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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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French guidelines on TIPS: Indications and modalities.

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Transjugular intrahepatic portosystemic shunt (TIPS) is crucial for managing portal hypertension complications like bleeding and ascites. New recommendations address its expanding use and standardization needs.

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Area of Science:

  • Hepatology
  • Interventional Radiology
  • Gastroenterology

Background:

  • Transjugular intrahepatic portosystemic shunt (TIPS) is vital for portal hypertension complications.
  • Originally for refractory bleeding, indications now include ascites and liver vascular diseases.
  • Global use of TIPS is increasing, necessitating updated guidelines.

Purpose of the Study:

  • To establish recommendations for Transjugular intrahepatic portosystemic shunt (TIPS) procedures.
  • To address the broadening indications and standardization challenges associated with TIPS.
  • To provide guidance on patient selection, procedure, and follow-up for TIPS.

Main Methods:

  • Development of clinical recommendations by the French Association for the Study of the Liver.
  • Review of current practices and evidence regarding TIPS indications and outcomes.
  • Consensus-building among experts on best practices for TIPS.

Main Results:

  • Growing number of patients treated with TIPS worldwide.
  • Expanded indications beyond refractory bleeding to include ascites and vascular liver diseases.
  • Identified need for standardization in assessment, procedure, and follow-up.

Conclusions:

  • Transjugular intrahepatic portosystemic shunt (TIPS) is a key intervention for portal hypertension.
  • Standardized recommendations are needed due to broadened indications and increasing use.
  • Guidelines are essential for accurate patient selection and optimal management.