Ambushes related to collecting patients’ consent for medical procedures by family doctors

The ongoing increase in the proportion of elderly people in society, sometimes referred to as the aging societies phenomenon, has numerous effects. Multimorbidity affects about every third person in the general population and, on average, the likelihood of chronic illness increases with age, so multimorbidity is more common in older age groups. This increases the demand for medication, leading to concurrent use of many drugs, which is referred to as polypharmacy. we carried out a literature review to identify the problems associated with the use of medications in people sixty years and older. Aging societies contain an increasing number of elderly people struggling with the burden of multimorbidity and the resulting polypharmacy. They require a systemic approach to prescription problems, which include potentially inappropriate medication (PiM) and overprescription, as well as potential prescribing omission (PPo), taking into account issues like lack of patient compliance and self-medication. Any attempt to solve these problems requires tools to objectively evaluate prescription practice, using the existing and emerging capabilities of electronic health records (EHr), actively encouraging all medical personnel who prescribe medications or evaluate their use (including physicians, nurses and pharmacists) to join rational deprescribing attempts, and convincing patients that more drugs are not always better.

Section: Resultsmentioning

confidence: 99%

Evaluation of potentially inappropriate prescribing and deprescription as elements of good medical practice in elderly patient care

Susło,

Horoch-Łyszczarek,

Pochybełko

et al. 2023

“…liver transplants performed in europe for liver cirrhosis and hepatocellular carcinoma associated with non-alcoholic steatohepatitis (NaSH) increased from 0.2% to 1.2% (2014-2017) and in the USa NaSH became the 2 nd leading cause of liver transplants in 2015 and is expected to overtake it soon to the first place [34]. it is the factor forcing significant everyday lifestyle adjustments that impair quality of life among in rising number of patients [35] that need to be expected and thus clearly explained to them in advance, before they consent to the transplantation procedure [36], and properly documented, in the form demanded by law [37], by their physicians [38] including especially family doctors [39] as one of the most trusted sources of information [40].…”

Section: Discussionmentioning

confidence: 99%

Liver diseases in the general population – the importance of active screening

Beloviová,

Klobušovská,

Popoviová

et al. 2023

Background. Chronic liver diseases are the 5 th most common cause of death in Slovakia overall, and in the case of productive age, they are in 3 rd place after cardiovascular and oncological diseases. The most common liver diseases in Slovakia include: alcoholic liver disease with its various stages (alcoholic hepatitis to liver cirrhosis), viral liver diseases and non-alcoholic fatty liver disease. Objectives. To determine the incidence of liver diseases in a sample of general population from the Bardejov district and, based on the findings, to draw recommendations for general practitioners regarding the need for liver disease screening in their clinics. Material and methods. During the "Week of Healthy liver" event, we examined a total of 179 people (126 women and 73 men). The average age of the examined patients was 52.6 years (± 13.3 years). The participants had an opportunity to have their blood pressure, pulse, waist circumference and hip circumference measured. they could also be measured on a tanita scale, have capillary blood samples for antibodies against hepatitis B, C and venous blood for a biochemical spectrum (15 indicators) taken, undergo a transient elastography examination and percentage measurement of fat in the liver. Results. The average BMi of the participants was 27.8 (± standard deviation 6.35). 66% of the participants were overweight and obese. via transient elastography, we found the presence of fibrosis in 20.5% of the participants; up to 59% of the patients had fatty liver (S1-S3). in the group of patients without detected liver fibrosis (135/170), we detected steatosis of grade 1-3 (S1-S3) in 73/135 patients (54%) of the group. We analysed the connections between the occurrence of fibrosis and steatosis of the liver and other examined laboratory parameters (including laboratory ones). We processed the results statistically. Conclusions. NaFlD provides a large field of action for interventions by general practitioners. in overweight and obese patients, NaFlD screening should be performed with a focus on measuring blood pressure, weighing the patient, measuring the waist and hips circumference, determining the level of cholesterol, liver function tests, blood glucose levels and the patients should be sent for an ultrasonographic examination of the abdominal cavity. These examinations can also be carried out during the patient's preventive examination, which is reimbursed by health insurance companies once every 2 years. The position of general practitioners in the screening and management of liver diseases is irreplaceable.

“…Discussions of conflicts involving medical professionals tend to focus predominantly on cases of medical malpractice, mainly negligence [1], that are often followed by legal actions in criminal and civil courts [2]. a medical mistake can involve any phase of complicated relations between medical professionals and patients, including: collecting consent for medical procedures [3]; health promotion and prevention of diseases [4]; diagnosis [5]; therapy [6]; rehabilitation; drawing up healthcare-related documents [7]; passing medical information [8]; and issuing medical opinions [9]. Quite often, an alleged medical mistake needs to be analyzed not only from the point of view of a particular medical professional who has made a questionable decision [10] but also include the organization of the decision-making process in the given medical care entity [11].…”

Section: There Are Many Conflicts Involving Medical Professionalsmentioning

confidence: 99%

Mediation as an alternative method of conflict resolution: A practical approach

Benedikt¹,

Susło²,

Paplicki³

et al. 2020

Self Cite

Formal conflict resolutions are very familiar from media as legal trials resulting in long prison sentences or large compensation payments inevitably attract attention. in contrast, far more inconspicuous alternative dispute resolution (aDR) methods often demonstrate their great practical usefulness as conflicts between parties are not only inevitable, but can also be considered a positive phenomenon because conflict allows an unwanted situation to be changed to the benefit of all parties involved in a transaction. the second aDR thesis is that the parties on their own can resolve many, if not most, of their conflicts, but no aDR method can be effective when the parties have lost trust with each other. Mediation is probably the most popular aDR method in Poland presently as an intervention into negotiations or conflicts that are already underway. a third party, the mediator, who is accepted by all parties and does not possess any power to make an authoritative decision resolving the conflict, performs that intervention-aiding the parties to voluntarily reach a mutually acceptable solution to the conflict. Mediation is an attractive low-cost alternative to court proceedings as the parties remain in full control of the process, it is confidential, lasts short and allows conflicted parties to maintain their long-term relationship. Mediation may also limit the otherwise significant risk associated with the unpredictability of court rulings, especially in highly complicated medical malpractice-related cases. Results from any successful mediation become binding to the parties as courts legally approve the mediation agreement.