Major Study Shows Dissatisfaction Following Robotic Prostatectomy

A major study of patient satisfaction and regret following open prostatectomy and robot-assisted laparoscopic prostatectomy provides some important lessons for surgeons.*
The research, recently published in the European Journal of Urology, shows 19 per cent of patients regretted their treatment choice and patients who had robot-assisted surgery were most likely to be dissatisfied.

The authors suggest the regret is “possibly because of higher expectation of an ‘innovative procedure'”.

Their conclusion is one for all urological surgeons to note. “We suggest that urologists carefully portray the risks and benefits of new technologies during preoperative counselling to minimise regret and maximise satisfaction.”

In recent years, the treatment of prostate cancer has been a rapidly developing field, providing patients with a wide range of different choices.

Brachytherapy and HIFU offer non-surgical options and for those who want surgery, there are open, laparoscopic and nerve-sparring options, depending upon your diagnosis and treatment provider.

At the same time, patients are becoming increasingly proactive, using the internet to research and consider the different options themselves, as well as the traditional consultation with the urologist.

Increased choice is without doubt a positive benefit for patients, but as urology centres – both private and NHS – seek to attract patients, we have a responsibility to carefully counsel them about the advantages and disadvantages of treatments.
There is a distinctive risk when a procedure is perceived to be new and especially “innovative”. The media will always be interested in the next “pioneering operation”, particularly one which involves robots.

A newspaper article will tend to portray the new procedure as an immaculate solution, which corrects all the risk and disadvantages of other procedures.
As surgeons, we have a responsibility to provide patients with a more sober and informative picture, acknowledging limitations as well as benefits.

The patient satisfaction study was based on the responses of 400 men who had undergone retropubic radical prostatectomy (RRP) or robot-assisted laparoscopic radical prostatectomy between 2000 and 2007 in the US.

The report’s authors also examined patients urinary domain scores, hormonal domain scores and found scores were independently linked with regret.

It is still early days for robotic surgery in the UK. In prostate cancer surgery, there are currently six Da Vinci robotic machines in the UK, compared with 350 in America.

There is no current evidence that robotic surgery provides better outcomes for patients, in terms of urinary symptoms, post operative sexual function or post-operative risks and complications.
It seems certain that robotic surgery will increase within the UK during the next decade, with NHS and private centres purchasing the Da Vinci machines.

This will provide even more choice for patients, which is in principle, a positive development.

It is however vital that patients are given accurate and comprehensive information to enable them to make an informed choice, rather than simply being over-sold a new product.

Healthcare Risk Management Certification Options

Risk management in the healthcare industry is essential to ensure the safety of the patients and reduce liability for the institution. Research shows that even now, administrative mistakes and medical negligence still causes many grievances and disputes leading to legal battles.
Devising a good risk management programme and implementing a more strategic approach can save the company a lot of money. When a company is unable to put into practice methods to manage risk, valuable resources may be lost. To achieve and benefit from risk managements procedures, healthcare institutions must fully inform and support their leading managers to be completely aware and proactive in integrating risk thinking into all aspects of their work whether it is in operations, development or performance management.
There are minimum standards for healthcare institutions that have been agreed upon by government bodies to ensure the safety of the patient. However, there are still many cases of malpractice and medical negligence. A strategic and comprehensive risk management programme will aid in greatly reducing these unfortunate occurrences and protect all who work within the institution. It will also improve the standard of the care that is received by the patient and enhance the organisation as a whole helping towards creating a self sufficient business.
For those who already work in healthcare or are interested in a career in this field, there are many sources for you to gain a better understanding of benefits of risk management. There are courses offered by universities that cover extensively topics including standards of healthcare, governance of the Health Care Organisation, general risk management, federal and state laws and ways to integrate patient care with enterprise risk management. All these various aspects need to be taken into account to create a comprehensive healthcare risk management programme.
Various online courses may also be taken advantage of to develop your skills if you already in the healthcare sector. Most of the time, these courses are affiliated with a university and offer recognised certification in risk management. Students who are interested in a career within the healthcare industry can also use this to explore their opportunities in this lucrative segment of the healthcare industry.

Paying for College With Work-Study Programs

Schools that have a work-study program make it easier for college students to pay for school with minimal help from their parents or through the use of government loans or private loan institutions. Work-study is usually arranged through the students college so that the individual can earn money while taking classes and earning a degree. It has its advantages and disadvantages. For those using work-study programs in combination with alternative student loans, there is less money to pay off after graduation because less money is borrowed.

Working on campus is filled with opportunities to meet others and make new friends and contacts. It is also a good springboard for both social interaction and future employment.

Work-study students often cannot find work in their majors on campus. Working as a teaching assistant may be an option; however, most students usually wind up working in the library, cafeteria or in administrative offices.

When the campus is closed, students usually get that time off from work. They can visit with family or take a vacation. Students in regular employment during school are often required to work through breaks and vacations to keep their employers happy.

Supervisors are more likely to understand when a worker needs to take time off to study for an exam than an employer not affiliated with the school.

Many positions on campus simply require someone to be a gatekeeper at a checkpoint. While the worker is checking IDs or answering the occasional question at a front desk, there is ample time for studying on the job. This is an easy way to complete homework assignments and brings new meaning to the term “work-study.”

Program participants make it possible for the college to have facilities and offices maintained by young adults. It is less expensive than a regular work force and features people who truly care about their school and environment.

Many school-based programs require their participants to keep a minimum standard grade point average. When working, sometimes studying and enjoying college life become a multi-tasking challenge. The students are given gentle reminders to stay on track for academics.

For students hoping to create a higher-paying future for themselves in a field of work they enjoy, college is an important path to take. Finding a way to pay for it has its challenges. Students in the work-study program usually benefit financially from the experience, but they will need a supplemental means of paying for college.

Disability Friendly Transportation Autos And Ramps Help Disabled People

Physically handicapped or disabled people have many challenges they face on a daily basis. They, in fact, faced many more traveling challenges a few years back. Unlike normal humans, the physically challenged individuals cannot use their legs to walk. Therefore, the only vessel that could help them move around easily is a wheel chair. New age models have wheelchair ramps or slanted platforms.

These trendy disability friendly transportation ramps provide a special platform adjacent to a staircase. They enable the wheelchair to simply roll down the top of a slanted plane. These can be bolted at one place permanently, especially if, a disabled person would use them daily. If not, he or she can install them temporarily for easy access of a building. They can comfortably rest on the floor or a cement slab.

Portable ramp models are useful travelling aids for handicapped individuals. Many vacation resorts and facilities lack suitable supplies for the disabled. Even so, this transportable appliance can easily make a persons far away from home trip more safe and enjoyable. They can collapse and fold easily when not in use. Ramps for wheelchairs are not the only items that make the lifestyle of a handicapped individual easy.

People with special needs have unique vehicles with personalized features. Each vehicle is different and it has its bad and good side. What is more, these autos can contain just the disability friendly transportation features a user wants. In other words, he or she can get an item that suits his or her particular needs.

So, what makes personalized autos different from any other? They usually have all the features a normal disabled person auto would have. Additionally, they can include unique features that a certain physically challenged person would require. Many of them mimic the construction of automatic transmission cars. Thus, they possess user-friendly, hand-controlled units that are either temporary or permanent fixed controls.

The fact that these disabled autos have many other exclusive features makes them unique. To be specific, many of them have wheelchair ramps. As mentioned earlier, these are flat, inclined platforms that help disabled people climb up stairs. Moreover, many autos have safety mechanisms such as locking wheels and automatic brake sensors. Other remote controlled models have an entry to the wheelchair on all sides.

Today, the internet provides an incomparable shopping centre made up of several stores. As a result, selecting an appropriate device can be one of the most challenging tasks. First, one must examine what the disability friendly transportation vessel should contain; based on the nature and seriousness of the physical disability he or she suffers.

Need of home health care in San Antonio

Home health care in San Antonio will provide the best service to the elder people in the best possible manner. They not only have medical assistance but also services that will suit the requirements of the people.

Ageing is said to be an inevitable part of human’s life and if anybody’s loved once have reached this age it becomes for one to be efficient in doing anything at times even the day to day tasks. At this point of time that person requires the right assistance and care. Where in any family where both husband and wife are in working profession then it is difficult for them to provide the love and care which their old parents require and then the best place to contact for help is home health care in San Antonio. They have team of members where they provide everything a couple is looking for their elderly parents. They make sure that the elderly are taken good care of when their children are not around.

By hiring the service from here one can be satisfied by their service that they give their parents in a professional way 24/7. They have confident in their service as they have experience in working in this field for many years. The members are trained well before sending them for the job. Initially couples used to send their parents in some home care centre or any old age home, where they might get the service but the old people will not get the home environment and they miss their family members, so the best option is get the help for the parents in their own place, which makes lot of difference is sending them to any old age home. Parents will miss their family so it’s always the best thing to seek help at home itself. They have independence and freedom at home when compared to other types of facilities.

Home Health Care San Antonio professionals provide best assistance to the elderly people at home. The care which the elderly parents get at home will never be got at any other place. Elder people will get their freedom when they are in their own home rather than in any other place like nursing home, old age home or such. They have to be taken care not in physical health but also emotionally as well. This age is very complicated and when the elder people’s children are not around then it is very difficult to leave them alone. It is always safe to get the care taker in the house so that even the children also can have an eye on them when they are at home.

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