scholarly journals Awareness of Dying and Conflict Resolution: Texas Asian Perspectives

2020 ◽  
Author(s):  
Gloria Duke ◽  
Charlotte Wool ◽  
Lobsang Tenzing
Keyword(s):  
Health Care ◽  
Conflict Resolution ◽  
First Generation ◽  
Scientific Evidence ◽  
Family Members ◽  
Terminally Ill ◽  
The United States ◽  
South Central ◽  
Health Care Practitioners ◽  
Awareness Of Dying

Individuals in the end-of-life (EOL) period may not be fully aware of their prognosis or know they are facing a terminal illness. As Asian beliefs and cultural tendencies intersect with Western values, health care practitioners may find their assumptions about disclosing an EOL prognosis differs from patients and their family members. Disagreements among family members regarding the disclosure of EOL to their terminally ill loved one can result in conflict—making difficult and sensitive times more burdensome. Little scientific evidence is known about first generation Asians who live in the United States (US) regarding their practices with disclosing EOL and how they handle conflict resolution when a family member is terminally ill. The purposes of this descriptive qualitative study were to explore issues surrounding patient awareness of dying and explore approaches to conflict resolution in EOL situations for first generation Japanese, Chinese and Vietnamese persons living in the south central, south eastern and northeastern parts of Texas. Face-to-face audio-recorded interviews were conducted and transcribed verbatim. Thematic analysis elicited three awareness and three conflict resolution overarching themes across all ethnic groups. Health care practitioners must be cognizant that assumed acculturation does not always coincide with Western beliefs regarding disclosure of the prognosis at the EOL. In order to provide culturally and ethically sound EOL care for the patient and their loved ones, clinicians must be mindful of the need to sensitively assess their patient’s beliefs and understand the importance of compassionate and diplomatic approaches for conflict resolution in Asian cultures.

Unhealthy Politics

2020 ◽  
Author(s):  
Eric M. Patashnik ◽  
Alan S. Gerber ◽  
Conor M. Dowling
Keyword(s):  
United States ◽  
Health Care ◽  
Scientific Evidence ◽  
The United States ◽  
Evidence Base ◽  
Medical Industry ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Delivery Of Medical Care ◽  
Based Medicine

The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. This book sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. The book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against “doctor's orders.” It offers vital insights into the limits of science, expertise, and professionalism in American politics. The book explains why evidence-based medicine is important. First, the delivery of unproven care can expose patients to serious risks. Second, the slow integration of evidence can lead to suboptimal outcomes for patients who receive treatments that work less well for their conditions than alternatives. Third, the failure to implement evidence-based practices encourages wasteful spending, causing the health care system to underperform relative to its level of investment. This book assesses whether the delivery of medical care in the United States is evidence based. It argues that by systematically ignoring scientific evidence (or the lack thereof), the United States is substantially out of balance.

Introduction

2020 ◽  
pp. 1-20
Author(s):  
Eric M. Patashnik ◽  
Alan S. Gerber ◽  
Conor M. Dowling
Keyword(s):  
United States ◽  
Health Care ◽  
Resource Allocation ◽  
Scientific Evidence ◽  
The United States ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Delivery Of Medical Care ◽  
Based Medicine

This introductory chapter explains why evidence-based medicine is important. The sluggish incorporation of medical evidence into clinical practice is a concern for three key reasons: safety, quality, and the efficiency of resource allocation. First, the delivery of unproven care can expose patients to serious risks. Second, the slow integration of evidence can lead to suboptimal outcomes for patients who receive treatments that work less well for their conditions than alternatives. Third, the failure to implement evidence-based practices encourages wasteful spending, causing the health care system to underperform relative to its level of investment. This book assesses whether the delivery of medical care in the United States is evidence based. It argues that by systematically ignoring scientific evidence (or the lack thereof), the United States is substantially out of balance.

Nonsexual Transmission of Sexually Transmitted Diseases: An Infrequent Occurrence

PEDIATRICS ◽  
1984 ◽  
Vol 74 (1) ◽  
pp. 67-76 ◽  
Author(s):  
Lawrence S. Neinstein ◽  
John Goldenring ◽  
Sarah Carpenter
Keyword(s):  
Health Care ◽  
Sexually Transmitted Diseases ◽  
Trichomonas Vaginalis ◽  
The United States ◽  
Condyloma Acuminata ◽  
Sexually Transmitted ◽  
United States Today ◽  
Health Care Practitioners ◽  
Granuloma Inguinale ◽  
Mode Of Transmission

Sexually transmitted diseases occur in epidemic numbers in the United States today. Nonsexual transmission of these diseases is rarely an issue in adults. However, when the same diseases are found in children, the tendency of pediatricians and other health care practitioners has been to believe the mode of transmission is asexual. A review of gonorrhea, Chiamydia trachomatis, herpes genitalis, condyloma acuminata, Trichomonas vaginalis, syphilis, chancroid, and granuloma inguinale infections has been made to address the issue of nonsexual transmission of sexually transmitted diseases. Nonsexual transmission of these infections is an infrequent occurrence and when they affect the prepubertal child, sexual abuse must be highly suspected.

scholarly journals Developmental Aspects of Unintentional Injury Prevention Among Youth: Implications for Practice

2017 ◽  
Vol 13 (6) ◽  
pp. 565-573
Author(s):  
Benjamin K. Barton ◽  
Jiabin Shen ◽  
Despina Stavrinos ◽  
Shane Davis
Keyword(s):  
Health Care ◽  
Injury Prevention ◽  
Significant Interaction ◽  
Unintentional Injury ◽  
The United States ◽  
Development Stage ◽  
Unintentional Injuries ◽  
Developmental Factors ◽  
Health Care Practitioners

Unintentional injuries, the leading cause of morbidity and mortality among youth in the United States, are burdensome and costly to society. Continued prevention efforts to reduce rates of unintentional injury remain imperative. We emphasized the role of practitioner influence across a linear concept of injury prevention comprising delivery, practice, and application/generalization and within the context of child developmental factors. Specific strategies for injury prevention tailored to the cognitive development stage of the patient are provided. This information may be useful to health care practitioners, who have significant interaction with youth and their families.

The needs of terminally ill patients at home: directing one's life, health and things related to beloved others

2004 ◽  
Vol 18 (1) ◽  
pp. 53-61
Author(s):  
Ireen M Proot ◽  
Huda Huijer Abu-Saad ◽  
Ruud HJ ter Meulen ◽  
Minke Goldsteen ◽  
Cor Spreeuwenberg ◽  
...  
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Life Expectancy ◽  
Family Members ◽  
Terminally Ill ◽  
Terminal Phase ◽  
Grounded Theory Study ◽  
Terminally Ill Patients ◽  
Taking Care ◽  
At Home

This article describes the results of a grounded theory study among terminally ill patients (with a life expectancy of less than three months) at home ( n = 13, aged 39-83). The most commonly recurring theme identified in the analysis is ‘directing’, in the sense of directing a play. From the perspectives of patients in our study, ‘directing’ concerns three domains: 1) directing one's own life; 2) directing one's own health and health care; and 3) directing things related to beloved others (in the meaning of taking care of beloved ones). The patient's directing is affected by impeding and facilitating circumstances: the patient's needs and problems in the physical, psychological and existential/spiritual domain, and the support by family members and providers. Supporting patients and families, stimulating the patients' directing, giving attention to all domains of needs and counselling patients' families in the terminal phase are issues that need attention and warrant further investigation.

scholarly journals The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

JMIR Cancer ◽  
10.2196/21697 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e21697
Author(s):  
Ramon S Cancino ◽  
Zhaohui Su ◽  
Ruben Mesa ◽  
Gail E Tomlinson ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Cancer Screening ◽  
Health Systems ◽  
Preventive Measure ◽  
The United States ◽  
Vast Number ◽  
Health Care Practitioners ◽  
Number Of Patients ◽  
Incidence And Mortality ◽  
The Impact

Cancer is a leading cause of death in the United States and across the globe. Cancer screening is an effective preventive measure that can reduce cancer incidence and mortality. While cancer screening is integral to cancer control and prevention, due to the COVID-19 outbreak many screenings have either been canceled or postponed, leaving a vast number of patients without access to recommended health care services. This disruption to cancer screening services may have a significant impact on patients, health care practitioners, and health systems. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cancer screening. We present the challenges COVID-19 has exerted on patients, health care practitioners, and health systems as well as potential opportunities that could help address these challenges.

scholarly journals The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities (Preprint)

2020 ◽  
Author(s):  
Ramon S Cancino ◽  
Zhaohui Su ◽  
Ruben Mesa ◽  
Gail E Tomlinson ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Cancer Screening ◽  
Health Systems ◽  
Preventive Measure ◽  
The United States ◽  
Vast Number ◽  
Health Care Practitioners ◽  
Number Of Patients ◽  
Incidence And Mortality ◽  
The Impact

UNSTRUCTURED Cancer is a leading cause of death in the United States and across the globe. Cancer screening is an effective preventive measure that can reduce cancer incidence and mortality. While cancer screening is integral to cancer control and prevention, due to the COVID-19 outbreak many screenings have either been canceled or postponed, leaving a vast number of patients without access to recommended health care services. This disruption to cancer screening services may have a significant impact on patients, health care practitioners, and health systems. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cancer screening. We present the challenges COVID-19 has exerted on patients, health care practitioners, and health systems as well as potential opportunities that could help address these challenges.

Conflict: Your Role in How It Ends

2008 ◽  
Vol 18 (3) ◽  
pp. 99-104
Author(s):  
Deborah Culbertson
Keyword(s):  
Health Care ◽  
Conflict Resolution ◽  
Health Care Providers ◽  
Care Providers ◽  
Workplace Conflict ◽  
Effective Strategies ◽  
Health Care Practitioners ◽  
Innovative Solutions

Abstract Conflict in the workplace is commonplace, yet many health care providers seek to either ignore conflict or confront it in a manner that might lead to personal attacks and/or prevent future collaboration. Health care practitioners and supervisors can learn about the nature of conflict, sources of conflict, and ways to manage and limit conflict. Practitioners and supervisors are jointly responsible for working toward conflict resolution. If effective strategies are used, then conflict can lead to innovative solutions and deepened trust. This article presents information about workplace conflict and strategies for effectively dealing with it.

REPORTS FROM THE SWEDISH COUNCIL ON TECHNOLOGY ASSESSMENT IN HEALTH CARE (SBU)

2000 ◽  
Vol 16 (2) ◽  
pp. 714-726 ◽  
Keyword(s):  
United States ◽  
Systematic Review ◽  
Health Care ◽  
Great Britain ◽  
The Netherlands ◽  
Technology Assessment ◽  
Mutual Influence ◽  
Scientific Evidence ◽  
Quality Criteria ◽  
The United States

This document focuses on the scientific evidence presently available on the patient–doctor relationship. As the patient seeks care, the physician represents only one of many relationships that the patient forms, and relationships with physicians and other professional caregivers have a mutual influence on each other. This critical, systematic review is based on approximately 800 studies that were selected according to predetermined quality criteria. Most of the studies were performed in the United States, but several are from Canada, the Netherlands, Great Britain, and Sweden. Most studies involve patients treated in ambulatory care settings.

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