Medicine and Illness

2020 ◽  
pp. 132-167
Author(s):  
Anna Hájková
Keyword(s):  
Elderly Patients ◽  
Medical Care ◽  
Medical History ◽  
Medical Staff ◽  
Central European ◽  
Medical Careers ◽  
Gendered Power ◽  
European Jewish

Illness was a defining experience for Holocaust victims, yet their medical history is missing. This chapter studies the medical staff, patients, and diseases in the Theresienstadt ghetto. In examining medical care in extremis, it studies how the Central European Jewish doctors succeeded in providing comparably excellent healthcare and good medications for the inmates. However, the medical staff applied triage, separating “important” from “irrelevant,” that is elderly, patients. The chapter examines the mentality, experience, and gendered power mechanisms that characterized the medical staff; the agency of the doctors; and the hierarchies they assigned to patients. Finally, in exploring how the prisoner physicians made sense of Theresienstadt as a part of their medical careers, the chapter shows what kind of historical protagonists doctors are.

DEVELOPMENT OF AN ALGORITHM FOR THE APPOINTMENT OF BIOFEED-BACK THERAPY AND CYTOFLAVIN FOR THE TREATMENT OF OSTEOCHONDROSIS IN ELDERLY PATIENTS

2021 ◽  
pp. 375-383
Author(s):  
С. А. Парфенов ◽  
Ю. А. Парфенов ◽  
М. А. Василевская ◽  
А. Л. Коваленко ◽  
А. А. Елькин ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Medical Care ◽  
Continuous Improvement ◽  
It Effectiveness ◽  
Promising Solution ◽  
Treatment Predictors ◽  
Psychophysiological Status

Непрерывное совершенствование протоколов лечения различных недугов, в частности неврологических осложнений остеохондроза, одна из важных задач оказания медицинской помощи пожилым пациентам. Дополнительное курсовое лечение с применением Цитофлавина и БОС-терапии представляется перспективным решением, однако необходима разработка алгоритма прогнозирования его эффективности у пациентов, основываясь на их исходном клинико-психофизиологическом статусе. В результате проведенного исследования выявлены предикторы эффективности применения Цитофлавина и БОС-терапии и разработан алгоритм их назначения. Continuous improvement of protocols for the treatment of various ailments, in particular, osteochondrosis, is one of the important tasks of providing medical care to elderly patients. Supplementation of treatment with Cytoflavin and biofeed-back therapy seems to be a promising solution, however, it is necessary to develop an algorithm to predict it effectiveness in patients taking into account their initial clinical and psychophysiological status. As a result of the treatment, predictors of the effectiveness of the use of Cytoflavin and biofeed-back therapy have been identified and an algorithm for their administration has been developed.

scholarly journals 243 An Audit of Documentation of Resuscitation Status in a Teaching Hospital

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Anna McDonough ◽  
Shane O'Hanlon
Keyword(s):  
Cognitive Impairment ◽  
Medical Care ◽  
Decision Maker ◽  
Teaching Hospital ◽  
Medical Staff ◽  
Family Members ◽  
National Guidelines ◽  
Education Session ◽  
Changing Practice ◽  
Resuscitation Status

Abstract Background The documentation of discussions about resuscitation status with patients and their relatives is an important part of medical care, but can be a time-consuming process. These discussions may be difficult, particularly for patients who have cognitive impairment or are acutely unwell. The National Consent Policy1 recommends that resuscitation decisions should be made with patients themselves, or with family members if the patient cannot participate. It also recommends decisions are made by the most senior decision maker with responsibility for the patient’s care and discussions should be carefully documented. Methods The charts of all 106 inpatients in our hospital were audited on a single day. Documentation of resuscitation status in the medical and nursing notes was reviewed. Results The average age of inpatients was 79.8 years. 25.5% of patients had a DNACPR order. Of these, 92% had their DNACPR status documented in the nursing notes. 100% had a DNACPR form in their medical notes but none were fully completed. 48% had not had the decision endorsed by the consultant in charge of the patient’s care. 74% had not been discussed with the patient or had not had a reason documented as to why the decision had not been discussed. 41% did not have any discussion documented in the medical notes. Conclusion The DNACPR form in use includes the details recommended by national guidelines but these forms are not being completed in their entirety. Discussions with patients themselves are possibly inappropriate at the time resuscitation status is being considered, but documentation of the reasons for this is still important. This, in particular is an area which needs to be highlighted to medical staff in our hospital. Results of this audit will be incorporated into an education session, with a view to changing practice.

scholarly journals Thoughts on the Future Medical Care Pattern of Pediatrics in China Based on the Outbreak of COVID-19

2020 ◽  
pp. 1-2
Author(s):  
Hui Liu ◽  
Li Wang
Keyword(s):  
Developing Countries ◽  
Medical Care ◽  
Medical Staff ◽  
Current Medical ◽  
Medical System ◽  
Chinese Children ◽  
Medical Services ◽  
The World ◽  
The Future ◽  
Care Pattern

ABSTRACT The outbreak of pneumonia known as coronavirus disease (COVID-19) has occurred in China since December 2019 and spread rapidly across the world. Pediatric medical workers have a serious imbalance doctor–patient ratio in China; they have accumulated experience during the fight against COVID-19; however, some flaws were revealed in their current medical system. Meanwhile, these problems were also reported in other countries. Thus far, the outbreak of COVID-19 is still rampant across the world. The experience from anti-COVID-19 could be useful and teach us to provide better medical services for Chinese children and prepare for similar public emergencies in the future. Furthermore, it also provides guidance for pediatric medical staff in managing COVID-19 in other developing countries.

Primary medical care for elderly patients part I: Service mix as seen by an expert panel

1989 ◽  
Vol 14 (2) ◽  
pp. 79-87 ◽  
Author(s):  
Charlotte Muller ◽  
Marianne C. Fahs ◽  
Malvin Schechter
Keyword(s):  
Elderly Patients ◽  
Medical Care ◽  
Expert Panel ◽  
Primary Medical Care

German Jews in Paris: Traversing Modernity

2015 ◽  
Vol 3 (1) ◽  
pp. 79-95
Author(s):  
Nils Roemer
Keyword(s):  
World War I ◽  
Weimar Republic ◽  
World War ◽  
German Jews ◽  
Central European ◽  
Treaty Of Versailles ◽  
Border Crossers ◽  
European Jewish

The article traces Central European Jewish visitors of Paris during the Weimar Republic and the 1930s and analyzes the shifting meaning of travel, exile, and the figure of the flaneur. Their travelogues articulated their affection for Paris in the aftermath of World War I and the Treaty of Versailles, marking them as border crossers in multiple ways. Writing about modern capitals such as Paris became a way to temporarily belong to them, to reimagine modernity.

scholarly journals THE PREVALENCE OF CHRONIC NON-COMMUNICABLE DISEASES RISK FACTORS AMONG MEDICAL STAFF

2018 ◽  
Vol 17 (3) ◽  
pp. 96-104 ◽  
Author(s):  
О. S. Kobyakova ◽  
E. S. Kulikov ◽  
I. A. Deev ◽  
A. A. Almikeeva ◽  
I. D. Pimenov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Care ◽  
Medical Staff ◽  
Life Quality ◽  
Noncommunicable Diseases ◽  
Health State ◽  
High Prevalence ◽  
Adverse Influence ◽  
Age Range

In the review, the results provided of clinical and epidemiological trials confirming high prevalence of the risk factors of chronic noncommunicable diseases among medical workers, common comorbidity and hence adverse influence on the health. Analysis of literature data underscores the necessity of further long term populational studies of epidemiology, age range, relation to occupation positions, for the main risk factors. Organization of various preventive events is required, that obviously will impact not only health state and life quality, but furthermore, will increase medical care in general.

scholarly journals Activities of the National Association of Specialists for the Control of Healthcare-Associated Infections

2017 ◽  
Vol 16 (6) ◽  
pp. 79-83
Author(s):  
N. I. Briko ◽  
O. V. Kovalishena ◽  
R. V. Polibin
Keyword(s):  
Medical Care ◽  
Medical Staff ◽  
National Association ◽  
Epidemiological Surveillance ◽  
Healthcare Associated Infections ◽  
Quality And Safety ◽  
Immunization Programs ◽  
Healthcare Settings ◽  
Prevention Of Infections ◽  
Healthcare Associated

The article presents the results of the activities of the National Association of Specialists for the Control of Healthcare -Associated Infections of ensuring epidemiological safety of medical care. Educational projects, development and the statement of federal clinical guidelines, participation in development of criteria of an assessment of epidemiological safety and audit of the healthcare settings for system of ensuring quality and safety of medical care are discussed. Priority tasks to safety of patients and the medical staff, assistance in improving immunization programs and the National Schedule of preventive vaccinations, transition to new risk-to the focused strategy of an epidemiological surveillance and prevention of infections in the healthcare settings are defined.

scholarly journals The lack of professionalism and ethics in the treatment of an elderly patient / Nedostatak profesionalizma i etike u tretmanu starijeg pacijenta

2015 ◽  
Vol 2 (2) ◽  
pp. 33
Author(s):  
Tatjana Ivanković Zrnić
Keyword(s):  
Health Care ◽  
Elderly Patient ◽  
Elderly Patients ◽  
Medical Staff ◽  
Older Patients ◽  
Birth Rate ◽  
The Elderly ◽  
Pubmed Central ◽  
Personalized Care ◽  
Prolonged Life Expectancy

An apparent decline in the birth rate that accompanies the aging population with prolonged life expectancy requires greater investment in the health care of the elderly. It is necessary to identify the conditions that naturally carries the older times, expect a slower recovery in comparison to young people, but do not exclude recovery in treatment.In practice we often encounter indifference and neglect of an elderly patient by the medical staff, the assumption is that this is justified by insufficiently motivated patient.Searching PubMed, PubMed Central, Google Scholar and HINARI, we analyzed how this topic is present in nivioma protects the health and recognizing the importance of personalized care for older patients in the world.The results of many studies indicate that there is a neglect of elderly patients, resulting in poor outcome of care.Requires additional training of staff working with elderly patients to improving attitudes and extreme improve the treatment of these patients.Negative attitudes towards older patients contribute to business dissatisfaction medical staff.

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