scholarly journals The Role of Nutritional Support in Cured/Chronic Patients

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3167
Author(s):  
Giovanni Rosti ◽  
Fabrizio Romano ◽  
Simona Secondino ◽  
Riccardo Caccialanza ◽  
Federica Lobascio ◽  
...  
Keyword(s):  
Medical Oncology ◽  
Complex Care ◽  
Care Needs ◽  
Chronic Patients ◽  
Diet And Physical Activity ◽  
Complex Care Needs ◽  
Long Term Survivors ◽  
Near Future

Improvements in Clinical Oncology, due to earlier diagnoses and more efficient therapeutic strategies, have led to increased numbers of long-term survivors, albeit many with chronic diseases. Dealing with the complex care needs of these survivors is now an important part of Medical Oncology. Suitable diet and physical activity regimes will be important in maintaining their health. This paper will review what we know and what we can do in the near future for these patients.

Service Coordinators in the NECC Trial: An RDNS perspective

2000 ◽  
Vol 6 (4) ◽  
pp. 104
Author(s):  
Megan Kerr ◽  
Janine Cramond ◽  
Maggie Scott
Keyword(s):  
Complex Care ◽  
Coordinated Care ◽  
Care Needs ◽  
Nursing Service ◽  
The North ◽  
Improved Outcomes ◽  
Service Coordinators ◽  
North Eastern ◽  
Complex Care Needs

The Royal District Nursing Service (RDNS) became involved in the North-Eastern Coordinated Care Trial in October 1997. The purpose of this was to assist the trial in exploring the hypothesis, that for people with chronic or complex care needs, care coordination will provide improved outcomes at the same or a reduced cost. There are a number of areas, which help to clarify the process involved in the trial and the benefits for clients: how the coordinators were chosen; the role of the Care and Service Coordinators: benefits experienced by the professionals; benefits experienced by clients: and discussion points.

scholarly journals Underweight Mobility-Type Pre-Frailty/ Frailty Was Associated with Complex Care Needs of Long-Term Care Facilities Residents: Results Using MDS RAP Triggers

2019 ◽  
Vol 10 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Ming-Yueh Chou ◽  
Hsiu-Chu Shen ◽  
Li-Ning Peng ◽  
Ying-Hsin Hsu ◽  
Chih-Kuang Liang ◽  
...  
Keyword(s):  
Long Term Care ◽  
Complex Care ◽  
Care Needs ◽  
Term Care ◽  
Care Facilities ◽  
Complex Care Needs

scholarly journals Oncobiosis and Microbial Metabolite Signaling in Pancreatic Adenocarcinoma

Cancers ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1068
Author(s):  
Borbála Kiss ◽  
Edit Mikó ◽  
Éva Sebő ◽  
Judit Toth ◽  
Gyula Ujlaki ◽  
...  
Keyword(s):  
Pancreatic Adenocarcinoma ◽  
Short Chain Fatty Acids ◽  
Fecal Microbiome ◽  
Medical Need ◽  
Inflammatory Processes ◽  
Long Term Survivors ◽  
Near Future ◽  
Secondary Bile Acids

Pancreatic adenocarcinoma is one of the most lethal cancers in both men and women, with a median five-year survival of around 5%. Therefore, pancreatic adenocarcinoma represents an unmet medical need. Neoplastic diseases, such as pancreatic adenocarcinoma, often are associated with microbiome dysbiosis, termed oncobiosis. In pancreatic adenocarcinoma, the oral, duodenal, ductal, and fecal microbiome become dysbiotic. Furthermore, the pancreas frequently becomes colonized (by Helicobacter pylori and Malassezia, among others). The oncobiomes from long- and short-term survivors of pancreatic adenocarcinoma are different and transplantation of the microbiome from long-term survivors into animal models of pancreatic adenocarcinoma prolongs survival. The oncobiome in pancreatic adenocarcinoma modulates the inflammatory processes that drive carcinogenesis. In this review, we point out that bacterial metabolites (short chain fatty acids, secondary bile acids, polyamines, indole-derivatives, etc.) also have a role in the microbiome-driven pathogenesis of pancreatic adenocarcinoma. Finally, we show that bacterial metabolism and the bacterial metabolome is largely dysregulated in pancreatic adenocarcinoma. The pathogenic role of additional metabolites and metabolic pathways will be identified in the near future, widening the scope of this therapeutically and diagnostically exploitable pathogenic pathway in pancreatic adenocarcinoma.

scholarly journals The role of the registered nurse in supporting frailty in care homes

2019 ◽  
Vol 28 (13) ◽  
pp. 833-837 ◽  
Author(s):  
Lynn Craig
Keyword(s):  
Care Delivery ◽  
Nutrition Status ◽  
Complex Care ◽  
Care Needs ◽  
Crucial Component ◽  
Unplanned Admissions ◽  
Complex Care Needs ◽  
The Impact ◽  
Negative Health Outcomes

People in nursing and residential homes are more likely to suffer frailty. Registered nurses are a crucial component of the care delivery service and can offer support to patients who have complex care needs and comorbidities and are at risk of unplanned admissions to secondary care. This article explores frailty and the role of the nurse in assessing for frailty. Three aspects of patient care—nutrition status, polypharmacy and exercise and cognitive function—are discussed as areas where nurses can target their interventions in order to support those considered as frail, aiming to reduce the impact of frailty and negative health outcomes.

scholarly journals Modelling collaboration of primary and secondary care for children with complex care needs: long-term ventilation as an example

2019 ◽  
Vol 178 (6) ◽  
pp. 891-901
Author(s):  
Daniela Luzi ◽  
Fabrizio Pecoraro ◽  
Oscar Tamburis ◽  
Miriam O’Shea ◽  
Philip Larkin ◽  
...  
Keyword(s):  
Secondary Care ◽  
Complex Care ◽  
Care Needs ◽  
Long Term Ventilation ◽  
Complex Care Needs

scholarly journals Correctable biliary atresia and cholangiocarcinoma: a case report of a 63-year-old patient

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Masaki Nio ◽  
Motoshi Wada ◽  
Hideyuki Sasaki ◽  
Hiromu Tanaka ◽  
Masatoshi Hashimoto ◽  
...  
Keyword(s):  
Biliary Atresia ◽  
Liver Tumors ◽  
Malignant Tumors ◽  
Porta Hepatis ◽  
Case Presentation ◽  
Cancer Occurrence ◽  
Long Term Survivors ◽  
Near Future

Abstract Background Although cancer occurrence following surgery for biliary atresia has gradually increased, the development of cholangiocarcinoma in a native liver survivor of biliary atresia is extremely rare. Case presentation A 3-month-old female patient with the correctable type of biliary atresia underwent a cystoduodenostomy. At 16 years of age, she underwent multiple surgeries including lysis of intestinal adhesions, ileostomy, and gastrojejunostomy at another hospital. At 54 years of age, she underwent lithotomy at the porta hepatis, resection of the residual cystic bile duct with gallbladder, and hepaticojejunostomy in Roux-en-Y fashion. As she approached the age of 63, her computed tomography scan showed no liver tumors. In the following year, she developed cholangiocarcinoma at the porta hepatis and underwent chemotherapy. However, the cancer progressed, and she died before she reached the age of 64 years. Conclusions Cholangiocarcinoma is extremely rare in patients with biliary atresia. However, physicians should follow up patients with biliary atresia as closely as possible, as malignant tumors secondary to biliary atresia may increase in number in the near future because of the growing number of long-term survivors with biliary atresia.

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