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Palliative care | A Wisdom Archive on Palliative care |  | Palliative care A selection of articles related to Palliative care |  |
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Palliative care
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ARTICLES RELATED TO Palliative care |  |  |  | Palliative care: Encyclopedia II - Palliative care - Palliative care practicePalliative care most often occurs in the dying person's home. It is also provided in free-standing inpatient (hospice) units and within regular hospital units.
In most countries, hospice care is provided by an interdisciplinary team consisting of physicians, registered nurses, chaplains, social workers, physiotherapists, occupational therapists, complimentary therapists, volunteers and, most importantly, the family. The focus of the team is to optimize the patient's comfort. Additional members of the team are likely to include home he ...
See also:Palliative care, Palliative care - Hospice and palliative care goals, Palliative care - Hospice history, Palliative care - Palliative care practice, Palliative care - Treatment of distress Read more here: » Palliative care: Encyclopedia II - Palliative care - Palliative care practice |
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 |  |  | Palliative care: Encyclopedia II - Palliative care - Hospice and palliative care goals
More than a place, hospice care is a philosophy that is now called "palliative care." Dictionary.com defines a hospice as "A program that provides palliative care and attends to the emotional and spiritual needs of terminally ill patients at an inpatient facility or at the patient's home," and the Cancer Web Internet site defines a hospice as "An institution that provides a centralised program of palliative and supportive services to dying persons and their families, in the form of physical, psychological, social, and spiritual care; such se ...
See also:Palliative care, Palliative care - Hospice and palliative care goals, Palliative care - Hospice history, Palliative care - Palliative care practice, Palliative care - Treatment of distress Read more here: » Palliative care: Encyclopedia II - Palliative care - Hospice and palliative care goals |
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 |  |  | Palliative care: Encyclopedia II - Oncology - Palliative careAlthough 50% of all cancer cases diagnosed achieve curation, a large number of cancer patients will die from the disease. There may be ongoing issues with symptom control associated with progressive cancer. These problems may include pain, nausea, anorexia, fatigue, immobility, and depression. Not all issues are strictly physical: personal dignity may be affected. Moral and spiritual issues are also important.
Whilst many of these problems fall within the remit of the oncologist, palliative care has matured into a separate, closely al ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Palliative care |
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 |  |  | Palliative care: Encyclopedia II - Oncology - Progress and research in oncologyThere is a tremendous amount of research being conducted on all frontiers of oncology, ranging from cancer cell biology to chemotherapy treatment regimens and optimal palliative care and pain relief. This makes oncology an exciting and continuously changing field.
Therapeutic trials often involve patients from many different hospitals in a particular region. In the UK, patients are often enrolled in large studies coordinated by the Medical Research Council (MRC, www.mrc.ac.uk) or the European Organisati ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Progress and research in oncology |
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 |  |  | Palliative care: Encyclopedia II - Oncology - Ethical issuesThere are a number of recurring ethical questions and dilemmas in oncological practice. These include:
What information to give the patient regarding disease extent/progression/prognosis.
Entry into clinical trials, especially in the face of terminal illness.
Withdrawal of active treatment.
"Do Not Resuscitate" orders and other end of life issues.
These issues are closely related to the patients' personality, religion, culture, personal, and family life. The answers are rare ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Ethical issues |
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 |  |  | Palliative care: Encyclopedia II - Oncology - DiagnosisThe most important diagnostic tool remains the medical history: the character of the complaints and any specific symptoms (fatigue, weight loss, unexplained anemia, paraneoplastic phenomena and other signs). Often a physical examination will reveal the location of a malignancy.
Diagnostic methods include:
Biopsy, either incisional or excisional;
Endoscopy, either upper or lower gastrointestinal, bronchoscopy, or nasendoscopy;
X-rays, CT scanning, MRI scanning, ultrasound and other radiological techniques ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Diagnosis |
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 |  |  | Palliative care: Encyclopedia II - Oncology - Complementary and Alternative therapiesSee main article: Alternative medicine
Many cancer patients seek extra help from complementary and alternative therapies, which fall outside of conventional medicine. Most complementary therapies do not have a firm scientific or evidence base. However, some patients undoubtedly find complementary therapies helpful whilst they are undergoing conventional treatment.
Whilst most complementary therapies are harmless, they can be expensive. They may also be positively harmful if the patient forgoes conventional treatment altogether, in order to follow altern ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Complementary and Alternative therapies |
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 |  |  | Palliative care: Encyclopedia II - Oncology - TherapyIt depends completely on the nature of the tumor identified what kind of therapeutical intervention will be necessary. Certain disorders will require immediate admission and chemotherapy (such as ALL or AML), while others will be followed up with regular physical examination and blood tests.
Often, surgery is attempted to remove a tumor entirely. This is only feasible when there is some degree of certainty that the tumor can in fact be removed. When it is certain that parts will remain, curative surgery is often impossible, e.g. when ...
See also:Oncology, Oncology - Diagnosis, Oncology - Therapy, Oncology - Follow-up, Oncology - Palliative care, Oncology - Ethical issues, Oncology - Progress and research in oncology, Oncology - Complementary and Alternative therapies Read more here: » Oncology: Encyclopedia II - Oncology - Therapy |
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 |  |  | Palliative care: Encyclopedia II - Prostate cancer - TreatmentTreatment for prostate cancer may involve watchful waiting, surgery, radiation therapy, chemotherapy, cryosurgery, hormonal therapy, or some combination. Which option is best depends on the stage of the disease, the Gleason score, and the PSA level. Other important factors are the man's age, his general health, and his feelings about potential treatments and their possible side effects. Because all treatments can have significant side effects, such as erectile dysfunction and urinary incontinence, treatment discussions often focus on balancing the goals of the ...
See also:Prostate cancer, Prostate cancer - The prostate, Prostate cancer - Symptoms, Prostate cancer - Pathophysiology, Prostate cancer - Epidemiology, Prostate cancer - Screening, Prostate cancer - Digital rectal examination, Prostate cancer - Prostate specific antigen, Prostate cancer - Confirming the diagnosis, Prostate cancer - Staging, Prostate cancer - Treatment, Prostate cancer - Watchful waiting, Prostate cancer - Surgery, Prostate cancer - Radiation therapy, Prostate cancer - Cryosurgery, Prostate cancer - Hormonal therapy, Prostate cancer - Palliative care, Prostate cancer - Prognosis, Prostate cancer - Prevention, Prostate cancer - History Read more here: » Prostate cancer: Encyclopedia II - Prostate cancer - Treatment |
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 |  |  | Palliative care: Encyclopedia II - Prostate cancer - EpidemiologyA man's risk of developing prostate cancer is related to his age, genetics, race, diet, lifestyle, medications, and other factors. The primary risk factor is age. Prostate cancer is uncommon in men less than 45, but becomes more common with advancing age. The average age at the time of diagnosis is 70.[7] However, many men never know they have prostate cancer. Autopsy studies of Chinese, German, Israeli, Jamaican, Swedish, and Ugandan men who died of othe ...
See also:Prostate cancer, Prostate cancer - The prostate, Prostate cancer - Symptoms, Prostate cancer - Pathophysiology, Prostate cancer - Epidemiology, Prostate cancer - Screening, Prostate cancer - Digital rectal examination, Prostate cancer - Prostate specific antigen, Prostate cancer - Confirming the diagnosis, Prostate cancer - Staging, Prostate cancer - Treatment, Prostate cancer - Watchful waiting, Prostate cancer - Surgery, Prostate cancer - Radiation therapy, Prostate cancer - Cryosurgery, Prostate cancer - Hormonal therapy, Prostate cancer - Palliative care, Prostate cancer - Prognosis, Prostate cancer - Prevention, Prostate cancer - History Read more here: » Prostate cancer: Encyclopedia II - Prostate cancer - Epidemiology |
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 |  |  | Palliative care: Encyclopedia II - Prostate cancer - ScreeningProstate cancer screening is an attempt to find unsuspected cancers. Screening tests may lead to more specific follow-up tests such as a biopsy, where small pieces of the prostate are removed for closer study. As of 2005 prostate cancer screening options include the digital rectal exam and the prostate specific antigen (PSA) blood test. Screening for prostate cancer is controversial because it is not clear if the benefits of screening outweigh the risks of foll ...
See also:Prostate cancer, Prostate cancer - The prostate, Prostate cancer - Symptoms, Prostate cancer - Pathophysiology, Prostate cancer - Epidemiology, Prostate cancer - Screening, Prostate cancer - Digital rectal examination, Prostate cancer - Prostate specific antigen, Prostate cancer - Confirming the diagnosis, Prostate cancer - Staging, Prostate cancer - Treatment, Prostate cancer - Watchful waiting, Prostate cancer - Surgery, Prostate cancer - Radiation therapy, Prostate cancer - Cryosurgery, Prostate cancer - Hormonal therapy, Prostate cancer - Palliative care, Prostate cancer - Prognosis, Prostate cancer - Prevention, Prostate cancer - History Read more here: » Prostate cancer: Encyclopedia II - Prostate cancer - Screening |
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 |  |  | Palliative care: Encyclopedia II - Anxiety - DiagnosisA good medical history and physical examination are essential for the initial diagnosis of any of the anxiety disorders in order to exclude any other significant, treatable medical conditions that could be causing the symptoms of anxiety. A family history of anxiety disorders or other psychiatric illnesses strengthens the case for an anxiety disorder.
As there is a high association for anxiety for other psychiatric problems including drug abuse and depression, the physical examination should include checking for evidence of intravenous drug u ...
See also:Anxiety, Anxiety - Diagnosis, Anxiety - Diagnosis using a blood test, Anxiety - Generalized anxiety disorder, Anxiety - Panic disorder, Anxiety - Phobia, Anxiety - Obsessive-compulsive disorder, Anxiety - Treatment overview, Anxiety - Prescription medication, Anxiety - Cognitive-behavioral therapy, Anxiety - Other coping strategies, Anxiety - Anxiety in palliative care, Anxiety - Anxiety and alternative medicine, Anxiety - Existential Anxiety, Anxiety - Test Anxiety Read more here: » Anxiety: Encyclopedia II - Anxiety - Diagnosis |
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 |  |  | Palliative care: Encyclopedia II - Prostate cancer - StagingAn important part of evaluating prostate cancer is determining the stage, or how far the cancer has spread. Knowing the stage helps define prognosis and is useful when selecting therapies. The most common system is the four-stage TNM system (abbreviated from Tumor/Nodes/Metastases). Its components include the size of the tumor, the number of involved lymph nodes, and the presence of any other metastases. The microscopic appearance of the prostate, quantified as the Gleason score, is also incorporated into the staging system. The Whitmore-Jew ...
See also:Prostate cancer, Prostate cancer - The prostate, Prostate cancer - Symptoms, Prostate cancer - Pathophysiology, Prostate cancer - Epidemiology, Prostate cancer - Screening, Prostate cancer - Digital rectal examination, Prostate cancer - Prostate specific antigen, Prostate cancer - Confirming the diagnosis, Prostate cancer - Staging, Prostate cancer - Treatment, Prostate cancer - Watchful waiting, Prostate cancer - Surgery, Prostate cancer - Radiation therapy, Prostate cancer - Cryosurgery, Prostate cancer - Hormonal therapy, Prostate cancer - Palliative care, Prostate cancer - Prognosis, Prostate cancer - Prevention, Prostate cancer - History Read more here: » Prostate cancer: Encyclopedia II - Prostate cancer - Staging |
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 |  |  | Palliative care: Encyclopedia II - Anxiety - Panic disorderIn panic disorder, the person suffers brief attacks of intense terror and apprehension that cause trembling and shaking, dizziness, and difficulty breathing. One who is often plagued by sudden bouts of intense anxiety might be said to be afflicted by this disorder. The American Psychiatric Association (2000) defines a panic attack as fear or discomfort that arises abruptly and peaks in 10 minutes or less.
Although panic attacks sometimes seem to occur out of nowhere, they generally happen after frightening experiences, prolonged stres ...
See also:Anxiety, Anxiety - Diagnosis, Anxiety - Diagnosis using a blood test, Anxiety - Generalized anxiety disorder, Anxiety - Panic disorder, Anxiety - Phobia, Anxiety - Obsessive-compulsive disorder, Anxiety - Treatment overview, Anxiety - Prescription medication, Anxiety - Cognitive-behavioral therapy, Anxiety - Other coping strategies, Anxiety - Anxiety in palliative care, Anxiety - Anxiety and alternative medicine, Anxiety - Existential Anxiety, Anxiety - Test Anxiety Read more here: » Anxiety: Encyclopedia II - Anxiety - Panic disorder |
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 |  |  | Palliative care: Encyclopedia II - Anxiety - Treatment overviewMainstream treatment for anxiety consists of the prescription of anxiolytic agents and/or referral to a cognitive-behavioral therapist. There are indications that a combination of the two can be more effective than either one.
Anxiety - Prescription medication.
The acute symptoms of anxiety are most often controlled with anxiolytic agents such as benzodiazepines. Diazepam (valium) was one of the first such drugs. Today we see a wide range of anti-anxiety agents that are based on benzodiazepines, although o ...
See also:Anxiety, Anxiety - Diagnosis, Anxiety - Diagnosis using a blood test, Anxiety - Generalized anxiety disorder, Anxiety - Panic disorder, Anxiety - Phobia, Anxiety - Obsessive-compulsive disorder, Anxiety - Treatment overview, Anxiety - Prescription medication, Anxiety - Cognitive-behavioral therapy, Anxiety - Other coping strategies, Anxiety - Anxiety in palliative care, Anxiety - Anxiety and alternative medicine, Anxiety - Existential Anxiety, Anxiety - Test Anxiety Read more here: » Anxiety: Encyclopedia II - Anxiety - Treatment overview |
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 |  |  | Palliative care: Encyclopedia II - List of publications in medicine - Recent studiesMortality in relation to smoking: 50 years' observation on male British doctors
Authors: R. Doll, R. Peto, J. Boreham, I. Sutherland
Publication data: BMJ 2004;328:1519–33.
Description: This is the British doctors study. A prospective clinical trial which has been running from 1951 to 2001, and in 1956 provided convincing statistical evidence that tobacco smoking increases ...
See also:List of publications in medicine, List of publications in medicine - Foundations, List of publications in medicine - Recent studies, List of publications in medicine - Bioethics, List of publications in medicine - Biostatistics, List of publications in medicine - Embryology, List of publications in medicine - Nutrition, List of publications in medicine - Transfusion medicine, List of publications in medicine - Clinical chemistry, List of publications in medicine - Hematology, List of publications in medicine - Radiology, List of publications in medicine - Interventional radiology, List of publications in medicine - Nuclear Medicine, List of publications in medicine - Anesthesiology, List of publications in medicine - Pain medicine, List of publications in medicine - Dermatology, List of publications in medicine - Emergency medicine, List of publications in medicine - General practice, List of publications in medicine - Geriatrics, List of publications in medicine - Hospital medicine, List of publications in medicine - Intensive care medicine, List of publications in medicine - Internal medicine, List of publications in medicine - Cardiology, List of publications in medicine - Gastroenterology, List of publications in medicine - Endocrinology, List of publications in medicine - Hematology, List of publications in medicine - Infectious diseases, List of publications in medicine - Nephrology, List of publications in medicine - Oncology, List of publications in medicine - Pulmonology, List of publications in medicine - Rheumatology, List of publications in medicine - Neurology, List of publications in medicine - Obstetrics, List of publications in medicine - gynecology, List of publications in medicine - Palliative care, List of publications in medicine - Pediatrics, List of publications in medicine - public health, List of publications in medicine - Psychiatry, List of publications in medicine - Radiation therapy, List of publications in medicine - General surgery, List of publications in medicine - Neurosurgery, List of publications in medicine - Ophthalmology, List of publications in medicine - Orthopedic surgery, List of publications in medicine - Otolaryngology, List of publications in medicine - Plastic surgery, List of publications in medicine - Urology, List of publications in medicine - Vascular surgery, List of publications in medicine - hyperbaric medicine, List of publications in medicine - Medical informatics, List of publications in medicine - Nosology Read more here: » List of publications in medicine: Encyclopedia II - List of publications in medicine - Recent studies |
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