Hospital Resource Utilization and Presence of Advance Directives at the End of Life for Adults with Congenital Heart Disease

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ISBN 13 :
Total Pages : 17 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis Hospital Resource Utilization and Presence of Advance Directives at the End of Life for Adults with Congenital Heart Disease by : Jill M. Steiner

Download or read book Hospital Resource Utilization and Presence of Advance Directives at the End of Life for Adults with Congenital Heart Disease written by Jill M. Steiner and published by . This book was released on 2018 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: Overall healthcare resource utilization by adults with congenital heart disease has increased dramatically in the last two decades. No prior studies have examined utilization at the end of life. The objective of this study is to better understand the patterns and influences on the intensity of care at the end of life for adults with congenital heart disease. Methods: We identified a sample of adults with congenital heart disease, cancer, or heart failure who died between January 2010 and December 2015. We used multivariate analysis to evaluate markers of resource utilization, location of death, and documentation of advance care planning among patients with congenital heart disease versus those with cancer and those with heart failure. Results: Close to 40% of adults with congenital heart disease experienced inpatient and intensive care unit hospitalizations in the last 30 days of life; 64% died in the hospital. Compared to patients with cancer, patients with ACHD were more likely to have inpatient (adjusted risk ratio 1.57; 95% CI 1.12-2.18) and intensive care unit admissions in the last 30 days of life (adjusted risk ratio 2.56; 95% CI 1.83, 3.61), more likely to die in the hospital (adjusted risk ratio 1.75; 95% CI 1.43, 2.13), and more likely to have documentation of advance care planning (adjusted risk ratio 1.46; 95% CI 1.09, 1.96). Compared to patients with HF, they were less likely to have an intensive care unit admission in the last 30 days of life (adjusted risk ratio 0.73; 95% CI 0.54, 0.99). Conclusions: Adults with congenital heart disease have significant hospital resource utilization near the end of life, notable for more hospitalizations and a higher likelihood of death in the hospital compared to patients with cancer. This population represents an important opportunity for the application of palliative and supportive care.

Dying in America

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Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 470 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Dying in America by : Institute of Medicine

Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Analysis of the End-of-life Choices of Elderly Patients and Their Healthcare Providers at a Community Hospital in Tennessee

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ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (576 download)

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Book Synopsis Analysis of the End-of-life Choices of Elderly Patients and Their Healthcare Providers at a Community Hospital in Tennessee by :

Download or read book Analysis of the End-of-life Choices of Elderly Patients and Their Healthcare Providers at a Community Hospital in Tennessee written by and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Self-Determination Act of 1990 was expected to popularize the use of advance directives (living wills and durable powers of attorney for healthcare (DPOA-HC)). Since the law was passed, researchers have found that the use of the documents has not increased as expected and that the documents, when present, were not always respected by healthcare providers. The purpose of this study was to analyze the end-of-life choices of elderly patients and their healthcare providers in a community hospital setting. The subjects of this study were 160 patients, aged 65 years and older, who died in a community hospital in Tennessee in 2002. Medical record data were abstracted using a modified form of the Chart Abstraction Instrument developed by Fins, Miller, Acres, Bacchetta, Huzzard, & Rapkin (1999). Chi square tests and binary logistic regression were used to analyze the data. The findings of this study confirmed that the use of advance directives has not changed much over the past decade. Nearly 27% of the patients had living wills, 20.6% of the patients had a formal DPOA-HC, and an informal DPOA-HC was recognized by staff for 76.3% patients. Healthcare providers were not influenced by the presence of any advance directive in their decisions involving the unit of treatment, use of life-sustaining treatments, or initiation of comfort care plans. Over half of the patients (56.3%) experienced pain during their last two days of life. More than one-quarter of the patients with pain were not treated with medications accepted as standard-of-care. Healthcare providers did appear to be influenced by the presence of a living will in their decisions to write do-not-resuscitate orders more often (p

Strategies to Improve Cardiac Arrest Survival

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Publisher : National Academies Press
ISBN 13 : 030937202X
Total Pages : 291 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Strategies to Improve Cardiac Arrest Survival by : Institute of Medicine

Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

Sex differences in Cardiac Diseases

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Publisher : Elsevier
ISBN 13 : 0128193700
Total Pages : 722 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Sex differences in Cardiac Diseases by : Niti R. Aggarwal

Download or read book Sex differences in Cardiac Diseases written by Niti R. Aggarwal and published by Elsevier. This book was released on 2021-01-29 with total page 722 pages. Available in PDF, EPUB and Kindle. Book excerpt: Significant biological differences exist between men and women that contribute to sex-specific differences in cardiovascular disease (CVD) risk factors, pathophysiology, presentation, response to therapy, and prognosis. It is essential for clinicians to be cognizant of these sex-specific differences in order to reduce the disparity in diagnosis and management of cardiovascular diseases in both genders.Sex Differences in Cardiac Disease provides a timely review of the contemporary data on these sex-specific differences in pathophysiology, clinical presentation, diagnostic evaluation, and management of cardiovascular diseases that fills a void for clinicians in practice and training. With contributions from renowned experts in the field and guideline writers, the text provides a state-of-the-art review of each topic encompassing the full spectrum of CVD in men and women. Sex-specific guideline-based recommendations are highlighted when available. Tailored to meet the needs of the busy clinicians and researchers, this text provides concise practical data to care for men and women at risk for or with CVD. The book serves as an essential resource for researchers, cardiologists, obstetricians, gynecologists, internists, family practitioners, nurse practitioners and physician assistants, and respective trainees who treat men and women with CVD. Provides a comprehensive state-of-the-art text written by internationally renowned experts in the field of CVD disease, serving as an indispensable resource for clinicians and researchers Enables the reader to understand the sexual dimorphism in the pathophysiology, diagnosis, management, and outcomes of the full spectrum of cardiovascular issues including ischemic heart disease, valvular disorders, arrhythmias, and heart failure Provides a concise evidence-based practical review of medical topics, with key points and eye-catching visual infographics to meet the needs of the busy clinicians, policy makers and researchers

The ESC Textbook of Intensive and Acute Cardiovascular Care

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Publisher : Oxford University Press
ISBN 13 : 0192589199
Total Pages : 800 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis The ESC Textbook of Intensive and Acute Cardiovascular Care by : Marco Tubaro

Download or read book The ESC Textbook of Intensive and Acute Cardiovascular Care written by Marco Tubaro and published by Oxford University Press. This book was released on 2021-03-08 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

Pediatric Palliative Care

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Publisher :
ISBN 13 : 0190244186
Total Pages : 161 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Pediatric Palliative Care by : Betty Ferrell

Download or read book Pediatric Palliative Care written by Betty Ferrell and published by . This book was released on 2016 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric palliative care is a field of significant growth as health care systems recognize the benefits of palliative care in areas such as neonatal intensive care, pediatric ICU, and chronic pediatric illnesses. Pediatric Palliative Care, the fourth volume in the HPNA Palliative Nursing Manuals series, highlights key issues related to the field. Chapters address pediatric hospice, symptom management, pediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in pediatric palliative care. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice. Plentiful tables and patient teaching points make these volumes useful resources for nurses.

When Children Die

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Publisher : National Academies Press
ISBN 13 : 0309084377
Total Pages : 713 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis When Children Die by : Institute of Medicine

Download or read book When Children Die written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-09 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.

Adult Congenital Heart Disease

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Publisher : Oxford University Press
ISBN 13 : 0198759959
Total Pages : 277 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Adult Congenital Heart Disease by : Sara Thorne

Download or read book Adult Congenital Heart Disease written by Sara Thorne and published by Oxford University Press. This book was released on 2017 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical approach to the investigation and treatment of adult congenital heart disease (ACHD), this fully updated Oxford Specialist Handbook is a concise and accessible overview of a complex condition. Packed with straightforward advice, management strategies and key clinical points, it equips clinicians with a sound understanding of the principles and physiology of ACHD. An ideal reference tool for cardiology trainees, general cardiologists and acute medicine physicians, this second edition of Adult Congenital Heart Disease has been fully reviewed to include new guidelines and increased illustations to aid understanding. Brand new chapters on epidemiology, heart failure, device therapy and transition and transfer of care ensure that Adult Congenital Heart Disease remains the definitive guide to supporting clinicians throughout all aspects of the patient's care.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Pediatric Heart Disease

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Publisher : John Wiley & Sons
ISBN 13 : 1444360965
Total Pages : 581 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Pediatric Heart Disease by : Piers Daubeney

Download or read book Pediatric Heart Disease written by Piers Daubeney and published by John Wiley & Sons. This book was released on 2012-08-08 with total page 581 pages. Available in PDF, EPUB and Kindle. Book excerpt: A companion book to Adult Congenital Heart Disease that will concentrate on the practical management of children with heart conditions. This is aimed at general paediatricians and physicians who are responsible for ongoing management, rather than specialists concerned with acute or rare presentations. The book will be illustrated with relevant radiology scans, demonstrating which investigations are appropriate, and will provide the relevant information for the generalist on patient management for different lesions. A section on emergency management is also included. Authorship is international, with contributions from both sides of the Atlantic and from Japan.

Diagnosis and Management of Hypertrophic Cardiomyopathy

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Publisher : John Wiley & Sons
ISBN 13 : 140514615X
Total Pages : 527 pages
Book Rating : 4.4/5 (51 download)

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Book Synopsis Diagnosis and Management of Hypertrophic Cardiomyopathy by : Barry J. Maron

Download or read book Diagnosis and Management of Hypertrophic Cardiomyopathy written by Barry J. Maron and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis and Management of Hypertrophic Cardiomyopathy is aunique, multi-authored compendium of information regarding thecomplexities of clinical and genetic diagnosis, natural history,and management of hypertrophic cardiomyopathy (HCM)—the mostcommon and important of the genetic cardiovasculardiseases—as well as related issues impacting the health oftrained athletes. Edited by Dr. Barry J. Maron, a world authority on HCM, and withmajor contributions from all of the international experts in thisfield, this book provides a single comprehensive source ofinformation concerning HCM. Recent advances in the field arediscussed, including the importance of left ventricular outflowtract obstruction, the use of implantable defibrillators for theprevention of sudden death in young people, definition of thegenetic basis for HCM and its role in clinical diagnosis and riskstratification, the development of more precise strategies forassessing the level of risk for sudden death among all patientswith HCM, and the evolution of invasive interventions for heartfailure symptoms, such as surgical management and its alternatives(alcohol septal ablation and dual-chamber pacing). Key Features: Contributions from all experts in the field,representing diverse viewpoints regarding this heterogeneousdisease and related issues in athletes Information to dispel misunderstandings regarding issuesassociated with HCM and cardiovascular disease in athletes The only comprehensive source of information available on thetopic

Clinical Case Studies for the Family Nurse Practitioner

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Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Health Care Transition

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Publisher : Springer
ISBN 13 : 3319728687
Total Pages : 386 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Health Care Transition by : Albert C. Hergenroeder

Download or read book Health Care Transition written by Albert C. Hergenroeder and published by Springer. This book was released on 2018-05-03 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

The Artificial Heart

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Publisher : National Academies Press
ISBN 13 : 0309045320
Total Pages : 313 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis The Artificial Heart by : Institute of Medicine

Download or read book The Artificial Heart written by Institute of Medicine and published by National Academies Press. This book was released on 1991-02-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: A significant medical event is expected in 1992: the first human use of a fully implantable, long-term cardiac assist device. This timely volume reviews the artificial heart program-and in particular, the National Institutes of Health's major investment-raising important questions. The volume includes: Consideration of the artificial heart versus heart transplantation and other approaches to treating end-stage heart disease, keeping in mind the different outcomes and costs of these treatments. A look at human issues, including the number of people who may require the artificial heart, patient quality of life, and other ethical and societal questions. Examination of how this technology's use can be targeted most appropriately. Attention to achieving access to this technology for all those who can benefit from it. The committee also offers three mechanisms to aid in allocating research and development funds.

Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels

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Publisher : Little, Brown Medical Division
ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels by : New York Heart Association. Criteria Committee

Download or read book Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels written by New York Heart Association. Criteria Committee and published by Little, Brown Medical Division. This book was released on 1979 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Descriptions of diagnoses. Classified arrangement under 5 sections: Etiologic cardiac diagnosis, Anatomic cardiac diagnosis, Physiologic cardiac diagnosis, Cardiac status and prognosis, and Uncertain diagnosis. Miscellaneous appendixes. Subject index. 1st ed., 1928; 7th ed., 1973.

Textbook of Palliative Care Communication

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Publisher :
ISBN 13 : 0190201703
Total Pages : 457 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Textbook of Palliative Care Communication by : Elaine Wittenberg

Download or read book Textbook of Palliative Care Communication written by Elaine Wittenberg and published by . This book was released on 2015-11-20 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The Textbook of Palliative Care Communication' is the authoritative text on communication in palliative care. Uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, it unites clinicians and academic researchers interested in the study of communication.