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Emerging Subspecialties in Neurology: Neuropalliative care
Palliative medicine, as defined by World Health Organization, is the specialty that recognizes and attempts to prevent or alleviate physical, social, psychological, and spiritual suffering.1 Understanding the principles of palliative care should be an essential component of neurologic training, as the trajectory of many neurologic illnesses is progressive and incurable.2 Given the delicate nature of many of the conversations that neurologists have with patients at the time of diagnosis or during acute illness and hospitalization, expertise in discussing a patient's wishes, handling difficult conversations, and providing ad...
Source: Neurology - May 26, 2014 Category: Neurology Authors: Robinson, M. T., Barrett, K. M. Tags: Palliation pain, Palliative care RESIDENT AND FELLOW SECTION Source Type: research

Optimising palliative and end-of-life care within care home settings
Background The World Health Organization (WHO) has defined 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.1 Globally, it is estimated that every year over 20 million people will require palliative care at the end of life. Of these 69% are adults over 60 years. These older population, who make up the vast majority of residents w...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Mitchell, G., Twycross, A. Tags: End of life decisions (geriatric medicine), Drugs: cardiovascular system, Dementia, Pain (neurology), EBN Opinion, Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research

Innovation of the governance of integrated care
Aim: Interest in integrated care is growing. This is reflected in the rising numbers of scientific publications, IJIC ’s increased impact factor and the increasing number of participants at IFIC’s international conferences. It is stimulating to see that organizations like the World Health Organisation are developing conceptual frameworks that embrace integrated care [1,2]. At the same time we know that integrat ed care does not become reality automatically; it takes a long timeframe. That can be conflicting with ambitions like ‘implementing good practices as fast as possible’ and with the pressure to deliver result...
Source: International Journal of Integrated Care - October 22, 2018 Category: Nursing Source Type: research