Creating a Climate for Healing: A Visual Model for Goals of Care Discussions

2013 ◽  
Vol 16 (7) ◽  
pp. 718-718 ◽  
Author(s):  
Tammy Newman Bhang ◽  
Juan C. Iregui
Keyword(s):  
Goals Of Care ◽  
Visual Model

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

Goals of care program: Psychosocial opportunities in the ICU

2010 ◽  
Author(s):  
Matthew Loscalzo ◽  
David Horak ◽  
Marie Malicki ◽  
Tana Burns ◽  
Ben Laroya ◽  
...  
Keyword(s):  
Care Program ◽  
Goals Of Care

Establishing Goals of Care at Any Stage of Illness: The PERSON Mnemonic

2014 ◽  
Vol 17 (10) ◽  
pp. 1087-1087 ◽  
Author(s):  
Kyle P. Edmonds ◽  
Toluwalase A. Ajayi ◽  
Julia Cain ◽  
Heidi N. Yeung ◽  
Kathryn Thornberry
Keyword(s):  
Goals Of Care

scholarly journals Southeast Asian clearwing moths buzz like their model bees

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Marta Skowron Volponi ◽  
Luca Pietro Casacci ◽  
Paolo Volponi ◽  
Francesca Barbero
Keyword(s):  
Slow Motion ◽  
Southeast Asian ◽  
Batesian Mimicry ◽  
Evolutionary Models ◽  
Acoustic Parameters ◽  
Warning Signals ◽  
Visual Model ◽  
Flying Insects

Abstract Background The endless struggle to survive has driven harmless species to evolve elaborate strategies of deceiving predators. Batesian mimicry involves imitations of noxious species’ warning signals by palatable mimics. Clearwing moths (Lepidoptera: Sesiidae), incapable of inflicting painful bites or stings, resemble bees or wasps in their morphology and sometimes imitate their behaviours. An entirely unexplored type of deception in sesiids is acoustic mimicry. We recorded the buzzing sounds of two species of Southeast Asian clearwing moths, Heterosphecia pahangensis and H. hyaloptera and compared them to their visual model bee, Tetragonilla collina, and two control species of bees occurring in the same habitat. Recordings were performed on untethered, flying insects in nature. Results Based on eight acoustic parameters and wingbeat frequencies calculated from slow-motion videos, we found that the buzzes produced by both clearwing moths highly resemble those of T. collina but differ from the two control species of bees. Conclusions Acoustic similarities to bees, alongside morphological and behavioural imitations, indicate that clearwing moths display multimodal mimicry of their evolutionary models.

VMI-PSL: Visual Model Inspector for Probabilistic Soft Logic

2020 ◽  
Author(s):  
Aaron Rodden ◽  
Tarun Salh ◽  
Eriq Augustine ◽  
Lise Getoor
Keyword(s):  
Visual Model ◽  
Soft Logic

scholarly journals “TIMEOUT” Before PEG Placement: A Policy Approach to Align Shared Decision-Making and Goals of Care Through Palliative Intervention (F425C)

2021 ◽  
Vol 61 (3) ◽  
pp. 653-654
Author(s):  
Brigit C. Palathra ◽  
Hoda Abdelaziz ◽  
Elizabeth Lee ◽  
Cynthia X. Pan ◽  
Calvin Hwang ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Goals Of Care

Advance care planning for patients with COVID-19: a communication guide

2021 ◽  
pp. 1-6
Author(s):  
Natasha Palipane ◽  
Abi Ponnampalampillai ◽  
Srirupa Gupta
Keyword(s):  
Advance Care Planning ◽  
Symptom Control ◽  
Patient Choice ◽  
High Morbidity ◽  
Care Planning ◽  
Goals Of Care ◽  
Disease Trajectory ◽  
Improve Symptom ◽  
Inappropriate Admissions ◽  
Advance Care

In view of the high morbidity and mortality associated with COVID-19, early and honest conversations with patients about goals of care are vital. Advance care planning in its traditional manner may be difficult to achieve given the unpredictability of the disease trajectory. Despite this, it is crucial that patients' care wishes are explored as this will help prevent inappropriate admissions to hospital and to critical care, improve symptom control and advocate for patient choice. This article provides practical tips on how to translate decisions around treatment escalation plans into conversations, both face-to-face and over the phone, in a sensitive and compassionate manner. Care planning conversations for patients with COVID-19 should be individualised and actively involve the patient. Focusing on goals of care rather than ceilings of treatment can help to alleviate anxiety around these conversations and will remind patients that their care will never cease. Using a framework such as the ‘SPIKES’ mnemonic can help to structure this conversation. Verbally conveying empathy will be key, particularly when wearing personal protective equipment or speaking to relatives over the phone. It is also important to make time to recognise your own emotions during and/or after these conversations.

scholarly journals Knowledge at palm of hand: supported self-management and audiovisual content School of Patients DF

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Cubas-Rolim ◽  
F R Yung ◽  
M R Gripp ◽  
C L A Oliveira ◽  
L A Marques ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Education ◽  
Health Professionals ◽  
Vital Role ◽  
Prescription Data ◽  
Graduate Studies ◽  
Information Retention ◽  
Online Networks ◽  
Visual Model ◽  
Adherence To Medication

Abstract Background The region of practice of the School of Patients DF is vulnerable at health literacy and income. Audiovisual information is strategic in primary care for its great power of reach and information retention. Objectives Since 2016 videos of health education have been produced, initially technical on the Planification for hypertension and diabetes. After the focus switched to popular health education, aiming at improving communication between health professionals and patients on chronic diseases and health promotion, including testimonials. The is potential for video exhibition in qualified waiting rooms and forwarding in social network. Results There are videos from diabetes, hypertension, obesity to dengue, pre-natal care and other APS themes, which follow printed orientation with pertinent links. There are graduate and post-graduate studies in course for optimizing audio-visual content for support and capacitation of the family caregivers, especially regarding the facilitated visual model of prescription (“Illustrated Prescription”). Data until 2020-January: YOUTUBE 3146 views, 118,6 hours of exhibition, 50 videos. FACEBOOK page with a reach of 369.248 views. INSTAGRAM 10.119 followers, 193 posts, 37.800 likes and 1003 commentaries. Conclusions Modifications in lifestyle and adherence to medication are fundamental for treatment, and videos are promising for health promotion and selfcare capacitation. There is potential for reducing the hierarchy barriers (testimonials). The shared construction of knowledge and its dissemination makes the patient active part in community diffusion of information. Key messages Health professionals have a vital role as educators, including for social online networks. Patients have a protagonist role in their treatment, as well as multipliers of knowledge at their community.

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