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Author : Pegge Hall
Publisher :
ISBN 13 :
Total Pages : 144 pages
Book Rating : 4.:/5 (289 download)
Download or read book Nurses' Perceptions of Their Role in Discussing End of Life Issues with Patients written by Pegge Hall and published by . This book was released on 1992 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Deborah Kennedy
Publisher :
ISBN 13 : 9781109045994
Total Pages : 50 pages
Book Rating : 4.0/5 (459 download)
Download or read book Nurses' Perceptions of Terminally Ill Patients Receiving End-of-life Care written by Deborah Kennedy and published by . This book was released on 2009 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Significant evidence supports the belief that Hospice provides optimal end-of-life care and patients enrolled in Hospice programs report better quality of life, improved symptom management, and greater emotional and spiritual support. Despite the degree of satisfaction with Hospice, there is evidence to support Hospice services may be under utilized. The purpose of this study was to explore and describe the experiences of nurses who work at the bedside and care for patients at end-of-life. The researcher attempted to identify nurses' understanding of Hospice concepts and factors that influence whether terminally ill patients receive Hospice referrals at end-of-life. Data was collected through in-depth face-to-face interviews with nurses (N=8) at the study site. The narrative data was categorized into four major themes, which included: (a) patients and families refusal to accept death, (b) inadequate understanding of end-of-life care, (c) physician reluctance to discontinue aggressive treatment, and (d) conflicting priorities for the nurse. Gaining a better understanding of the influences on end-of-life care and the reasons Hospice is under utilized for terminally ill patients allowed the researcher to identify areas for improvement.
Author : Roderick Duncan MacLeod
Publisher : Springer
ISBN 13 : 9783031489907
Total Pages : 0 pages
Book Rating : 4.4/5 (899 download)
Download or read book Textbook of Palliative Care written by Roderick Duncan MacLeod and published by Springer. This book was released on 2025-05-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition provides the most up-to-date information on all aspects of palliative care including recent developments (including COVID-19), global policies, service provision, symptom management, professional aspects, organization of services, palliative care for specific populations, palliative care emergencies, ethical issues in palliative care, research in palliative care, public health approaches and financial aspects of care. This new Textbook of Palliative Care remains a unique, comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but we still needs to be explained. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and theirfamilies. However, the science of palliative care is advancing and this new edition will contribute to a better understanding of this specialty. This new edition offers 20 new chapters out of over 120, written by experts in their given fields provide up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This new Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so the Editors and contributors from all over the world aim to keep this Textbook updated so that the reader can find new evidence and approaches to care.
Author : Nora Kearney
Publisher : Elsevier Health Sciences
ISBN 13 : 0443072884
Total Pages : 882 pages
Book Rating : 4.4/5 (43 download)
Download or read book Nursing Patients with Cancer written by Nora Kearney and published by Elsevier Health Sciences. This book was released on 2006-01-01 with total page 882 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nursing Patients with Cancer: Principles and Practice is a major new text: a comprehensive evidence-based source book that provides a detailed foundation for adult cancer nursing. It explains the essential social and scientific basis of modern cancer management, and equips nurses with the key skills and knowledge required to work in cancer care teams. The content is based upon assessment and intervention of patient and family needs, and aims to prepare nurses to work with cancer patients and their families across a range of settings." -back cover.
Author : Elaine Wittenberg
Publisher :
ISBN 13 : 0190201703
Total Pages : 457 pages
Book Rating : 4.1/5 (92 download)
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.
Author : Sushma Bhatnagar
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975103106
Total Pages : 241 pages
Book Rating : 4.9/5 (751 download)
Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.
Author : Dean Whitehead
Publisher : Elsevier
ISBN 13 : 0729587711
Total Pages : 442 pages
Book Rating : 4.7/5 (295 download)
Download or read book Nursing and Midwifery Research written by Dean Whitehead and published by Elsevier. This book was released on 2020-04-08 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing and Midwifery Research is an essential guide in assisting students and practitioners develop sound research skills to enhance their knowledge and practice. Written by Dean Whitehead and Caleb Ferguson, the 6th ANZ edition includes the most recent updates and developments in Australian and New Zealand nursing and midwifery practice, with a focus on evidence-based practice, along with a range of contemporary research articles and pedagogy to support specific chapter content. Using clear language and examples, the 6th edition of Nursing and Midwifery Research provides a valuable resource to assist healthcare students and practitioners in developing strong skills in research literacy and critical appraisal, as well as the confidence to successfully conduct research and apply outcomes to practice. A focus on digital communication - includes overviews and tips on navigating professional and personal electronic media Individual and group activities throughout to encourage skill development, reflection and awareness of self and others An extensive suite of scenarios - practise and apply your communication skills using realistic situations and individuals that healthcare professionals encounter in clinical practice Additional resources on Evolve eBook on VitalSource Instructor resources: Answer guides to Tutorial Triggers PowerPoint presentations Student and Instructor resources: Answer guides to An Unexpected Hurdle Answers to Learning Activities Research Articles and Questions Answer guides to Time to Reflect Glossary New co-editor, Caleb Ferguson, from Western Sydney University Fully updated Chapter 15 'Indigenous Peoples and Research' offers leading cultural insights into Indigenous approaches to research Fully updated Chapter 20 'A Research Project Journey: from Conception to Completion' fully details the process of a mixed methods project, from beginning to dissemination, that explores the topical issue of patients and carers living with bladder cancer Updated chapters throughout reflect current nursing and midwifery perspectives to provide you with the latest data and most recent examples of evidence-based practice A stronger focus on the role of social media and bibliometrics in conducting and disseminating research outcomes ensures latest best practice guidelines Real-world examples of the research process prepare you for common experiences you can expect during your own research journey and the processes that you are likely to encounter An eBook included in all print purchases
Author : Joan E. Niederriter
Publisher :
ISBN 13 :
Total Pages : 165 pages
Book Rating : 4.:/5 (427 download)
Download or read book Student Nurses' Perception of Death and Dying written by Joan E. Niederriter and published by . This book was released on 2009 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Student nurses are involved in caring for patients who are actively dying or who have been told they have a terminal illness and are faced with the process of dying. Students encounter these patients in hospitals, nursing homes, at home or in hospice care settings. According to Robinson (2004), "nurses are the healthcare providers that are most often with individuals at the end of their lives" (p. 89). Nurses should be knowledgeable about end-of-life care. Studies show that only 0.41% of nurses are certified in palliative care (Means to a better end, 2004). Nursing students often have a difficult time coping with the stress that comes with caring for those who are dying (Johannsson and Lalley, 1990-91). Student nurses need to be prepared to take an active role in caring for patients who are dying or have been told they have a terminal illness. Students are in clinical settings where they may encounter death and dying. These settings include hospitals, nursing homes, and community/home care areas. Understanding students' perceptions of death and dying can help educators prepare students for these situations by using the research available to plan better ways to teach students about the needs of the dying/terminal patient and their family. These needs include physical, spiritual, emotional and social. A qualitative investigation with thirteen junior level nursing students from a large urban university in Northeast Ohio was used in the research. Findings revealed that an emphasis on the domains of thoughts, feelings, communication, multicultural diversity, education and coping mechanisms are essential in nursing education. Participants reported a need for additional education in the area of communication and culturally responsive care. This study suggests that there is a great need to educate students about death and dying, cultural competence, communication skills and coping with emotional stress.
Author : National Academies of Sciences Engineering and Medicine
Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)
Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author : Jean Lugton
Publisher : Elsevier Health Sciences
ISBN 13 : 0443074585
Total Pages : 434 pages
Book Rating : 4.4/5 (43 download)
Download or read book Palliative Care written by Jean Lugton and published by Elsevier Health Sciences. This book was released on 2006-01-04 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title is directed primarily towards health care professionals outside of the United States. Palliative Care: The Nursing Role is an introductory text for nurses and other health care professionals who deliver palliative care across a range of settings. It lays a clear foundation of knowledge focusing on the needs and perspectives of patients and families who face the challenge of advanced, incurable illness. The style is highly accessible yet challenges readers to analyze key issues that present within palliative care. Covering the wide range of care provision in hospices, hospitals and patients' homes, the book draws widely from practice based examples to explain and expand upon theoretical issues. Research evidence underpins each of the chapters. Guided activities encourage readers to reflect, in a focused way, on their clinical experience and current practice. This new edition has been fully updated to reflect ongoing developments and shifting trends in palliative care education and practice. It will suit the needs of both pre and post-qualifying students seeking to develop their knowledge and is well suited to practitioners working within either generalist or specialist palliative care settings, or within acute or community settings as well as those studying a range of palliative care educational curricula. The authors have a wide range of experience in palliative care and all are actively engaged in practice and/or education. A clear, broad-based approach offers a thorough introduction for the non-specialist nurse. Written and edited by an experienced team of nurses working in this field, grounding it in current practice. Learning outcomes listed at the start of each chapter aid learning and comprehension. Reflective practice activities and an outline of CPD is especially useful for students working independently. Case histories, recommended reading lists, and references provide a solid evidence base for clinically based practice and facilitate further study. Thoroughly revised and updated to reflect changes in policy direction. A new chapter on pain and symptom management. Revised content reflects the recent shift in the evidence base concerning spirituality. Includes psychosocial issues of loss for the patient, their family, and careers.
Author : Barbara H. Bruce
Publisher :
ISBN 13 :
Total Pages : 158 pages
Book Rating : 4.3/5 (129 download)
Download or read book Guidelines to Assist Advanced Practice Nurses in Discussing End-of-life Decisions with Chronically Ill Adults and Families written by Barbara H. Bruce and published by . This book was released on 1998 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Lisa Kastbom
Publisher : Linköping University Electronic Press
ISBN 13 : 9179297196
Total Pages : 83 pages
Book Rating : 4.1/5 (792 download)
Download or read book A good death from the perspective of patients with severe illness and advance care planning (ACP) in patients near end-of-life written by Lisa Kastbom and published by Linköping University Electronic Press. This book was released on 2021-03-23 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Previous research has indicated that what constitutes a good death is heterogenic and complex although there are some recurrent themes and similarities regardless individual background factors. Studies on advance care planning (ACP), i.e. making proactive plans regarding content of care and treatment limitations, on nursing home (NH) patients are rare. Positive effects of ACPs are shown, but also that these often are lacking. The overall aim with this thesis was to explore the perceptions of a good death from the perspective of patients with severe illness and to investigate, from different perspectives, experiences of ACP in a NH context. In paper I, patients with cancer in a palliative phase were interviewed on their perceptions of a good death. Death was viewed as a process and previous experiences on the death of others influenced their own perceptions. A good death was associated with living with the prospect of imminent death, preparing oneself and others for one’s death and dying comfortably, e.g. without suffering, with independence and with social relations intact. Some were comforted by their belief that death is predetermined, and that after death, there is something else. Others felt uncomfortable when they viewed death as the end of the existence. In paper II, nurses and physicians were interviewed on their experiences of the factors that shape the ACP process in NHs. Exploration of the patient’s preferences regarding content of care and treatment limitations was important, as well as integration of the patient’s preferences and the views of the family members and staff concerning these questions. ACP documentation had to be clear, updated and available for staff and the implementation and reevaluation of ACP were also considered important, according to the participants. Significance of clinicians’ perceiving beneficence as well as fear of accusations of maleficence were shown to be essential factors to contemplate. In a retrospective chart review (paper III), medical records of 367 deceased NH patients were analysed. A high prevalence of ACP was shown, using two different definitions of ACP (ACP I and ACP II). Moreover, adherence to the ACP content was strong and positive associations were seen between ACP and variables of the three research aims, such as: diagnosis (dementia), physician attendance at NH and end-of-life (EOL) care. In paper IV, family members of deceased NH patients were interviewed on their experiences of ACP in NHs. EOL issues were challenging to talk about, although the family members appreciated staff raising these questions. The patient’s preferences were sometimes explicitly or implicitly communicated. However, in some cases, family members had a feeling of the patient’s preferences, although they had not been clearly communicated. Everyday details symbolised staff commitment. The family members viewed the nurse as central. The physician was described as absent and ACP meetings often went unnoticed. Both involvement and lack of involvement could cause the family members feelings of guilt. In conclusion, we found that what constitutes a good death is highly individual, although recurrent themes are seen. EOL conversations are important and challenging and need staff training and experience. It seems important to support healthcare staff not only to initiate ACP in NH patients, but also to involve the patient and family members in the ACP and planning EOL care. Making proactive plans regarding content of care including treatment limitations, could enable patient autonomy, optimise the chances for the patient to experience a good death and enhance for the family members during the dying trajectory and after the patient’s death.
Author : Lisa Hjelmfors
Publisher : Linköping University Electronic Press
ISBN 13 : 917685356X
Total Pages : 90 pages
Book Rating : 4.1/5 (768 download)
Download or read book Communication about the Heart Failure Trajectory in Patients, their Families and Health Care Professionals written by Lisa Hjelmfors and published by Linköping University Electronic Press. This book was released on 2018-03-14 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: There is an increasing awareness in the field of cardiology regarding the need for improved delivery of palliative care in patients with heart failure (HF). Professional guidelines have drawn attention to the importance of discussing the heart failure trajectory with patients and their families. These discussions can include, for example, talking about the prognosis, expectations for the future, and care at the end-of-life. It seems difficult for health care professionals to choose the right time for initiating these discussions. They often avoid these conversations because they are afraid of taking away hope and make the patients and their families anxious. Aim: The overall aim of this thesis was to improve communication about the heart failure trajectory in patients, their families, and health care professionals. Design and methods: This thesis includes five studies using different designs and data collection methods. Study I has a cross-sectional design using a questionnaire to collect data to describe heart failure nurses’ perceptions of and practice in discussing prognosis and end-of-life care with heart failure patients. Study II has a descriptive and comparative design, where a survey was performed to describe Swedish and Dutch heart failure nurses’ reasons for discussing or not discussing prognosis and end-of-life care with patients. Study III has an inductive and exploratory design, where HF patients participated in focus groups or individual interviews. Data was collected based on their perceptions of communication about the heart failure prognosis. Study IV was a small-scale ethnographic study describing and evaluating the delivery of a simulation when teaching third-year nursing students about end-of-life care at a Swedish university. Study V used co-design in which patients with HF from primary care, their family members and health care professionals (physicians and nurses) from palliative and HF care were invited to be constructive participants in the design process of a communication intervention. Health care professionals participated in a first feasibility testing of the intervention. Results: Most Swedish HF nurses had discussed prognosis (96%) and end-of-life care (84%) with a HF patient at some point in clinical practice. The nurses often reported that a physician was to have the main responsibility for such discussions (69%), but that the nurse was also believed to have a role to play (I). Prognosis and end-of-life care were, together with sexual activity, () the three least frequently discussed topics in HF clinics in both Sweden and the Netherlands (II). In conversations with 1,809 Swedish and Dutch HF patients, prognosis was discussed with 38% of the patients and end-of-life care was discussed with 10%. In study III, patients expressed different experiences of and preferences for communication about their HF prognosis. Many patients described that the health care professionals had not provided them with any prognosis information at all. The patients had different understandings of HF as a chronic illness, which had an impact on their preferences for communication about their prognosis (III). The simulation training described in the ethnographic study (IV) was part of an end-of-life care simulation during the last term of the 3- year bachelor degree level nursing education program, where students learn and practice basic palliative care. The students felt that the simulation training was a good opportunity to practice handling end-of- life situations as it gave them a chance to experience this situation and their own feelings and thoughts on death and dying. In study V, an intervention to improve communication about prognosis and end-of-life care in HF care was developed and some areas were feasibility tested. Heart failure patients, their families and health care professionals working in HF care or palliative care participated in the development process. Health care professionals (nurses and physicians) participated in the following feasibility testing of the intervention. Conclusions: This thesis shows that prognosis and end-of-life care are seldom discussed with HF patients in Swedish and Dutch heart failure care. and that many heart failure nurses have ambiguous attitudes towards discussing these topics with patients and their families (I+II). The patients described that they receive different messages concerning their heart failure, and that they also have different preferences for discussing the heart failure trajectory with health care professionals. The professionals need to understand the impact of heart failure on each patient and adapt the communication to each individual (III). End-of-life care simulation with skilled supervisors shows great promise for health care professionals to learn good communication skills in end-of-life care conversations (IV). A Question Prompt List and a communication course might be useful for improving communication about the heart failure trajectory in patients, their families, and health care professionals
Author : David A. Fleming
Publisher : University of Missouri Press
ISBN 13 : 0826272215
Total Pages : 172 pages
Book Rating : 4.8/5 (262 download)
Download or read book Care of the Dying Patient written by David A. Fleming and published by University of Missouri Press. This book was released on 2010-04-15 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Author : Ginny Wacker Guido
Publisher : Prentice Hall
ISBN 13 :
Total Pages : 222 pages
Book Rating : 4.:/5 (318 download)
Download or read book Nursing Care at the End of Life written by Ginny Wacker Guido and published by Prentice Hall. This book was released on 2010 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing Care at the End of Life, by Ginny Wacker Guido, incorporates many of the chapter features in High Acuity Nursing 5th ed.,by Kathleen Dorman Wagner. Using this format, the author presents material ranging from the legal and ethical aspects that affect care to the clinical issues nurses face when dealing with acute illness, pain and dying, to communication and family dynamics. Case studies give readers an opportunity to process and apply the chapter material. The role of the nurse is highlighted throughout the book and each chapter is followed by NCLEX-style review questions. This is a perfect reference for anyone studying to become a nurse or a nurse needed a professional resource for career success.
Author : Anita Ward Finkelman
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449646069
Total Pages : 539 pages
Book Rating : 4.4/5 (496 download)
Download or read book Professional Nursing Concepts written by Anita Ward Finkelman and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 539 pages. Available in PDF, EPUB and Kindle. Book excerpt: " ... takes a patient-centered, traditional approach to the topic of nursing education and professional development. This dynamic text engages students in recognizing the critical role that nurses play in health care delivery, and focuses on the five core competencies for health professions as determined by the Institute of Medicine (IOM) ..."--Back cover.
Author : Alene Ruth Dickinson
Publisher :
ISBN 13 :
Total Pages : 480 pages
Book Rating : 4.:/5 (82 download)
Download or read book Nurses' Perceptions of Their Care of Patients Dying with Cancer written by Alene Ruth Dickinson and published by . This book was released on 1966 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt:
