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Ema Kviecinskait,Ernestas Rabaauskas

Kaunas University Of

MedicineThe Faculty Of Nursing

Physicaltherapy 5 g. IIcourse

KAUNAS 2007

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The most common form ofhealth care is some type ofnursing care depending onthe patient's needs.

In consultation with thephysician, a registerednurse will set up a plan ofcare. Nursing care mayinclude wound dressing,ostomy care, intravenoustherapy, administeringmedication, monitoring

health of patient, paincontrol, and other healthsupport.

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In most countries over 90% of people over 65 liveat home. Between 50% and 70% of peoplereceiving care for a serious illness say they wouldprefer home care at the end of life.

As death approaches some may wish to acceptcare in an inpatient hospice, hospital, elderly carehome, or nursing or residential facility.

In most countries a majority of people actually diein hospital. However, variations in the proportionof people dying at home suggest this is related tothe organization and delivery of services ratherthan peoples' preferences. In most countries anincreasing proportion of deaths occur in nursinghomes.

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Disease or Condition

1. Alzheimer's disease andother dementias(Dementia affects 4% ofpeople over age 70,increasing to 13% over

age 80)

2. Aortic aneurysm

ExplanationBrain disorders that lead toprogressive loss of memoryand other intellectualfunctions

Dilation of the wall of theaorta that can rupture andlead to death if leftuntreated

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3. Atrophicurethritis andvaginitis

4. Bedsores

Thinning of the tissueof the urethra andvagina that can leadto burning onurination and painfulintercourse

Breakdown of skinfrom prolongedpressure

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10.Hypothyroidism

11. Monoclonalgammopathies

12. Osteoarthritis

13. Osteoporosis

Thyroid gland is underactive andproduces too little thyroidhormone, which can eventuallyresult in anemia, a low bodytemperature, and heart failure

A group of diverse conditions inwhich abnormal proliferation ofa single type of cell produceshigh levels of an immunoglobulin

Degeneration of the cartilagethat lines the joints, causing

pain. Begins in middle age

Loss of calcium from the bones,which makes the bones fragileand can lead to fractures

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14. Parkinson's disease

15. Prostate cancer

16. Shingles (herpeszoster)

Slowly progressivedegenerative braindisease that leads totremor, muscle rigidity,

difficulty moving, andpostural instability

A cancer of the prostateglan

A reawakening of thedormant chickenpox

virus, which causes a skinrash and can causeprolonged pain

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17. Stroke

18. Urinaryincontinence

A blockage or bleedingof a blood vessel inthe brain that leads toweakness, loss of

sensation, difficultytalking, or otherneurologic problems

Inability to controlurine flow

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The eldery population is going up.

The number of special nursing homes foreldery is growing up.

The number of home helpers is growing up.

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Benign nepiktybinisBedsores pragulosDisorder sutrikimasDilation pltimasis

Rupture ivaraIntercourse lytiniai santykiaiIndolent vangusMalignancy piktybinis auglysChamber kameraDiverse vairus

Proliferation paplitimas, daugjimasTremor drebulysShingles juostin pslelinReawakening atsinaujinantisDormant potencialusStroke insultasIncontinence - nelaikymasHospice slaugos ligonin

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http://www.merck.com/mmhe/sec01/ch003 http://www.euro.who.int/HEN/Syntheses/pal

http://www.merck.com/mmhe/sec01/ch003/ch003a.htmlhttp://www.euro.who.int/HEN/Syntheses/palliative/20040722_5http://www.euro.who.int/HEN/Syntheses/palliative/20040722_5http://www.merck.com/mmhe/sec01/ch003/ch003a.html