In Quaresma, Winsløw, Clivaz, da Ponte, Ní Shúilleabháin, Takahashi (eds), Mathematics lesson study around the world: Theoretical and methodological issues. Cham: Springer, pp. 105–122, 2018). The comparison focuses on multiplication of whole numbers. In multiplication, all of these countries seem to have similar goals—namely, for their students to grasp the meaning of multiplication and develop fluency in calculation. However, are they the same? By using the newest editions of each country’s curriculum standards, comparisons are done on the basis of the manner of writing, with assigned grades for the range of numbers, meanings, expression, tables, and multidigit multiplication. The relationship with other specific content such as division, the use of calculators, the treatment of multiples, and mixed arithmetic operations are beyond the scope of this comparison. Those are mentioned only if there is a need to show diversity.
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Kamal Mahmod, Ezaddin, and Saadia Ahmed Khuder. "Unmet Supportive Care Needs of General Cancer." In Teamwork in Healthcare. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96063.

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Purpose Aside from their oncology condition, cancer patients often experience many ancillary problems, including negative physical symptoms, social isolation, spiritual suffering, and often psychological distress. Supportive care services can be defined as services designed to help patients, their families, and caregivers with their experiences during the diagnosis, treatment, follow-up, and palliative stages of the cancer journey. In an extensive review of the literature, we identified no previous studies that have investigated the SCNs of cancer patients in Iraq or any other Middle Eastern countries. Therefore, this study aims to determine the SCNs of cancer patients in Iraq. Methods The present cross-sectional study and data was conducted in Rezgary teaching and Nankaly Oncology Hospital in the Kurdistan Federal Region of Iraq. A total of 300 eligible cancer patients were invited to participate in the study from February to August, 2018. Eligibility criteria included: 18 years or above; having a definite diagnosis of any type of cancer; physically or mentally able to participate in the study; and being aware of exact diagnosis for at least three months. Results In 15 items of the SCNs, more than 60% of the participants reported that their needs were unmet. Most frequently, unmet needs were related to health system and information, physical and daily living, psychological, and patient care and support domains, and most met needs were related to physical and daily activity domains. Conclusions Kurdish cancer patients had many unmet needs and there is a need for establishing additional supportive care services and educational programs to increase quality of life in Kurdistan Region- Iraq.
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"From Study and Diagnosis to Treatment." In A Introduction to Teaching Casework Skills, 44–56. Routledge, 2013. http://dx.doi.org/10.4324/9781315006390-2.

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Wittenberg, Elaine, Joy V. Goldsmith, Sandra L. Ragan, and Terri Ann Parnell. "Palliative Care." In Caring for the Family Caregiver, 54–76. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190055233.003.0003.

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Whether they are thrust into the caregiving role or volunteer for it, most caregivers want to know what to do, how to do it, and how to prepare for what is ahead. For some caregivers, information is empowering, and for other caregivers, it is overwhelming. Regardless, examine any study on family caregiving or talk to any family caregiver, and the conclusion will be the same: Family caregivers need information, education, and support. Few caregivers are able to fully understand and use available health information when advocating and caring for chronically ill patients, and this seriously complicates their ability to contribute to patient self-management and support at home. To help caregivers understand their role and get them the help they need, they have to be included in the healthcare system and in the patient care process. In recognizing that caregivers are current and future patients who need care too, this chapter (a) introduces palliative care to illustrate how the patient and family’s illness journey is powerfully influenced by their understanding of the disease and its treatment and (b) outlines the health literate care model to identify important reasons to integrate caregivers. Both foci of this chapter are radically impacted by the pre-existing structure and function of the family. Narrative features of caregiving are used to describe three illness journeys that caregivers traverse.
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Ramer, Sarah, and Holly Koncicki. "Physician Wellness in Nephrology and Palliative Care." In Palliative Care in Nephrology, edited by Alvin H. Moss, Dale E. Lupu, Nancy C. Armistead, and Louis H. Diamond, 76–84. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190945527.003.0008.

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Among many threats to physician wellness is burnout, which is associated with negative outcomes for patients and the healthcare system, in addition to the impact it has on physicians. Data on the prevalence, predictors, and consequences of burnout among nephrologists are very limited, but evidence from various sources suggests it might be a major issue. The prevalence of burnout among palliative care physicians is better-studied and appears to vary by country, with up to 60% of palliative care physicians in the United States suffering from burnout in a recent study. Various interventions for prevention and treatment of burnout have been tried, and some have been found to be effective. Controversy exists, however, over whether the individual or the system in which the individual works is more appropriately targeted for intervention. Learning palliative care skills, such as symptom management and advanced communication techniques, might lessen burnout and increase resilience in nephrologists.
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Hann, Crystal, Anand Swaminath, and Jonathan Sussman. "Radiation therapy: advancing technologies." In Palliative Medicine: A Case-Based Manual, 228–37. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198837008.003.0021.

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Radiation therapy is an effective treatment modality for cancer patients who have developed symptomatic metastatic disease. This chapter illustrates a variety of the most common scenarios and radiation therapy approaches through the use of a descriptive case study.
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Chovan, John D. "Principles of Patient and Family Assessment." In Oxford Textbook of Palliative Nursing, edited by Betty Rolling Ferrell and Judith A. Paice, 32–54. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190862374.003.0004.

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Nursing assessment comprising physical, psychosocial, and spiritual domains is essential for planning palliative care. Such assessment involves input from the patient, family, and all members of the interdisciplinary team, with information shared verbally as well as in the patient’s health records. Ongoing, detailed, and comprehensive assessment is requisite to identifying the complex and changing needs and goals of patients facing chronic or life-threatening illness and those of their families. In this chapter, goals, techniques, and tools are discussed for assessing patients and families during four timeframes occurring during chronic and life-threatening illnesses: diagnosis, during treatments, when treatment is over, and during active dying. A case study threads through the chapter to illustrate the application of these principles and techniques in culturally appropriate ways.
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Tempelaar, Dirk T., Bart Rienties, Wolter Kaper, Bas Giesbers, Sybrand Schim van der Loeff, Leendert van Gastel, Evert van de Vrie, Henk van der Kooij, and Hans Cuypers. "Mathematics Bridging Education Using an Online, Adaptive E-Tutorial." In Teaching Mathematics Online, 167–86. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-60960-875-0.ch008.

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This contribution describes and evaluates a postsecondary remediation program in mathematics, aiming to ease the transition from high school to university and to improve the success rates in the first year of bachelor studies. The remediation program consists of the administration of an entry test and the organisation of voluntary bridging education in the format of an online summer course, using the adaptive e-tutorial ALEKS. Participants are prospective students of the university programs business and economics of Maastricht University, and are mostly students with an international background. Effect analysis suggests a strong treatment effect of successful participation in the summer course. However, given the quasi-experimental setup of this study, with non-equivalent groups, selection effects may be responsible for part of that effect. Correction of the treatment effect by applying the propensity score method indicates that indeed a selection effect is present, but that a substantial treatment effect remains, of about 50% the size of the effect of being educated in advanced math versus basic math, in high school.
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Conference papers on the topic "Palliative treatment Study and teaching"

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Benbow, Rebecca. "172 Pilot study: point prevalence of glucocorticoid treatment in oncology inpatients." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.199.

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Qureshi, SP, and A. Dewar. "18 Describing treatment aims for patients approaching the end-of-life: mapping concepts from a scoping study of the medical literature." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.45.

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Stegmann, ME. "P61 The effect of prioritising treatment goals on decision self-efficacy among older patients with cancer in a palliative setting (OPTion-study)." In ACP-I Congress Abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-acpicongressabs.143.

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Reinisch, Mattea, Norbert Marschner, Thorsten Otto, Agnieszka Korfel, Clemens Stoffregen, and Achim Wöckel. "Abstract P1-17-08: Patient preferences: Results of a German adaptive choice-based conjoint analysis study in patients on palliative treatment for advanced breast cancer (aBC)." In Abstracts: 2019 San Antonio Breast Cancer Symposium; December 10-14, 2019; San Antonio, Texas. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7445.sabcs19-p1-17-08.

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Freshwater, Sarah D., Jon Tomas, and Stephanie Shayler. "104 The pain of waiting for pain relief: using e-prescribing data to study subcutaneous syringe driver delays in a large teaching hospital in England." 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.124.

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Johnson, Emily, and Barbara Jack. "O-17 ‘Sometimes their death is prolonged, not their life’: the experiences and needs of high dependency nurses when caring for patients approaching withdrawal of life-sustaining treatment: a qualitative study." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress, Recovering, Rebounding, Reinventing, 24–25 March 2022, The Telford International Centre, Telford, Shropshire. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/spcare-2022-scpsc.17.

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Yoshimura, Adriana Akemi, André Mattar, Bruna S. Mota, Carlos Elias Fristachi, Eduardo Carvalho Pessoa, Felipe Eduardo Andrade, Giuliano Tosello, et al. "A MULTICENTRIC STUDY ON BREAST CANCER IN ULTRA YOUNG WOMEN: III – THERAPEUTIC ASPECTS AND ONCOLOGICAL OUTCOMES." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1091.

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Introduction: We have originally introduced the concept of ultra young women (UYW), defined as age ≤30 years old. It is generally accepted that UYW patients with breast cancer (BC) share some unfavorable outcomes and the patients are faced with family and professional problems, and unique quality of life issues, including loss of fertility, contraception, pregnancy, sexuality, cancer during pregnancy, body image and emotional distress, that complicate treatment decisions making. Objectives: Study the type of surgical and systemic treatment and oncologic outcomes in UYW with BC. Methods: We conducted a multicentric, observational, retrospective study of consecutive BC UYW patients. Only patients with infiltrating BC were included. Nine Mastology Centers located in the State of São Paulo participated. The following data were recorded: type of surgery, chemotherapy, endocrinetherapy, and radiotherapy. Individual oncologic evolution was analyzed and the patients were classified as alive without disease (AWD), alive with local recurrence (ALR), alive with systemic recurrence (ASR), died from BC (DBC) or died from another cause (DOC). The research protocol was approved by the Ethics Committee of all Collaborative Centers. Results: Sixteen percent of UYW with BC underwent mastectomies, 10% nipple-sparing mastectomies and 16% breast conservative surgeries. About 50% had immediated breast reconstruction. Sentinel node biopsy was performed in 24%. 18% had more than four compromised LNs, 8% with extracapsular leak. 37% received adjuvant or palliative chemotherapy. 61% were submitted to irradiation. 54% had adjuvant hormonetherapy. The mean time of follow-up was 41.5 months (1.5-207). It was observed that 59% were AWD, 1% ALR, 7% ASR and 23% DBC, unfortunately standing out the elevated contingent of BC-related deaths. Conclusions: BC therapy in UYW were tailored according to individual characteristics, but the oncological outcomes in this age range at the moment could be considered unfavorable.
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Parker, Amelia, Eleanor Manners, Lucy Gudge, Ben Hardy, Dijay Dave, Kathleen Bonnici, and Ruth Caulkin. "28 A review of cardiopulmonary resuscitation (CPR) and treatment escalation plan (TEP) decision-making in an acute London trust during the COVID-19 pandemic – an audit-based study." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.46.

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Linder, M., G. von Minckwitz, A. Kamischke, C. Rudlowski, H. Eggemann, V. Nekljudova, and S. Loibl. "Abstract OT2-2-05: A prospective, randomised multi-centre phase II study evaluating the adjuvant, neoadjuvant or palliative treatment with tamoxifen +/− GnRH analogue versus aromatase inhibitor + GnRH analogue in male breast cancer patients (GBG-54 MALE)." In Abstracts: Thirty-Fifth Annual CTRC‐AACR San Antonio Breast Cancer Symposium‐‐ Dec 4‐8, 2012; San Antonio, TX. American Association for Cancer Research, 2012. http://dx.doi.org/10.1158/0008-5472.sabcs12-ot2-2-05.

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Ripalda, Daniel, Mario Piedra, and Miguel Cobos. "Multimedia tool for the treatment of dyslexia and dyscalculia." In Human Systems Engineering and Design (IHSED 2021) Future Trends and Applications. AHFE International, 2021. http://dx.doi.org/10.54941/ahfe1001210.

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Specific learning disorders constitute a varied group of alterations or difficulties that can cause problems not only at school but throughout life. These disorders can be evidenced, in the first years of schooling, when children present problems in reading, writing, and numerical reasoning. Once the diagnosis is established, the experts develop treatments that generally require specialized teaching materials that, due to the technological gap, are often scarce, expensive, and difficult to access. This study presents the development of the tool GABARATO which in English closest translation is scribbled, based on the analysis of the skills that children with learning disorders have in front of the computer.
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Reports on the topic "Palliative treatment Study and teaching"

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Andrabi, Tahir, and Christina Brown. Subjective versus Objective Incentives and Teacher Productivity. Research on Improving Systems of Education (RISE), March 2022. http://dx.doi.org/10.35489/bsg-rise-wp_2022/092.

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A central challenge facing firms is how to incentivize employees. While objective, output-based incentives may be theoretically ideal, in practice they may lead employees to reduce effort on non-incentivized outcomes and may fail in settings where effort is weakly tied to output. We study the effect of subjective incentives (manager performance evaluation) and objective incentives (test score-based) relative to no incentives for teachers using an RCT in 230 Pakistani schools. First, we show that subjective and objective incentives both increase test scores and have similar magnitude effects. However, objective incentives decrease non-test score student outcomes relative to subjective incentives. Second, we show that teachers’ effort response is very different under each scheme, with attendance increasing under subjective and teaching quality decreasing under objective. Finally, we rationalize these effects through the lens of a moral hazard model with multi-tasking. We use within-treatment variation to isolate the causal effect of contract noise and distortion and show that these channels explain most of our reduced form effects.
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Egypt: Expand access to postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1023.

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The Population Council has supported a series of studies to improve the quality of postabortion care (PAC) in Egypt. A 1994 pilot study in two Egyptian hospitals showed that upgrading PAC and training physicians in manual vacuum aspiration (MVA), infection control, and counseling led to significant improvements in the care of postabortion patients. The 1997 study, conducted by the Egyptian Fertility Care Society with support from the Population Council, sought to institutionalize improved postabortion medical care and counseling procedures in ten hospitals. Five senior physicians from each hospital attended a five-day training course in MVA, infection control, and family planning (FP) counseling. The physicians then supervised four months of on-the-job training of doctors and nurses at the ten hospitals. A case management protocol, including emergency medical treatment, pain control, and FP counseling, was also introduced. As reported in this brief, training providers and introducing a case management protocol led to improved PAC at ten government and teaching hospitals in Egypt.
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