scholarly journals Assessment of malpractice litigation following spine surgery

2020 ◽  
pp. 179-188
Author(s):  
Gabriel Iacob ◽  
Alexandru Vlad Ciurea
Keyword(s):  
Quality Of Life ◽  
Spine Surgery ◽  
Spinal Surgery ◽  
High Performance ◽  
Improve Patient Care ◽  
High Volume ◽  
The Elderly ◽  
Care Quality ◽  
Lessons Learned

Medical litigation in spine surgery is a serious concern today, with a high volume of clinical negligence claims, substantial financial cost and significant burden, who is threatening the future of this surgery. Classical spinal surgery should be performed with very well documented indication, in order to improve the expected results, with clear aims: decompression of the neural elements of the spine from tightness, stabilizing the spine to protect the nerves, eliminate the pain resulting from abnormal loading from the different movements. Spinal surgery today means a wide analysis, understanding and realization of spinal decompression, also osteosynthesis and fusions, using high-performance gestures, with increased addressability especially in the elderly, for a varied pathology, which involves anaesthetic-surgical risks, complications. In such a context, surgical damage does not necessarily result from an error or from surgical misconduct and the surgeon is not always responsible for the damage in the absence of a proven fault in the legal sense. The paper aims to briefly review the main problems, but also useful recommendations to meet various challenges, expectations, maintaining the quality of life of each patient, reducing risks of getting sued, also to increase the odds of a successful defence. In conclusion: education, vigilance, improved patient-safety strategies, investigation, implementation and sharing of lessons learned from litigation claims remain important components of spinal surgeons training, to reduce future cases of negligence and improve patient care, quality of life, as many of the cases of successful litigation had a preventable cause.

scholarly journals From the experience of planning a life with diabetes to the mechanisms of the management of illness

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M M Mathilde ◽  
W A André ◽  
K N P Paul
Keyword(s):  
Quality Of Life ◽  
Improve Patient Care ◽  
Lessons Learned ◽  
The Body ◽  
Therapeutic Education ◽  
Self Management ◽  
Diabetic Patients ◽  
Sources Of Information ◽  
Forms Of Knowledge

Abstract Background In the context of chronic diseases, it is now recognized that experiences of planning a new life with diabetes are very informative, and are a source of knowledge that can be used to improve patient care and quality of life. However, the professionals in health and the patients’ therapeutic education are still struggling to translate this knowledge into their practices or to make use of it, as long as its forms remain largely unknown and it is not known how to identify these. Objective: The study aims to identify these knowledges and to report on how it is produced, based on an analysis of the experiences of diabetic patients in Yaoundé, Cameroon. Methods The study combines a phenomenographic approach aiming at ethnographing the form and contents of lessons learned from life experiences with diabetes; and an operation of reflexive ethnography centered on the patient, apprehending the process of elaboration or production of these teachings. It includes six diabetics selected from the typical sampling method. The data collected were analysed using paradoxical analysis and interpreted in a pragmatic perspective. Results The results reveal various mechanisms of self-management of the disease and stigma, developed by patients, such as: identity recomposition; valorization of treatment by promoting its benefits to others; control of information about one’s illness oscillating between concealment and disclosure; therapeutic adjustments according to the life situations or interactions; rearrangement of individual and family habits; listening and decoding of the language of illness, body and the effects of food on the body; learning of conceptualized knowledge about diabetes and nutrition through various sources of information. Conclusions the study suggests that these mechanisms should be considered as relevant forms of knowledge; and the should be used to improve both preventive, therapeutic and educational practices and the quality of life of the diabetics. Key messages The mechanisms of self-management of diabetes and stigma develop by diabetics trough their experience of planning a new life with diabetes should be considered as relevant forms of knowledge. These mechanisms should be used by health professionnals and patients’ education professionals to improve their practices and the quality of life of diabetics.

scholarly journals A community integrated respiratory team can improve patient care, quality of life and reduce hospital stays

2016 ◽  
Vol 16 (Suppl 3) ◽  
pp. s33-s33
Author(s):  
Michael Apps ◽  
Jan Minter ◽  
James Whitfield ◽  
Sue Field ◽  
Ronni Pearce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Improve Patient Care ◽  
Care Quality ◽  
Patient Care Quality ◽  
Hospital Stays ◽  
Improve Patient

scholarly journals Elderly individuals in primary health care: Quality of life and associated characteristics

2019 ◽  
Vol 36 ◽  
Author(s):  
Kalina de Lima SANTOS ◽  
Maria do Carmo EULÁLIO ◽  
Edivan Gonçalves da SILVA JÚNIOR ◽  
Manuella Castelo Branco PESSOA ◽  
Rômulo Lustosa Pimenteira de MELO
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
The Elderly ◽  
Care Quality ◽  
Mean Values ◽  
Elderly Individuals ◽  
Primary Health

Abstract The aim of the study is to assess the quality of life of elderly individuals with hypertension and diabetes Mellitus. A total of 371 elderly individuals with hypertension and/or diabetes who are being treated in the public primary health care network, with a mean age of 71 years, M = 71, 34 (SD = 6.848) participated in this study. It is a quantitative-qualitative study, carried out in two stages. In the first, the quantitative data were collected using the following instruments: WHOQOL-bref, Mini Mental State Exam, and a sociodemographic questionnaire, in order to screen the second stage participants (13 elderly individuals), who corresponded to the qualitative strategy, using the focal group technique. The results showed that the elderly individuals without hypertension/diabetes had higher quality of life mean values. Those affected by both diseases presented the worst ‘physical’ domain mean values. Qualitative data indicate the ‘social’ and the ‘psychological’ domains as the most important ones, also revealing the centrality of the disease in their reports.

scholarly journals The Effect of Preoperative Education on Psychological, Clinical and Economic Outcomes in Elective Spinal Surgery: A Systematic Review

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 48 ◽  
Author(s):  
Louise Burgess ◽  
Joe Arundel ◽  
Thomas Wainwright
Keyword(s):  
Quality Of Life ◽  
Spine Surgery ◽  
Spinal Surgery ◽  
Randomized Clinical Trials ◽  
Economic Outcomes ◽  
Cochrane Library ◽  
Education Session ◽  
Preoperative Education ◽  
Life Years

Psychosocial factors related to different degrees of clinical impairment and quality of life in the preoperative period may influence outcomes from elective spine surgery. Patients have expressed a need for individualized information given in sufficient quantities and at the appropriate time. Therefore, this review article aims to determine whether a preoperative education session improves clinical, psychological and economic outcomes in elective spinal surgery. PubMed, Cochrane Library, CINAHL Complete, Medline Complete and PsychINFO were searched in July 2018 for randomized clinical trials to evaluate the effects of a preoperative education intervention on psychological, clinical and economic outcomes in spinal surgery. The search yielded 78 results, of which eleven papers (seven studies) were relevant for inclusion. From these results, there is limited, fair-quality evidence that supports the inclusion of a preoperative education session for improving clinical (pain, function and disability), economic (quality-adjusted life years, healthcare expenditure, direct and indirect costs) and psychological outcomes (anxiety, depression and fear-avoidance beliefs) from spinal surgery. Other benefits are reported to be improved patient knowledge, feelings of better preparation, reduced negative thinking and increased levels of physical activity after the intervention. No differences in quality of life, return to work, physical indicators or postoperative complications were reported. From the limited evidence, it is not possible to conclusively recommend that preoperative education should be delivered as a standalone intervention before elective spine surgery; however, given the low risk profile and promising benefits, future research in this area is warranted.

Spinal surgery in older people: indications, techniques and outcomes

2011 ◽  
Vol 21 (4) ◽  
pp. 277-285
Author(s):  
ADL Baker ◽  
P Sanderson
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Spine Surgery ◽  
Spinal Surgery ◽  
Pain Disability ◽  
Early Results ◽  
The Mean ◽  
Surgical Treatments

SummaryThis article provides an overview of spine surgery in older people and reviews outcome and novel techniques. Improvements in pain, disability, and quality of life can be expected following surgery and demand for surgery of this type is likely to increase as the mean age of the population increases. Novel techniques and improved intsrumentation offer surgical treatments for conditions that were previously untreatable and show encouraging early results.

HUBUNGAN PERAN FAMILY CAREGIVER TERHADAP QUALITAS HIDUP LANSIA

2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila
Keyword(s):  
Quality Of Life ◽  
Family Caregiver ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Chi Square ◽  
The Poor ◽  
The Family

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly

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