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Palliative Care In The United States
Palliative care (derived from the Latin root , or 'to cloak') is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often Terminal illness, terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes 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, psychosocial, and spiritual." In the past, palliative care was a disease specific approach, but today the WHO takes a more broad approach, that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. Palliative care is appropriate fo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Specialty (medicine)
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (paediatrics), cancer (oncology), laboratory medicine (pathology), or primary care ( family medicine). After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a specialist. History of medical specialization To a certain extent, medical practitioners have long been specialized. According to Galen, specialization was common among Roman physicians. The particular system of modern medical specialties evolved gradually during the 19th century. Informal social recognition of medical specialization evolved before the formal legal system. The particular subdivision of the practice of medicine into various s ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Neurodegenerative Diseases
A neurodegenerative disease is caused by the progressive loss of structure or function of neurons, in the process known as neurodegeneration. Such neuronal damage may ultimately involve cell death. Neurodegenerative diseases include amyotrophic lateral sclerosis, multiple sclerosis, Parkinson's disease, Alzheimer's disease, Huntington's disease, multiple system atrophy, and prion diseases. Neurodegeneration can be found in the brain at many different levels of neuronal circuitry, ranging from molecular to systemic. Because there is no known way to reverse the progressive degeneration of neurons, these diseases are considered to be incurable; however research has shown that the two major contributing factors to neurodegeneration are oxidative stress and inflammation. Biomedical research has revealed many similarities between these diseases at the subcellular level, including atypical protein assemblies (like proteinopathy) and induced cell death. These similarities suggest tha ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Paul Henteleff
Dr. Paul D. Henteleff (born 1931) led the world's first hospital-based terminal care unit. Career Raised in Stonewall, Manitoba, Canada, by his parents nurse Lillian Axelrode and businessman Harry Henteleff, Dr. Paul Henteleff earned his medical degree from the University of Manitoba in 1956. He worked in a general family practice and trained in epidemiology and biostatistics at the London School of Hygiene and Tropical Medicine before becoming the assistant executive director of the Manitoba Health Services Commission from 1972 to 1974. In that role, he helped design the Manitoba personal-care-home program and facilitated Drs. Noralou and Les Roos turning the commission's routinely collected administrative information into data for innovative health-services research. Dr. Henteleff then returned to clinical practice at St. Boniface Hospital in Winnipeg, where he served from 1975 to 1991 as director of Canada's first hospital palliative care Palliative care (derived from the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Balfour Mount
Balfour M. Mount, (born 14 April 1939) is a Canadian physician, surgeon, and academic. He is considered the father of palliative care in North America. Born in Ottawa, Ontario, he received his medical degree from Queen's University in 1963 and studied surgery and urology at McGill University. In January 1973, Dr. Mount, an urologic-cancer surgeon, was influenced by a discussion group of Elisabeth Kubler-Ross' book '' On Death and Dying'' to lead a study of the conditions at Montreal's Royal Victoria Hospital. After visiting Cicely Saunders' St. Christopher's Hospice, he helped to create a similar ward within the Royal Victoria Hospital in 1974 and coined the term "palliative care". He became the founding Director of the Royal Victoria Hospital Palliative Care Service, the Palliative Care McGill in 1990 and the McGill Programs in Integrated Whole Person Care in 1999. Dr. Mount is the Eric M. Flanders Emeritus Professor of Palliative Care at McGill University. Honours In 1985, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Kübler-Ross Model
The five stages of grief model (or the Kübler-Ross model) is popularly known as a model that describes a series of emotions experienced by people who are grieving: denial, anger, bargaining, depression and acceptance. In actuality, the Kübler-Ross model was based on people who are dying rather than grieving. Although commonly referenced in popular culture, studies have not empirically demonstrated the existence of these stages, and the model has been considered by some to be outdated and unhelpful in explaining the grieving process. The model was introduced by Swiss-American psychiatrist Elisabeth Kübler-Ross in her 1969 book ''On Death and Dying'', and was inspired by her work with terminally ill patients. Motivated by the lack of instruction in medical schools on the subject of death and dying, Kübler-Ross examined death and those faced with it at the University of Chicago's medical school. Kübler-Ross's project evolved into a series of seminars which, along with patient ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Elisabeth Kübler-Ross
Elisabeth Kübler-Ross (July 8, 1926 – August 24, 2004) was a Swiss-American psychiatrist, a pioneer in near-death studies, and author of the internationally best-selling book, '' On Death and Dying'' (1969), where she first discussed her theory of the five stages of grief, also known as the " Kübler-Ross model". Kübler-Ross was a 2007 inductee into the National Women's Hall of Fame, was named by ''Time'' as one of the "100 Most Important Thinkers" of the 20th century and was the recipient of nineteen honorary degrees. By July 1982, Kübler-Ross taught 125,000 students in death and dying courses in colleges, seminaries, medical schools, hospitals, and social-work institutions. In 1970, she delivered an Ingersoll Lecture at Harvard University on the theme ''On Death and Dying''. Early life and education Elisabeth Kübler was born on July 8, 1926, in Zürich, Switzerland, into a Protestant Christian Family. She was one of a set of triplets, two of whom were identical. Her ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cicely Saunders
Dame Cicely Mary Strode Saunders (22 June 1918 – 14 July 2005) was an English nurse, social worker, physician and writer. She is noted for her work in terminal care research and her role in the birth of the hospice movement, emphasising the importance of palliative care in modern medicine, and opposing the legalisation of voluntary euthanasia. Early life and education Saunders was born in Barnet, Hertfordshire, to Philip Gordon Saunders, a chartered surveyor and landowner, and to Mary Christian Knight. She had two younger brothers, John Frederick Stacey Saunders and Christopher Gordon Strode Saunders.''1939 England and Wales Register'' After attending Roedean School (1932–37), Saunders began studying politics, philosophy, and economics at St Anne's College, Oxford in 1938. During the war, she decided to become a nurse and trained at Nightingale School of Nursing based at St Thomas's Hospital from 1940–44. Returning to St Anne's College after a back injury in 1944, she t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hospice
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals. Hospice care in the United States is largely defined by the practices of the Medicare system and other health insurance providers, which cover inpatient or at-home hospice care for patients with terminal diseases who are estimated to live six months or less. Hospice care under the Medicare Hospice Benefit requires documentation from two physicians estimating a person has less than six months to live if the disease follows its usual course. Hospice benefits include access to a multidisciplinary treatment team specialized in end-of- ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance In The United States
Health insurance in the United States is any program that helps pay for medical expenses, whether through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage. In addition to medical expense insurance, "health insurance" may also refer to insurance covering disability or ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Maintenance Organizations
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options if the employer offers traditional healthcare options. Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status. Operation HMOs often require members to select a primary care ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medicaid
Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The main difference between the two programs is that Medicaid covers healthcare costs for people with low incomes while Medicare provides health coverage for the elderly. There are also dual health plans for people who have both Medicaid and Medicare. The Health Insurance Association of America describes Medicaid as "a government insurance program for persons of all ages whose income and resources are insufficient to pay for health care." Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017, as well as paying for half of all U.S. births ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medicare (United States)
Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the SSA, including people with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). In 2018, according to the 2019 Medicare Trustees Report, Medicare provided health insurance for over 59.9 million individuals—more than 52 million people aged 65 and older and about 8 million younger people. According to annual Medicare Trustees reports and research by the government's MedPAC group, Medicare covers about half of healthcare expenses of those enrolled. Enrollees almost always cover most of the remaining costs by taking additional private insurance and/or by joining a public Part C ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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