Introduction to the management station
Sukhpreet Singh Dubb in Core Surgical Training Interviews, 2020
This is the estimation of providing healthcare and the risks this can have to the patient, the provider and the organisation. Any treatment, intervention or service given to a patient has inherent risks associated with it. In order to minimise these risks, systems are in place to respond to patients' complaints, protect their statutory rights and identify potentially hazardous actions. This includes among many others, the Patient Advice and Liason team (PALS), the Data Protection Act and Control of Substances Hazardous to Heath (COSHH). Risks to providers include, among others, transmitted infections and injuries sustained whilst working (e.g., needle stick injuries). These again can be minimised by ensuring up-to-date vaccinations, safe working environments and protocols for practitioner protection against injuries sustained in the work place. Finally, risk management for organisations entails ensuring the service provision adheres to the highest quality standard and patient safety is maintained at all times. All members of the organisation must agree to comply with these policies.
Nutritional Strategies for Patients with Obesity and the Metabolic Syndrome
Jeffrey I. Mechanick, Elise M. Brett in Nutritional Strategies for the Diabetic & Prediabetic Patient, 2006
Surgical intervention is an option for carefully selected patients with a BMI > 35 kg/M2 and the metabolic syndrome. For these patients, the benefits of an invasive intervention should outweigh the risks. Although there are no defined criteria for a specified length of time or description of what constitutes an eligible ‘less invasive’ treatment, many consider this to be formal participation in a medically supervised diet and exercise program for 6 months or longer. Several bariatric procedures are available that either alter the amount of food a patient can eat (restrictive operations) or the amount of calories and nutrients absorbed (malabsorptive operations). Mean weight loss following the restrictive Roux-en-Y gastric bypass procedure (RGB) is approximately 35% of the pre-operative weight and is reached between 12 and 18 months postoperatively. Weight loss following the malabsorptive procedures is reported to be greater than gastric restrictive procedures, but with a greater incidence of metabolic complications. Multiple studies have demonstrated complete resolution or improvement of obesity-related comorbid conditions following surgery, notably, T2DM, obstructive sleep apnea, obesity hypoventilation, gastroesophageal reflux disease (GERD), and peripheral edema [89,90]. Although there is an immediate reduction in the prevalence of hypertension, these benefits may diminish after 8 years of followup [91].
Locating lawful abortion on the spectrum of ‘proper medical treatment'
Sara Fovargue, Alexandra Mullock in The Legitimacy of Medical Treatment, 2015
The two key elements of the paradigm case, consent and therapeutic benefit, have different roles in determining the properness of treatment. Consent operates in an all-or-nothing way. If it is possible, it must be present, and if it is present and the intervention is also clearly therapeutic, we have a paradigm case of proper medical treatment. If the capacity to consent is absent, then providing that the relevant patient-centred test is met (necessity or best interests, depending on the patient’s condition), and providing that the intervention is clearly therapeutic, the absence of consent does not preclude proper medical treatment. Although we are not dealing in such circumstances with a paradigm case, the properness of the treatment is not in doubt. This is because treatment in cases where patients cannot consent is both necessary and desirable, and also because the portion of the overall justification which consent represents in the paradigm case can be satisfied by necessity or best interests in other cases. Therapeutic treatment without consent which is justified by necessity in the case of an unconscious patient or in the best interests of a patient who lacks capacity on a longer term basis, is thus clearly proper, albeit not paradigmatic.
Impact of Quality Control Circle on Patient Outcomes after Hepatocellular Carcinoma Intervention: A Meta-Analysis
Published in Expert Review of Anticancer Therapy, 2023
Yimin Wang, Yuerong Lai, Li Du, Wenzhen Shen
In this meta-analysis, we aimed to evaluate the impact of QCC on patients’ knowledge of health education and complications following interventional therapies for treating HCC. Intervention therapies refer to medical treatments that involve physical or pharmacological interventions to manage or cure a disease, condition, or injury. They are designed to interrupt the natural course of the condition or disease and promote healing or symptom relief such as embolization and ablation. In our study, we examined the effect of a specific type of intervention i.e. QCC, on the quality of care for patients with HCC. We did not intend to investigate the management of specific intervention therapies such as embolization or ablation. To achieve this, we conducted a systematic review of the literature using multiple databases including the Cochrane Library, Web of Science, PubMed, ProQuest, and Chinese biomedical literature databases Wanfang, Wipu, and China Knowledge Network. The search period was from the earliest available date to July 2022. The search terms used were ‘hepatocellular carcinoma,’ ‘liver malignant tumor,’ ‘primary hepatocellular carcinoma,’ ‘interventional therapy,’ and ‘quality control circle.’
Music-based techniques and related devices in neurorehabilitation: a scoping review
Published in Expert Review of Medical Devices, 2021
Marco Tramontano, Sara De Angelis, Sara Mastrogiacomo, Alessandro Antonio Princi, Irene Ciancarelli, Antonio Frizziero, Marco Iosa, Stefano Paolucci, Giovanni Morone
It is of great importance to identify therapeutic interventions with music as distinguished from a general use of it, without a therapeutic purpose [26]. Some basic conditions that characterize a therapeutic intervention include the presence of a qualified professional and of a therapeutic setting in addition to a reference model that defines the details supporting the intervention [27]. Different types of intervention based on the use of music can be identified: music based-intervention (experimental protocols to study the music therapeutic effect); music-therapy (delivered in a clinical setting by a trained music therapist and consisting of various musical elements as singing, listening, moving on music and creating music); music supported therapy (it uses the music as a neuromotor training through playing musical instruments) [28]; neurologic music therapy (NMT, defined as the therapeutic application of the music to recovery cognitive, sensory and motor disorders in patients with neurological diseases) [29].
Online psychosocial intervention for persons with spinal cord injury: A meta-analysis
Published in The Journal of Spinal Cord Medicine, 2023
Daymon Blackport, Richard Shao, Jessica Ahrens, Keith Sequeira, Robert Teasell, Heather Hadjistavropoulos, Eldon Loh, Swati Mehta
Psychosocial intervention refers to non-medicinal interventions aimed at helping a person who is disconnected from society reintegrate into society in a healthy way. The core premise asserts that the combination of psychological factors and the surrounding social environment have an influence on their physical and mental wellness. In addition to trying to extend how long people live following a SCI, the medical community increasingly recognizes the value of considering how well people live. Psychosocial care, with its goals of relieving emotional distress and promoting well-being, is central to efforts to improve the quality of patients’ lives.11 Reviews examining the effectiveness of psychosocial interventions among those with SCI found moderate to large effects on measures of assertiveness, coping, self-efficacy, anxiety, depression, and quality of life.12,13 However, Fann et al.14 document the low rate of mental health treatment for persons with SCI.14 Important barriers to providing mental health to SCI persons are financial strain and poor functional social relationships.15
Related Knowledge Centers
- Alcoholism
- Eating Disorder
- Substance Use Disorder
- Psychological Trauma
- Problem Gambling
- Self-Harm
- Community Reinforcement Approach & Family Training
- Drug Interventions Programme
- Outline of Counseling