Introduktion: Trots mycket forskning inom cancer som genererar nya riktlinjer och behandlingsmetoder är ett cancerbesked ofta förknippat med döden. Om cancerns påverkan på kroppen är tillräckligt allvarlig kan inte längre behandling tillgås. Med det övergår individens vård till palliativ vård, vilket betyder symtomlindring, närståendestöd samt kommunikation för att nå en god och värdig död. Sjuksköterskor har rapporterat att de mottagit önskan om dödshjälp av cancerpatienter, i syfte att bestämma själv och avsluta lidandet.  Syfte: Syftet var att undersöka terminala cancerpatienters syn på en god och värdig död samt dödshjälp. Metod: En systematisk litteraturöversikt utfördes med innehåll från tolv kvalitativa originalartiklar. För att få fram artiklar användes PubMed. En tematisk analys användes för att sammanställa teman baserat på studiernas resultat.  Resultat: Deltagare för dödshjälp motiverade sin ståndpunkt med hänvisning till individens autonomi, samt såg det som en möjlighet att få slut på lidande. Deltagare mot dödshjälp ansåg att det var likvärdigt med självmord, risk för bruk i fel syfte, ej överensstämmer med individens tro och att det alltid fanns hopp och mening. Synen på en god död och värdig död delgavs av deltagarna till förberedelser och rätten att få bestämma själv, att finna nya perspektiv och uppnå acceptans för sitt tillstånd. För att nå en god och värdig död behövdes stöd från anhöriga och vårdpersonal. Det ansågs att sjuksköterskan behövde ha en tät dialog med patienten och involverade patienten i beslut för att tillgodose autonomin.  Slutsats: För att en god och värdig död ska tillgodoses krävs det att vårdpersonal tillsammans med anhöriga strävar efter att uppfylla autonomin hos cancerpatienter. / Introduction: Although cancer research has given new methods and treatment guidelines, a cancer diagnosis is still often associated with death. If the impact of the cancer is too major, treatment is no longer an option. With that the treatment transitions to palliative care, focusing on relief of symptoms, support for related and communication working towards a good death. Nurses have reported that they have received a request from cancer patients to obtain euthanasia or physician-assisted suicide (PAS).  Purpose: The purpose of this systematic literature review was to investigate the views of terminal cancer patients regarding a good death as well as euthanasia and PAS.  Method: A literature review has been constructed from twelve qualitative original articles. The search for articles were found using the database - PubMed. A thematic analysis was used to identify themes, based on the studies results.  Result: These generated three central themes; Support for euthanasia and PAS, Opposition towards euthanasia and PAS and lastly A good death with under themes. Participants who supported euthanasia and PAS motivated it with a person's right to decide and a possibility to end suffering. Participants opposed towards euthanasia and PAS viewed it as an act equal to suicide, and saw a risk of it being abused, some also believed euthanasia and PAS to go against their beliefs and that there always is hope and meaning. The participants' view of a good death was preparedness, the right to decide by themselves, finding new perspectives and acceptance for their condition. To reach a good death support from related and healthcare workers, as well as frequent dialogs with the nurse to involve the patient in decisions to cater to their autonomy was of great importance. Conclusion: To reach a good death the autonomy of cancer patients need to be respected by healthcare workers and relatives.

Thesis (MPH.) -- University of Limpopo, 2022 / Background: The demand of providing physiotherapy services have increased due to the population growth, an increase in number of aging people, accidents and rising cases of chronic diseases. A sudden increase in number of patients seen by physiotherapists is worthwhile for exploration since overcrowding is a concern in many public hospital facilities in South Africa. The purpose for this study was to profile physiotherapy patients and barriers to obtaining optimal physiotherapy services at Nkensani Hospital. Methodology: A quantitative, cross- sectional study was conducted for profiling of physiotherapy patients and barriers to obtaining optimal physiotherapy services at Nkensani Hospital. A simple random sampling was used to sample 398 patients who were receiving physiotherapy services at Nkhensani Hospital. Data was collected using a designed questionnaire that was administered by the researcher to patients who were receiving physiotherapy services at Nkhensani hospital between November 2020 to February 2021. Data was analysed using the statistical package for social sciences (SPSS) version 25. Results: Approximately 46.3% of the participants were males and 53.7% were females. Majority of the participants had Primary education at 55.5%, followed by those who did not attend school at all, tertiary and secondary education level at 23.1%, 11.3% and 10.1% respectively. Most of the participants were unemployed at 81.2%. The patients who required Physiotherapy services were diagnosed with conditions related to Orthopaedic or Musculoskeletal at 52%, followed by Neurological, geriatric, paediatric and cardio/respiratory conditions at 27%, 13%, 7%and 1% respectively.The barriers to obtaining optimal physiotherapy services by patients were lack of family support, lack of support from friends, the use of traditional medicines, the costs of hiring a caregiver, affordability of services and affordability of transport to hospital. Conclusion: The study reveals that orthopaedic or musculoskeletal conditions are the most prevalent conditions. It is recommended that adequate community health education and intervention services be provided and made affordable and accessible to rural communities. Key concepts: Barrier, Physiotherapy services, Physiotherapist, Physiotherapy patients, Optimal.

The present study takes legibility research and extends it to the medical setting. Internal Medicine Physicians from UCF developed six passages of medical text detailing a History of Present Illness (HPI) Report from an emergency department as well as comprehension questions for the purpose of our study. In our study, we first presented non-medical passages and comprehension questions in six common fonts to identify participants' individual fastest and slowest fonts. We then gave participants medical passages in both their best and worst fonts while measuring reading speed and comprehension. This study was delivered to a population of Amazon Mechanical Turk crowd workers to help us better understand how legibility improvements can be made within specific fields. We hope that with this study we can begin the process of restructuring Electronic Health Records to be more usable and efficient for physicians.

No description available.

No description available.

No description available.

[pt] A dissertação tem como objeto a análise do consentimento informado do paciente no âmbito da telemedicina, especialmente na relação médico-paciente realizada em estabelecimento hospitalares. Nesse sentido, são destacadas as modalidades da telemedicina com o escopo de identificar e atribuir a responsabilidade civil pela violação do consentimento informado do paciente em cada categoria, com base nas normas deontológicas e na legislação pertinente. Com efeito, a dissertação buscará responder os seguintes questionamentos: (a) como respeitar o consentimento informado do paciente na seara da telemedicina? (b) como deve ser efetivado o termo de consentimento informado em cada modalidade da telemedicina? (c) como imputar a responsabilidade civil na relação médico-paciente oriunda da violação do consentimento informado no campo da telemedicina? (d) como provar o consentimento do paciente no âmbito da telemedicina? Para tanto, analisa-se a evolução do consentimento informado do paciente, chegando-se a conclusão de que a autodeterminação é parte integrante da dignidade humana e deve ser respeitada na relação médico-paciente, sob pena de ser imputada a respectiva responsabilidade civil. Nessa toada, discorre-se sobre o desenvolvimento do atendimento médico realizado à distância, bem como são analisadas decisões judiciais a respeito do tema a fim de demonstrar as dificuldades concernentes à consumação do consentimento informado do paciente no âmbito da telemedicina. Por conseguinte, são apresentadas proposições para inclusão no termo de consentimento livre e esclarecido com o escopo de facilitar a compreensão do paciente no atendimento telepresencial e possibilitar a concretização do consentimento informado. Enfim, considerando a dificuldade na produção probatória relacionada ao consentimento informado do paciente, é apresentada uma recomendação que visa contribuir com o aperfeiçoamento da relação médico-paciente no campo da telemedicina. / [en] The dissertation has as its object the analysis of the patient s informed consent in the context of Telemedicine, especially in the doctor-patient relationship carried out in hospitals. In this sense, it is intended to discuss the modalities of telemedicine, identifying and attributing civil liability for the violation of the patient s informed consent in each category, based on deontological norms and on the institutes of the Consumer Defense Code. Consequently, the dissertation will seek to answer the following questions: (a) how to respect the informed consent of the patient in the field of telemedicine? (b) how should the informed consent form be implemented in each modality of telemedicine? (c) how to impute civil liability in the doctor-patient relationship arising from the violation of consent in the field of telemedicine? (d) how to prove the patient s consent in the context of telemedicine? To this end, the evolution of the patient s informed consent is analyzed, reaching the conclusion that self-determination is an integral part of human dignity and must be respected in the doctor-patient relationship, under penalty of being imputed the respective civil liability. In this sense, the development of remote medical care is discussed, as well as judicial decisions on the subject are analyzed in order to demonstrate the difficulties concerning the consummation of the patient s informed consent in the context of telemedicine. Indeed, propositions are presented for inclusion in the free and informed consent form with the aim of facilitating the patient s understanding in telepresence care and enabling the implementation of informed consent. At the end, considering the difficulty in producing evidence related to the patient s informed consent, a recommendation is presented that aims to contribute to the improvement of the doctor-patient relationship in the field of telemedicine.

Indiana University-Purdue University Indianapolis (IUPUI) / Acceptance of PHR by physicians is fundamental as they play important role towards the promotion of PHR adoption by providing the access to the data to be maintained in PHR and also, using the information within the PHR for decision making. Therefore it is important to measure physicians' perspective on usefulness of PHR, and also the value and trust they have in PHR usage. Review of previous researches identifies the lack of availability of a valid survey instrument that can be used to measure physicians' perception on all different aspects of PHR use and acceptance. Using the integrated literature review methodology and Unified Theory of Acceptance and Use of Technology (UTAUT) as a guiding framework, this study was aimed to identify the factors that can be used in the development of comprehensive evaluation instrument to understand physicians' acceptance of PHR. Total 15 articles were selected for literature review and using the content analysis method, 189 undifferentiated data units were extracted from those articles. These data units were then categorized into the four core constructs of UTAUT. ―Other categorization system was also created for the data units that could not be classified into one of the UTAUT core constructs. Among four core UTAUT constructs, Performance Expectancy is found to be the most influential factor in physicians' acceptance of PHR, followed by ―Other factors, Facilitating Condition and Social Influence. Effort expectancy was found to be the least influential. The identified specific factors within each domain can be used to develop a valid survey instrument to measure physicians' perception on PHR.

No description available.

No description available.