While palliative care and hospice care both provide comfort for a patient with a complex medical condition, there are a number of differences between these two types of care options. The timing of the care, where the care takes place, how the care is paid for, and other treatments that are provided concurrently are generally different with both types of care.
The Timing of Palliative and Hospice Care
Palliative care is comfort care, and there are no restrictions as to when you can receive palliative care. Whether the disease being treated is terminal or not does not matter when you are receiving palliative care. With hospice care, treatment is provided at the end of life. Patients are accepted into hospice programs or allowed hospice benefits through their medical insurance when they are expected to live six months or less.
Where Palliative and Hospice Care Takes Place
It can get confusing, because hospice care includes palliative (comfort) measures. In general, patients accepted into a hospice care program are treated at home. The goal of the hospice team is to provide support, comfort, guidance and care to the family and to the dying individual, all while remaining at home. It is possible to receive hospice care in a facility, but the most common way patients utilize hospice care is in the home.
Palliative care takes place at any time during an illness, and patients usually receive care overseen by a palliative care team while in the hospital or nursing home. These comfort measures are in addition to any treatment the patient is receiving to fight their disease, and treatment is not limited to comfort care only. Palliative care can also be received while at home, but this is not the norm for patients.
Paying for Palliative or Hospice Care Treatment
Both palliative care and hospice care services can be all or partially covered by medical insurance. If you are looking at hospice care, talk with the treatment coordinator to discuss the costs associated with hospice care. Many programs exist where hospice is able to provide services through subsidized care for individuals without the means to pay for services. Palliative care often occurs while you are in the hospital, and treatment is billed to the insurance company.
With hospice care, the goal is for the patient to live out the rest of their days in comfort and dignity. The illness the person is dying from will no longer be aggressively treated, and the person will receive all possible comfort measures during this time. With palliative care, the patient may still be treating their illness aggressively while at the same time receiving comfort measures to make the treatment easier.
Any cancer diagnosis can have a devastating effect on a person. If you are a man and you are diagnosed with prostate cancer, it can be especially scary. After all, you likely aren’t sure what is going to happen from that point forward. Here are three things you need to know about your prostate cancer diagnosis.
1. The survival rate for prostate cancer averages out to be quite high.
One of the biggest questions men have when they are faced with a prostate cancer diagnosis is, “Will I survive this?” While every person’s cancer story is different, the survival rate for prostate cancer is actually very high.
The average survival rate of men five years after their prostate cancer treatment is 100%. When it gets to the 10-year mark after treatment, the survival rate goes down to 99%. Once you get to the 15-year mark, the average survival rate goes down to 94%. As you can see, your chances of survival after successful treatment of your prostate cancer are very good.
Of course, the chances of survival also depends on if the prostate cancer has spread to other areas of the body. Doctors classify prostate cancer in three different stages:
If your prostate cancer is at the local stage, that means that there are no indicators that it has spread to other parts of the body. Regional stage prostate cancer means that it has spread to parts of the body very close to the prostate. However, if you have distant stage prostate cancer, it means that it has spread to parts of the body far away from the prostate.
Local and regional stage prostate cancers are highly treatable and have the same high survival rates for the five-year mark mentioned earlier. Distant stage prostate cancer, however, has a very low survival rate of 28%.
2. There are many treatment options available for prostate cancer.
Anytime people hear the word cancer, they automatically think about chemotherapy. The truth is that there are many different treatment options for prostate cancer. Some of the treatment options for prostate cancer include:
If your prostate cancer hasn’t spread to any other parts of the body, your doctor will likely suggest using radiation therapy first. Radiation therapy can be done from the outside of the body, or your doctor can put radiation implants directly into the prostate. The type of radiation therapy used will depend on what your doctor feels is best for your specific case.
If the prostate cancer has spread to other parts of the body, the first course of action will likely be to start on hormone therapy. During hormone therapy, your production of testosterone and other androgens is stopped. This can prevent the cancer from growing any further.
However, if your cancer doesn’t respond as well to the hormone therapy as your doctor hoped, you will likely be prescribed chemotherapy. But, doctors generally don’t prescribe chemotherapy for early-stage prostate cancer. So, even though this type of treatment is usually what most people think of when they find out they have cancer, you may not have to experience it with your prostate cancer.
Another way to treat prostate cancer, if it hasn’t spread to other parts of the body, is to completely remove the prostate gland. Though, because the surgery has several undesirable side effects, such as erectile dysfunction and incontinence, it is usually one of the last treatment options recommended. However, this surgery can cure a man of prostate cancer if the cancer hasn’t spread beyond the prostate. For this reason, many men choose to live with the potential side effects from having the prostate taken out.
3. Understand that you don’t have to deal with your cancer diagnosis alone.
Many men feel as if they can’t confide in anyone how they feel about their prostate cancer diagnosis. However, seeking some type of counseling is recommended after you are diagnosed with cancer.
One such form of counseling can come from group therapy, where there are other men who have prostate cancer and men who have successfully beaten it. Not only can group therapy help you feel like you are not alone in your fight, but it can help you feel like there is hope for your prognosis.
You may also need to go through therapy to help with the side effects of your treatment. It can also be beneficial for your entire family to go through counseling so everyone understands what the prostate cancer diagnosis means and what they can expect during and after your treatment. Counseling can help all of you in ways that you don’t expect after you have been diagnosed with prostate cancer.
Attention Deficit Hyperactive Disorder, more commonly known as ADHD, is a common childhood disorder that affects 9.5% of children in the United States. If you suspect ADHD in your child, it’s in their best interests to have them evaluated immediately. Below are three ways in which an ADHD evaluation can help you to meet your child’s needs and give them the best start in life possible.
Gets Your Child the Services They Need
Depending on the severity of your child’s diagnosis, there are many services available to them that wouldn’t have been otherwise. Such services may include one-on-one instruction, behavioral therapy, and assistive devices in the classroom.
Behavioral therapy is a common approach to ADHD in children, and can be effective in helping your child to cope with this disorder. Behavioral therapy can also help you, the parent, to appropriately discipline and guide your child as they struggle with this disorder. Services such as this may not have been available to your child with the diagnosis, which is why it’s important to get them evaluated right away. These services can mean the difference for your child between a lifetime of struggling and one of success.
Gives Parents and Teachers a Better Understanding of the Child
While ADHD can be difficult for your child to cope with, it can also be difficult for the adults in their life. Parents, teachers, and other adults may have difficulty understanding the child and knowing how to discipline appropriately.
ADHD does not get the child off of the hook for behavioral problems. Instead, a diagnosis will help you and your child’s teachers understand more effective ways of treating the issues and allowing your child to become their fullest potential. Many children with ADHD receive IEPs or 504 Plans, which are useful ways of letting your child’s educational team know what their problems are and how they should be addressed.
Lets Your Child Know It’s Not Their Fault
Chances are, your child has noticed they’re different from their peers. This can lead to further behavioral problems and further frustration. A diagnosis of ADHD doesn’t give your child a free pass to act inappropriately, but it does let them know that they aren’t at fault.
The services your child receives will help to put them on equal footing with their peers. Behavioral therapy will help them to address their problems head on, while classroom accommodations can help them to succeed. Even small successes can change your child’s attitude—especially if they’ve succeeded at something they never did before. These successes can reinforce to your child that the problems weren’t their fault.
If you suspect ADHD in your child, it’s important that you receive a referral from their pediatrician like one from Rainbow Pediatrics for an ADHD evaluation. This evaluation can open many doors for your child, and help you and other adults in their life to better understand and address their behaviors.
You probably already know that direct contact with certain plants such as poison oak and poison ivy can cause red, itchy rashes that last for weeks, but did you know that there are many other plants that can cause contact dermatitis on exposed skin? Most of these are common plants that you may encounter on a regular basis in landscaping or parks. Following are four plants that you should be careful about handling.
English ivy grows in abundance on both coasts, and in some areas such as Northern California, it’s considered a nuisance plant because it takes over gardens, parks, and even woodlands. If you decide to cut it down, though, put on some thick gloves and wear a long-sleeved shirt and pants — just touching English ivy makes some people break out in rashes that are severe enough to result in blisters.
A staple of residential cottage gardens and mountain wildflower meadows, Larkspur grows in long, bluish-purple spires that can also be used in indoor flower arrangements. However, simply handling the plant long enough to snip off a spire or two may make your hands and fingers break out in an angry red rash. Larkspur is best left alone and enjoyed for the beauty it brings to old-fashioned gardens and mountain meadows, but if you must bring it indoors, wear gloves while cutting its spires and warn other household residents that it is not to be touched.
These lovely, vibrant bushes are commonly seen in gardens all over because they are easy to grow and provide excellent floral display during the spring. Always wear gloves and protective clothing when planting them in your yard, however, and resist the temptation to bring them indoors for use in a bouquet. It’ll make your hands break out even more than larkspur will, particularly if your skin comes into direct contact with its sap.
Sometimes planted by gardeners to provide floral display at night, this nocturnal plant will set seed in favorable conditions and is likely to become a pest. If you decide to dig it or pull it out of the ground, bear in mind that the most you might get for your efforts is a huge rash on your hands and any other part of the skin that has come in contact with the leaves and stems of this plant.
In the event that you develop a rash or other form of contact dermatitis such as redness or swelling, make sure to contact an experienced skin care professional like Advanced Urgent Care for treatment and advice.
Physical therapy is something most people use for pain relief, but it is not only helpful for this particular problem. In fact, physical therapy can be helpful for treating many different health problems, including vertigo. If you believe you suffer from this condition, you may want to talk to your doctor about physical therapy treatment to help reduce its effects:
What Is Vertigo?
Vertigo is a condition that causes you to feel dizzy, or to feel like you are moving even if you are sitting still. While there are many different types of vertigo, one of the most common types is called benign paroxysmal positional vertigo (BPPV).
BPPV and other types of vertigo are typically caused by a problem within the ears. Because your ears control your balance, any imbalance or problem in the ears can result in vertigo. Although this problem typically does not cause any other health problems, it can be an annoying and disruptive condition to live with.
Treatment for vertigo often involves taking herbal remedies and supplements or acupuncture, but physical therapy is another way it can be treated.
How Does Physical Therapy Help With Vertigo?
If you have decided to seek help from a physical therapist for vertigo, you may wonder what the treatment will involve. While there are different ways physical therapy can be used for this, one of the most common ways is through a method known as the Epley maneuver.
With the Epley maneuver, you will be asked to sit up and turn your head to one side or the other. As you do this, the physical therapist will move you to a lying down position. When this is completed, you are likely to experience the vertigo feelings, which is what the physical therapist wants and expects. You will then have to remain in this position for one or two minutes.
This entire procedure is often completed numerous times during one session. After you leave the office, you may notice that your symptoms have decreased. If you are still experiencing the problems, you can return to have this completed again.
In some cases, vertigo is caused by a loss of hearing in one of the ears. In this case, the goal of physical therapy is to train the brain to compensate for this hearing loss, and this is accomplished through a variety of different exercises and activities.
To learn more about how physical therapy can help reduce the effects of your vertigo, make an appointment with a physical therapist today. Contact a company such as http://www.parkavetrauma.com for information and help.
Most people experience palpitations and a racing heart rate from time to time, especially if they suffer from an anxiety or nervous disorder. Even stomach issues can cause palpitations. While most causes for these symptoms are benign, a common heart arrhythmia called atrial fibrillation or AFib could be responsible. AFib is a condition in which the atrial chambers of the heart quiver instead of pumping regularly, which can cause an irregular or racing heartbeat. How can you tell the difference between normal heart palpitations and AFib? Following are three ways you can spot an arrhythmia problem.
Unlike benign palpitations, AFib is often accompanied by other symptoms. If your heart flutters for a few seconds and stops on its own, you’re likely experiencing normal palpitations. However, if your palpitations are combined with any of the following symptoms, you should seek medical attention.
Duration of Attacks
A racing heart caused by a panic attack or anxiety will calm down after 20 to 30 minutes. Similarly, normal palpitations usually only last a few seconds. AFib symptoms, on the other hand, can last for hours, days, weeks and months. They can also be permanent. If your symptoms persist for longer than a few minutes, it’s a good idea to seek medical attention. Keep in mind that AFib can stop on its own. If your symptoms clear up on their own, that doesn’t necessarily mean that you don’t have an arrhythmia.
Triggers and Timing
Certain activities and emotional states can trigger AFib symptoms. Excessive tiredness, illness, stress, hormonal imbalances, exercise, dehydration, certain medications, and alcohol can trigger episodes of AFib. If your symptoms accompany any of these triggers or if you recognize a pattern in your symptoms, you may have AFib. Normal palpitations usually occur out of the blue and do not normally follow any set pattern.
There are several signs to watch out for if you’re concerned about a heart arrhythmia. If you have multiple symptoms or if your episodes last a long time or follow a certain pattern, you should see a doctor. If you experience palpitations frequently, it’s a good idea to see your doctor to rule out any underlying causes, such as an arrhythmia. In some cases, irregular heartbeats cause very few symptoms. So, it’s important that you seek medical attention for any new or worrisome symptoms of palpitations.
For more information, contact Cayuga Medical Center or a similar location.
Many people suffering with joint problems stemming from injuries or arthritis end up having complete joint replacement surgery. Hip and knee replacement surgeries have become commonplace in the orthopedic medical community. For many patients, however, a less invasive procedure is the best option for regaining mobility faster:
Thanks To The Wonders Of Modern Medicine
Arthroscopy is a surgical procedure that is less invasive than some traditional joint surgeries. During arthroscopy, an arthroscope is used to view and treat joint problems. Arthroscopy is a procedure similar to laparoscopy in that it is less invasive and involves less cutting. Total knee replacement surgery is a common procedure using an arthroscope.
Arthroscopy is also an option for patients in need of hip replacement surgery as well. If you have been diagnosed with a hip or knee issue that requires surgical intervention, learning more about your candidacy for arthroscopy procedures is important.
Why Choose Arthroscopy For Your Joint Surgery?
For many patients, the time it takes to successfully recover from traditional knee and hip replacement procedures is too long. This is especially true for people that still work full time or are supporting a family. At the same time, the pain associated with hip or knee problems can be excruciating, causing severe mobility issues.
However, thanks to procedures like arthroscopy, patients can enjoy faster, less painful recovery times. Patients can also enjoy less scarring and pain after arthoscopic procedures as well.
What About Problems In The Shoulder Joint?
An arthritic shoulder joint condition can be hard to deal if it is the shoulder of the arm you use the most. For many people, not having the use of their arm or hand due to traditional surgical procedures can be devastating to their financial circumstances. Arthoscopy is available for shoulder problems like bursa, rotator cuff problems and bone spurs.
If you are worried about how to get rid of the pain in your shoulder without weeks and weeks of recovery time, discussing arthroscopy with your surgeon is a good idea.
The choices you may need to make when you learn you must have joint replacement or other orthopedic surgery can be hard. For the patient that avoids surgery because of needing to work or having to care for someone else, knowing better options are available to them is a good feeling. Being able to walk or lift objects without pain is important to your quality of life, so discuss with your health care provider about arthroscopy and if you are a good candidate for it.
To learn more, contact a company such as Sturdy Memorial Hospital with any questions or concerns you have.
If you have periods with abnormal heart rhythms, especially tachycardia (fast heart beat) an internal cardiac defibrillator (ICD) implanted in your upper chest would be like having a paramedic team with a defibrillator available on standby at all times to help you.
This device may be able to help you return to normal activities with less anxiety over your condition, and here are the basics you would need to know about it.
About the Device
The modern ICDs are about the size of a small container of breath mints. It consists of generator and a tiny computer that monitors your heart rhythm and will it give direction if needed. It has from one to three wire leads that will be threaded in a vein and would end in your right heart ventricle.
If your heart beats too slow (bradycardia) this device send tiny pulses to your heart to act as a pacemaker and restore a normal rhythm. If your heart begins to quiver in a non-effective contraction pattern or beat too fast the device would detect this rhythm, it would deliver a shock to help your heart regain its normal rhythm. These functions are important because an ineffective heart rhythm can result in your body organs and tissues not getting the oxygenated blood they need, and you would die quickly.
People who have these devices often don’t feel them when they go into pace-making mode, but being shocked feels like either a kick or a sudden electrical shock, but there is usually no pain associated with it afterwards.
The battery lasts between 5 and 7 years so the device would be taken out and replaced when it wears out. The leads can last much longer so they may be left in until they need replacing.
Patients who would Benefit from a ICD
The persons who might benefit from this device are people who have had a heart attack and have scar tissue that is making their heart beat less effectively, persons who have had ventricular arrhythmias or sudden cardiac arrest, have a certain type of congenital heart disease, or have Long QT syndrome ( or LQTS, a disorder that causes long chaotic and fast heart rhythms).
The Procedure to Implant it
To implant the device you would have to go through a minor surgical procedure and the leads to the device would be threaded through the vein to the heart. Then the device would be placed under the skin, but above the muscle on your left side just below your clavicle bone. You would undergo a type of sedation that might cause you to sleep but the doctor could wake you and talk to you if needed. Also a local anesthetic would be used.
The device would be tested for function following implantation and before you leave the hospital the next day.
Your Lifestyle following Implantation
You would need to have regular visits to your cardiologists following the procedure. The ICD records your heart rhythm and any adjustments it makes (pace-making function kicking in, or shocks given) so your doctor can analyze its effectiveness and your current heart condition.
Most people can return to a normal active lifestyle within a short time following implantation. That means you could work out, engage in sports, have sex, and continue to work.
There are few restrictions with the device but the main thing is to avoid strong electrical-magnetic waves. That would mean not using an arc welder, working around large engines or getting an MRI. This would also mean that you should not go through metal detectors at airports or in court building entrances, and you would carry an official card to show the officers who operate these.
This device has few drawbacks, would kick in immediately if you began having an episode of an ineffective heart rhythm, and could help you to live a longer and more active life. If you are interested in it, you should consult your doctor to see if it would benefit you.
To learn more, contact a company like Halifax Heart Center.
If you are a woman in your senior years, your bone health is something to consider. The National Osteoporosis Foundation notes that 80 percent of the people who get osteoporosis are women. In women over 50, one out of two will break a bone because of this disease. As you move into your senior years, you can take action to keep your bones healthy and continue having an active lifestyle well into your retirement.
How Your Bone Health Changes with Age
Your body is constantly replacing worn-out bone tissue with new bone, especially in your joints, where the stress is greatest on the bones. As you age, your body becomes less able to keep up with the need for new bone. If you develop osteoporosis, this balance gets worse so that your bones can become weak and spongy. This puts you at a higher risk of fractures.
While fractures in the long bones such as your arms or legs are most likely, you could fall and break your pelvis or spine. You can also develop bone deformities in your hands and feet making walking and grasping items difficult. Preventing these injuries by being proactive with your bone health is a better option than going through a lengthy recovery from a fracture.
Get a Thorough Bone Evaluation
Your primary care physician can determine your current bone health and detect any signs of osteoporosis. X-rays and blood tests will show your bone density and whether your body is keeping up with its need for new bone tissue. If they see early stages of bone disease, your doctor may recommend:
Lifestyle Changes That You Can Make Now
Before you see your doctor, you can begin your own program for healthy bones by making a few changes to your lifestyle. When combined with the recommendations from your doctor, you’ll have the best chance of reducing your risk of any bone problems well into your senior years.
Increase your activity level – Any activities or exercises that increase your heart rate improves your circulation which is important for bone growth. Walking, tennis, aerobics and swimming will keep your muscles in shape and your joints flexible.
Make some diet changes for your bones – Add foods that are high in calcium and vitamin-D to your diet. Fish, especially oily fish, are full of omega-3 which helps bone growth. Dark green vegetables, cheese and yogurt are full of calcium for your bones.
Get some sun – While vitamin-D supplements are convenient, spending time in the sun is a good way to get this vitamin in your body for bone growth.
You can stay active into your senior years if you pay attention to your bone health now. Giving your body the exercise and materials it needs for healthy bone growth will reduce the impact of osteoporosis.
Springtime does not just bring warm weather and pretty flowers; it can also irritate your allergies. If you are allergic to pollen, you can experience watery eyes, a runny nose and an itchy throat. Even though there is currently no cure for allergies, they can be managed. Here are five tips for dealing with springtime allergies.
Keep the Windows Closed
Opening the windows on a warm spring day might be nice, but it will not be good for your allergies. If the pollen counts are high in the middle of the day, opening a window can make your allergy symptoms much worse. It is just best to keep the windows closed during the daytime.
Wear a Mask While Doing Yard Work
In the springtime, there is usually is a lot of work to do in the yard including pruning dead branches, planting flowers and cleaning up walkways. However, being out in the yard during the day can irritate your allergies. If you wear a surgical mask, you can greatly reduce the amount of pollen particles that get in your system.
Apples do not just keep the doctor away; they can also help with allergies. An apple’s skin contains quercetin, which is filled with antihistamines. The quercetin actually prevents your immune cells from releasing histamines in your body. If you eat apples on a daily basis, you can avoid itchy eyes and a runny nose.
Take a Hot Shower
When your allergies get worse, you can feel really congested. One of the best ways to relieve some of that congestion is to take a hot shower. Just stand in the shower stall and let the hot water clear your sinuses.
Keep Your Home Clean
In the springtime, it is especially important to keep your home clean. If you properly clean your house, you can reduce the amount of pollen in the air. For example, make sure to vacuum your carpeting a couple of times a week and wash your bed sheets once a week. If you have a dog, do not allow him to climb on your bed or furniture.
Allergies are not always easy to deal with, but they do not have to make you completely miserable. If you follow these helpful tips, you can deal with your a lot allergies better. However, if your allergies still bother you, ask your doctor about getting an allergy shot at a place like Allergy Asthma & Immunology Center.