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Continuing Care01:25

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
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Palliative Care in Neuro-oncology.

Jessica M Besbris1, Lynne P Taylor2

  • 1Cedars-Sinai Medical Center, Los Angeles, California.

Seminars in Neurology
|January 4, 2024
PubMed
Summary

Neuro-palliative care, emerging around 2018, integrates neurology and palliative medicine. This specialty focuses on holistic symptom management for patients with neurologic diseases, improving quality of life.

Area of Science:

  • Medical Specialties
  • Neurology
  • Palliative Care

Background:

  • Neurology emerged as an independent medical subspecialty in the 1930s.
  • The hospice movement began in 1967, and the term "palliative care" was coined in 1978.
  • The American Academy of Neurology emphasized primary palliative care as a neurologist's responsibility in 1996.

Purpose of the Study:

  • To describe the historical development and establishment of neuro-palliative care.
  • To highlight the integration of palliative care principles into neurological practice.
  • To define the scope and aims of neuro-palliative care.

Main Methods:

  • Historical review of medical subspecialty development.
  • Tracing the evolution of palliative care and its intersection with neurology.

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  • Analysis of key milestones and foundational figures.
  • Main Results:

    • Neurology became a distinct field in the mid-20th century.
    • Palliative care evolved to focus on quality of life for serious illnesses.
    • Neuro-palliative care formally emerged as a subspecialty around 2018.

    Conclusions:

    • Neuro-palliative care represents the convergence of neurology and palliative medicine.
    • It addresses the holistic needs of patients with neurological conditions.
    • The specialty aims to enhance symptom management and patient well-being.