How Can the Adult Medical Team Work Optimally with the Adult Psychiatric Team to Help the MARSIPAN Patient?

Author(s):  
Triin Jakobson ◽  
Alastair Forbes
Keyword(s):  
2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Chia Hsing Wu

One of the main purposes of the hospice-palliative care program is to provide a hospice for the terminally ill cancer patients. Weisman assumed that a hospice should consist of five aspects which include Awareness of the end of life, Acceptance, Proprietary, Timing and Comfort. Therefore, the purpose of this research is to explore firstly the condition of the terminal cancer patients in the hospice. Secondly to Investigate the effect of Medical team work method and finally to compare the relationship between the hospice score and service result


2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Chia Hsing Wu

One of the main purposes of the hospice-palliative care program is to provide a hospice for the terminally ill cancer patients. Weisman assumed that a hospice should consist of five aspects which include Awareness of the end of life, Acceptance, Proprietary, Timing and Comfort. Therefore, the purpose of this research is to explore firstly the condition of the terminal cancer patients in the hospice. Secondly to Investigate the effect of Medical team work method and finally to compare the relationship between the hospice score and service result [1]. Materials Go to This study involved subjects from those from the terminally ill cancer patients who passed away in the hospice palliative care unit at medical Centre during 2012-2013. There were a total of 292 patients considered for the study. Thirty patients were excluded from the study because there was data missing from their file. The remaining 262 patients information was collected on 157males (53.8%) and 105 females (36%).


2021 ◽  
Vol 8 ◽  
Author(s):  
Hua Zhao ◽  
Longxiang Su ◽  
Xin Ding ◽  
Huan Chen ◽  
Hongmin Zhang ◽  
...  

Purpose: This study aimed to describe the clinical and laboratory characteristics and the parameters of the respiratory mechanics of mechanically ventilated patients with confirmed COVID-19 pneumonia and to clarify the risk or protective factors for weaning failure.Methods: Patients diagnosed with COVID-19 pneumonia were selected from the special intensive care unit (ICU) of the Sino-French New City Branch of Tong Ji Hospital, Wuhan, and treated by the National Medical Team Work. They were divided into successful weaning (SW) group (N = 15) and unsuccessful weaning (USW) group (N = 18) according to the prognosis. Information of these patients was analyzed.Results: There were 33 patients included in this study. Patients in the USW group were associated with a poor outcome; the 28-day mortality rate was higher than in the SW group (86.7 vs. 16.7% p < 0.001). By comparison, we found that the initial plateau pressure (Pplat) and driving pressure (DP) of the USW group were higher and that compliance was lower than that of the SW group, but there was no difference between positive end-expiratory pressure (PEEP), partial pressure of carbon dioxide (PCO2), and the ratio of partial pressure arterial oxygen and fraction of inspired oxygen (P/F ratio). Comparing the worst respiratory mechanics parameters of the two groups, the results of the Pplat, DP, compliance, and PEEP were the same as the initial data. The PCO2 of the USW group was higher, while the P/F ratio was lower. A logistic regression analysis suggested that higher Pplat might be an independent risk factor and that higher compliance and lower DP might be protective factors for weaning failure of invasive mechanically ventilated patients with COVID-19 pneumonia.Conclusions: Patients with USW were associated with a poor outcome, higher Pplat might be a risk factor, and a higher compliance and a lower DP might be protective factors for the weaning failure of ventilated COVID-19 patients. Mechanical ventilation settings will affect the patient's prognosis.


2002 ◽  
Vol 7 (4) ◽  
pp. 285-294 ◽  
Author(s):  
Lucia Savadori ◽  
Lorella Lotto ◽  
Rino Rumiati

Progress in surgical technology and in postoperative therapy has remarkably increased life expectation after heart transplantation. Nevertheless, patients still show a resistance to resume a normal life after transplantation, for example, to return to work. In this study we assume that after surgery patients become risk averse because they achieve a positive frame of reference. Because of this propensity toward risk aversion, they withhold from engaging in behavior that their physical condition would allow them in principle. Coherent with this assumption we found that compared to the medical team patients overestimate the degree of risk for routine activities. The study also showed that the representation of risk by the patients could be captured by a dreadfulness factor and a voluntariness factor. Patients' risk judgments were strongly and specifically predicted by the perceived degree of dreadfulness of the activity and, to a lesser extent, by the perceived knowledge of the consequences. Implications for patient-physician communication were explored.


2012 ◽  
Author(s):  
Steve Onyett ◽  
Michael Byrne
Keyword(s):  

SIASAT ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 84-93
Author(s):  
Syafruddin Ritonga ◽  
Zamri ◽  
Selamat Riadi ◽  
Zakaria Siregar

Studies on Therapeutic Communication, especially its relationship to Islamic communication, are still rarely found in the field. This study aims to see how the practice of Islamic communication can be done well by doctors and nurses. This research uses a qualitative approach. The values of Islamic communication in Therapeutic communication can be seen from the way communication is carried out by doctors and nurses with their patients through ethics and good language. The implementation model of Islamic communication in therapeutic communication produces a marker communication model, that is, communication carried out on the basis of the awareness of the medical team. This communication model is not formally implemented, but in substance has similarities with the value of Islamic communication.


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