Palliative care in situations of conflict

2015 ◽  
pp. 1168-1173
Author(s):  
Nathan I. Cherny
Keyword(s):  
Palliative Care ◽  
Care Delivery ◽  
Substantial Proportion ◽  
Anxiety And Depression ◽  
World Population ◽  
The Past ◽  
Life Threatening Illness ◽  
The World ◽  
Life Threatening ◽  
Jewish Hospital

Incurable, life-threatening illness is endemic, and it often occurs in places of conflict. In these circumstances, care delivery is often compromised or complicated. Situations of conflict occur in many places in the world, and at any time a substantial proportion of the world population is involved in conflict of one sort or other. Conflicts, such as war or terror, traumatize the involved populations. In this situation, bereavement, fear, anxiety, and depression become commonplace. The observations in this chapter are derived from experiences working with Palestinian and Israeli patients in a Jewish hospital in Jerusalem over the past 15 years.

Therapeutic Strategies for Coping with a Life-Threatening Illness: A Personal Testament

2003 ◽  
Vol 11 (2) ◽  
pp. 162-182 ◽  
Author(s):  
Pittu Laungani
Keyword(s):  
Chronic Condition ◽  
High Probability ◽  
Therapeutic Strategies ◽  
Limited Capacity ◽  
Negative Consequences ◽  
Personal Account ◽  
The Past ◽  
Life Threatening Illness ◽  
The World ◽  
Life Threatening

This article is a personal account of the author's experiences with a chronic, life-threatening illness, of which he has been a victim for the past fourteen years. In the article, the author argues that a serious life-threatening illness need not be seen as the end of the world for the sufferer. Such an attitude is self-defeating. It has serious negative consequences for the sufferer, with a high probability of the sufferer experiencing depression, loss of any goal and purpose in life, followed by a ten-dency to give up fighting. These are negative, pessimistic, and self-defeating attitudes. The author outlines definite, practical ways by which one can overcome such feelings and attitudes and transform one's life, making it positive, enjoyable, and happy. The author suggests how, despite one's chronic condition, one can work within one's limited capacity, create a sense of meaning and purpose in one's life, and extract as much fun and pleasure out of it as possible.

Principles of Palliative Care

2014 ◽  
pp. 3-10 ◽  
Author(s):  
William S. Breitbart
Keyword(s):  
Palliative Care ◽  
Care Delivery ◽  
Clinical Care ◽  
Early Palliative Care ◽  
Life Threatening Illness ◽  
Hospice Movement ◽  
Medical Discipline ◽  
Life Threatening ◽  
Research Findings

Palliative medicine refers to the medical discipline of palliative care. Modern palliative care has evolved from the hospice movement into a more expansive network of clinical care delivery systems with components of home care and hospital-based services. Palliative care begins with the onset of a life-threatening illness and proceeds past death to include bereavement interventions for family and others, with a mission to meet the physical, psychological, social, spiritual, and existential needs of the “whole patient.“ This chapter includes an overview of definitions of palliative care, the global need for palliative care, and ideal components of palliative care programs. A comprehensive review of the most recent research findings on impact of early palliative care on quality of life and survival is provided.

What is an Ecodisaster?

1977 ◽  
Vol 4 (1) ◽  
pp. 66-68 ◽  
Author(s):  
John L. Cloudsley-Thompson
Keyword(s):  
Developed Countries ◽  
Standard Of Living ◽  
World Population ◽  
Human Species ◽  
Pests And Diseases ◽  
The Past ◽  
Environmental Deterioration ◽  
The World ◽  
Global Catastrophe ◽  
Near Future

The term ‘ecodisaster’ may be defined as ‘a global catastrophe of the human species’. Any ecodisasters occurring in the near future will, almost certainly, be caused, directly or indirectly, by the present overpopulation of the world, accompanied by unwise and irresponsible disregard of environmental deterioration.The suggestion is made here that Man's first and, it is to be hoped, last, ecodisaster may already have begun. Although not dramatic, it is taking the form of a steady decline in the standard of living nearly everywhere, coupled with massive pollution, and widespread malnutrition in the under-developed countries of the world. It will persist until world population eventually becomes adjusted to environmental resources.It is ironical that control of the pests and diseases which have inflicted so much misery on mankind in the past, should have helped to engender the present population explosion with all the hunger and privation that accompany it in the under-developed regions of the world.

Effects of a support group programme for patients with life-threatening illness during ongoing palliative care

2012 ◽  
Vol 27 (3) ◽  
pp. 257-264 ◽  
Author(s):  
Anette Henriksson ◽  
Kristofer Årestedt ◽  
Eva Benzein ◽  
Britt-Marie Ternestedt ◽  
Birgitta Andershed
Keyword(s):  
Palliative Care ◽  
Support Group ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Group Programme

scholarly journals A Novel Narrative E-Writing Intervention (NeW-I) for Parents of Children with Chronic Life-Threatening Illnesses: Protocol for an Open-Label Randomized Controlled Trial

2019 ◽  
Author(s):  
Andy Hau Yan Ho ◽  
Oindrila Dutta ◽  
Geraldine Tan-Ho ◽  
Toh Hsiang Benny Tan ◽  
Casuarine Low Xinyi ◽  
...  
Keyword(s):  
Palliative Care ◽  
Family Caregivers ◽  
Controlled Trial ◽  
Well Being ◽  
Writing Intervention ◽  
Open Label ◽  
Randomized Controlled ◽  
Life Threatening Illness ◽  
Spiritual Well Being ◽  
Life Threatening

Abstract Background: Conventionally, psycho-socio-spiritual interventions for parents of children with chronic life-threatening illness begin post child loss. Pre-loss interventions addressing anticipatory grief can improve holistic well-being and grief outcomes among family caregivers of dying patients. Globally, palliative care strives to holistically support patients and their caregivers at the end-of-life. However, inadequacies exist both globally and in Singapore in providing culturally sensitive psycho-socio-spiritual support to parents whose children need pediatric palliative services. Aim: A novel evidence-based Narrative e-Writing Intervention (NeW-I) is developed to address this gap. NeW-I is a strength-focused, meaning-oriented and therapist-facilitated mobile app and web-based counseling platform that aims to enhance quality of life, spiritual well-being, hope and perceived social support, and reduce depressive symptoms, caregiver burden and risk of complicated grief among parents facing their child’s chronic life-threatening illness. Methods: The design of NeW-I is informed by an international systematic review and a Singapore-based qualitative inquiry on the lived experience of bereaved parents of children with chronic life-threatening illness. The online NeW-I platform and the relative anonymity it offers to participants is sensitive to the unique cultural needs of Asian family caregivers who are uncomfortable with emotional expression even during times of loss and separation. Together with four local pediatric palliative care providers, NeW-I is implemented in Singapore as an open-label pilot randomized controlled trial with 72 parents. Potential effectiveness of NeW-I and accessibility and feasibility of implementing and delivering the intervention are assessed. Discussion: NeW-I aspires to improve psycho-socio-spiritual well-being of parents facing their child’s chronic life-threatening illness through a structured cyber-counseling platform, thereby enhancing holistic pediatric palliative care and parental bereavement support services. Findings from this pilot study will inform the development of a standardized NeW-I protocol and further research to evaluate the efficacy of NeW-I in Singapore and in other Asian communities around the world.

scholarly journals Treatment of Pulmonary Embolism: a Decade of Experience

2019 ◽  
pp. 46-49
Author(s):  
A. Nikonenko ◽  
A. Nikonenko ◽  
S. Matvieiev ◽  
V. Osaulenko ◽  
S. Nakonechniy
Keyword(s):  
Pulmonary Embolism ◽  
Outpatient Treatment ◽  
Acute Pulmonary Embolism ◽  
High Efficiency ◽  
Oral Anticoagulants ◽  
Fibrinolytic Therapy ◽  
Major Life ◽  
Life Threatening Illness ◽  
The World ◽  
Life Threatening

Pulmonary embolism (PE) is a major life-threatening illness which remains one of the main causes of sudden death throughout the world. The analysis of diagnosis and treatment of 472 patients with acute pulmonary embolism for a period of 10 years was performed. High efficiency of diagnosis using multispiral computer angiopulmonography (MSCT APG) has been established, thus this method completely supersedes the traditional selective angiopulmonography. Seventeen (3.6 %) patients died due to PE recurrence, another 8 (1.7 %) patients died due to the bleeding after using fibrinolytics and anticoagulants, and 14 (2.9 %) died due to progression of organs failure. This emphasizes the need to improve measures aimed to prevent PE recurrence and identify sources of possible bleeding and refrain from aggressive fibrinolytic therapy. The use of differentiated approach to the treatment with thrombolytic therapy and anticoagulants enabled to achieve recovery in 433 (91.7 %) patients who were discharged for outpatient treatment. New oral anticoagulants were prescribed to 94 (21.7 %) patients after discharge.

Impacts of population growth in relation to changes in aquaculture and fisheries prices

2021 ◽  
Vol 36 (1) ◽  
pp. 83-92
Author(s):  
A.A. Garba
Keyword(s):  
Population Growth ◽  
Lassa Fever ◽  
World Population ◽  
Intensive Culture ◽  
Fish Food ◽  
Civil Strife ◽  
The Past ◽  
The World ◽  
Great Pressure ◽  
Negative Impacts

The paper reviewed the impacts of population growth and the ways it affects aquaculture and fisheries prices. As the world population  continues to grow arithmetically, great pressure is placed on arable lands, water, energy, and biological resources to provide an adequate supply of food while maintaining the integrity of the ecosystem. In 2010, FAO projected the world population to double from 6.2 billion in October, 1999 to 12.5 billion in the year 2050. This had created serious negative impacts on the aquaculture and fisheries prices. At present fertile crop lands had been lost at an alarming rates while some abandoned during the past 50 years because erosions made it unproductive. Other vices such as food crisis, political unrest and war (Mexico, Uzbekistan, Turkistan, Yemen, Iraq, Afghanistan, Syria, Morocco and Sudan), civil strife and multiple years of draught (Niger, Mauritania and Senegal), impacts of HIV/AIDS Ebola, Lassa fever and Coronavirus the world over, clashes between cattle rearers and farmers and boko haram issues (Nigeria) as well as kidnapping and  corruptions have severely affected aquaculture and fisheries production and accompanied prices. Thus, this review was conducted to raise a cry for farmers and citizens to engage and participate in intensive culture and fisheries practices in order to fill the demand - supply gap so as to make fish food products available for the teeming masses.

The Fragility and Tenacity of Hope

Save My Kid ◽  
2020 ◽  
pp. 156-172
Author(s):  
Amanda M. Gengler
Keyword(s):  
Brain Tumor ◽  
Daily Life ◽  
Management Strategies ◽  
Illness Management ◽  
Stepping Stone ◽  
Life Threatening Illness ◽  
The World ◽  
Life Threatening ◽  
Emotional Dynamics

Chapter 7 introduces the author’s sudden personal immersion into the world of negotiating life-threatening illness. When Amanda Gengler’s father was diagnosed with a terminal brain tumor, the significant advantages of care-captaining and the potential consequences of care-entrusting were brought into even sharper relief. By living an experience somewhat parallel to that of the families she was studying, she found the emotional dynamics at the root of these illness management strategies crystalizing in her own daily life. She also learned intimately that hope can ultimately serve as both a stepping stone and a stumbling block as illness unfolds.

The use of personal narratives in hospital-based palliative care interventions: An integrative literature review

2019 ◽  
Vol 33 (10) ◽  
pp. 1255-1271 ◽  
Author(s):  
Stine Gundtoft Roikjær ◽  
Malene Missel ◽  
Heidi Maria Bergenholtz ◽  
Mai Nanna Schønau ◽  
Helle Ussing Timm
Keyword(s):  
Palliative Care ◽  
Personal Narratives ◽  
Hospital Setting ◽  
Life Review ◽  
Eligibility Criteria ◽  
Theoretical Understanding ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Care Practices ◽  
Critical Appraisal Skills

Background: People living with life-threatening illness experience unmet existential needs despite the growing research and clinical field of palliative care. Narrative interventions show promise in managing these problems, but more knowledge is needed on the characteristics of narrative interventions and the feasibility of using personal narratives in a hospital. Aim: To review the literature on personal narratives in hospital-based palliative care interventions and to strengthen palliative care practices. Design: We conducted a systematic integrative review with qualitative analysis and narrative synthesis in accordance with PRISMA where applicable (PROSPERO#:CRD42018089202). Data sources: We conducted a systematic search in PubMed, Embase, Scopus, Cinahl, SocINDEX and PsychInfo for primary research articles published until June 2018. We assessed full-text articles against the eligibility criteria followed by a discussion of quality using the Critical Appraisal Skills Programme. Results: Of 480 articles, we found 24 eligible for this review: 8 qualitative, 14 quantitative and 2 mixed methods. The articles reported on dignity therapy, legacy building, outlook, short-term life review and life review. Data analysis resulted in five themes: core principles, theoretical framework, content of narrative, outcome and, finally, acceptability and feasibility. Conclusion: Various types of systematic palliative care interventions use personal narratives. Common to these is a shared psychotherapeutic theoretical understanding and aim. Clinical application in a hospital setting is both feasible and acceptable but requires flexibility regarding the practices of the setting and the needs of the patient.

Psychosocial Palliative Care

2014 ◽  
Author(s):  
International Psycho-Oncology Society
Keyword(s):  
Palliative Care ◽  
Cultural Sensitivity ◽  
Symptom Control ◽  
Physical Symptom ◽  
Global Perspective ◽  
Life Threatening Illness ◽  
Online Resource ◽  
Life Threatening ◽  
Psychiatric Complications ◽  
And Training

This online resource guides the psycho-oncologist through the most salient aspects of effective psychiatric care of patients with advanced illnesses. It reviews basic concepts and definitions of palliative care and the experience of dying, the assessment and management of major psychiatric complications of life-threatening illness, including psychopharmacologic and psychotherapeutic approaches, and covers issues such as bereavement, spirituality, cultural sensitivity, communication and psychiatric contributions to common physical symptom control. A global perspective on death and palliative care is taken throughout, and an appendix provides a comprehensive list of international palliative care resources and training programs.

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