Health Palliative Care Team Is Now Known As Supportive Care. This: Fill & Download for Free

The only thing your doctor can do if you get COVID-19 is send you home anyway and if you get really bad get you oxygen therapy and possible ventilator support. Your question is completely off base. This is probably the best time to stay home. Going to the doctor is most likely to get you other diseases you really don’t need at this time.I made my living for 4 years doing home health RN work. I made most of my money picking up the cases that were so bad the Hospital threw them out! I got them well. That was before COVID-19 and now the case is even more in favor of staying away from the doctor. This is why they want to authorize Telephone MD Consults because it protects the MD and it protects you! They are literally telling you to GO AWAY!COVID-19 cases going to the doctor are to the doctor the equivalent of pointing a loaded gun at your doctor and shooting it hoping you will miss! For you it is very nearly a deathwish.This is the big lie of all of the political arguments of the day on national healthcare. Those systems are instantly in collapse and losing their staff fast to COVID-19. Under such thinking as an RN, I would rather deal with COVID-19 at your home, than in a hospital any day.The ignorance of the populace in dealing with COVID-19 is beyond belief!Most people here on Quora seem to assume we have medicines, we don’t. Most of them assume we have cures, we don’t. Most of them assume we have vaccines, we don’t! They think the disease is passed around by airborne means but it is almost entirely by your hands.Test kits are essentially useless as well. China eventually pretty much gave up on them. They went to chest X-Ray for diagnosis. It was faster and more accurately told the condition.Now since I am most concerned of keeping people happy and healthy, I have done a bunch of research.Here are some very interesting clues I have found out!It appears we actually do have an FDA approved vaccine for COVID-19. It is called Pneumovax. People all around the world are noticing that the people who had Pneumovax do not get COVID-19. This explains the absence of young people getting sick. They are not getting light cases, they are not getting it. Vaccination rates of Pneumovax are very high in 1 to 25 year olds. In the USA.It appears we actually do have an effective treatment for COVID-19 and it is known as low level light therapy. (AKA Therapeutic Cold Laser Therapy) This appears to clear lungs fast!These may not be so but the data is curious enough to say look into it big time.If item (2) above is correct, you could substitute about 1 hour of exposure to sunlight on bare skin beginning about 2 hours before sunset or 1 hour after sunrise and continuing for 1 hour.In either case neither of these options appears to have much risk or adverse indications and would be cheap and worthy of doing. It certainly could not hurt.Studies indicate Vitamin D is very helpful in reducing problems as well.If you are a physician the diagnostic tree here is pretty simple. Normal vital signs should show an high heart rate, rapid respiratory rate with ineffective perfusion as indicated by Pulse Oximetry below 90% Oxygen sat. (Note this is non-specific) Then Chest X-Ray shows a blotchy pattern of opacity that is not particularly gravity related unlike normal pneumonia etc. The Blotches are scattered here and there and generally are quite white on X-Ray. I presume chest CT scans would be quite unique as well.You may bother with a test kit but the results will be slow and honestly not much value if the signs and symptoms say yes. It could be considered confirmational. Test kits may be of some marginal use in quarantine service but really are not much value to an MD. China mostly abandoned them due to their clinical uselessness.If a person tests positive using a test, they will either be symptomatic by the time the test returns or only have identified an Asymptomatic person. Since presentation of a person to MD as symptomatic short circuits the purpose and X-Ray does the trick, the tests are nearly pointless.Palliative or symptomatic relief is likely to be achieved minimally with typical cold relief medicines and cough medicines. I would presume that the problems of the lungs need to be considered some.Reports are that about 80% of the population falls outside of having serious debilitating or life threatening symptoms. Reports indicate that only about 5% fall into critical care conditions. Obviously of the 20% knowing which one it will be is hard to tell that falls into the 5%.Of the 80% most consider the situation to be less serious than a bad cold or a flu.The completely asymptomatic data is by nature lousy. People who appear well generally are not tested. Medical Care teams tend to ignore asymptomatic people.

What are the first signs of old age?Among the early signs of old age, perhaps anticipating the decline that ultimately leads to death is among them.I am plagued by ADHD. People with ADHD are three times more likely to endure dementia tha the general population. Both of my parents suffered from dementia. Within the last week, I learned that a class of medications I have been taking for more than 30 years has been shown to be positively correlated with the onset of dementia. Those three realities… I would be in denial if I failed to recognize that this may very well be my future.This is the story of my father’s decline and death. I share this for those who will be facing this eventuality with a loved one. This is not light reading. It is not a happy story. Only read it if you believe you can benefit from it.This is five years compressed into a few pages.In 2008, I went from a career in the home-building business to being a full-time caregiver for my father for the last five years of his life.When I first moved in with him, macular degeneration had progressed to the point where the only way he could read was by way of an electronic video magnifier. He would place the reading material on a flat platform that could be easily moved in all directions under a camera that was connected to a closed-circuit monitor. This is an example of the kind of device I’m talking about:The “machine” as he called it, allowed him to see enough to read but using it was slow. As his vision deteriorated, he reached to point where he was not able to see a full word at one time. He had to increase the magnification to the point where he could only see individual letters. By looking the letters of the word, he was eventually able to figure out what the word was. You can imagine how tedious and frustrating this was for him.We had a big-screen TV. Every night at 7 PM, just before he went to bed, he would drive his wheel chair so that it was directly in front of that big TV screen. He would lean forward so that his eyes were no more than 18 inches from the screen. He would watch the news that way for 30 minutes every night and then go to sleep.His macular degeneration progressed to the point where he was no longer able to use the machine or see anything on the TV. He only had enough peripheral vision left to negotiate his wheel chair around the house.Same thing happened with his hearing. When I first arrived to care for him, he was almost deaf but with the help of hearing aids, he was able to hear some things. Of course, as time passed, that degenerated also. Hearing aids are not a panacea. Especially at higher levels, hearing aids are prone to feedback. They have an annoying tendency to amplify background sound more than they enhance sound that is close by. Someone wearing them is constantly barraged environmental sounds while struggling to hear something as simple as a conversation. A restaurant can be agonizing. All those sounds of the dishes and the carts being moved around-- that can be overwhelming to somebody wearing hearing aids.I tried out different strategies of communication with my father. I found it frustrating that no matter what I said to him, I always knew what his first response would be. He would immediately say, “What?” It was such a habit for him that he didn’t even take the time to try to hear what somebody was saying. “What” was his reflex response. I finally reached the point where I would say something like, “Dad, I need to say something to you.” Then I would have his attention and if I spoke loudly and slowly, generally I was able to communicate with him but over time, even that became increasingly difficult if not almost impossible.I played lead guitar and rock bands through high school and college and I went on tour with a rock band for a while after graduating from college. “They” warned me as a kid that loud music would damage my hearing. I don’t know why I ignored them because in this case where “they” were right. I find myself having to ask people to repeat themselves constantly, especially when speaking on the telephone. But after dealing with my father, one thing I never say is, “What?” What I normally say is, “I apologize. My hearing is not very good. Would you please repeat that slower and louder?” I realize that is a lot more words but it’s much more polite in my mind. Unfortunately, in any given conversation I often have to interrupt with, “Would you please repeat that that?” This is my reality.My father, who was confined to a wheel chair, reached the point where, for all practical purposes, he couldn’t see and he couldn’t hear. I remember the day he told me resignedly, “I can’t see, I can’t hear, I’m bored.”My father had dementia. At first it was barely noticeable but as time passed, it became significantly more apparent. He would have times of clarity only to digress into confusion.My father was a disabled veteran of World War II. He was injured while driving an ambulance during a blackout in Framingham, England during World War II. He spent the next year in a hospital followed by rehab.Because of this, the VA provided him with home healthcare. Nurses and doctors would come by on a regular schedule to check on him and adjust his medication as needed. One memorable day, the head of the home healthcare division, a psychiatrist, came to meet with me to explain to me what was happening with my father and what the VA was doing about it.He explained to me that my father had dementia and that his physical condition was deteriorating in such a way that the VA was approaching his healthcare differently. He explained to me the meaning of palliative care:Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people living with a serious illness. This type of care is focused on relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.Palliative care is provided by a specially-trained team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support. It is appropriate at any age and at any stage in a serious illness, and it can be provided along with curative treatment.https://getpalliativecare.org/whatis/He handed me a blank form with the words DO NOT RESUSCITATE ORDER printed at the top.Do Not Resuscitate (DNR), also known as no code or allow natural death, is a legal order, written or oral depending on country, to withhold cardiopulmonary resuscitation (CPR) or advanced cardiac life support (ACLS) in case their heart were to stop or they were to stop breathing.https://en.wikipedia.org/wiki/Do_not_resuscitateHe left the form with me in hopes that one of us would sign it. (Yes, I was my father’s guardian. I was authorized to sign that but there was no way in hell I would do so.) After the meeting with the doctor, I explained to my father what had happened and I told him about the DNR. He listened but he didn’t comment.I left it at that until about a month later, I noticed the DNR was still sitting on my desk. I took it to my father and handed it to him. I told him that I want to get it off of my desk and it’s up to him to do what he wants with it. However, I felt a moral obligation to add my opinion. I told him, “Dad, this is your decision. If you want to do this you need to sign this piece of paper. But if I was in your position, I would be reluctant to sign it. The idea of having a piece of paper taped to the refrigerator that basically says, ‘Don’t save my life,’ I don’t know if I could do that.”A few months before my father passed away.As time passed, one of the members of his healthcare team suggested that my father might want to consider in-home hospice care. They explained that hospice meant they would stop treating his illnesses and start providing him with medication to make him more comfortable.” He didn’t make a decision that day. But after a few weeks, some other events took place in which he had to go to the hospital again. When he returned, he needed another team of nurses to take care of whatever it was we were dealing with at the time. I notified the VA and they sent the next team. However, before the team arrived, my father told me he wanted hospice care.Every time my father went to the hospital, when he came home, there was a process where I had to enroll him into a different program for specialized home health care. During this meeting in which I was signing the paperwork, I told the nurse about my father’s choice. She wasn’t pleased to hear that. She was adamant that she was going to be able to talk my father out of it. After we finished the enrollment, she went to meet with my father. About an hour later, she returned to where I was sitting and her expression was totally different. It was almost as if she had seen a ghost. My father told her he was old, tired, and bored. He wanted hospice. He was successful in changing her mind.Once he elected hospice, he signed the DNR, his decline accelerated. At one point he drifted into delirium as if he had suddenly regressed to being a two-year-old child who was unable to speak. The big difference was that he was like a two-year-old child driving around in a 350 pound electric wheelchair. It was such a severe and sudden transformation, all I had to do was look at his face. His lower lip was extended. His eyes were vacant. This was not the man I knew.He required constant supervision. If I left him alone for too long, there was no telling what he would do. One time I walked into check on him when he was in his bathroom. He had emptied the contents of a drawer with bandages and scissors. He was playing with the bandages and using scissors to cut tape randomly. For his own safety, I realized I couldn’t let him out of my sight.I couldn’t believe all this was happening. I said to myself, “When I try to tell this story, nobody will believe me.” So, I set up a WebCam connected my computer and just turned it on. I recorded hours of our interactions.I was afraid of him falling out of his wheelchair and he was constantly dropping the blankets that kept him warm. I had to come up with the method to secure him into the wheelchair so he didn’t fall out and attach his blankets so they wouldn’t fall off. I literally tied my father to his wheelchair. At one point I needed to use the bathroom. I drove his wheelchair to the door of the bathroom so that I could keep my eyes on him while I had a bowel movement. I have this on video also.I reached the point I didn’t think I’d have the strength to carry on and suddenly, I looked at his face and I could see my father was back. He had broken out of the delirium. The Universe gave me a gift. It gave me back my father, even though it was short-lived.Within the next 24 hours, I was able to get some sleep and recover some strength. My father seemed to be doing better until I heard him yelling my name, crying out for help. “Help me! Help me! Bobby help me!” I had heard those cries for help so many times, I remember at least a half-dozen times while I was sitting at my desk long after he had gone to bed, I would hear him cry for help only to run across the house and find him sound asleep. I had heard those cries so many times, I was hearing them when there weren’t there.This time, however, wasn’t a false alarm. He lost control of his bowels. This wasn’t the first time that happened. I learned that having to clean shit off of my father’s ass gave me an entirely different perspective on life. I wrapped his legs in plastic to protect his bandages and I was able to get him into the shower so that I could clean him off. While we were in the shower, he had a seizure. He had never had one before. I got him out of the shower and wrapped him in a blanket.For the umpteenth time, I called 911 which dispatched the paramedics. When they entered the bathroom and saw my father wrapped in a blanket with plastic still protecting the bandages on his legs, one of the paramedics said to him, “Mr. Hollander, you know that your son cannot possibly provide the care that you need. You need to be in a full-time care center.” I was shocked. I had no idea that anybody would say that to him. At that point, I don’t think my father was able to comprehend any of it. My father went to the hospital again. Once everything was stabilized I returned home for a night’s sleep.My father had false teeth. One of my routine jobs included rinsing his teeth and placing them into cleaning solution after every meal. That next morning I received a call from my father. I don’t know how he was able to hear the phone to talk to me but he was. He asked me to bring his teeth to him in the hospital. I went to the place where I keep them and they were not there. I looked around and couldn’t find them anywhere. I called him back and told him that his teeth were not there. He insisted they were. He became angry at me. He told me that when we were in the boat, he handed his teeth to me.I responded, “Dad, we weren’t ever in a boat. You had a seizure and the ambulance came to take you to the hospital. You were almost unconscious. You can’t remember anything that happened but I can guarantee you there was no boat.”My father became angry with me. It was the first time in five years, I ended the call and my heart was aching. I had no way to help my daddy. No more than five minutes passed when the phone rang again. It was my father. He called to apologize. He found his teeth. They were in his mouth. If you wonder what dementia is like, there you have it.Later that afternoon I visited him in the hospital. He had just finished eating and he asked me to do what I had done every day, three times a day for the last five years. He asked me to rinse out his teeth and put them in the cleaning solution. There was no way in hell I was going to touch the container with his teeth in it. If they were to come up missing again, at least I would not be the one to blame.After this hospitalization my father agreed to go to a care center. In the care center, he came down with pneumonia and I received a call on Saturday morning that they had sent him to the hospital. When I arrived at the hospital, there was a team of doctors and nurses surroundings my father. When they realized I was his son, they took me aside and explained to me that my father was dying. They believed he had a heart attack. They had some more tests to run to make sure. They put him in intensive care. I was scheduled to meet with his doctor two days later, Monday morning, to review the results of the tests. I spent Saturday and Sunday with my father but he didn’t regain consciousness. He didn’t know I was there.By Sunday evening, I was feeling very sick. I had a fever. Come Monday morning when I was scheduled to meet with the doctor, I was so sick don’t know how I made it to the hospital. When I entered my father’s room, I noticed that all the nurses who came into the room were wearing protective clothing. They all had on gloves, facemasks, and plastic coats that resembled a raincoat. They didn’t want to catch whatever my father had. Unfortunately, I had caught it. I struggled to live in my own skin until the doctor arrived at 10 AM to explain the results of the tests. They confirmed that he did have a heart attack. The doctor told me that the end was near. His recommendation was to send him back to the care center until he passed away. He said it would only be a few days. After I signed the papers, I struggled to return home.The next day I called the care center to tell them I was sick, very sick. I wanted to make sure that I would be allowed to see my father when I was in that condition. They told me absolutely not. They didn’t want me to bring any kind of infections into the center. It was Thursday before I recovered sufficiently to visit him. He was in the final stages of death. He passed away the next night.I knew my mission from the very beginning was to see my father to the end. I had never seen a slow death before and I had no idea what it would look like, what would be like, I searched on the Internet for anything that could prepare me for the experience. All I found were some writings about the processes involved as the body shuts down. I learned about the death rattle. But I was hoping to see a video, something that could prepare me for what lay ahead. I found nothing. Now I know what slow death looks like.This is what I think about when I think about old age.I think about the decline.I think about death as the reward.Life is so fragile.

Physioveda by Dr. Amit Sarswat (Pt)Physioveda stands for “complete knowledge of Physiotherapy”Physioveda is an outstanding healthcare company situated in India and Dubai, UAE. Physioveda was founded in the year 2014 and is managed by an expert named, Dr. Amit Saraswat (Pt). He has a medical team comprising of qualified and competent physiotherapists, nurses and doctors. Our mission is to provide a professional and honest approach to healthcare. Guided by our company’s core values; we build a culture with integrity, passion, excellence, and teamwork.Physioveda is offering world-class healthcare services to the community. We are offering advanced physiotherapy treatment and approach, exceptional nursing services, expert medical doctors and other specialties. We are managing our patient in a home care setting, offering a one-stop solution to all medical needs.Our healthcare center gained expertise in managing patients in all age group, genders, organ system, and different disease entities. Physioveda offers a wide range of medical services such as, Diabetic Care, Orthopaedic Care, Women Wellness, Occupational Therapy, Paediatric Care, Neuro Care, Hair Regeneration, Elderly Care, Palliative Care, Nursing Care, Family Medicine, and Diagnostic Services. Our physiotherapist is competent in treating frozen shoulder, plantar fasciitis, stroke, Achilles tendonitis, nerve injuries, osteoarthritis, sciatica, cervical spondylitis, and other physical ailments.What is the Meaning of Physioveda?Physioveda is a combination of the word “Physio” and “Veda”.The first word “Physio” relates to physical or element of nature. Physio is derived from the word “Physiotherapy”. Physiotherapy is defined as one of the allied health professions that utilize evidence-based kinesiology, electrotherapy, joint mobilization, exercise prescription and different manual techniques. We treat conditions such as chronic and acute pain, soft tissue injuries, arthritis, physical impairments, and gait disorders typically of musculoskeletal and neurological origin. It focuses on the science of movement, helps people to restore, maintain and maximize their physical strength and functional motion and overall well-being by addressing the underlying physical issues.Physiotherapy is one of the oldest forms of medical management. Several ancient cultures such as Greek, Persian, Chinese, Indian and Egyptian actively practice physiotherapy. It is written into their historical accounts and writings. After over a hundred years of development, specialized physical therapy facilities for wounded World War ll soldiers were established and physical therapy became firmly entrenched in medical science as a valid, effective solution.The second word “Veda” is a proper Indian word which refers to the large body of religious texts originating in ancient India. The Sanskrit word “Veda” is defined as “knowledge, wisdom" is derived from the root vid- "to know". Composed in Vedic Sanskrit, the texts constitute the oldest layer of Sanskrit literature and the oldest scriptures of Hinduism.Veda has four canonical division namely, Rigveda, Yajurveda, Samaveda, Atharvaveda.A)RigvedaThe Rigveda Samhita is the earliest sacred book in Hinduism. It is one of the oldest religious texts in the world. It has 1,028 Vedic Sanskrit hymns and 10,600 verses dedicated to Rigvedic deities. Rigveda is known to be the Veda of Mantra which serves as the foundation of Vedic Yoga. It also contains the oldest iterations of numerous Sanskrit Mantras. These mantras are hymns and praises to gods that seek help and benefits such as health, wealth and longevity.B)SamavedaThe Samaveda Samhita has two major parts. The first part includes four melody collections and the second part three verse “books”. A melody in the songbooks corresponds to a verse in the arcika books. Just as in the Rigveda, the early sections of Samaveda typically begin with hymns to Agni and Indra but shift to the abstract. Their meters shift also in a descending order. The songs in the later sections of the Samaveda have the least deviation from the hymns derived from the Rigveda.C)YajurvedaThe Yajurveda Samhita consists of prose mantras. It is a compilation of ritual offering formulas that were said by a priest while an individual performed ritual actions such as those before the yajna fire. The earliest and most ancient layer of Yajurveda Samhita includes about 1,875 verses, that are distinct yet borrow and build upon the foundation of verses in Rigveda. Unlike the Samaveda which is almost entirely based on Rigveda mantras and structured as songs, the Yajurveda Samhitas are in prose and linguistically, they are different from earlier Vedic texts. The Yajur Veda has been the primary source of information about sacrifices during Vedic times and associated rituals.D)AtharvavedaThe Atharvaveda Samhita is the text 'belonging to the Atharvan and Angirasa poets. It has about 760 hymns, and about 160 of the hymns are in common with the Rigveda. Most of the verses are metrical, but some sections are in prose. Two different versions of the text – the Paippalāda and the Śaunakīya – have survived into modern times. The Atharvaveda was not considered as a Veda in the Vedic era and was accepted as a Veda in late 1st millennium BCE.This is the origin of the name Physioveda. Today, we are redefining Physioveda in the medical field across the globe. Our vision of becoming the most renowned healthcare provider lies in our hands. Through the great leadership of Dr. Amit Sarswat (Pt), Physioveda embarked a journey of making history in the medical field and physiotherapy.Man behind the success of Physioveda?Physioveda was founded and established by a great man in the field of physiotherapy. A young dynamic physiotherapist named; Dr. Amit Sarswat (Pt) was the man behind the success of Physioveda. He started years ago in India, dedicated his life in the field of physiotherapy. Because of his diligence & overwhelming dedication, he became a well-known personality and expert of physiotherapy and medical field. Dr. Amit Sarswat (Pt) has taken traditional physiotherapy in India into a new realm that encompasses holistic body health and wellness. Laying numerous benchmarks in the field, he is credited with a number of ‘pioneering physiotherapy initiatives’ that have made a difference not just to patient’s lives, but to the community at large. His approach involves using a combination of manual therapy, individualized exercises, and education to slow down the degeneration process while Pain Management yields maximum recovery in minimum time.Through his dedication in providing excellent healthcare services. Dr. Amit Saraswat (Pt) and Physioveda Team launched the first Mobile Physiotherapy Unit in Asia were launched in 2001. It was the very first mobile health facility in Asia. Mobile Physiotherapy Unit was furnished with modern machines and facilities, it’s a first of its kind unit that delivers center-competent facilities right at your doorstep.In 2010, Mobile Physiotherapy Clinic was introduced which was inaugurated by the Most Honourable Chief Minister of Delhi, Mrs. Sheila Dixit. Mobile Physiotherapy Clinic was an integral part of the Medical Team at the 2010 Commonwealth Games, New Delhi.In 2014, Physioveda India was established equipped with top of the line physiotherapy equipment and highly competent medical team. Finally, Physioveda is now serving the best quality medical services in Dubai (United Arab Emirates).Physioveda’s success is the result of the collaborative effort of the team. We will continue to attain milestones in the medical field. We make sure that new ideas, concepts will arise, elevating our standard of care and treatment. Physioveda will make history in the medical field and physiotherapy.Dr. Amit Sarswat’s unparalleled commitment, expertise, and overflowing support paved the way to the success of Physioveda. Today, Physioveda continue to flourish in India and Dubai (United Arab Emirates). With their mission of providing a professional and honest approach to healthcare, Physioveda will soon dominate the world in offering the best quality medical services.Physioveda DubaiPhysioveda is a home health care center where we are offering services to the patients at their convenient place. Designed by physiotherapists, Physioveda is meant to bridge the gap between hospital care and home care after witnessing the struggle patients and families face in the management of their on-going chronic care conditions. We have qualified general practitioner, physiotherapists, and nurses who can visit a patient’s convenient time and place. Physioveda is recognized as the preferred choice for good quality of health care services in the UAE. Through adopting best international practices and continuously reinventing ourselves to better serve our patients.Physioveda is a private home health care service center located in Dubai. It offers quality services and great customer services. What sets us apart is how we approach the public perception of health care backed by our considerable medical excellence, offering the high standards of home care skills. We are dedicated to providing the best quality services and highest international standards of home care to meet patients as well as their families primary health care needs. We are committed to ensuring the most advanced equipment to extend the breadth of treatment available. This enables us to give effective treatment protocols in one visit and beneficial for the patients. Our departments & specialties offer comprehensive facilities and cutting edge technology, combined with a team that constantly develops creative and innovative treatment approaches we have qualified General Practitioner, Physiotherapists, And Nurses who can visit the patient’s convenient place.