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Palliative Care Definitions and Palliative Medical Terminology



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Palliative care (PC) is a specialty that provides comfort and pain management to patients and their families. PC can be used in many settings, including hospice, palliative care, and home health. Contrary to hospice, PC does not have a specific end in mind. Instead, it can be offered at any stage of serious illness. Research has shown that PC can improve the quality of life for both caregivers and patients.

Palliative and end-of-life care have evolved over time as the term has been adjusted to better fit a wider range if goals and duties. In a World Health Assembly resolution, palliative care was called for by governments to be integrated into national health systems. It also stated that palliative care should not be provided later in illness. Although the term is not widely used by medical professionals, many still believe it to be synonymous for hospice care.

Although PC has been defined differently, there is agreement on its core concepts. These are relief from suffering, holistic prevention and care for patients. These include care for the spiritual, psychological, and physical aspects of care.

However, while there is consensus on the definition of PC, there is a lack of consistency on how the terms should be applied. A recent study examined the use of supportive oncology literature definitions. Twenty doctors were asked to determine the frequency of using 10 terms. Only three of these terms were used more than any other. Most articles did not provide a definition. Other definitions emphasized the symptoms of a disease.


Although a strong prognosis may be helpful in the decision making process it can sometimes prove difficult to predict a patient’s future. For instance, patients with terminal illness may have complex pain management needs. Patients who have been ill for a long time or have suffered acute exacerbations from chronic diseases are more susceptible to lack of information.

As the term "palliative care" has been used for more than 30 years, there is a lack of clear definition. This is due to loose language used in many sources and differences in medical ethics across countries. Many researchers have used online and medical journals to search for definitions.

Numerous organizations have voiced concern over the lack of consistent terminology in supportive-oncology literature. The Hospice Alliance of America for instance has advocated for a consistent definition of palliative. The terms they identified include symptom control and physical aspects of palliative care, cultural and psycho-psychiatric aspects and transition of care as well as caregiver support.

This study performed a corpus search to discover how these terms are used in the supportive oncology literature. Researchers mapped 24 studies including 9 protocols and 7 technical instruments. Researchers discovered an archetype for ePRO-enabled intervention. Although ePROs are often used to assess study outcomes, they are not considered part of the intervention component.




FAQ

Who is responsible for public health?

Public health is the responsibility of all levels. Local governments control roads, schools, parks, and recreation facilities. The laws and regulations governing food safety, workplace safety as well as consumer protection are enacted by both the national and state governments.


What are the differences between these three types of healthcare system?

First, the traditional system in which patients are given little control over their treatment. They visit hospital A if they are in need of an operation. But otherwise, it is best to not bother as there is little else.

This second system is fee-for service. Doctors make money based on how many drugs, tests and operations they perform. If they aren't paid enough, they won’t do extra work for you, and you’ll pay twice as.

The third system pays doctors according to the amount they spend on care, not by how many procedures performed. This encourages doctors use of less expensive treatments, such as talking therapies, instead of surgical procedures.


What does "public" mean in public health?

Public Health is about protecting and improving the health in the community. Public Health is about preventing illness, injury, and disability; encouraging good health practices; ensuring adequate food; and controlling communicable disease, environmental hazards, behavioral risks, and other threats.


What is an infectious disease?

An infectious disease is caused either by bacteria, viruses, parasites or both. Infectious diseases are spread quickly by close contact. You can get measles or mumps, rubella (German whooping cough), pertussis/whooping chives, rubella ("German measles"), measles), pertussis ("whooping cough"), rubella ("German measles"), chickenpox), strep thyme), hepatitis A/B, HIV/AIDS), herpes simplex viruses, syphilis, gonorrhea and chlamydia


How can I make sure my family has access to quality health care?

Most states will have a department for health, which helps to ensure that everyone has affordable access to health care. Some states also offer coverage for families with low income children. For more information, please contact the Department of Health in your state.


What are the three levels of health care facilities?

The first level is general practice clinics which provide basic medical services for patients who do not require hospital admission. If required, they can refer patients for treatment to other providers. These include general practitioners, nurse practitioners, or midwives.

The second level includes primary care centers that offer outpatient comprehensive care including emergency treatment. These include hospitals and walk-in clinics as well as urgent care centers.

The third level are secondary care centers, which offer specialist services such eye surgeries, orthopedic surgery, and neurosurgery.



Statistics

  • For the most part, that's true—over 80 percent of patients are over the age of 65. (rasmussen.edu)
  • For instance, Chinese hospital charges tend toward 50% for drugs, another major percentage for equipment, and a small percentage for healthcare professional fees. (en.wikipedia.org)
  • Over the first twenty-five years of this transformation, government contributions to healthcare expenditures have dropped from 36% to 15%, with the burden of managing this decrease falling largely on patients. (en.wikipedia.org)
  • Foreign investment in hospitals—up to 70% ownership- has been encouraged as an incentive for privatization. (en.wikipedia.org)
  • The health share of the Gross domestic product (GDP) is expected to continue its upward trend, reaching 19.9 percent of GDP by 2025. (en.wikipedia.org)



External Links

aha.org


cms.gov


jointcommission.org


web.archive.org




How To

What are the Four Health Systems?

The healthcare system is a complex network of organizations such as hospitals, clinics, pharmaceutical companies, insurance providers, government agencies, public health officials, and many others.

This infographic was created to help people understand the US healthcare system.

Here are some key points.

  1. Annual healthcare spending totals $2 trillion and represents 17% GDP. This is nearly twice the amount of the entire defense spending budget.
  2. Medical inflation was 6.6% in 2015, higher than any other category of consumer.
  3. Americans spend 9% of their income annually on health.
  4. As of 2014, there were over 300 million uninsured Americans.
  5. Although the Affordable Care Act (ACA), has been passed into law, it is not yet fully implemented. There are still significant gaps in coverage.
  6. A majority of Americans believe that there should be continued improvement to the ACA.
  7. The United States spends more on healthcare than any other country.
  8. Affordable healthcare would mean that every American has access to it. The annual cost would be $2.8 trillion.
  9. Medicare, Medicaid, private insurers and other insurance policies cover 56%.
  10. People don't have insurance for three reasons: they can't afford it ($25 Billion), don’t have enough time to search for it ($16.4 Billion), and don’t know about it ($14.7Billion).
  11. There are two types of plans: HMO (health maintenance organization) and PPO (preferred provider organization).
  12. Private insurance covers all services, including doctor, dentist, prescriptions, physical therapy, and many others.
  13. Public programs cover hospitalization, outpatient surgery, nursing homes, hospice care, long-term care, and preventive care.
  14. Medicare, a federal program, provides seniors with health insurance. It pays for hospital stays and skilled nursing facility stays.
  15. Medicaid is a state-federal joint program that provides financial help to low-income persons and families who make too many to qualify for any other benefits.




 



Palliative Care Definitions and Palliative Medical Terminology