1 DVD
- MeSH
- Gastrointestinal Stromal Tumors therapy MeSH
- Disease Management MeSH
- Neoplasm Metastasis therapy MeSH
- Publication type
- Congress MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- gastroenterologie
- onkologie
- NML Publication type
- DVD
Comprehensive nature of rise and maintenaince of chronic pain needs comprehensive treatment based on biopsychosocial approach. That way addressing substantial factors, which have impact on pain, its maintenaince and treatment. The pain manifests itself except sensoric component also in behavior, in cognition and emotions. That is why only one isolated treatment approach can not touch all troubles related to pain. Multidisciplinary treatment of pain is based on restoring of well-being, ability to work and join social life also with pain. Article describes basic outline of multidisciplinary pain treatment, which is based on team cooperation: information from all team make diagnosis, team formulates and realises complex rehabilitative plan and team members are willing learn from each other. All team members are compeer each other and have the same respect. The team presents itself in principles jointly, treatment needs effective and integrated management, agreement in treatment philosophy, in methods and also enthusiastic members. Each team member contributes by specific part to global treatment of patient. The article describes also what is typical pain management centre like: with specified rooms and basic standard program: in-patients usually takes from 3 to 4 weeks, out-patients can hold longer. The article presents two concrete examples of application of multidisciplinary treatment in Centre of Pain Management in St Thomas´ Hospital in London and Multidisciplinary Pain Centre of University of Washington in Seattle. Basic treatment principles are: pharmacotherapy, physiotherapy and psychotherapy. In the treatment are integrated: medical and psychosocial factors, which support direcly or indirecly somatic and emotional condition and rehabilitation (how behavior influence activity, ie. what patient can do and what cannot do because of pain). The treatment is based on readiness and activity of patient to cooperate on the treatment. Treatment strategies look on individual problems of each patient: each patient is differently rectricted in functioning, has other type of pain and pain behavior, emotional reaction, other type of lesion, invalidity and working troubles. Successful treatment always influence individually all above mentioned problems related to chronic pain. The article sums up results of studies of multidisicplinary pain treatment fruitfulness and criteria of fruitfulness.
- Keywords
- multidisciplinární léčba a tým, chronická nenádorová bolest, kognitivní-behaviorální terapie,
- MeSH
- Behavior Therapy economics methods MeSH
- Pain etiology drug therapy psychology MeSH
- Chronic Disease economics psychology therapy MeSH
- Cognitive Behavioral Therapy economics methods MeSH
- Humans MeSH
- Disease Management MeSH
- Patient Care Team economics organization & administration MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Renální insuficience se vyskytuje u nemocných s chronickým srdečním selháním častěji než u obecné populace a u nemocných se srdečním onemocněním a normální funkcí levé komory. Selhání ledvinných funkcí je také u pacientů se srdečním selháním významným rizikovým faktorem mortality. Koexistence srdečního selhání a renální insuficience má velmi špatnou prognózu. Někteří autoři označují toto spojení jako kardiorenální syndrom. Péče o nemocné se současnou srdeční a renální insuficiencí vyžaduje multidisciplinární přístup založený na spolupráci nefrologa a kardiologa. První výsledky specializované ambulance ukazují, že tento přístup založený na aplikaci posledních vědeckých poznatků s použitím moderní agresivní farmakoterapie je spojen v krátkém časovém horizontu s klinickým a hemodynamickým zlepšením nemocných s kardiorenálním syndromem bez významného zhoršení ledvinných funkcí.
Renal impairment is identified in the patients with chronic heart failure more often than in general population and than in the subjects with heart disease and preserved left ventricular function. Presence of chronic kidney disease is also an important risk factor of death in the patients with heart failure. Co-existence of heart failure and renal impairment has a bad prognosis. Some authors name this connection as a cardiorenal syndrome. Management of the patients with both heart failure and renal impairment requires the multidisciplinary approach based on the co-operation of cardiologist-heart failure specialist and nefrologist. Preliminary data from the specialized tertiary care outpatient clinic show, that this approach based on an agressive medical therapy is in the patients with severe cardiorenal syndrome associated with the clinical and haemodynamic improvement without significant decrease in the kidney function during short term follow-up.
140 s. ; 30 cm
- MeSH
- Aortic Aneurysm MeSH
- Varicose Ulcer MeSH
- Cerebrovascular Disorders MeSH
- Ischemia MeSH
- Vascular Diseases MeSH
- Risk Factors MeSH
- Varicose Veins MeSH
- Publication type
- Meeting Abstract MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- kardiologie
- angiologie
- MeSH
- Ambulatory Care Facilities MeSH
- Pain MeSH
- Inpatients MeSH
- Humans MeSH
- Pain Management MeSH
- Therapeutics methods MeSH
- Patient Care Team MeSH
- Check Tag
- Humans MeSH
- Publication type
- Practice Guideline MeSH
... Wagman -- PRINCIPLES OF MULTIDISCIPLINARY THERAPY -- Ch I Principles of surgical oncology I -- Lawrence ... ... Ahlering, and Alan Pollack -- VI -- CANCER MANAGEMENT: A MULTIDISCIPLINARY APPROACH -- Ch 19 Urothelial ... ... Forman -- PALLIATIVE AND SUPPORTIVE CARE -- Ch 39 Pain management 819 -- Sharon M. ... ... Yasko, and Lawrence Driver -- VIII -- CANCER MANAGEMENT: A MULTIDISCIPLINARY APPROACH -- 839 -- Ch 40 ... ... Management of nausea and vomiting -- Richard J. ...
Seventh edition xviii, 1030 stran : ilustrace ; 22 cm
- MeSH
- Surgical Oncology MeSH
- Drug Therapy MeSH
- Disease Management MeSH
- Interdisciplinary Communication MeSH
- Neoplasms MeSH
- Radiation Oncology MeSH
- Radiotherapy MeSH
- Publication type
- Handbook MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- onkologie
- NML Publication type
- kolektivní monografie
[1st ed.] Nestr. ; 26 cm
- MeSH
- Cerebrovascular Disorders rehabilitation MeSH
- Continuity of Patient Care MeSH
- Patient Care Team MeSH
- Quality Assurance, Health Care MeSH
- Geographicals
- Iceland MeSH
- Conspectus
- Lékařské vědy. Lékařství
- NML Fields
- neurologie
- management, organizace a řízení zdravotnictví
- NML Publication type
- publikace WHO
European urology supplements, ISSN 1569-9056 vol. 7, no. 1, February 2008
34 s. : il., tab. ; 28 cm
- MeSH
- Disease Management MeSH
- Interdisciplinary Communication MeSH
- Prostatic Neoplasms therapy MeSH
- Publication type
- Collected Work MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- urologie
- onkologie
Charakteristickým rysem moderního ošetřovatelství je multidisciplinární péče, která u pacientů s poraněním mozku vyžaduje specifický přístup ošetřovatelského personálu. Předložený článek je výstupem závěrečné práce, která si stanovila čtyři cíle. První cíl zjišťuje spolupráci vybraných nelékařských zdravotnických pracovníků (NLZP) u pacientů s poraněním mozku. Druhý cíl se zabývá spoluprací mezi všeobecnými sestrami a rodinou pacienta. Třetím cílem bylo zmapovat nejnáročnější činnosti vybraných NLZP v péči u pacientů s poraněním mozku. Čtvrtý cíl byl zaměřen na názor všeobecných sester na jejich připravenost zvládat specifickou ošetřovatelskou péči u pacientů s poraněním mozku.
A characteristic feature of modern nursing is multidisciplinary care, which requires a specific approach of the nursing staff for patients with brain injuries. The presented article is the output of the final thesis, which set four goals. The first objective examines the cooperation of selected non-medical health workers in patients with brain injury. The second objective deals with the cooperation between general nurses and the patient’s family. The third objective was to map the most demanding activities of selected non-medical health workers in the care of patients with brain injuries. Finally, the fourth objective was focused on the opinion of general nurses on their readiness to manage specific nursing care for patients with brain injuries.
