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Palliative
Palliative care (from Latin root "to cloak") is an interdisciplinary medical care-giving approach aimed at optimizing quality of life and mitigating or reducing suffering among people with serious, complex, and often terminal illnesses. 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 problem 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". Since the 1990s, many palliative care programs involved a disease-specific approach. However, as the field developed throughout the 2000s, the WHO began to take a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimatel ...
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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-l ...
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End-of-life Care
End-of-life care is health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks. End-of-life care is most commonly provided at home, in the hospital, or in a long-term care facility with care being provided by family members, nurses, social workers, physicians, and other support staff. Facilities may also have palliative or hospice care teams that will provide end-of-life care services. Decisions about end-of-life care are often informed by medical, financial and ethical considerations. In most developed countries, medical spending on people in the last twelve months of life makes up roughly 10% of total aggregate medical spending, while those in the last three years of life can cost up to 25%. Medical Advanced care planning Advances in medicine in the last ...
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Terminal Illness
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, rather than fatal injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. An illness which is lifelong but not fatal is called a '' chronic condition''. Terminal patients have options for disease management after diagnosis. Examples include caregiving, continued treatment, palliative and hospice care, and physician-assisted suicide. Decisions regarding management are made by the patient and their family, although medical professionals may offer ...
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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 to 1944. Returning to St Anne's College after a back injury in 1944, ...
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Cancer
Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible Signs and symptoms of cancer, signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in defecation, bowel movements. While these symptoms may indicate cancer, they can also have other causes. List of cancer types, Over 100 types of cancers affect humans. Tobacco use is the cause of about 22% of cancer deaths. Another 10% are due to obesity, poor Diet (nutrition), diet, sedentary lifestyle, lack of physical activity or Alcohol abuse, excessive alcohol consumption. Other factors include certain infections, exposure to ionizing radiation, and environmental pollutants. infectious causes of cancer, Infection with specific viruses, bacteria and parasites is an environmental factor cau ...
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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 (from Latin root ...
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Elisabeth Kübler-Ross
Elisabeth Kübler-Ross (July 8, 1926 – August 24, 2004) was a Swiss-American psychiatrist, a pioneer in near-death studies, author, and developer of the five stages of grief, also known as the "Kübler-Ross model". In 1970, Kübler-Ross delivered the Ingersoll Lecture at Harvard University, focusing on her book, ''On Death and Dying'' (1969). By July 1982, Kübler-Ross had taught 125,000 students in death and dying courses in colleges, seminaries, medical schools, hospitals, and social-work institutions. In 1999, the New York Public Library named ''On Death and Dying'' one of its "Books of the Century," and ''Time'' magazine recognized her as one of the "100 Most Important Thinkers" of the 20th century. Throughout her career, Kübler-Ross received over 100 awards, including twenty honorary degrees, and was inducted into the National Women's Hall of Fame in 2007. In 2024, Simon & Schuster released a list of their 100 most notable books, including Kübler-Ross's ''On Death & Dyi ...
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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, ...
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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 (pediatrics), cancer (oncology), laboratory medicine (pathology), or primary care (family medicine). After completing medical school or other basic training, physicians or surgeons and other Clinician, clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency (medicine), 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 ...
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Heart Failure
Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome caused by an impairment in the heart's ability to Cardiac cycle, fill with and pump blood. Although symptoms vary based on which side of the heart is affected, HF typically presents with shortness of breath, Fatigue (medical), excessive fatigue, and bilateral peripheral edema, leg swelling. The severity of the heart failure is mainly decided based on ejection fraction and also measured by the severity of symptoms. Other conditions that have symptoms similar to heart failure include obesity, kidney failure, liver disease, anemia, and thyroid disease. Common causes of heart failure include coronary artery disease, heart attack, hypertension, high blood pressure, atrial fibrillation, valvular heart disease, alcohol use disorder, excessive alcohol consumption, infection, and cardiomyopathy. These cause heart failure by altering the structure or the function of the heart or in some cases both. There are ...
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Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by chronic respiratory symptoms and airflow limitation. GOLD defines COPD as a heterogeneous lung condition characterized by chronic respiratory symptoms (shortness of breath, cough, sputum production or exacerbations) due to abnormalities of the airways (bronchitis, bronchiolitis) or alveoli ( emphysema) that cause persistent, often progressive, airflow obstruction. The main symptoms of COPD include shortness of breath and a cough, which may or may not produce mucus. COPD progressively worsens, with everyday activities such as walking or dressing becoming difficult. While COPD is incurable, it is preventable and treatable. The two most common types of COPD are emphysema and chronic bronchitis and have been the two classic COPD phenotypes. However, this basic dogma has been challenged as varying degrees of co-existing emphysema, chronic bronchitis, and potentially significan ...
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Curative Treatment
Curative care or curative medicine is the health care given for medical conditions where a cure is considered achievable, or even possibly so, and directed to this end. Curative care differs from preventive care, which aims at preventing the appearance of diseases through pharmaceuticals and such techniques as immunization, exercise, proper eating habits and other life style issues, and from palliative care, which concentrates on reducing the severity of symptoms, such as pain Pain is a distressing feeling often caused by intense or damaging Stimulus (physiology), stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sense, sensory and emotional experience associated with, or res .... References Medical treatments {{treatment-stub ...
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