Ventilatory Support And Oxygen Therapy In Elder Palliative And End Of Life Care Patients

Author : Antonio M. Esquinas,Nicola Vargas
Publisher : Springer Nature
Page : 414 pages
File Size : 55,9 Mb
Release : 2019-10-26
Category : Medical
ISBN : 9783030266646

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Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients by Antonio M. Esquinas,Nicola Vargas Pdf

This book provides readers with a comprehensive and up-to-date guide to non-invasive mechanical ventilation in palliative medicine, focusing on why and when it may be necessary. Physicians will find a practical guide to this specific context, particularly focused on pulmonary function and physiology in the elderly, and on ventilatory management in surgery and chronic stable conditions. The book provides detailed information on the rationale for invasive and non-invasive ventilation, the different modes of ventilation, indications and contraindications, prognostic factors, and outcomes. It addresses in detail the role of postoperative mechanical ventilation following various forms of surgery, and discusses key aspects of withdrawal from ventilatory support. Attention is also devoted to the use of mechanical ventilation within and beyond the ICU. The concluding part of the book focuses on important topics such as ethics, legal issues, home mechanical ventilation, drug therapy, rehabilitation and end-of-life. Its multidisciplinary approach, bringing together contributions from international experts in different specialties, ensures that the book will be of interest to a broad range of health professionals involved in the management of older patients admitted to the ICU, including intensivists, anesthesiologists, and geriatricians.

Author : Nicola Vargas
Publisher : Springer Nature
Page : 95 pages
File Size : 49,6 Mb
Release : 2024-06-30
Category : Electronic
ISBN : 9783031488139

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Acute Geriatric Care: from Hospital to Territorial Charge by Nicola Vargas Pdf

Author : Antonio M. Esquinas,Lucia Spicuzza,Raffaele Scala
Publisher : Springer Nature
Page : 445 pages
File Size : 54,6 Mb
Release : 2023-12-28
Category : Medical
ISBN : 9783031377969

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Noninvasive Ventilation Outside Intensive Care Unit by Antonio M. Esquinas,Lucia Spicuzza,Raffaele Scala Pdf

This book aims to highlight the importance of the development of health conditions and demand for the application of noninvasive mechanical ventilation (NIMV) outside the intensive care units (ICUs); the diversification of possible scenarios outside the ICUs; the need to establish references that consolidate this phenomenon and the healthcare organizations models. In the last decades the extension of the use of NIMV outside of the ICUs has led to the generation of protocols and to the creation of new in-hospital care models. In this field, the main determining factors are a better knowledge of technique, technological advancement, better monitoring capacity, the creation of multidisciplinary teams adequately trained in their application, and social and health events that have overloaded ICUs. All these elements have promoted the creation of these NIMV units outside ICUs. This new reality entails the need for clarification of concepts, recommendations, and analysis of how to plan NIMV. Although the literature that clearly determine the indications and aids on the use of NIMV is considerable, this volume, pointing out the diversity of different healthcare models to define how to organize NIMV outside the ICUs, shed a light and bring a clear benefit to the scientific community involved. The book is structured in eleven main sections analyzing the epidemiology and trends for NIMV healthcare models and determining factors for these models outside ICUs. The originality of the work, its clear clinical-practical impact and the multidisciplinary approach given by all healthcare professionals involved (intensivists, pneumologists, internal medicine and emergency medicine specialists, geriatricians, chest respiratory therapists, etc.) is very relevant for the thoroughness of the book.

Author : Nicola Vargas,Antonio M. Esquinas
Publisher : Springer Nature
Page : 206 pages
File Size : 50,8 Mb
Release : 2020-08-25
Category : Medical
ISBN : 9783030556211

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Covid-19 Airway Management and Ventilation Strategy for Critically Ill Older Patients by Nicola Vargas,Antonio M. Esquinas Pdf

This book describes the issues and challenges that clinicians encountered in the management of older critically ill patients during the Covid-19 pandemic, and offers practical information on how to manage them. Older adults are more susceptible to complications such as acute respiratory distress syndrome (ARDS) as a result of viral pneumonia. In addition, they often have multiple comorbidities and are commonly frail, which means their various organs and systems, such as the respiratory system, have reduced functional reserves. As such, older adults are less able to react to acute stressors. During the current Covid-19 pandemic, older adult patients' mortality is increased. Further, the infection and death rates of elderly people in nursing homes and health care institutions are high. Management of older adults with Covid is complicated. The reduced availability of beds may limit their access to ICU. Moreover, the prognosis may be poor, and airway management and ventilation strategies have to take into account various clinical and physiological characteristics specific to older patients. This book is addressed to all allied professionals involved in the management of older critically ill patients and presents information collected and practical lessons learned from the clinical daily management of this population during the pandemic.

Author : Antonio M. Esquinas
Publisher : Springer Nature
Page : 473 pages
File Size : 50,7 Mb
Release : 2023-07-04
Category : Medical
ISBN : 9783031296734

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Noninvasive Mechanical Ventilation in High Risk Infections, Mass Casualty and Pandemics by Antonio M. Esquinas Pdf

The second edition of this book describes the clinical indications of NIV in patients hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. In recent decades, we have learned the impact that different pandemics and mass casualty disasters can outcome in terms of health resource use, health costs and human lives. The development of respiratory failure in these patients, either infectious or non-infectious causes, has led to develop employment plans related both to invasive or noninvasive mechanical ventilation during acute respiratory failure. In this book authors evaluate a rational basis for indications, specific noninvasive mechanical ventilation indications in hospitalized patients (tuberculosis, bacterial, virus, etc.) and prehospital applications (mass casualty: chemical, biological disaster), equipment (ventilators, interfaces) and plan organization for health systems: how and when apply NIV. A critical review of already published studies is described as well as implications and how will be the future according to international expert opinions. Therefore, this updated edition represents a useful scientific reference point according to what it has been experienced in the last pandemics, with respect to the growing role that NIV has and must have in the world.

Author : Alharthi, Adil Hamad
Publisher : IGI Global
Page : 301 pages
File Size : 51,6 Mb
Release : 2023-04-03
Category : Medical
ISBN : 9781668423554

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Cases on Multimorbidity and Its Impact on Elderly Patients by Alharthi, Adil Hamad Pdf

As old age is increasing globally, some challenges arise such as multimorbidity, a unique medical condition that has multiple potential complications and thus needs high-quality care directed by qualified healthcare providers. Multimorbidity is an important daily challenge to internists worldwide due to its many difficulties. Junior physicians dealing with multimorbidity must have the knowledge to practice high-quality care for their elderly patients. Cases on Multimorbidity and Its Impact on Elderly Patients considers approaches to manage multimorbidity and its unique complications and challenges to aid in appropriate daily decision making. Covering key topics such as weight loss, aging, and frailty, this reference work is ideal for medical professionals, nurses, policymakers, researchers, scholars, academicians, practitioners, instructors, and students.

Author : Antonio M. Esquinas,Andrea Fabbo,Filiz Koc,Agnieszka Prymus,Małgorzata Farnik
Publisher : Springer Nature
Page : 390 pages
File Size : 45,5 Mb
Release : 2023-06-12
Category : Medical
ISBN : 9783031279683

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Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders by Antonio M. Esquinas,Andrea Fabbo,Filiz Koc,Agnieszka Prymus,Małgorzata Farnik Pdf

In different sections of this book the relationships between the patterns of psychological response in acute and chronic respiratory failure, as well as the epidemiology of neuropsychiatric disorders in ventilator management, are collected and analyzed. Main concepts such as “vulnerability to stress”, critical illness-psychological stress and susceptibility that may develop during NIV support, as well as the diagnosis of neuropsychiatric disorders in respiratory failure are also summarized. A section is devoted to the most frequent indications of NIV, also including a special use of NIV in pandemic and high-risk infections, as well as in several other conditions such as acute and chronic respiratory failures and neurological disorders. A summary of practical approaches for treatment and prevention in neurologic and psychiatric disorders during noninvasive mechanical ventilation, as well as the perspective in terms of outcomes, quality-of-life, palliative care is also given. The book is intended for all those healthcare professionals treating patients suffering from neurological or psychiatric disorders and who develop acute or chronic respiratory failure. Neurologists, psychiatrists, pulmonary critical care professionals, geriatricians, internists and psychologists will find in the book a valuable guide for their everyday clinical practice.

Author : Ribeiro, Luis Vieira,Ribeiro, Anabela Magalhães
Publisher : IGI Global
Page : 389 pages
File Size : 49,7 Mb
Release : 2023-04-03
Category : Medical
ISBN : 9781668476314

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Global Perspectives on Health Assessments for an Aging Population by Ribeiro, Luis Vieira,Ribeiro, Anabela Magalhães Pdf

Today’s society recognizes that the last decades of an individual’s life are usually those in which health tends to deteriorate and chronic pathologies increase. Action at this level is verified through the increased concern of government officials with the elderly population motivated by the socio-economic impact of costs associated with the provision of healthcare in this group. Global Perspectives on Health Assessments for an Aging Population provides relevant theoretical frameworks and the latest empirical research findings in the area of health assessments for an aging population. Covering topics such as ambulatory wellbeing, gerontology, and neuropsychological assessment, this premier reference source is a valuable resource for gerontological healthcare professionals, gerontological social workers, psychologists, students and educators of higher education, researchers, and academicians.

Author : Management Association, Information Resources
Publisher : IGI Global
Page : 1875 pages
File Size : 47,8 Mb
Release : 2022-02-04
Category : Social Science
ISBN : 9781668452967

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Research Anthology on Supporting Healthy Aging in a Digital Society by Management Association, Information Resources Pdf

In today’s rapidly evolving society, there has been an increase in technologies and systems available to support the elderly throughout various aspects of life. We have come a long way in the quality of life we can offer our aging populations in recent years due to these technological innovations, medical advancements, and research initiatives. However, further study of these developments is crucial to ensure they are utilized to their utmost potential in securing a healthier elderly population. The Research Anthology on Supporting Healthy Aging in a Digital Society discusses the current challenges of aging in the modern world as well as recent developments in medicine and technology that can be used to improve the quality of life of elderly citizens. Covering a wide range of topics such as smart homes, remote healthcare, and aging in place, this reference work is ideal for healthcare professionals, gerontologists, therapists, government officials, policymakers, researchers, academicians, practitioners, scholars, instructors, and students.

Author : Eklund, Patrik
Publisher : IGI Global
Page : 348 pages
File Size : 49,8 Mb
Release : 2021-06-25
Category : Medical
ISBN : 9781799844129

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Integrated Care and Fall Prevention in Active and Healthy Aging by Eklund, Patrik Pdf

In today’s world, healthy aging and a fulfilling lifestyle are important to older members of society, with many opting to remain as independent and mobile as possible for as long as possible. However, elderly individuals tend to have a variety of functional limitations that can increase the likelihood of debilitating falls and injuries. Assessments of functionality are very often only performed following an accident, which implies a hindsight bias because results do not necessarily reflect pre-accidental performance capacities. Furthermore, these belated measures do little to reduce the likelihood of new falls. As such, it is imperative that personalized preventative approaches are taken to prevent falls. Integrated Care and Fall Prevention in Active and Healthy Aging contains state-of-the-art research and practices related to integrated care, fall prevention, and aging throughout areas ranging from medical to social aspects of care, health economy, standards, pathways and information scopes, practices and guidelines, technology, etc. Covering topics such as active care and healthy aging, it is ideal for doctors, gerontologists, nursing home and long-care facility staff, scientists, researchers, students, academicians, and practitioners working in care pathways involving good practices of fall prevention in home care and community care settings.

Author : Marianne LaPorte Matzo,Deborah Witt Sherman
Publisher : Springer Publishing Company
Page : 595 pages
File Size : 51,9 Mb
Release : 2010
Category : Medical
ISBN : 9780826157911

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Palliative Care Nursing by Marianne LaPorte Matzo,Deborah Witt Sherman Pdf

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Author : Mark Elliott,Stefano Nava,Bernd Schönhofer
Publisher : CRC Press
Page : 1682 pages
File Size : 49,8 Mb
Release : 2018-09-25
Category : Medical
ISBN : 9781351649698

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Non-Invasive Ventilation and Weaning by Mark Elliott,Stefano Nava,Bernd Schönhofer Pdf

Now in full-colour, this eagerly-anticipated second edition continues to be the most comprehensive resource available on non-invasive ventilation (NIV), both in the hospital and at home. Reflecting a global perspective with expert contributors from more than 15 countries, the book: • provides clinical examples of NIV in practice with insightful vignettes • covers home- and intensive care-based ventilation • details NIV use in acute and chronic respiratory failure, plus paediatric and other specialty applications. Disease-specific sections provide best practice in the science, diagnostics and management of conditions such as COPD, cardiac failure, neuromuscular disease and obesity, while features such as ‘Common Clinical Questions & Answers’, abundant tables and illustrations, chapter summaries and new clinical vignettes showcase the realities of NIV in practice. This is essential reading for pulmonologists, critical care physicians and intensive care medicine specialists.

Author : Joseph H. Kahn,Brendan G. Magauran (Jr.),Jonathan S. Olshaker
Publisher : Cambridge University Press
Page : 383 pages
File Size : 52,7 Mb
Release : 2014-01-16
Category : Medical
ISBN : 9781107677647

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Geriatric Emergency Medicine by Joseph H. Kahn,Brendan G. Magauran (Jr.),Jonathan S. Olshaker Pdf

This comprehensive volume provides a practical framework for evaluation, management and disposition of this growing vulnerable patient population.

Author : Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues
Publisher : National Academies Press
Page : 638 pages
File Size : 52,7 Mb
Release : 2015-03-19
Category : Medical
ISBN : 9780309303132

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Dying in America by Institute of Medicine,Committee on Approaching Death: Addressing Key End-of-Life Issues Pdf

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Author : David A. Fleming,John C. Hagan
Publisher : University of Missouri Press
Page : 172 pages
File Size : 52,8 Mb
Release : 2010-04-15
Category : Medical
ISBN : 9780826272218

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Care of the Dying Patient by David A. Fleming,John C. Hagan Pdf

Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone—professional caregiver or family member—confronted with incurable illness and death. Its authors have lectured and published extensively on care of the dying patient and here review a wide range of topics to show that relief of physical suffering is not the only concern in providing care. This collection encompasses diverse aspects of end-of-life care across multiple disciplines, offering a broad perspective on such central issues as control of pain and other symptoms, spirituality, the needs of caregivers, and special concerns regarding the elderly. In its pages, readers will find out how to: effectively utilize palliative-care services and activate timely referral to hospice, arrange for care that takes into account patients’ cultural beliefs, and respond to spiritual and psychological distress, including the loss of hope that often overshadows physical suffering. The authors especially emphasize palliative care and hospice, since some physicians fear that such referrals may be viewed by patients and families as abandonment. They also address ethical and legal risks in pain management and warn that fear of overprescribing pain medication may inadvertently lead to ineffective pain relief and even place the treating team at risk of liability for undertreatment of pain. While physicians have the ability to treat disease, they also help to determine the time and place of death, and they must recognize that end-of-life choices are made more complex than ever before by advances in medicine and at the same time increasingly important. Care of the Dying Patient addresses some of the challenges frequently confronted in terminal care and points the way toward a more compassionate way of death.