Palliative care. Medical search. Definitions

Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)

Medical and nursing care of patients in the terminal stage of an illness.

Persons with an incurable or irreversible illness at the end stage that will result in death within a short time. (From O'Leary et al., Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, 1994, p780)

Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)

Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.

A nursing specialty concerned with care of patients facing serious or life-threatening illnesses. The goal of palliative nursing is to prevent and relieve suffering, and to support the best possible quality of life for patients and their families. Hospice nursing is palliative care for people in their final stages of life.

Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.

New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.

Institutions specializing in the care of cancer patients.

The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)

A subspecialty of internal medicine concerned with the study of neoplasms.

A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.

Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.

Sensitivity or attachment to religious values, or to things of the spirit as opposed to material or worldly interests. (from Merriam-Webster's Collegiate Dictionary, 10th ed, and Oxford English Dictionary, 2nd ed)

Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.

Refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness.

A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.

A performance measure for rating the ability of a person to perform usual activities, evaluating a patient's progress after a therapeutic procedure, and determining a patient's suitability for therapy. It is used most commonly in the prognosis of cancer therapy, usually after chemotherapy and customarily administered before and after therapy. It was named for Dr. David A. Karnofsky, an American specialist in cancer chemotherapy.

An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.

Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.

Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.

Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.

The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.

A province of eastern Canada, one of the Maritime Provinces with NEW BRUNSWICK; PRINCE EDWARD ISLAND; and sometimes NEWFOUNDLAND AND LABRADOR. Its capital is Halifax. The territory was granted in 1621 by James I to the Scotsman Sir William Alexander and was called Nova Scotia, the Latin for New Scotland. The territory had earlier belonged to the French, under the name of Acadia. (From Webster's New Geographical Dictionary, 1988, p871 & Room, Brewer's Dictionary of Names, 1992, p384)

The interactions between the professional person and the family.

Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.

Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.

General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.

The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.

Tumors or cancer of the BILE DUCTS.

Persistent pain that is refractory to some or all forms of treatment.

The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cancer patient.

The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.

Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.

The minimum acceptable patient care, based on statutes, court decisions, policies, or professional guidelines.

Provision (by a physician or other health professional, or by a family member or friend) of support and/or means that gives a patient the power to terminate his or her own life. (from APA, Thesaurus of Psychological Index Terms, 8th ed).

Research carried out by nurses in the clinical setting and designed to provide information that will help improve patient care. Other professional staff may also participate in the research.

Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.

Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.

A system of medicine which aims at discovering the exact nature of the relationship between the emotions and bodily function, affirming the principle that the mind and body are one.

Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS.

Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.

Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.

A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.

The right of the patient or the patient's representative to make decisions with regard to the patient's dying.

Generating, planning, organizing, and administering medical and nursing care and services for patients.

Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.

The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.

Tumors or cancer located in bone tissue or specific BONES.

A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.

Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)

A subspecialty of medical oncology and radiology concerned with the radiotherapy of cancer.

Usually a written medical and nursing care program designed for a particular patient.

The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.

The interactions between physician and patient.

The transfer of a neoplasm from one organ or part of the body to another remote from the primary site.

Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (1/2733)

OBJECTIVE: To evaluate the concept of surgical decompression of the biliary tree by peripheral hepatojejunostomy for palliative treatment of jaundice in patients with irresectable malignant tumors of the liver hilum. SUMMARY BACKGROUND DATA: Jaundice, pruritus, and recurrent cholangitis are major clinical complications in patients with obstructive cholestasis resulting from malignant tumors of the liver hilum. Methods for palliative treatment include endoscopic stenting, percutaneous transhepatic drainage, and surgical decompression. The palliative treatment of choice should be safe, effective, and comfortable for the patient. METHODS: In a retrospective study, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 56 patients who had received a peripheral hepatojejunostomy between 1982 and 1997. Laparotomy in all of these patients had been performed as an attempt for curative resection. RESULTS: Hepatojejunostomy was exclusively palliative in 50 patients and was used for bridging to resection or transplantation in 7. Anastomosis was bilateral in 36 patients and unilateral in 20. The 1-month mortality in the study group was 9%; median survival was 6 months. In patients surviving >1 month, a marked and persistent decrease in cholestasis was achieved in 87%, although complete return to normal was rare. Among the patients with a marked decrease in cholestasis, 72% had no or only mild clinical symptoms such as fever or jaundice. CONCLUSIONS: Peripheral hepatojejunostomy is a feasible and reasonably effective palliative treatment for patients with irresectable tumors of the liver hilum. In patients undergoing exploratory laparotomy for attempted curative resection, this procedure frequently leads to persistent-although rarely complete-decompression of the biliary tree. In a few cases it may also be used for bridging to transplantation or liver resection after relief of cholestasis. (+info)

Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (2/2733)

32p and 89Sr have been shown to produce significant pain relief in patients with skeletal metastases from advanced cancer. Clinically significant pancytopenia has not been reported in doses up to 12 mCi (444 MBq) of either radionuclide. To date, no reports comparing the relative efficacy and toxicity of the two radionuclides in comparable patient populations have been available. Although a cure has not been reported, both treatments have achieved substantial pain relief. However, several studies have used semiquantitative measures such as "slight," "fair," "partial" and "dramatic" responses, which lend themselves to subjective bias. This report examines the responses to treatment with 32P or 89Sr by attempting a quantification of pain relief and quality of life using the patients as their own controls and compares toxicity in terms of hematological parameters. METHODS: Thirty-one patients with skeletal metastases were treated for pain relief with either 32P (16 patients) or 89Sr (15 patients). Inclusion criteria were pain from bone scan-positive sites above a subjective score of 5 of 10 despite analgesic therapy with narcotic or non-narcotic medication, limitation of movement related to the performance of routine daily activity and a predicted life expectancy of at least 4 mo. The patients had not had chemotherapy or radiotherapy during the previous 6 wk and had normal serum creatinine, white cell and platelet counts. 32P was given orally as a 12 mCi dose, and 89Sr was given intravenously as a 4 mCi (148 MBq) dose. The patients were monitored for 4 mo. RESULTS: Complete absence of pain was seen in 7 of 16 patients who were given 32P and in 7 of 15 patients who were given 89Sr. Pain scores fell by at least 50% of the pretreatment score in 14 of 16 patients who were given 32P and 14 of 15 patients who were given 89Sr. Mean duration of pain relief was 9.6 wk with 32P and 10 wk with 89Sr. Analgesic scores fell along with the drop in pain scores. A fall in total white cell, absolute granulocyte and platelet counts occurred in all patients. Subnormal values of white cells and platelets were seen in 5 and 7 patients, respectively, with 32P, and in 0 and 4 patients, respectively, after 89Sr therapy. The decrease in platelet count (but not absolute granulocyte count) was statistically significant when 32P patients were compared with 89Sr patients. However, in no instance did the fall in blood counts require treatment. Absolute granulocyte counts did not fall below 1000 in any patient. There was no significant difference between the two treatments in terms of either efficacy or toxicity. CONCLUSION: No justification has been found in this study for the recommendation of 89Sr over the considerably less expensive oral 32P for the palliation of skeletal pain from metastases of advanced cancer. (+info)

Reirradiation combined with hyperthermia in recurrent breast cancer results in a worthwhile local palliation. (3/2733)

Both experimental and clinical research have shown that hyperthermia (HT) gives valuable additional effects when applied in combination with radiotherapy (RT). The purpose of this study was evaluation of results in patients with recurrent breast cancer, treated at the Daniel den Hoed Cancer Center (DHCC) with reirradiation (re-RT; eight fractions of 4 Gy twice weekly) combined with HT. All 134 patients for whom such treatment was planned were included in the analysis. The complete response rate in 119 patients with macroscopic tumour was 71%. Including the 15 patients with microscopic disease, the local control rate was 73%. The median duration of local control was 32 months, and toxicity was acceptable. The complete response (CR) rate was higher, and the toxicity was less with the later developed 433-MHz HT technique compared with the 2450-MHz technique used initially. With this relatively well-tolerated treatment, palliation by local tumour control of a worthwhile duration is achieved in the majority of patients. The technique used for hyperthermia appeared to influence the achieved results. The value of HT in addition to this re-RT schedule has been confirmed by a prospective randomized trial in a similar patient group. In The Netherlands, this combined treatment is offered as standard to patients with breast cancer recurring in previously irradiated areas. (+info)

Intensive weekly chemotherapy is not effective in advanced pancreatic cancer patients: a report from the Italian Group for the Study of Digestive Tract Cancer (GISCAD). (4/2733)

Twenty-two patients, with locally advanced unresectable and/or metastatic pancreatic carcinoma, received weekly administration of cisplatin 40 mg m(-2), 5-fluorouracil 500 mg m(-2), epidoxorubicin 35 mg m(-2), 6S stereoisomer of leucovorin 250 mg m(-2) and glutathione 1.5 mg m(-2), supported by a daily administration of lenograstim at a dose of 5 microg kg(-1). Nineteen patients were men and three were women. Median age was 63 years (range 47-70). At study entry, pain was present in 15 out of 22 patients (68%) with a mean value of Scott-Huskisson scale of 27.6+/-23.8, whereas a weight loss >10% was present in 15 patients. After eight weekly treatments, three partial responses were achieved for a response rate of 13% (95% CI 0-26%), five patients had stable disease and 14 progressed on therapy. Pain was present in 9 out of 22 patients (40%) with a mean value of Scott-Huskisson scale of 12.3+/-18.4. Eight patients (36%) (three partial response and five stable disease) had a positive weight change. Toxicity was mild: WHO grade III or IV toxicity was recorded in terms of anaemia in 7 out of 188 cycles (3.7%), of neutropenia in 9 out of 188 cycles (4.7%) and of thrombocytopenia in 3 out of 188 cycles (1.5%). Median survival of all patients was 6 months. The outcome of this intensive chemotherapy regimen does not support its use in pancreatic cancer. (+info)

A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss. (5/2733)

The use of megestrol acetate in the treatment of weight loss in gastrointestinal cancer patients has been disappointing. The aim of the present study was to compare the combination of megestrol acetate and placebo with megestrol acetate and ibuprofen in the treatment of weight loss in such patients. At baseline, 4-6 weeks and 12 weeks, patients underwent measurements of anthropometry, concentrations of albumin and C-reactive protein and assessment of appetite, performance status and quality of life using EuroQol-EQ-5D and EORTC QLQ-C30. Thirty-eight and 35 patients (median weight loss 18%) were randomized to megestrol acetate/placebo or megestrol acetate/ibuprofen, respectively, for 12 weeks. Forty-six (63%) of patients failed to complete the 12-week assessment. Of those evaluable at 12 weeks, there was a decrease in weight (median 2.8 kg) in the megestrol acetate/placebo group compared with an increase (median 2.3 kg) in the megestrol acetate/ibuprofen group (P<0.001). There was also an improvement in the EuroQol-EQ-5D quality of life scores of the latter group (P<0.05). The combination of megestrol acetate/ibuprofen appeared to reverse weight loss and appeared to improve quality of life in patients with advanced gastrointestinal cancer. Further trials of this novel regimen in weight-losing patients with hormone-insensitive cancers are warranted. (+info)

Defining and analysing symptom palliation in cancer clinical trials: a deceptively difficult exercise. (6/2733)

The assessment of symptom palliation is an essential component of many treatment comparisons in clinical trials, yet an extensive literature search revealed no consensus as to its precise definition, which could embrace relief of symptoms, time to their onset, duration, degree, as well as symptom control and prevention. In an attempt to assess the importance of these aspects and to compare different methods of analysis, we used one symptom (cough) from a patient self-assessment questionnaire (the Rotterdam Symptom Checklist) in a large (>300 patient) multicentre randomized clinical trial (conducted by the Medical Research Council Lung Cancer Working Party) of palliative chemotherapy in small-cell lung cancer. The regimens compared were a two-drug regimen (2D) and a four-drug regimen (4D). No differences were seen between the regimens in time of onset of palliation or its duration. The degree of palliation was strongly related to the initial severity: 90% of the patients with moderate or severe cough at baseline reported improvement, compared with only 53% of those with mild cough. Analyses using different landmark time points gave conflicting results: the 4D regimen was superior at 1 month and at 3 months, whereas at 2 months the 2D regimen appeared superior. When improvement at any time up to 3 months was considered, the 4D regimen showed a significant benefit (4D 79%, 2D 60%, P = 0.02). These findings emphasize the need for caution in interpreting results, and the importance of working towards a standard definition of symptom palliation. The current lack of specified criteria makes analysis and interpretation of trial results difficult, and comparison across trials impossible. A standard definition of palliation for use in the analysis of clinical trials data is proposed, which takes into account aspects of onset, duration and degree of palliation, and symptom improvement, control and prevention. (+info)

When to consider radiation therapy for your patient. (7/2733)

Radiation therapy can be an effective treatment modality for both malignant and benign disease. While radiation can be given as primary treatment, it may also be used pre- or postoperatively, with or without other forms of therapy. Radiation therapy is often curative but is sometimes palliative. There are many methods of delivering radiation effectively. Often, patients tolerate irradiation well without significant complications, and organ function is preserved. To ensure that all patients with cancer have the opportunity to consider all treatment options, family physicians should be aware of the usefulness of radiation therapy. (+info)

Use of resources and costs of palliative care with parenteral fluids and analgesics in the home setting for patients with end-stage cancer. (8/2733)

BACKGROUND: In 1992 a home care technology project was started in which infusion therapy in the home setting was made available for patients with end-stage cancer. Beside aspects of feasibility and quality of life the resource utilization and costs of this transition was studied. PATIENTS AND METHODS: We conducted a cost evaluation study, to determine the actual cost of managing patients with endstage cancer who require parenteral administration of fluid or analgesics in the home setting. A total of 128 patients were prospectively followed, with a detailed analysis of some aspects in a sample of 24 patients. RESULTS: The cost for each patient was found to be between $250.00 and $300.00 per day, half of which are for hospital charges, even with this active home care technology program. One-third of the costs can be attributed to primary health care activities, in particular those of the district nurses. A hypothetical control group (n = 25) was constructed based on current practice and chart review. Patients in this group would have cost around $750.00 per day. With a median treatment period of 16 days this means a saving of $8000.00 per patient. CONCLUSION: Our data suggest that significant savings can be obtained by implementing programs transferring palliative care technology to the home setting. (+info)

Palliative care is a type of medical care that focuses on relieving the pain, symptoms, and stress of serious illnesses. The goal is to improve quality of life for both the patient and their family. It is provided by a team of doctors, nurses, and other specialists who work together to address the physical, emotional, social, and spiritual needs of the patient. Palliative care can be provided at any stage of an illness, alongside curative treatments, and is not dependent on prognosis.

The World Health Organization (WHO) defines palliative care as: "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychological and spiritual."

Terminal care, also known as end-of-life care or palliative care, is a type of medical care provided to patients who are in the final stages of a terminal illness or condition. The primary goal of terminal care is to provide comfort, dignity, and quality of life for the patient, rather than attempting to cure the disease or prolong life.

Terminal care may involve managing pain and other symptoms, providing emotional and psychological support to both the patient and their family, and helping the patient plan for the end of their life. This can include discussing advance directives, hospice care options, and other important decisions related to end-of-life care.

The focus of terminal care is on ensuring that the patient's physical, emotional, and spiritual needs are met in a compassionate and supportive manner. It is an essential component of high-quality medical care for patients who are facing the end of their lives.

'Terminally ill' is a medical term used to describe a patient whose illness or condition is unlikely to respond to further treatment and is expected to result in death, often within six months. It's important to note that this timeframe can sometimes be difficult to predict accurately. This diagnosis often leads to discussions about palliative care and end-of-life decisions.

Hospice care is a type of medical care and support provided to individuals who are terminally ill, with a life expectancy of six months or less, and have decided to stop curative treatments. The goal of hospice care is to provide comfort, dignity, and quality of life for the patient, as well as emotional and spiritual support for both the patient and their family members during the end-of-life process.

Hospice care services typically include pain management, symptom control, nursing care, emotional and spiritual counseling, social work services, volunteer support, and respite care for caregivers. These services can be provided in various settings such as the patient's home, a hospice facility, or a hospital. The interdisciplinary team of healthcare professionals works together to develop an individualized plan of care that addresses the unique needs and preferences of each patient and their family members.

The primary focus of hospice care is on improving the quality of life for patients with advanced illnesses by managing their symptoms, alleviating pain, and providing emotional and spiritual support. Hospice care also aims to help patients maintain their independence and dignity while allowing them to spend their remaining time in a familiar and comfortable environment, surrounded by loved ones.

"Attitude to Death" is not a medical term per se, but it does refer to an individual's perspective, feelings, and beliefs about death and dying. It can encompass various aspects such as fear, acceptance, curiosity, denial, or preparation. While not a medical definition, understanding a person's attitude to death can be relevant in healthcare settings, particularly in palliative and end-of-life care, as it can influence their decisions and experiences around their own mortality.

Hospice and palliative care nursing is a specialized area of nursing practice that focuses on providing comprehensive comfort-oriented care to patients with life-limiting illnesses or conditions. The goal of hospice and palliative care nursing is to improve the quality of life for both the patient and their family members by managing symptoms, alleviating suffering, and supporting psychological, social, and spiritual needs.

Hospice care is typically provided during the last six months of a patient's life, when curative treatments are no longer effective or desired. The focus shifts to providing supportive care that addresses physical, emotional, and spiritual needs, with an emphasis on pain and symptom management, communication, and family support.

Palliative care, on the other hand, can be provided at any stage of a serious illness, alongside curative treatments if appropriate. Palliative care aims to relieve suffering, improve quality of life, and help patients make informed decisions about their care. It is an interdisciplinary approach that involves medical professionals, nurses, social workers, chaplains, and other specialists working together to provide holistic care.

Hospice and palliative care nurses play a critical role in these settings, as they work closely with patients and families to develop individualized care plans, administer medications, monitor symptoms, provide emotional support, and facilitate communication between healthcare providers, patients, and their loved ones. They also help patients and families navigate complex medical decisions, advance care planning, and grief support.

A hospice is a specialized type of healthcare facility or program that provides palliative care and support for people who are experiencing a serious, life-limiting illness and have a prognosis of six months or less to live. The goal of hospice care is to improve the quality of life for patients and their families by managing symptoms, providing emotional and spiritual support, and helping patients and their loved ones navigate the end-of-life process with dignity and comfort.

Hospice care can be provided in a variety of settings, including hospitals, nursing homes, assisted living facilities, and private homes. The services offered by hospices may include medical care, pain management, nursing care, social work services, counseling, spiritual support, and volunteer services. Hospice care is typically covered by Medicare, Medicaid, and most private insurance plans.

It's important to note that choosing hospice care does not mean giving up hope or stopping treatment for a patient's illness. Instead, it means shifting the focus of care from curative treatments to comfort measures that can help patients live as fully and comfortably as possible in the time they have left.

Neoplasms are abnormal growths of cells or tissues in the body that serve no physiological function. They can be benign (non-cancerous) or malignant (cancerous). Benign neoplasms are typically slow growing and do not spread to other parts of the body, while malignant neoplasms are aggressive, invasive, and can metastasize to distant sites.

Neoplasms occur when there is a dysregulation in the normal process of cell division and differentiation, leading to uncontrolled growth and accumulation of cells. This can result from genetic mutations or other factors such as viral infections, environmental exposures, or hormonal imbalances.

Neoplasms can develop in any organ or tissue of the body and can cause various symptoms depending on their size, location, and type. Treatment options for neoplasms include surgery, radiation therapy, chemotherapy, immunotherapy, and targeted therapy, among others.

Cancer care facilities are healthcare institutions that provide medical and supportive services to patients diagnosed with cancer. These facilities offer a range of treatments, including surgery, radiation therapy, chemotherapy, immunotherapy, and hormone therapy. They also provide diagnostic services, pain management, rehabilitation, palliative care, and psychosocial support to help patients cope with the physical and emotional challenges of cancer and its treatment.

Cancer care facilities can vary in size and scope, from large academic medical centers that offer cutting-edge clinical trials and specialized treatments, to community hospitals and outpatient clinics that provide more routine cancer care. Some cancer care facilities specialize in specific types of cancer or treatments, while others offer a comprehensive range of services for all types of cancer.

In addition to medical treatment, cancer care facilities may also provide complementary therapies such as acupuncture, massage, and yoga to help patients manage symptoms and improve their quality of life during and after treatment. They may also offer support groups, counseling, and other resources to help patients and their families cope with the challenges of cancer.

Overall, cancer care facilities play a critical role in diagnosing, treating, and supporting patients with cancer, helping them to achieve the best possible outcomes and quality of life.

Euthanasia is the act of intentionally ending a person's life to relieve suffering, typically carried out at the request of the person who is suffering and wants to die. This practice is also known as "assisted suicide" or "physician-assisted dying." It is a controversial issue that raises ethical, legal, and medical concerns.

Euthanasia can be classified into two main types: active and passive. Active euthanasia involves taking direct action to end a person's life, such as administering a lethal injection. Passive euthanasia, on the other hand, involves allowing a person to die by withholding or withdrawing medical treatment that is necessary to sustain their life.

Euthanasia is illegal in many countries and jurisdictions, while some have laws that allow it under certain circumstances. In recent years, there has been growing debate about whether euthanasia should be legalized and regulated to ensure that it is carried out in a humane and compassionate manner. Supporters argue that individuals have the right to choose how they die, especially if they are suffering from a terminal illness or chronic pain. Opponents, however, argue that legalizing euthanasia could lead to abuse and coercion, and that there are alternative ways to alleviate suffering, such as palliative care.

Medical oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer using systemic medications, including chemotherapy, hormonal therapy, targeted therapy, and immunotherapy. Medical oncologists are specialized physicians who manage cancer patients throughout their illness, from diagnosis to survivorship or end-of-life care. They work closely with other healthcare professionals, such as surgeons, radiation oncologists, radiologists, pathologists, and nurses, to provide comprehensive cancer care for their patients. The primary goal of medical oncology is to improve the quality of life and overall survival of cancer patients while minimizing side effects and toxicities associated with cancer treatments.

Pain management is a branch of medicine that focuses on the diagnosis and treatment of pain and improvement in the quality of life of patients with chronic pain. The goal of pain management is to reduce pain levels, improve physical functioning, and help patients cope mentally and emotionally with their pain. This may involve the use of medications, interventional procedures, physical therapy, psychological therapy, or a combination of these approaches.

The definition of pain management can vary depending on the medical context, but it generally refers to a multidisciplinary approach that addresses the complex interactions between biological, psychological, and social factors that contribute to the experience of pain. Pain management specialists may include physicians, nurses, physical therapists, psychologists, and other healthcare professionals who work together to provide comprehensive care for patients with chronic pain.

Home care services, also known as home health care, refer to a wide range of health and social services delivered at an individual's residence. These services are designed to help people who have special needs or disabilities, those recovering from illness or surgery, and the elderly or frail who require assistance with activities of daily living (ADLs) or skilled nursing care.

Home care services can include:

1. Skilled Nursing Care: Provided by registered nurses (RNs), licensed practical nurses (LPNs), or licensed vocational nurses (LVNs) to administer medications, wound care, injections, and other medical treatments. They also monitor the patient's health status, provide education on disease management, and coordinate with other healthcare professionals.
2. Therapy Services: Occupational therapists, physical therapists, and speech-language pathologists help patients regain strength, mobility, coordination, balance, and communication skills after an illness or injury. They develop personalized treatment plans to improve the patient's ability to perform daily activities independently.
3. Personal Care/Assistance with Activities of Daily Living (ADLs): Home health aides and personal care assistants provide assistance with bathing, dressing, grooming, toileting, and other personal care tasks. They may also help with light housekeeping, meal preparation, and shopping.
4. Social Work Services: Provided by licensed social workers who assess the patient's psychosocial needs, connect them to community resources, and provide counseling and support for patients and their families.
5. Nutritional Support: Registered dietitians evaluate the patient's nutritional status, develop meal plans, and provide education on special diets or feeding techniques as needed.
6. Telehealth Monitoring: Remote monitoring of a patient's health status using technology such as video conferencing, wearable devices, or mobile apps to track vital signs, medication adherence, and symptoms. This allows healthcare providers to monitor patients closely and adjust treatment plans as necessary without requiring in-person visits.
7. Hospice Care: End-of-life care provided in the patient's home to manage pain, provide emotional support, and address spiritual needs. The goal is to help the patient maintain dignity and quality of life during their final days.
8. Respite Care: Temporary relief for family caregivers who need a break from caring for their loved ones. This can include short-term stays in assisted living facilities or hiring professional caregivers to provide in-home support.

There is no single, widely accepted medical definition of "spirituality." However, in a general sense, spirituality can be described as a person's search for meaning and purpose in life, and the connection they feel to something greater than themselves. This could include a higher power, nature, or the universe. Spirituality can also involve a set of beliefs, values, and practices that are important to a person and help them to find meaning and fulfillment in life.

Some people may view spirituality as an integral part of their religious practice, while others may see it as separate from religion. For some, spirituality may be a deeply personal and private experience, while for others it may involve being part of a community or group.

In healthcare settings, spirituality is often recognized as an important aspect of a person's overall well-being and can play a role in their ability to cope with illness and stress. Healthcare providers may consider a patient's spiritual needs and beliefs when providing care, and may refer patients to chaplains or other spiritual care providers as needed.

A Patient Care Team is a group of healthcare professionals from various disciplines who work together to provide comprehensive, coordinated care to a patient. The team may include doctors, nurses, pharmacists, social workers, physical therapists, dietitians, and other specialists as needed, depending on the patient's medical condition and healthcare needs.

The Patient Care Team works collaboratively to develop an individualized care plan for the patient, taking into account their medical history, current health status, treatment options, and personal preferences. The team members communicate regularly to share information, coordinate care, and make any necessary adjustments to the care plan.

The goal of a Patient Care Team is to ensure that the patient receives high-quality, safe, and effective care that is tailored to their unique needs and preferences. By working together, the team can provide more comprehensive and coordinated care, which can lead to better outcomes for the patient.

Bereavement is the state of loss or grief experienced when a person experiences the death of a loved one, friend, or family member. It is a normal response to the death of someone close and can involve a range of emotions such as sadness, anger, guilt, and anxiety. The grieving process can be different for everyone and can take time to work through. Professional support may be sought to help cope with the loss.

Quality of Life (QOL) is a broad, multidimensional concept that usually includes an individual's physical health, psychological state, level of independence, social relationships, personal beliefs, and their relationship to salient features of their environment. It reflects the impact of disease and treatment on a patient's overall well-being and ability to function in daily life.

The World Health Organization (WHO) defines QOL as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns." It is a subjective concept, meaning it can vary greatly from person to person.

In healthcare, QOL is often used as an outcome measure in clinical trials and other research studies to assess the impact of interventions or treatments on overall patient well-being.

The Karnofsky Performance Status (KPS) is a clinical tool used by healthcare professionals to assess the functional impairment and overall health of a patient with a chronic illness or malignancy. It was originally developed in 1948 by Dr. David A. Karnofsky and Dr. Joseph H. Burchenal to evaluate the ability of cancer patients to undergo specific treatments.

The KPS scale ranges from 0 to 100, with increments of 10, and it is based on the patient's ability to perform daily activities independently and their need for assistance or medical intervention. The following is a brief overview of the KPS scale:

* 100: Normal; no complaints; no evidence of disease
* 90: Able to carry on normal activity; minor symptoms of disease
* 80: Normal activity with effort; some symptoms of disease
* 70: Cares for self; unable to carry on normal activity or do active work
* 60: Requires occasional assistance but can take care of most needs
* 50: Requires considerable assistance and frequent medical care
* 40: Disabled; requires special care and assistance
* 30: Severely disabled; hospitalization is indicated although death not imminent
* 20: Very sick; hospitalization necessary; active supportive treatment required
* 10: Moribund; fatal processes progressing rapidly
* 0: Dead

The KPS score helps healthcare professionals determine the appropriate treatment plan, prognosis, and potential for recovery in patients with various medical conditions. It is widely used in oncology, palliative care, and clinical trials to assess the overall health status of patients and their ability to tolerate specific therapies.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Advance care planning (ACP) is a process that involves discussing and documenting an individual's preferences and goals for future medical care, particularly in the event that they become unable to make decisions for themselves due to serious illness or injury. The purpose of ACP is to ensure that a person's values, beliefs, and wishes are respected and honored when it comes to their healthcare decisions.

ACP typically involves discussions between the individual, their loved ones, and healthcare providers about various topics such as:

* The individual's understanding of their current health status and prognosis
* Their goals for medical treatment, including any treatments they would or would not want to receive
* Their values and beliefs that should guide their medical care
* The appointment of a healthcare proxy or surrogate decision-maker who can make decisions on their behalf if they become unable to make them for themselves.

The outcome of ACP is often the creation of an advance directive, which is a legal document that outlines the individual's wishes for medical treatment and appoints a healthcare proxy. Advance care planning is an ongoing process that should be revisited and updated regularly as an individual's health status and preferences change over time.

A caregiver is an individual who provides assistance and support to another person who is unable to meet their own needs for activities of daily living due to illness, disability, frailty, or other reasons. Caregiving can take many forms, including providing physical care, emotional support, managing medications, assisting with mobility, and helping with household tasks and errands. Caregivers may be family members, friends, or professional providers, and the level of care they provide can range from a few hours a week to round-the-clock assistance. In medical contexts, caregivers are often referred to as informal or family caregivers when they are unpaid relatives or friends, and professional or paid caregivers when they are hired to provide care.

**Referral:**
A referral in the medical context is the process where a healthcare professional (such as a general practitioner or primary care physician) sends or refers a patient to another healthcare professional who has specialized knowledge and skills to address the patient's specific health condition or concern. This could be a specialist, a consultant, or a facility that provides specialized care. The referral may involve transferring the patient's care entirely to the other professional or may simply be for a consultation and advice.

**Consultation:**
A consultation in healthcare is a process where a healthcare professional seeks the opinion or advice of another professional regarding a patient's medical condition. This can be done in various ways, such as face-to-face meetings, phone calls, or written correspondence. The consulting professional provides their expert opinion to assist in the diagnosis, treatment plan, or management of the patient's condition. The ultimate decision and responsibility for the patient's care typically remain with the referring or primary healthcare provider.

I'm sorry for any confusion, but "Nova Scotia" is not a medical term. It is a geographical location, specifically a province on the east coast of Canada. If you have any questions about medical terms or health-related topics, I would be happy to try and help answer those for you!

I couldn't find a medical definition specifically for "professional-family relations," as it is more commonly referred to as "professional-patient relationship" in the medical field. However, I can provide you with the definition of professional-patient relationship:

A professional-patient relationship is a formal relationship between a healthcare provider and a patient, characterized by trust, honesty, and mutual respect. The healthcare provider has a duty to act in the best interest of the patient, providing competent and ethical care, while maintaining appropriate boundaries and confidentiality. Effective communication, shared decision-making, and informed consent are essential components of this relationship.

Family members may also be involved in the professional-patient relationship, particularly when the patient is unable to make decisions for themselves or when family involvement is necessary for the patient's care. In these cases, healthcare providers must communicate clearly and respectfully with family members while still maintaining the primary focus on the patient's needs and autonomy.

The "attitude of health personnel" refers to the overall disposition, behavior, and approach that healthcare professionals exhibit towards their patients or clients. This encompasses various aspects such as:

1. Interpersonal skills: The ability to communicate effectively, listen actively, and build rapport with patients.
2. Professionalism: Adherence to ethical principles, confidentiality, and maintaining a non-judgmental attitude.
3. Compassion and empathy: Showing genuine concern for the patient's well-being and understanding their feelings and experiences.
4. Cultural sensitivity: Respecting and acknowledging the cultural backgrounds, beliefs, and values of patients.
5. Competence: Demonstrating knowledge, skills, and expertise in providing healthcare services.
6. Collaboration: Working together with other healthcare professionals to ensure comprehensive care for the patient.
7. Patient-centeredness: Focusing on the individual needs, preferences, and goals of the patient in the decision-making process.
8. Commitment to continuous learning and improvement: Staying updated with the latest developments in the field and seeking opportunities to enhance one's skills and knowledge.

A positive attitude of health personnel contributes significantly to patient satisfaction, adherence to treatment plans, and overall healthcare outcomes.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Intestinal obstruction, also known as bowel obstruction, is a medical condition characterized by a blockage that prevents the normal flow of contents through the small intestine or large intestine (colon). This blockage can be caused by various factors such as tumors, adhesions (scar tissue), hernias, inflammation, or impacted feces.

The obstruction can be mechanical, where something physically blocks the intestinal lumen, or functional, where the normal muscular contractions of the bowel are impaired. Mechanical obstructions are more common than functional ones.

Symptoms of intestinal obstruction may include abdominal pain and cramping, nausea and vomiting, bloating, inability to pass gas or have a bowel movement, and abdominal distention. If left untreated, intestinal obstruction can lead to serious complications such as tissue death (necrosis), perforation of the intestine, and sepsis. Treatment typically involves hospitalization, intravenous fluids, nasogastric decompression, and possibly surgery to remove the obstruction.

Community health nursing, also known as public health nursing, is a specialized area of nursing practice that focuses on improving the health and well-being of communities and populations. It involves the assessment, diagnosis, intervention, and evaluation of the health needs of communities, and the development and implementation of programs and interventions to address those needs.

Community health nurses work in a variety of settings, including community health centers, public health departments, schools, and home health agencies. They may provide direct care to individuals and families, as well as coordinate and deliver population-based services such as immunization clinics, health education programs, and screenings.

The goal of community health nursing is to promote and protect the health of communities and populations, particularly those who are most vulnerable or at risk. This may include addressing issues such as infectious disease prevention and control, chronic disease management, maternal and child health, environmental health, and access to care. Community health nurses also play an important role in advocating for policies and practices that support the health and well-being of communities and populations.

In the medical context, communication refers to the process of exchanging information, ideas, or feelings between two or more individuals in order to facilitate understanding, cooperation, and decision-making. Effective communication is critical in healthcare settings to ensure that patients receive accurate diagnoses, treatment plans, and follow-up care. It involves not only verbal and written communication but also nonverbal cues such as body language and facial expressions.

Healthcare providers must communicate clearly and empathetically with their patients to build trust, address concerns, and ensure that they understand their medical condition and treatment options. Similarly, healthcare teams must communicate effectively with each other to coordinate care, avoid errors, and provide the best possible outcomes for their patients. Communication skills are essential for all healthcare professionals, including physicians, nurses, therapists, and social workers.

Bile duct neoplasms, also known as cholangiocarcinomas, refer to a group of malignancies that arise from the bile ducts. These are the tubes that carry bile from the liver to the gallbladder and small intestine. Bile duct neoplasms can be further classified based on their location as intrahepatic (within the liver), perihilar (at the junction of the left and right hepatic ducts), or distal (in the common bile duct).

These tumors are relatively rare, but their incidence has been increasing in recent years. They can cause a variety of symptoms, including jaundice, abdominal pain, weight loss, and fever. The diagnosis of bile duct neoplasms typically involves imaging studies such as CT or MRI scans, as well as blood tests to assess liver function. In some cases, a biopsy may be necessary to confirm the diagnosis.

Treatment options for bile duct neoplasms depend on several factors, including the location and stage of the tumor, as well as the patient's overall health. Surgical resection is the preferred treatment for early-stage tumors, while chemotherapy and radiation therapy may be used in more advanced cases. For patients who are not candidates for surgery, palliative treatments such as stenting or bypass procedures may be recommended to relieve symptoms and improve quality of life.

In medicine, "intractable pain" is a term used to describe pain that is difficult to manage, control or relieve with standard treatments. It's a type of chronic pain that continues for an extended period, often months or even years, and does not respond to conventional therapies such as medications, physical therapy, or surgery. Intractable pain can significantly affect a person's quality of life, causing emotional distress, sleep disturbances, and reduced mobility. It is essential to distinguish intractable pain from acute pain, which is typically sharp and short-lived, resulting from tissue damage or inflammation.

Intractable pain may be classified as:

1. Refractory pain: Pain that persists despite optimal treatment with various modalities, including medications, interventions, and multidisciplinary care.
2. Incurable pain: Pain caused by a progressive or incurable disease, such as cancer, for which no curative treatment is available.
3. Functional pain: Pain without an identifiable organic cause that does not respond to standard treatments.

Managing intractable pain often requires a multidisciplinary approach involving healthcare professionals from various fields, including pain specialists, neurologists, psychiatrists, psychologists, and physical therapists. Treatment options may include:

1. Adjuvant medications: Medications that are not primarily analgesics but have been found to help with pain relief, such as antidepressants, anticonvulsants, and muscle relaxants.
2. Interventional procedures: Minimally invasive techniques like nerve blocks, spinal cord stimulation, or intrathecal drug delivery systems that target specific nerves or areas of the body to reduce pain signals.
3. Psychological interventions: Techniques such as cognitive-behavioral therapy (CBT), mindfulness meditation, and relaxation training can help patients cope with chronic pain and improve their overall well-being.
4. Physical therapy and rehabilitation: Exercise programs, massage, acupuncture, and other physical therapies may provide relief for some types of intractable pain.
5. Complementary and alternative medicine (CAM): Techniques like yoga, tai chi, hypnosis, or biofeedback can be helpful in managing chronic pain.
6. Lifestyle modifications: Dietary changes, stress management, and quitting smoking may also contribute to improved pain management.

An Oncology Service in a hospital refers to the specialized department or unit that provides comprehensive cancer care and treatment. It is typically staffed with various healthcare professionals such as medical oncologists, radiation oncologists, surgical oncologists, oncology nurses, radiologists, pathologists, social workers, and psychologists who work together to provide a multidisciplinary approach to cancer diagnosis, treatment, and follow-up care.

The oncology service may offer various treatments such as chemotherapy, radiation therapy, immunotherapy, hormone therapy, and surgery, depending on the type and stage of cancer. They also provide supportive care services like pain management, nutritional support, and rehabilitation to help patients manage symptoms and improve their quality of life during and after treatment.

Overall, an Oncology Service in a hospital is dedicated to providing compassionate and evidence-based cancer care to patients and their families throughout the entire cancer journey.

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

Death is the cessation of all biological functions that sustain a living organism. It is characterized by the loss of brainstem reflexes, unresponsiveness, and apnea (no breathing). In medical terms, death can be defined as:

1. Cardiopulmonary Death: The irreversible cessation of circulatory and respiratory functions.
2. Brain Death: The irreversible loss of all brain function, including the brainstem. This is often used as a definition of death when performing organ donation.

It's important to note that the exact definition of death can vary somewhat based on cultural, religious, and legal perspectives.

The "Standard of Care" is a legal term that refers to the level and type of medical care that a reasonably prudent physician with similar training and expertise would provide under similar circumstances. It serves as a benchmark for determining whether a healthcare provider has been negligent in their duties. In other words, if a healthcare professional fails to meet the standard of care and their patient is harmed as a result, they may be held liable for medical malpractice.

It's important to note that the standard of care can vary depending on factors such as the patient's age, medical condition, and geographic location. Additionally, the standard of care is not static and evolves over time as new medical research and technologies become available. Healthcare professionals are expected to stay current with advances in their field and provide care that reflects the most up-to-date standards.

Assisted suicide, also known as physician-assisted dying or voluntary euthanasia, is a practice in which a healthcare professional knowingly and intentionally provides a competent patient, who has requested it, with the means to end their own life. This usually involves prescribing a lethal medication that the patient can self-administer to bring about a peaceful and dignified death. Assisted suicide is a controversial topic and is illegal in many parts of the world, while some countries and states have laws allowing it under certain circumstances. It's important to note that the specific definition and legality may vary depending on the jurisdiction.

Clinical nursing research is a branch of scientific inquiry that focuses on the design, implementation, and evaluation of studies aimed at improving patient care and outcomes through the development of evidence-based practices within the nursing profession. This type of research is conducted in clinical settings such as hospitals, clinics, and long-term care facilities, and often involves collaboration between nurses, other healthcare professionals, and researchers from various disciplines.

The goals of clinical nursing research include:

1. Identifying patient care needs and priorities
2. Developing and testing innovative interventions to improve patient outcomes
3. Evaluating the effectiveness of current practices and treatments
4. Disseminating research findings to inform evidence-based practice
5. Advancing nursing knowledge and theory

Clinical nursing research can encompass a wide range of topics, including symptom management, patient safety, quality improvement, health promotion, and end-of-life care. The ultimate aim of this research is to improve the quality of care delivered to patients and their families, as well as to enhance the professional practice of nursing.

A jejunostomy is a surgical procedure where an opening (stoma) is created in the lower part of the small intestine, called the jejunum. This stoma allows for the passage of nutrients and digestive enzymes from the small intestine into a tube or external pouch, bypassing the mouth, esophagus, stomach, and upper small intestine (duodenum).

Jejunostomy is typically performed to provide enteral nutrition support in patients who are unable to consume food or liquids by mouth due to various medical conditions such as dysphagia, gastroparesis, bowel obstruction, or after certain surgical procedures. The jejunostomy tube can be used for short-term or long-term nutritional support, depending on the patient's needs and underlying medical condition.

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

Psychosomatic medicine is a branch of medicine that explores the relationships between social, psychological, and behavioral factors and their impact on bodily illnesses. It recognizes the role of mental factors in physical health and disease, and it treats the whole person, not just the physical symptoms. Psychosomatic medicine physicians use integrative medical techniques to treat both the mind and body, often working closely with other healthcare professionals such as psychologists, psychiatrists, and social workers.

The American Psychosomatic Society defines psychosomatic medicine as "the scientific study of the interactions of emotional, mental, social, and behavioral factors with bodily processes and the role of these factors in health and disease." This definition highlights the interdisciplinary nature of the field and its focus on understanding the complex interplay between biological, psychological, and social factors that contribute to illness and wellness.

In summary, psychosomatic medicine is a holistic approach to medical care that recognizes the importance of mental and emotional factors in physical health and disease. It emphasizes the need for a comprehensive assessment and treatment plan that addresses both the mind and body.

Deglutition disorders, also known as swallowing disorders, are conditions that affect the ability to move food or liquids from the mouth to the stomach safely and efficiently. These disorders can occur at any stage of the swallowing process, which includes oral preparation (chewing and manipulating food in the mouth), pharyngeal phase (activating muscles and structures in the throat to move food toward the esophagus), and esophageal phase (relaxing and contracting the esophagus to propel food into the stomach).

Symptoms of deglutition disorders may include coughing or choking during or after eating, difficulty initiating a swallow, food sticking in the throat or chest, regurgitation, unexplained weight loss, and aspiration (inhaling food or liquids into the lungs), which can lead to pneumonia.

Deglutition disorders can be caused by various factors, such as neurological conditions (e.g., stroke, Parkinson's disease, multiple sclerosis), structural abnormalities (e.g., narrowing or blockage of the esophagus), muscle weakness or dysfunction, and cognitive or behavioral issues. Treatment for deglutition disorders may involve dietary modifications, swallowing exercises, medications, or surgical interventions, depending on the underlying cause and severity of the condition.

I'm happy to help, but it seems there might be a slight misunderstanding in your question. "Nurses" is not a medical term per se, but rather a job title or professional role within the healthcare field. Here's a brief description of what nurses do:

Nurses are healthcare professionals who work closely with patients to provide and coordinate care, education, and support. They play a critical role in promoting health, preventing illness, and helping patients cope with various medical conditions. Nurses can be found in various settings such as hospitals, clinics, private practices, long-term care facilities, community health centers, and patient homes.

There are different nursing specialties and levels of education, including:

1. Registered Nurse (RN): Typically holds an associate's or bachelor's degree in nursing and has passed a licensing exam. RNs provide direct patient care, administer medications, and coordinate treatment plans.
2. Advanced Practice Registered Nurse (APRN): Has completed additional education and training beyond the RN level, often earning a master's or doctoral degree. APRNs can specialize in areas such as nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife.
3. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN): Holds a diploma or certificate from a practical nursing program and has passed a licensing exam. LPNs/LVNs provide basic patient care under the supervision of RNs and physicians.

These definitions are not exhaustive, but they should give you an idea of what nurses do and their roles within the healthcare system.

A needs assessment in a medical context is the process of identifying and evaluating the health needs of an individual, population, or community. It is used to determine the resources, services, and interventions required to address specific health issues and improve overall health outcomes. This process often involves collecting and analyzing data on various factors such as demographics, prevalence of diseases, access to healthcare, and social determinants of health. The goal of a needs assessment is to ensure that resources are allocated effectively and efficiently to meet the most pressing health needs and priorities.

Prognosis is a medical term that refers to the prediction of the likely outcome or course of a disease, including the chances of recovery or recurrence, based on the patient's symptoms, medical history, physical examination, and diagnostic tests. It is an important aspect of clinical decision-making and patient communication, as it helps doctors and patients make informed decisions about treatment options, set realistic expectations, and plan for future care.

Prognosis can be expressed in various ways, such as percentages, categories (e.g., good, fair, poor), or survival rates, depending on the nature of the disease and the available evidence. However, it is important to note that prognosis is not an exact science and may vary depending on individual factors, such as age, overall health status, and response to treatment. Therefore, it should be used as a guide rather than a definitive forecast.

"Right to Die" is not a medical term per se, but it's a concept that has significant implications in medical ethics and patient care. It generally refers to the right of a competent, terminally ill individual to choose to end their life in a humane and dignified manner, usually through physician-assisted suicide or euthanasia. This decision is typically made when the individual experiences unbearable suffering and believes that death is preferable to continued living.

The right to die raises complex ethical, legal, and medical issues related to autonomy, informed consent, palliative care, and end-of-life decision-making. It's important to note that while some jurisdictions have laws allowing physician-assisted suicide or euthanasia under specific circumstances, others do not, reflecting the ongoing debate about this issue in society.

Patient care management is a coordinated, comprehensive approach to providing healthcare services to individuals with chronic or complex medical conditions. It involves the development and implementation of a plan of care that is tailored to the needs of the patient, with the goal of improving clinical outcomes, enhancing quality of life, and reducing healthcare costs.

Patient care management typically involves a multidisciplinary team of healthcare professionals, including physicians, nurses, social workers, pharmacists, and other specialists as needed. The team works together to assess the patient's medical, psychological, social, and functional needs, and develop a plan of care that addresses those needs in a holistic and coordinated manner.

The plan of care may include a range of services, such as:

* Regular monitoring and management of chronic conditions
* Medication management and education
* Coordination of specialist appointments and other healthcare services
* Education and support for self-management of health conditions
* Behavioral health interventions to address mental health or substance use disorders
* Assistance with accessing community resources, such as transportation or housing

The ultimate goal of patient care management is to help patients achieve their optimal level of health and well-being, while also ensuring that healthcare services are delivered in a cost-effective and efficient manner. By coordinating care across providers and settings, patient care management can help reduce unnecessary hospitalizations, emergency department visits, and other costly interventions, while improving the overall quality of care for patients with complex medical needs.

Interdisciplinary communication in a medical context refers to the exchange of information and ideas between professionals from different healthcare disciplines, such as doctors, nurses, pharmacists, social workers, and therapists. This form of communication is essential for coordinating patient care, making informed treatment decisions, and ensuring that all members of the healthcare team are aware of the patient's needs, goals, and progress. Effective interdisciplinary communication can help to improve patient outcomes, increase patient satisfaction, and reduce medical errors. It typically involves clear, concise, and respectful communication, often through regular meetings, shared documentation, and collaborative decision-making processes.

Medical survival rate is a statistical measure used to determine the percentage of patients who are still alive for a specific period of time after their diagnosis or treatment for a certain condition or disease. It is often expressed as a five-year survival rate, which refers to the proportion of people who are alive five years after their diagnosis. Survival rates can be affected by many factors, including the stage of the disease at diagnosis, the patient's age and overall health, the effectiveness of treatment, and other health conditions that the patient may have. It is important to note that survival rates are statistical estimates and do not necessarily predict an individual patient's prognosis.

Bone neoplasms are abnormal growths or tumors that develop in the bone. They can be benign (non-cancerous) or malignant (cancerous). Benign bone neoplasms do not spread to other parts of the body and are rarely a threat to life, although they may cause problems if they grow large enough to press on surrounding tissues or cause fractures. Malignant bone neoplasms, on the other hand, can invade and destroy nearby tissue and may spread (metastasize) to other parts of the body.

There are many different types of bone neoplasms, including:

1. Osteochondroma - a benign tumor that develops from cartilage and bone
2. Enchondroma - a benign tumor that forms in the cartilage that lines the inside of the bones
3. Chondrosarcoma - a malignant tumor that develops from cartilage
4. Osteosarcoma - a malignant tumor that develops from bone cells
5. Ewing sarcoma - a malignant tumor that develops in the bones or soft tissues around the bones
6. Giant cell tumor of bone - a benign or occasionally malignant tumor that develops from bone tissue
7. Fibrosarcoma - a malignant tumor that develops from fibrous tissue in the bone

The symptoms of bone neoplasms vary depending on the type, size, and location of the tumor. They may include pain, swelling, stiffness, fractures, or limited mobility. Treatment options depend on the type and stage of the tumor but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.

Survival analysis is a branch of statistics that deals with the analysis of time to event data. It is used to estimate the time it takes for a certain event of interest to occur, such as death, disease recurrence, or treatment failure. The event of interest is called the "failure" event, and survival analysis estimates the probability of not experiencing the failure event until a certain point in time, also known as the "survival" probability.

Survival analysis can provide important information about the effectiveness of treatments, the prognosis of patients, and the identification of risk factors associated with the event of interest. It can handle censored data, which is common in medical research where some participants may drop out or be lost to follow-up before the event of interest occurs.

Survival analysis typically involves estimating the survival function, which describes the probability of surviving beyond a certain time point, as well as hazard functions, which describe the instantaneous rate of failure at a given time point. Other important concepts in survival analysis include median survival times, restricted mean survival times, and various statistical tests to compare survival curves between groups.

Advance directives are legal documents that allow individuals to express their wishes and preferences regarding medical treatment in the event that they become unable to make decisions for themselves due to serious illness or injury. These documents typically include a living will, which outlines the types of treatments an individual wants or doesn't want to receive in specific circumstances, and a healthcare power of attorney, which designates a trusted person to make medical decisions on their behalf.

Advance directives are an important tool for ensuring that individuals receive the medical care they desire, even when they cannot communicate their wishes themselves. They can also help to prevent family members from having to make difficult decisions about medical treatment without knowing what their loved one would have wanted. It is important for individuals to discuss their advance directives with their healthcare providers and loved ones to ensure that everyone understands their wishes and can carry them out if necessary.

Radiation oncology is a branch of medicine that uses ionizing radiation in the treatment and management of cancer. The goal of radiation therapy, which is the primary treatment modality in radiation oncology, is to destroy cancer cells or inhibit their growth while minimizing damage to normal tissues. This is achieved through the use of high-energy radiation beams, such as X-rays, gamma rays, and charged particles, that are directed at the tumor site with precision. Radiation oncologists work in interdisciplinary teams with other healthcare professionals, including medical physicists, dosimetrists, and radiation therapists, to plan and deliver effective radiation treatments for cancer patients.

Patient care planning is a critical aspect of medical practice that involves the development, implementation, and evaluation of an individualized plan for patients to receive high-quality and coordinated healthcare services. It is a collaborative process between healthcare professionals, patients, and their families that aims to identify the patient's health needs, establish realistic goals, and determine the most effective interventions to achieve those goals.

The care planning process typically includes several key components, such as:

1. Assessment: A comprehensive evaluation of the patient's physical, psychological, social, and environmental status to identify their healthcare needs and strengths.
2. Diagnosis: The identification of the patient's medical condition(s) based on clinical findings and diagnostic tests.
3. Goal-setting: The establishment of realistic and measurable goals that address the patient's healthcare needs and align with their values, preferences, and lifestyle.
4. Intervention: The development and implementation of evidence-based strategies to achieve the identified goals, including medical treatments, therapies, and supportive services.
5. Monitoring and evaluation: The ongoing assessment of the patient's progress towards achieving their goals and adjusting the care plan as needed based on changes in their condition or response to treatment.

Patient care planning is essential for ensuring that patients receive comprehensive, coordinated, and personalized care that promotes their health, well-being, and quality of life. It also helps healthcare professionals to communicate effectively, make informed decisions, and provide safe and effective care that meets the needs and expectations of their patients.

Decision-making is the cognitive process of selecting a course of action from among multiple alternatives. In a medical context, decision-making refers to the process by which healthcare professionals and patients make choices about medical tests, treatments, or management options based on a thorough evaluation of available information, including the patient's preferences, values, and circumstances.

The decision-making process in medicine typically involves several steps:

1. Identifying the problem or issue that requires a decision.
2. Gathering relevant information about the patient's medical history, current condition, diagnostic test results, treatment options, and potential outcomes.
3. Considering the benefits, risks, and uncertainties associated with each option.
4. Evaluating the patient's preferences, values, and goals.
5. Selecting the most appropriate course of action based on a careful weighing of the available evidence and the patient's individual needs and circumstances.
6. Communicating the decision to the patient and ensuring that they understand the rationale behind it, as well as any potential risks or benefits.
7. Monitoring the outcomes of the decision and adjusting the course of action as needed based on ongoing evaluation and feedback.

Effective decision-making in medicine requires a thorough understanding of medical evidence, clinical expertise, and patient preferences. It also involves careful consideration of ethical principles, such as respect for autonomy, non-maleficence, beneficence, and justice. Ultimately, the goal of decision-making in healthcare is to promote the best possible outcomes for patients while minimizing harm and respecting their individual needs and values.

Physician-patient relations, also known as doctor-patient relationships, refer to the interaction and communication between healthcare professionals and their patients. This relationship is founded on trust, respect, and understanding, with the physician providing medical care and treatment based on the patient's needs and best interests. Effective physician-patient relations involve clear communication, informed consent, shared decision-making, and confidentiality. A positive and collaborative relationship can lead to better health outcomes, improved patient satisfaction, and increased adherence to treatment plans.

Neoplasm metastasis is the spread of cancer cells from the primary site (where the original or primary tumor formed) to other places in the body. This happens when cancer cells break away from the original (primary) tumor and enter the bloodstream or lymphatic system. The cancer cells can then travel to other parts of the body and form new tumors, called secondary tumors or metastases.

Metastasis is a key feature of malignant neoplasms (cancers), and it is one of the main ways that cancer can cause harm in the body. The metastatic tumors may continue to grow and may cause damage to the organs and tissues where they are located. They can also release additional cancer cells into the bloodstream or lymphatic system, leading to further spread of the cancer.

The metastatic tumors are named based on the location where they are found, as well as the type of primary cancer. For example, if a patient has a primary lung cancer that has metastasized to the liver, the metastatic tumor would be called a liver metastasis from lung cancer.

It is important to note that the presence of metastases can significantly affect a person's prognosis and treatment options. In general, metastatic cancer is more difficult to treat than cancer that has not spread beyond its original site. However, there are many factors that can influence a person's prognosis and response to treatment, so it is important for each individual to discuss their specific situation with their healthcare team.

Diseases9

Analytical, Diagnostic and Therapeutic Techniques and Equipment14

Psychiatry and Psychology12

Phenomena and Processes1

Disciplines and Occupations5

Anthropology, Education, Sociology and Social Phenomena6

Humanities2

Information Science4

Named Groups3

Health Care34

Geographicals1

Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (1/2733)

Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (2/2733)

Reirradiation combined with hyperthermia in recurrent breast cancer results in a worthwhile local palliation. (3/2733)

Intensive weekly chemotherapy is not effective in advanced pancreatic cancer patients: a report from the Italian Group for the Study of Digestive Tract Cancer (GISCAD). (4/2733)

A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss. (5/2733)

Defining and analysing symptom palliation in cancer clinical trials: a deceptively difficult exercise. (6/2733)

When to consider radiation therapy for your patient. (7/2733)

Use of resources and costs of palliative care with parenteral fluids and analgesics in the home setting for patients with end-stage cancer. (8/2733)

No FAQ available that match "palliative care"

No images available that match "palliative care"

Palliative Care

Terminal Care

Terminally Ill

Hospice Care

Attitude to Death

Hospice and Palliative Care Nursing

Hospices

Neoplasms

Cancer Care Facilities

Euthanasia

Medical Oncology

Pain Management

Home Care Services

Spirituality

Patient Care Team

Bereavement

Quality of Life

Karnofsky Performance Status

Pain

Treatment Outcome

Advance Care Planning

Caregivers

Referral and Consultation

Nova Scotia

Professional-Family Relations

Attitude of Health Personnel

Retrospective Studies

Intestinal Obstruction

Community Health Nursing

Communication

Bile Duct Neoplasms

Pain, Intractable

Oncology Service, Hospital

Quality of Health Care

Death

Standard of Care

Suicide, Assisted

Clinical Nursing Research

Jejunostomy

Questionnaires

Psychosomatic Medicine

Deglutition Disorders

Nurses

Needs Assessment

Prognosis

Right to Die

Patient Care Management

Interdisciplinary Communication

Survival Rate

Bone Neoplasms

Survival Analysis

Advance Directives

Radiation Oncology

Patient Care Planning

Decision Making

Physician-Patient Relations

Neoplasm Metastasis

Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (1/2733)

Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (2/2733)

Reirradiation combined with hyperthermia in recurrent breast cancer results in a worthwhile local palliation. (3/2733)

Intensive weekly chemotherapy is not effective in advanced pancreatic cancer patients: a report from the Italian Group for the Study of Digestive Tract Cancer (GISCAD). (4/2733)

A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss. (5/2733)

Defining and analysing symptom palliation in cancer clinical trials: a deceptively difficult exercise. (6/2733)

When to consider radiation therapy for your patient. (7/2733)

Use of resources and costs of palliative care with parenteral fluids and analgesics in the home setting for patients with end-stage cancer. (8/2733)

No FAQ available that match "palliative care"

No images available that match "palliative care"