OBJECTIVES To determine the views and experiences of health and social care professionals on using integrated care pathways (ICPs)for caring for people in the last days to hours of life. METHODS Online cross-sectional questionnaire survey of UK professionals working in UK primary and secondary care settings. RESULTS 1331 professionals returned completed questionnaires. Ninety-three per cent...

background: the concept of family- centered care in neonatal intensive care unit has changed drastically in protracted years and has been used in various contexts differently. since we require clarity in our understanding, we aimed to analyze this concept. methods: this study was done on the basis of developmental approach of rodgers’s concept analysis. we reviewed the existing literature in sc...

OBJECTIVE To identify factors that hinder discussions regarding chronic obstructive pulmonary disease (COPD) between primary care physicians (PCPs) and their patients in Sweden. SETTING Primary health care centres (PHCCs) in Stockholm, Sweden. SUBJECTS A total of 59 PCPs. DESIGN Semi-structured individual and focus-group interviews between 2012 and 2014. Data were analysed inspired by gro...

The Clinical Argument The deficit in stroke is neurological but the cause is vascular, complications are medical, and treatment should be multidisciplinary: no single aspect is overriding. Stroke patients require holistic care, expertly delivered. Neither American nor European stroke management guidelines mandate that a neurologist should deliver care.1,2 Let us examine the neurologist’s potent...

INTRODUCTION The holistic approach in medicine is a framework that considers and treats all aspects of a patient's needs, as it relates to their health. The goal of such an approach is to prevent illness, and to maximise the well-being of individuals and families. Holistic medicine is also referred to as integrative, which has been interpreted by some professionals as the combination of evidenc...

BACKGROUND Nurses have a moral obligation to ensure holistic care of patients, inclusive of the spiritual dimension. However, there seems to be a void in the teaching and learning of spiritual care in nursing curricula. Despite the South African Nursing Council being in favour of holistic nursing, there are no measures in place to ensure implementation of spiritual care, hence its practice is n...

Palliative care is the active holistic care of patients with advanced progressive illness, such as those with advanced cancer, end-stage renal disease, AIDs, and chronic obstructive pulmonary disorder (COPD).(WHO 2002) Management includes treatments for pain and other symptoms (e.g. fatigue, nausea and vomiting, breathlessness, anxiety, depression, vasomotor symptoms, xerostomia), as well as th...

Nurses in Oncology are required to offer care for the entire course of the patient with cancer, including the processes of diagnosis, treatment, possible recurrence, survival period, palliative care and assisting in a peaceful death [2]. The contribution of nurses is crucial throughout this journey (“cancer journey”), since this is based on the concept of holistic care and on continuous attenda...

After receiving mivacurium, a short-acting neuromuscular blocking agent used for intubation before surgery, a patient experienced prolonged paralysis and prolonged apnea that required ventilator support. Although this complication is rare, all critical care nurses should be aware of it so they can be competent in managing and providing holistic and comprehensive nursing care to the patient and ...