A Poor Prognosis
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| Author | : Richard D. Riley |
| Publisher | : Oxford University Press |
| Total Pages | : 373 |
| Release | : 2019-01-17 |
| Genre | : Medical |
| ISBN | : 0192516655 |
"What is going to happen to me?" Most patients ask this question during a clinical encounter with a health professional. As well as learning what problem they have (diagnosis) and what needs to be done about it (treatment), patients want to know about their future health and wellbeing (prognosis). Prognosis research can provide answers to this question and satisfy the need for individuals to understand the possible outcomes of their condition, with and without treatment. Central to modern medical practise, the topic of prognosis is the basis of decision making in healthcare and policy development. It translates basic and clinical science into practical care for patients and populations. Prognosis Research in Healthcare: Concepts, Methods and Impact provides a comprehensive overview of the field of prognosis and prognosis research and gives a global perspective on how prognosis research and prognostic information can improve the outcomes of healthcare. It details how to design, carry out, analyse and report prognosis studies, and how prognostic information can be the basis for tailored, personalised healthcare. In particular, the book discusses how information about the characteristics of people, their health, and environment can be used to predict an individual's future health. Prognosis Research in Healthcare: Concepts, Methods and Impact, addresses all types of prognosis research and provides a practical step-by-step guide to undertaking and interpreting prognosis research studies, ideal for medical students, health researchers, healthcare professionals and methodologists, as well as for guideline and policy makers in healthcare wishing to learn more about the field of prognosis.
| Author | : Anthony Back |
| Publisher | : Cambridge University Press |
| Total Pages | : 148 |
| Release | : 2009-03-02 |
| Genre | : Medical |
| ISBN | : 1139477927 |
Physicians who care for patients with life-threatening illnesses face daunting communication challenges. Patients and family members can react to difficult news with sadness, distress, anger, or denial. This book defines the specific communication tasks involved in talking with patients with life-threatening illnesses and their families. Topics include delivering bad news, transition to palliative care, discussing goals of advance-care planning and do-not-resuscitate orders, existential and spiritual issues, family conferences, medical futility, and other conflicts at the end of life. Drs Anthony Back, Robert Arnold, and James Tulsky bring together empirical research as well as their own experience to provide a roadmap through difficult conversations about life-threatening issues. The book offers both a theoretical framework and practical conversational tools that the practising physician and clinician can use to improve communication skills, increase satisfaction, and protect themselves from burnout.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 473 |
| Release | : 2015-12-29 |
| Genre | : Medical |
| ISBN | : 0309377722 |
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
| Author | : Colette Blockley |
| Publisher | : Austin Macauley Publishers |
| Total Pages | : 342 |
| Release | : 2024-03-01 |
| Genre | : Health & Fitness |
| ISBN | : 1398461229 |
These incredible stories of pain and suffering, courage and determination will assist people newly diagnosed with cancer to position themselves in the best possible place for survival. Knowledge and understanding of the stories of survivors of cancer may also assist health professionals to best help those living with cancer, and the people who journey alongside them. At the very least these stories shed light on how a group of people, given the worst news possible related to their health, fought back against all the odds and lived to tell the tale. Awareness of the many concerns facing cancer survivors may inspire policy-makers, health professionals, even those remotely involved with someone journeying with cancer to initiate change in some way: to make a difference to the person with cancer’s struggle. Although some cancer survivors recover with a renewed sense of life and purpose, what has often not been recognised is the frequently devastating toll taken by cancer and its treatments. Long-lasting effects may be apparent shortly after completion of treatment and/or many years later. Personal relationships are changed and wide-reaching adaptations to all aspects of life may be necessary. Importantly, survivors’ health is forever altered. Let’s face it; we are all involved here. All of us know someone with cancer, many of us have lost loved ones to cancer, many, too many of us will be diagnosed with cancer, given that one in three people in the world face a cancer diagnosis during their lifetime.
| Author | : Sam Thiagalingam |
| Publisher | : Cambridge University Press |
| Total Pages | : 597 |
| Release | : 2015-04-09 |
| Genre | : Mathematics |
| ISBN | : 0521493390 |
An overview of the current systems biology-based knowledge and the experimental approaches for deciphering the biological basis of cancer.
| Author | : Robert C. Bast, Jr. |
| Publisher | : John Wiley & Sons |
| Total Pages | : 2004 |
| Release | : 2017-03-10 |
| Genre | : Medical |
| ISBN | : 111900084X |
Holland-Frei Cancer Medicine, Ninth Edition, offers a balanced view of the most current knowledge of cancer science and clinical oncology practice. This all-new edition is the consummate reference source for medical oncologists, radiation oncologists, internists, surgical oncologists, and others who treat cancer patients. A translational perspective throughout, integrating cancer biology with cancer management providing an in depth understanding of the disease An emphasis on multidisciplinary, research-driven patient care to improve outcomes and optimal use of all appropriate therapies Cutting-edge coverage of personalized cancer care, including molecular diagnostics and therapeutics Concise, readable, clinically relevant text with algorithms, guidelines and insight into the use of both conventional and novel drugs Includes free access to the Wiley Digital Edition providing search across the book, the full reference list with web links, illustrations and photographs, and post-publication updates
| Author | : Achilles Thoma |
| Publisher | : Springer |
| Total Pages | : 359 |
| Release | : 2019-03-25 |
| Genre | : Medical |
| ISBN | : 303005120X |
The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.
| Author | : Frances Southwick |
| Publisher | : Bookbaby |
| Total Pages | : 0 |
| Release | : 2015-11-12 |
| Genre | : Medical |
| ISBN | : 9781682220870 |
Prognosis: Poor is a poignant snapshot of one physician's medical training. Frances Southwick, D.O. explores the highs and lows (more often the lows) of the process of becoming a doctor. She delivers colorful detail inside the mind of one trainee, herself, through undergraduate school, medical school and residency. The book focuses most heavily on the capstone of family medicine training: three years of residency in a well-respected Pittsburgh hospital. Dr. Southwick courageously explores her most difficult moments of self-doubt and hopelessness, but wraps the text up with a chapter cataloguing current problems in the training process and how they might be remedied. This memoir highlights the problem of depression in physicians and physicians-in-training as a looming, large, current problem. Greg Gallik, D.O., Dr. Southwick's mentor and the medical director of the University of Pittsburgh Medical Center's Family Health Center states: "Prognosis Poor shines a much needed light on medical training in the U.S. Frances Southwick somberly illustrates the intense demands placed on those who choose to devote their lives to improve the health of others while simultaneously forcing them to ignore their own. Dr. Southwick's memoir has triggered many similar memories of my own medical training and pointedly shows how little we have learned. She has succeeded in describing the idealistic driving force behind a student's desire to become a physician contrasted with the often painful reality of the process itself. It is my hope that this book will contribute to creating a more humane and supportive medical training experience for the next generation of young doctors."
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 470 |
| Release | : 2015-03-19 |
| Genre | : Medical |
| ISBN | : 0309303133 |
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
| Author | : Ajay Vora |
| Publisher | : Springer |
| Total Pages | : 345 |
| Release | : 2017-04-21 |
| Genre | : Medical |
| ISBN | : 3319397087 |
This book provides a comprehensive and up-to-date review of all aspects of childhood Acute Lymphoblastic Leukemia, from basic biology to supportive care. It offers new insights into the genetic pre-disposition to the condition and discusses how response to early therapy and its basic biology are utilized to develop new prognostic stratification systems and target therapy. Readers will learn about current treatment and outcomes, such as immunotherapy and targeted therapy approaches. Supportive care and management of the condition in resource poor countries are also discussed in detail. This is an indispensable guide for research and laboratory scientists, pediatric hematologists as well as specialist nurses involved in the care of childhood leukemia.
