Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0032290 (aspiration pneumonia)
 2,291 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Meyer and Mendelson (2) have identified four critical situations which influence the interaction of consultant and consultee, namely, (1) inappropriate setting; (2) threat through disease and death; (3) character disorders; (4) family and social pathology. Feeling states of hopelessness, pessimism and despair are induced in both consultant and consultee and may lead to a breakdown of their working alliance. It is postulated that the breakdown is programmed by the physicians' basic attitudes towards coping with dependency needs are ignored by the faculty of not being patient-oriented (5). Covert or open hostility towards the faculty is manifested (10). Basic professional needs are not discussed with one's medical seniors who are seen in anger. If liaison medicine is to become effective, its proponents have to direct their attention towards attitudinal learning during undergraduate study. This will require supervised exposure to patients needs, assuming increasing responsibility, individual and faculty feedback.
 ...
PMID:Training in anger: how not to communicate with one's medical seniors. 42 Jul 5

Oropharyngeal dysphagia describes difficulty with eating and drinking. This benign statement does not reflect the personal, social, and economic costs of the condition. Dysphagia has an insidious nature in that it cannot be 'seen' like a hemiplegia or a broken limb. It is often a comorbid condition, most notably of stroke, and many other neurodegenerative disorders. Conservative estimates of annual hospital costs associated with dysphagia run to USD 547 million. Length of stay rises by 1.64 days. The true prevalence of dysphagia is difficult to determine as it has been reported as a function of care setting, disease state and country of investigation. However, extrapolating from the literature, prevalence rises with admission to hospital and affects 55% of those in aged care settings. Consequences of dysphagia include malnutrition, dehydration, aspiration pneumonia and potentially death. The mean cost for an aspiration pneumonia episode of care is USD 17,000, rising with the number of comorbid conditions. Whilst financial costs can be objectively counted, the despair, depression, and social isolation are more difficult to quantify. Both sufferers and their families bear the social and psychological burden of dysphagia. There may be a cost-effective role for screening and early identification of dysphagia, particularly in high-risk populations.
 ...
PMID:Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources. 2305 95