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Dialysis & the elderly
This article discusses the challenges elderly patients face with dialysis as their kidney function declines. It notes that patients over age 85 who start dialysis only have a life expectancy of 2 years, while those between ages 75-79 have a life expectancy of 3 years. Dialysis can lead to physical decline, frailty, falls, and increased risk of illness and death for elderly patients. The article encourages patients to consider their current quality of life, health issues, and support system when deciding whether to start or continue dialysis. It emphasizes dialysis is a life-sustaining treatment that can be declined.
HoCall
The document provides guidance for medical interns on how to handle common issues that may arise during their first overnight on-call shift. It outlines approaches for non-urgent patient complaints, cross-covering other doctors' patients, reviewing patient check-out lists, and managing specific concerns like pain, nausea, insomnia, and electrolyte abnormalities. The document emphasizes starting with conservative treatment options, consulting others when uncertain, and prioritizing patient safety above all else during an overnight on-call shift.
강의10 geriatric neph,htn in the elderly^^
1. Geriatric nephrology is an emerging field due to the increasing elderly population and prevalence of chronic kidney disease in older adults. Older adults often have multiple comorbidities requiring complex medication management to avoid adverse drug reactions.
2. Studies show treating isolated systolic hypertension in adults over 80 reduces mortality, but uncertainties remain regarding exact target blood pressures and how to approach subgroups with different comorbidities or risk of pseudohypertension.
3. Care of older adults with kidney disease requires consideration of geriatric syndromes and balancing dialysis risks against quality of life based on frailty level.
CV Joko Hariyanto
Joko Hariyanto is applying for a job as an Occupational Health & Industrial Hygiene officer with the company. He has over 10 years of experience as a nurse supervisor and occupational health and safety staff. He graduated from nursing school in 1997 and received his bachelor's degree in public health in 2006. Currently he works as an Occupational Health & Industrial Hygiene officer at PT. Holcim Indonesia, where he helps occupational health doctors with health surveillance and environmental monitoring. He hopes that his qualifications and experience will merit consideration for the position.
My last vacation
The document describes a girl's last vacation in December and January where she and her dance group traveled to Pereira and participated in a hip hop dance contest. They were champions in the professional category and later celebrated their triumph by spending the day at the pool swimming, taking photos, playing on the swings, eating ice cream and talking before returning home a week later.
HCS 410 Project1
This document outlines plans to open the Streeter Care Facility in Paoli, Pennsylvania. The small facility will have room for a few employees and accept mostly Medicare and Medicaid patients. Services like physical and occupational therapy will be covered by insurance at a cost of around $25,000 per patient annually. Rooms and other facilities will cost patients $10-15,000 per year. Starting costs of around $500,000 are estimated to cover supplies, equipment, and salaries for occupational therapists, physical therapists, nurses, aides, and other staff. The facility aims to serve approximately 200 patients with short-term rehabilitation needs, relying on insurance to cover most medical costs.
Proctor_DeMelo
The document provides a summary of an individual's experience as an Assistant Subsea Supervisor/Engineer over 5 years in the oil and gas industry. It details experience maintaining Blow Out Preventers (BOPs) and associated subsea equipment from various rigs. Educational background includes a degree in Mechanical Engineering and safety and technical training courses. The individual is looking to secure a position where they can further develop skills and provide strategic value to a firm.
Empfohlen
Dialysis & the elderly
This article discusses the challenges elderly patients face with dialysis as their kidney function declines. It notes that patients over age 85 who start dialysis only have a life expectancy of 2 years, while those between ages 75-79 have a life expectancy of 3 years. Dialysis can lead to physical decline, frailty, falls, and increased risk of illness and death for elderly patients. The article encourages patients to consider their current quality of life, health issues, and support system when deciding whether to start or continue dialysis. It emphasizes dialysis is a life-sustaining treatment that can be declined.
HoCall
The document provides guidance for medical interns on how to handle common issues that may arise during their first overnight on-call shift. It outlines approaches for non-urgent patient complaints, cross-covering other doctors' patients, reviewing patient check-out lists, and managing specific concerns like pain, nausea, insomnia, and electrolyte abnormalities. The document emphasizes starting with conservative treatment options, consulting others when uncertain, and prioritizing patient safety above all else during an overnight on-call shift.
강의10 geriatric neph,htn in the elderly^^
1. Geriatric nephrology is an emerging field due to the increasing elderly population and prevalence of chronic kidney disease in older adults. Older adults often have multiple comorbidities requiring complex medication management to avoid adverse drug reactions.
2. Studies show treating isolated systolic hypertension in adults over 80 reduces mortality, but uncertainties remain regarding exact target blood pressures and how to approach subgroups with different comorbidities or risk of pseudohypertension.
3. Care of older adults with kidney disease requires consideration of geriatric syndromes and balancing dialysis risks against quality of life based on frailty level.
CV Joko Hariyanto
Joko Hariyanto is applying for a job as an Occupational Health & Industrial Hygiene officer with the company. He has over 10 years of experience as a nurse supervisor and occupational health and safety staff. He graduated from nursing school in 1997 and received his bachelor's degree in public health in 2006. Currently he works as an Occupational Health & Industrial Hygiene officer at PT. Holcim Indonesia, where he helps occupational health doctors with health surveillance and environmental monitoring. He hopes that his qualifications and experience will merit consideration for the position.
My last vacation
The document describes a girl's last vacation in December and January where she and her dance group traveled to Pereira and participated in a hip hop dance contest. They were champions in the professional category and later celebrated their triumph by spending the day at the pool swimming, taking photos, playing on the swings, eating ice cream and talking before returning home a week later.
HCS 410 Project1
This document outlines plans to open the Streeter Care Facility in Paoli, Pennsylvania. The small facility will have room for a few employees and accept mostly Medicare and Medicaid patients. Services like physical and occupational therapy will be covered by insurance at a cost of around $25,000 per patient annually. Rooms and other facilities will cost patients $10-15,000 per year. Starting costs of around $500,000 are estimated to cover supplies, equipment, and salaries for occupational therapists, physical therapists, nurses, aides, and other staff. The facility aims to serve approximately 200 patients with short-term rehabilitation needs, relying on insurance to cover most medical costs.
Proctor_DeMelo
The document provides a summary of an individual's experience as an Assistant Subsea Supervisor/Engineer over 5 years in the oil and gas industry. It details experience maintaining Blow Out Preventers (BOPs) and associated subsea equipment from various rigs. Educational background includes a degree in Mechanical Engineering and safety and technical training courses. The individual is looking to secure a position where they can further develop skills and provide strategic value to a firm.
American Medical Association
The document discusses the goals and mission of the American Medical Association (AMA). The AMA's mission is to promote medicine and public health. Its goals are to improve healthcare delivery, embrace the need for change through physician leadership, set standards for medical education and ethics, serve as a leading voice in healthcare transformation, and improve health outcomes, medical education, and physician satisfaction. In 2012, the AMA worked to reduce hassles for physicians and enable them to focus on patient care, which helped meet one of their goals of restoring physicians' joy in medicine.
HCS 410 case study 3
This document discusses Alzheimer's disease and proposes separate clinics to care for patients. Alzheimer's is a degenerative brain disorder where plaques and tangles form in the brain. It causes memory loss, confusion, and difficulty understanding. Currently, there is not enough funding to care for all those with mental health issues like Alzheimer's. The author proposes opening separate clinics with rooms for 200 patients each that provide 24/7 supervision and care specifically for seniors with Alzheimer's. These clinics would be expensive to start and maintain but could help alleviate the growing costs and burdens that Alzheimer's places on families and the economy. The government would need to monitor the clinics to ensure they provide quality care and have adequate resources and funding.
HCS 400 Final Research Paper
The document compares and contrasts the healthcare systems of Germany and the United States. It discusses how Germany's system originated from Otto Von Bismarck and is based on principles of solidarity, subsidiarity, and corporatism. The German system provides universal coverage and low costs for patients. While both countries face rising healthcare costs, Germany controls costs through regulation and negotiated drug prices. The US system has strengths like cutting-edge research but weaknesses include millions of uninsured and high costs preventing access to care. Overall, the document analyzes the structure and performance of both countries' healthcare.
Dialysis in elderly patients wkd 2014
This document discusses dialysis in elderly patients. It notes that biological age is more important than calendar age when evaluating elderly patients for dialysis. Initiation of renal replacement therapy requires consideration of comorbidities, mental status, quality of life, life expectancy, vascular access, and socioeconomic factors. Dialysis in elderly patients is associated with higher rates of comorbidities like atherosclerosis and fewer vascular access options. Conservative care without dialysis is an alternative for some elderly patients with multiple comorbidities. Quality of life assessments are important when considering dialysis for elderly patients.
Russian Culture Research Papaer2
This document provides an overview of Russia, including its history, culture, and people. It discusses how Russia was founded by Viking Rurik in the 9th century and various tribes were united under Christianity. It describes daily life in Russia including typical meals, holidays, sports, and family structure. The document also covers Russian language, environmental issues, education system, and current social problems such as deforestation and HIV/AIDS epidemic.
Alammu 2014 Appropriatezza in dialisi e nefrologia #alammu2014
Tavola rotonda ALAMMU della SIN sul peso economico della dialisi
Il filo conduttore e'. maggiore appropriatezza data da professionalita' e scelte basate su evidenze e quindi costi sostenibili.
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American Medical Association
The document discusses the goals and mission of the American Medical Association (AMA). The AMA's mission is to promote medicine and public health. Its goals are to improve healthcare delivery, embrace the need for change through physician leadership, set standards for medical education and ethics, serve as a leading voice in healthcare transformation, and improve health outcomes, medical education, and physician satisfaction. In 2012, the AMA worked to reduce hassles for physicians and enable them to focus on patient care, which helped meet one of their goals of restoring physicians' joy in medicine.
HCS 410 case study 3
This document discusses Alzheimer's disease and proposes separate clinics to care for patients. Alzheimer's is a degenerative brain disorder where plaques and tangles form in the brain. It causes memory loss, confusion, and difficulty understanding. Currently, there is not enough funding to care for all those with mental health issues like Alzheimer's. The author proposes opening separate clinics with rooms for 200 patients each that provide 24/7 supervision and care specifically for seniors with Alzheimer's. These clinics would be expensive to start and maintain but could help alleviate the growing costs and burdens that Alzheimer's places on families and the economy. The government would need to monitor the clinics to ensure they provide quality care and have adequate resources and funding.
HCS 400 Final Research Paper
The document compares and contrasts the healthcare systems of Germany and the United States. It discusses how Germany's system originated from Otto Von Bismarck and is based on principles of solidarity, subsidiarity, and corporatism. The German system provides universal coverage and low costs for patients. While both countries face rising healthcare costs, Germany controls costs through regulation and negotiated drug prices. The US system has strengths like cutting-edge research but weaknesses include millions of uninsured and high costs preventing access to care. Overall, the document analyzes the structure and performance of both countries' healthcare.
Dialysis in elderly patients wkd 2014
This document discusses dialysis in elderly patients. It notes that biological age is more important than calendar age when evaluating elderly patients for dialysis. Initiation of renal replacement therapy requires consideration of comorbidities, mental status, quality of life, life expectancy, vascular access, and socioeconomic factors. Dialysis in elderly patients is associated with higher rates of comorbidities like atherosclerosis and fewer vascular access options. Conservative care without dialysis is an alternative for some elderly patients with multiple comorbidities. Quality of life assessments are important when considering dialysis for elderly patients.
Russian Culture Research Papaer2
This document provides an overview of Russia, including its history, culture, and people. It discusses how Russia was founded by Viking Rurik in the 9th century and various tribes were united under Christianity. It describes daily life in Russia including typical meals, holidays, sports, and family structure. The document also covers Russian language, environmental issues, education system, and current social problems such as deforestation and HIV/AIDS epidemic.
Alammu 2014 Appropriatezza in dialisi e nefrologia #alammu2014
Tavola rotonda ALAMMU della SIN sul peso economico della dialisi
Il filo conduttore e'. maggiore appropriatezza data da professionalita' e scelte basate su evidenze e quindi costi sostenibili.
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Alammu 2014 Appropriatezza in dialisi e nefrologia #alammu2014
Alammu 2014 Appropriatezza in dialisi e nefrologia #alammu2014