Integrative approach to pain and other symptoms

2021 ◽  
pp. 202-213
Author(s):  
David M. Steinhorn
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Integrative Medicine ◽  
Personal Growth ◽  
Developed Countries ◽  
Available P ◽  
Integrative Approach ◽  
Paediatric Palliative Care ◽  
The World ◽  
The Face

Palliative care and integrative medicine (IM) share many of the same goals of alleviating suffering, restoring wholeness, enhancing resiliency in the face of health challenges, and optimizing opportunities for personal growth and healing. Integrative approaches often contribute a sense of peace and wholeness that cannot be achieved with pharmacologic means alone. A range of integrative modalities is discussed in this chapter, which fit well with paediatric palliative care medicine in developed countries, as a complement to conventional medical efforts to cure disease or thwart its progression and reduce suffering. They also play an important role in many of the countries in the world, where less access to conventional Western medical care is available.

Overview of symptoms and their assessment in life-limiting illness

2021 ◽  
pp. 137-144
Author(s):  
Dilini Rajapakse ◽  
Maggie Comac
Keyword(s):  
Palliative Care ◽  
Future Study ◽  
Symptom Assessment ◽  
World Health ◽  
Guidance Document ◽  
Paediatric Palliative Care ◽  
The World ◽  
Novel Approaches ◽  
Moral Necessity ◽  
Health Organization

The aims of this chapter are to discuss the prevalence of symptoms in paediatric palliative care, the importance of accurate symptom assessment, as well as the principles of and challenges to assessing symptoms comprehensively. We examine the areas where knowledge and expertise are lacking and the reasons for this. Finally, we discuss novel approaches to assessing symptoms and discuss areas for future study. In 2018 the World Health Organization published a guidance document for healthcare workers delivering paediatric palliative care in which it describes ‘the medical and moral necessity of making palliative care accessible to all children in need and their families’.

Conceptual provisions of management percentage risk in international practice

2021 ◽  
pp. 205-218
Author(s):  
Valentin Yur’evich Vakhrushev ◽  
Andrey Viktorovich Zakharov ◽  
Mikail Bekzadaevich Khudzhatov
Keyword(s):  
Russian Federation ◽  
Commercial Banks ◽  
Banking System ◽  
Developed Countries ◽  
Central Banks ◽  
Interest Rate Risk ◽  
Global Banking ◽  
The World ◽  
The Face ◽  
The Russian Federation

In the face of the COVID-19 pandemic world banking system is being severely tested. The last time such shocks occurred during the global fi nancial crisis of 2008–2009. However, the crisis of the global banking system in 2020 caused by the COVID-19 pandemic is very diff erent from the global fi nancial crisis of 2008–2009. During the previous global fi nancial crisis, central banks around the world were able to cut key rates to stimulate the aff ected economy, while the current crisis is taking place in conditions of extremely low and even negative key rates. Consequently, the central banks of the economically developed countries of the world lack one of the most eff ective tools to stimulate the economy in the face of a global crisis. Since the maximum income of commercial banks is generated by the operation of high key rates, the downward trend in recent years is a serious risk to the business of commercial banks. The article analyses the dynamics of key rates in the economically developed countries of the world in comparison with China and the Russian Federation, based on the results of this document, the main trends and patterns were identified, the most dangerous risks for commercial banks are shown. Besides the article discusses the modern conceptual provisions of interest rate risk management in commercial banks of the Russian Federation. They form the basis for the development of constructive methods for assessing commercial risk and the formation of managerial decisions that ensure its prevention or reduction of negative consequences in the event of the implementation of risk events that determine it.

Cicely Saunders

2018 ◽  
Author(s):  
David Clark
Keyword(s):  
Twentieth Century ◽  
Palliative Care ◽  
End Of Life ◽  
Advanced Disease ◽  
Professional Life ◽  
The World ◽  
The Face ◽  
The Individual ◽  
Hospice And Palliative Care ◽  
First Time

Cicely Saunders founded St Christopher’s Hospice in London in 1967 as a centre for teaching, research, and care. Its influence quickly spread around the world. Cicely Saunders — A Life and Legacy shows how she played a crucial role in shaping a new discourse of care at the end of life. From the nihilism of ‘there is nothing more we can do’, medicine and healthcare gradually adopted a more purposeful approach to care in the face of advanced disease and at the end of life. This came to be known as palliative care. This biography links for the first time the ideas and practice of Cicely Saunders to the spreading global interest in hospice and palliative care. It explores her deep reflection on the nature of suffering at the end of life, the possibilities of a more informed approach to the medical management of pain and other symptoms, and above all the importance of remaining focussed on the personal and spiritual concerns of the individual patient as death approaches. It is a story of a remarkable personal and professional life and of a seismic shift in twentieth-century medical history.

scholarly journals Long-term nurse–parent relationships in paediatric palliative care: a narrative literature review

2019 ◽  
Vol 25 (11) ◽  
pp. 542-550 ◽  
Author(s):  
Mandy J Brimble ◽  
Sally Anstey ◽  
Jane Davies
Keyword(s):  
Palliative Care ◽  
Literature Review ◽  
Emotional Support ◽  
Healthcare Professionals ◽  
Grey Literature ◽  
Paediatric Palliative Care ◽  
The Face ◽  
Narrative Literature ◽  
Narrative Literature Review

Background: Paediatric palliative care (PPC) is an active, total approach to the holistic care of the child and family. Close, long-lasting relationships between healthcare professionals and parents in paediatric palliative care enhance quality, provide emotional support and can influence how parents manage their role in the face of uncertainty. Aim: To present a narrative literature review of long-term relationships between children's nurses and parents in PPC settings. Methods: Six databases (CINAHL, PsycINFO, ASSIA, Scopus, Medline and BNI) were searched, identifying 35 articles. A grey literature search produced seven additional relevant items. Findings: Four themes were identified: bonds; attachments and trust; sharing the journey; going the extra mile; and boundaries and integrity. All themes revealed an element of tension between closeness and professionalism. Conclusion: Gaining a greater understanding of how closeness and professionalism are successfully managed by children's palliative care nurses could positively influence pre- and post-registration nurse education.

scholarly journals CONCEPTUAL FRAMEWORK OF COSMPOLITANISM IN THE CONTEXT OF WESTERN VIEW

2021 ◽  
Vol 68 (1) ◽  
Author(s):  
L.Zh. Abzhaparova ◽  
◽  
L.N. Abdrazakova ◽  
Keyword(s):  
World War Ii ◽  
Research Work ◽  
Developed Countries ◽  
Global Scale ◽  
Human Being ◽  
The World ◽  
The Face ◽  
History Of ◽  
Stateless Society ◽  
Western View

This article describes that cosmopolitanism reflects the nature of capital, striving towards where the best conditions are created for it and it is possible to obtain the greatest benefit. In the history of industrially developed countries, a complex interaction of cosmopolitanism with the idea of a nation-state is traced. The elements of cosmopolitanism were also present in communist ideology. It is in the context of cosmopolitanism that his basic thesis of building a classless and stateless society on a global scale can be interpreted. In the USSR, where during the first decade of Soviet power the expectation of a world revolution was replaced by the predominance of political principles in politics, the concept of cosmopolitanism acquired a persistently negative meaning and was perceived as a bourgeois ideology. After World War II, the state periodically campaigned to combat "rootless cosmopolitanism" and adultery in the face of Western scientific and cultural achievements. Furthermore, we can point out that a different interpretation of cosmopolitanism has led to frictions of various kinds. In essence, it should have been one of the most important factors in solving world problems. In this research work, special attention is paid to the notion of cosmopolitanism in the context of the current situation in the world. An important problem is the place of the human being in the world as a matter of philosophy or the place of the human being in the system of state politics as a matter of political science.

Models of paediatric palliative care

2016 ◽  
Author(s):  
Richard D.W. Hain ◽  
Satbir Singh Jassal
Keyword(s):  
Palliative Care ◽  
Palliative Medicine ◽  
The Other ◽  
Paediatric Palliative Care ◽  
Other Hand ◽  
The World ◽  
The Uk

The UK has a variety of resources for children with life-limiting conditions that are perhaps unrivalled in the world. This is both good and bad. It offers the potential for children and their families to have choices about the location of their care. On the other hand, a multiplicity of agencies brings with it the risk of miscommunication and internecine strife. This chapter summarizes ideal models of palliative care, defining the four categories of life-limiting conditions in childhood and the role of paediatric palliative medicine specialists.

Providing palliative care in economically disadvantaged countries

2015 ◽  
Author(s):  
M.R. Rajagopal ◽  
Reena George
Keyword(s):  
Palliative Care ◽  
Economically Disadvantaged ◽  
World Health ◽  
Limited Resources ◽  
Public Health Approach ◽  
Policy Studies ◽  
Drug Availability ◽  
National Health Care ◽  
The World ◽  
The Face

A public health approach is the most sustainable way to provide palliative care for the majority of the world’s people who live in economically disadvantaged nations. With only 7% of the world’s medical morphine currently being used in these countries, much remains to be done to implement the World Health Organization’s recommendations on policy, drug availability and education. International expertise is crucial for planting palliative care. Local efforts have to propagate it by creating feasible and acceptable models. Partnerships should advocate for palliative care to become an integral part of the national health-care system. For those who are considering starting small projects with very limited resources, this chapter provides practical guidance on strategy, needs assessment, training, and implementation at the grassroots. The Wisconsin Pain and Policy Studies Group and the Palliative Care Toolkit are also presented as resources for advocacy, drug availability, and education. The chapter concludes by discussing ways to prevent burnout and routinization in the face of overwhelming need.

Oversight of Marketing Relationships between Physicians and the Drug and Device Industry: A Comparative Study

2010 ◽  
Vol 36 (2-3) ◽  
pp. 326-342 ◽  
Author(s):  
Timothy Stoltzfus Jost
Keyword(s):  
Comparative Study ◽  
Medical Care ◽  
Medical Device ◽  
Conflicts Of Interest ◽  
Developed Countries ◽  
Marketing Relationships ◽  
Economic Basis ◽  
The World ◽  
Physician Judgment ◽  
The Cost

Throughout the world, complex mutually-dependent relationships exist between physicians and pharmaceutical and medical device companies. This article focuses on one particular aspect of these relationships—payments made by drug and device companies to physicians and their organizations and institutions to market drugs and devices. It is widely believed that drug and device company marketing to physicians creates conflicts of interest that corrupt physician judgment and increase the cost of medical care. This article examines first the economic basis of physician/industry relationships that causes conflicts to arise. It next considers the measures that a number of developed countries have taken to respond to these relationships. Finally, it proposes an approach that would comprehensively address the problems caused by drug and device company marketing to physicians.

Strength through adversity: Bereaved cancer carers' accounts of rewards and personal growth from caring

2009 ◽  
Vol 7 (2) ◽  
pp. 187-196 ◽  
Author(s):  
W.K. Tim Wong ◽  
Jane Ussher ◽  
Janette Perz
Keyword(s):  
Qualitative Study ◽  
Adverse Events ◽  
Personal Growth ◽  
Analytical Approach ◽  
Benefit Finding ◽  
The World ◽  
The Face ◽  
Phenomenological Perspective

ABSTRACTObjective:Many studies have identified negative and distressing consequences experienced by informal cancer carers, but less attention has been given to positive and beneficial aspects of caring. This qualitative study examined the positive aspects of caring as subjectively constructed by bereaved informal cancer carers, a group of individuals who are in a position to make sense of their caring experiences as a coherent whole.Method:Twenty-three bereaved informal cancer carers were interviewed, and their accounts were analyzed using a thematic analytical approach from a phenomenological perspective.Results:The participants were able to identify positive and beneficial aspects of caring. These included the discovery of personal strength, through adversity, acceptance, and necessity; the deepening of their relationship with the person for whom they cared; and personal growth through altered relationships with others and altered perspectives on living. Many participants gave accounts of focusing on these positive benefits when they reflected on their caring experiences.Significance of results:We concluded that benefit finding in the face of adverse events serves an important function in allowing individuals to incorporate difficult experiences into their worldview in a meaningful way, thus maintaining positive beliefs about the world. This has implications for the development of interventions for informal cancer carers and for those who are bereaved following caring.

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