scholarly journals Supporting patient understanding by making pathology tangible

2021 ◽  
Vol 4 ◽  
pp. 100163
Author(s):  
Ciléin Kearns ◽  
Alex Alamri ◽  
Gwenllian Evans
2018 ◽  
Vol 7 (3) ◽  
pp. e000437 ◽  
Author(s):  
Matthew T Koroscil ◽  
Mitchell H Bowman ◽  
Michael J Morris ◽  
Andrew J Skabelund ◽  
Andrew M Hersh

IntroductionThe utilisation of chest CT for the evaluation of pulmonary disorders, including low-dose CT for lung cancer screening, is increasing in the USA. As a result, the discovery of both screening-detected and incidental pulmonary nodules has become more frequent. Despite an overall low risk of malignancy, pulmonary nodules are a common cause of emotional distress among adult patients.MethodsWe conducted a multi-institutional quality improvement (QI) initiative involving 101 participants to determine the effect of a pulmonary nodule fact sheet on patient knowledge and anxiety. Males and females aged 35 years or older, who had a history of either screening-detected or incidental solid pulmonary nodule(s) sized 3–8 mm, were included. Prior to an internal medicine or pulmonary medicine clinic visit, participants were given a packet containing a pre-fact sheet survey, a pulmonary nodule fact sheet and a post-fact sheet survey.ResultsOf 101 patients, 61 (60.4%) worried about their pulmonary nodule at least once per month with 18 (17.8%) worrying daily. The majority 67/101 (66.3%) selected chemotherapy, chemotherapy and radiation, or radiation as the best method to cure early-stage lung cancer. Despite ongoing radiographic surveillance, 16/101 (15.8%) stated they would not be interested in an intervention if lung cancer was diagnosed. Following review of the pulmonary nodule fact sheet, 84/101 (83.2%) reported improved anxiety and 96/101 (95.0%) reported an improved understanding of their health situation. Patient understanding significantly improved from 4.2/10.0 to 8.1/10.0 (p<0.01).ConclusionThe incorporation of a standardised fact sheet for subcentimeter solid pulmonary nodules improves patient understanding and alleviates anxiety. We plan to implement pulmonary nodule fact sheets into the care of our patients with low-risk subcentimeter pulmonary nodules.


Horizons ◽  
1987 ◽  
Vol 14 (2) ◽  
pp. 328-342
Author(s):  
Mary Jo Weaver

AbstractContemporary issues in the American Catholic Church can sound like a modern-day confusion of tongues making communication impossible. Furthermore, the traditional marks of the Church have supported the notion that dissent and controversy are to be discouraged. This article examines catholicity and shows that its definitions and uses in history have tied it to uniformity when its essential characteristic may well be the celebration of pluralism. Catholicity is placed in the context of modern mission theory in such a way that current challenges can be interpreted as so many new languages which require patient understanding.


2010 ◽  
Vol 8 (4) ◽  
pp. 483-487 ◽  
Author(s):  
Leandro Loureiro Buzatto ◽  
Suely Sueko Viski Zanei

ABSTRACT Objective: To identify researches related to anxiety and strategies to reduce it in patients who are in the pre-cardiac catheterization period. Methods: A bibliographic research was carried out in the on line databases of PubMed, MedLine, CINAHL, LILACS and SciELO, from 1997 to 2009 in MedLine and from 1999 to 2009 in the others databases. The boolean expressions “and” and “or” has been used with the descriptors in Portuguese and in English. The inclusion of discerning was related about the presence, level and workable of the anxiety from the period of pre-cardiac catheterization. Results: Coping most of 17 researches selected were in American scientific publications, with experimental-descriptive studies. The possibilities of intercurrence and/or complications during and post-procedure, diagnostic, possibility of bad prognostic, being alone during the waiting, the first time submission the procedure, lost information and/or orientation and long time waiting could cause anxiety in pre-cardiac catheterization. Maintenance of escort and family alongside the patient, information adapted to the patient understanding level, overcoming traumas and difficulties with a multiprofessional approach, pharmacologic and non pharmacologic therapies were strategies to reduce the anxiety. Conclusions: The nurses are responsible to provide a humanized assistance to offer a fast recuperation, minimize traumas of the hospitalization and the procedure. The knowledge of the causes and the strategies are fundamental to reduce the level of anxiety in pre-catheterization cardiac.


2007 ◽  
Vol 12 (3) ◽  
pp. 380-385 ◽  
Author(s):  
Holly Baker ◽  
Rachel Crockett ◽  
Kai Uus ◽  
John Bamford ◽  
Theresa Marteau

2017 ◽  
Vol 26 (4) ◽  
pp. 866-877 ◽  
Author(s):  
Ilana Solomon ◽  
Elizabeth Harrington ◽  
Gillian Hooker ◽  
Lori Erby ◽  
Jennifer Axilbund ◽  
...  

2017 ◽  
Vol 3 (1) ◽  
pp. 199-203
Author(s):  
Rini Indrati ◽  
Meita Shinta Fatikhatul Laila ◽  
Andrey Nino Kurniawan

Background: The implementation of informed consent at Radiology department of Sukoharjo Hospital was conducted by administrative officer and radiographer. The officer explained the preparation of pyelographic intra-venous examination to the patient then the patient was asked to fill out and sign the informed consent form. According to the Indonesian Medical Council and Regulation of the Minister of Health of Indonesia, the delivery of informed consent is carried out by doctors. The doctor explains all the information contained in the contents of informed consent before taking any medical action. The purpose of this research is to know the implementation of informed consent done in the radiology department and patient understanding of the contents of the informed consent form.Methods: The type of this research is descriptive qualitative research with the observational approach. Data were collected in March-June 2017 by observational of informed consent and interviews of 30 patients who will conduct intra vena pyelographic examination. Data analyzed by descriptively.Results: The results showed that the provision of informed consent to intravenous pyelographic examination patient at Sukoharjo Hospital was performed by administration officer and radiographer before conducting the examination. The patient's understanding of the contents of informed consent has not been in accordance with the content of the informed consent form because the information submitted by the radiologist only concerning the preparation of intravenous examination of pyelography does not include examination procedures, objectives, risks, complications, diagnoses, prognoses, alternative other measures and risks, and costs.Conclusions: In radiology department of Sukoharjo hospital at Intravenapyelography patient informed consent delivered by administrative officers and radiographer. Patients understanding the content of informed consent


2021 ◽  
Vol 9 ◽  
Author(s):  
James Cockcroft ◽  
Mariam Saigar ◽  
Andrew Dawkins ◽  
Catrin S. Rutland

Maths is a crucial part of medicine. All the graphs, equations, statistics, and general maths we learn at school help us to understand important aspects of human and veterinary medicine, biology, and science in general. People always think that biology and chemistry are important for doctors, nurses, midwives, scientists, and all the other people involved in medicine and healthcare-related jobs, but in fact maths is also vital. So, whether you are thinking of becoming a doctor, hoping to invent medical technologies, or just wishing to understand treatments you get as a patient, understanding the maths behind medicine is crucial. This article explores how we check whether someone has a disease such as coronavirus or heart disease, how we predict and measure how many people will be affected by various diseases, and how maths is used to treat patients and prevent the spread of contagious diseases. While people are generally aware that sciences like biology and chemistry are important for jobs in the medical field, many may not realize that maths is also vital for most of these jobs. This article looks at some of the ways we use maths in medicine. If you want to become a doctor, veterinary surgeon, nurse, midwife, medical scientist, or to have any job related to healing people and animals, or even if you just want to be an informed patient, knowledge of maths is quite important!


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