Removing the barriers to the provision of supportive nursing care during labor will require much effort by multidisciplinary teams within each institution. Yet even without such reform, an individual nurse can easily provide crucial elements of supportive care. This article suggests many practical techniques that nurses can use to support women during the stresses of labor. Each requires only a minute or two, and all are partly based on recruiting and teaching the partner to carry out some of them.
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There are several pharmacologic agents that have been touted as guideline-directed medical therapy for heart failure with preserved ejection fraction (HFpEF). However, it is important to recognize that older adults with HFpEF also contend with an increased risk for adverse effects from medications due to age-related changes in pharmacokinetics and pharmacodynamics of medications, as well as the concurrence of geriatric conditions such as polypharmacy and frailty. With this review, we discuss the underlying evidence for the benefits of various treatments in HFpEF and incorporate key considerations for older adults, a subpopulation that may be at higher risk for adverse drug events.
View Article and Find Full Text PDFImpact of time to treatment initiation on the development of cachexia and clinical outcomes in lung cancer.
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Department of Thoracic Oncology, Kansai Medical University, 2-3-1 Shinmachi, Hirakata city, Osaka 573-1191, Japan.
Background: Pre-cancer onset of cachexia raises uncertainties regarding the optimal timing for early intervention in lung cancer patients. We aimed to examine changes in physical function, nutritional status, and cachexia incidence in patients with lung cancer from the initial visit to treatment initiation and determine the effect of these changes on lung cancer treatment.
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View Article and Find Full Text PDFMore than meets the eye: Understanding the importance of the materialities of care at the vaccination encounter in Portugal.
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Harvard Medical School, Boston, MA, USA.
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