Approximately 50 to 60 per cent of all infertility can be treated if the couple has access to expert medical care. Medical investigation and treatment of infertility have made great strides in discovering and curing problems of female and male infertility in recent years. It is estimated that 10 to 12 million people are currently affected by infertility in America. Infertility the inability to achieve pregnancy after a year of regular sexual relations or the inability to carry pregnancy to a live birth will be experienced by 15 per cent of the population of childbearing age. All rights reserved.įor one of six couples of childbearing age fertility is not a force to be turned at will. © 2008 by the National Academy of Sciences. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems lack of information or skills needed to manage the illness lack of transportation or other resources and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. We must heighten role-modeming consciousness.Ĭancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. The perceived content of the hidden curriculum was different for faculty and residents. Other elements identified included gender issues, lifestyle expectations and financial concerns. Messages also related to patient care in the form of lack of respect, laughing at patients, and blaming them. The main focus of the hidden curriculum messages were inter- and intra-disciplinary disrespect in the provision of care. The surveys were mailed in October 2005 and the focus group interviews conducted in May 2006. The objective of this study was to stimulate reflection on the importance of role modeling in medical education and hopefully to moderate the content.Ī survey and subsequent focus group interviews of faculty and residents in two Emergency Medicine (EM) training programs was conducted. This exploration of the ‘hidden curriculum’ is a glimpse at the some of the content of this curriculum in two postgraduate Emergency Medicine (EM) programs.
Amid the chaos we teach, sometimes oblivious to messages sent and lessons taught. The Emergency Department (ED) is popular with learners. These six themes gave a structure presenting the essence: balancing a changed life situation in fear and uncertainty. The 6 themes identified for the family members of the cancer patients were questioning god, living with fears and uncertainty, issues related to happiness, feeling of added responsibility, ensuring best possible treatment and care and confronting negative feelings. The essence of the phenomenon, experience of living with cancer, was to regain a control over the existential changes i.e. The 10 themes identified for the cancer patients were: all change, feeling of helplessness and hopelessness, uncertainty, wishing to fulfill their role, accepting loss of control, feeling of becoming a burden, fear of death and loss, desire to live, wish to be with dear ones, developing trust in god's plan.
A phenomenological approach using descriptive analysis was utilized among 12 cancer patients and their family members to explore the human experience of the phenomena under scrutiny. Alleviating the problems faced by patients in their advanced stages of cancer and their families has drawn substantial public attention, but little is known about the experience of these people.
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