Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0027497 (nausea)
 23,468 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Patients should be at the heart of everything we do. The aim should always be to achieve healthcare outcomes by involving patients fully in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone: 'no decision about me, without me' (DH 2012). This article details a plan of care for an 18 year old male patient with a moderate level of learning disability who was scheduled for a tonsillectomy at a local NHS trust hospital. It focuses on the management of the patient's anxiety, nausea and pain. In accordance with the Health and Care Professions Council's code of confidentiality (HCPC 2014) the location and individual names of places and people concerned will not be disclosed. The patient presented at the pre-assessment appointment as having a learning disability consistent with a diagnosis of being on the autistic spectrum. More specifically, he had cognitive impairment which affected his ability to understand complex information. This, combined with a reduced ability to cope independently, formed the rationale for the attendance of a carer throughout his perioperative journey. According to the National Autistic Society (NAS) there are approximately 700,000 people with autism spectrum disorder (ASD) in the UK ie more than 1 in 100. Autism is a part of daily life for 2.8 million people (NAS nd).
 ...
PMID:Assessing the perioperative communication needs of a patient with learning disabilities: An holistic case study approach. 3006 29

Malnutrition, a deficiency of energy, protein and other nutrients, is a cause of health problems and adverse clinical outcomes.1,2 It has been estimated that a significant number of people have, or are at risk of, malnutrition and the National Institute for Heaxlth and Care Excellence (NICE) has recognised the need to improve healthcare professionals' knowledge of the causes, effects and treatment of malnutrition.3,4 However, NICE acknowledged that "there is no clear evidence available as to whether screening is really beneficial or how it should be carried out".4 One of the key elements to improve or maintain nutritional intake for people with malnutrition is the provision of nutrition support, including dietary advice, the use of fortified food and additional snacks. Although for some people oral nutritional supplements (ONS) may be needed, their use can be limited by poor compliance due to low palatability or unwanted effects such as nausea and diarrhoea.5 Without appropriate assessment, treatment goals and regular review processes, the provision of ONS products may be ineffective and waste NHS resources. Here, we discuss the place of nutritional supplements in the management of malnutrition.
 ...
PMID:What role for oral nutritional supplements in primary care? 3013 64