#VASCO DA GAMA NATIONALITY HOW TO#
Were asked their concerns about sex life and how to deal with their physical and emotional problems. In this session, we propose to share a case where man and wife were being consulted as Palliative patients, as he has CHF NYHA IV (New York Heart Association grade IV/IV) with chronic dyspnea and she was receiving chemotherapy for estrogen receptor positive breast cancer. In our Primary Care Unit, we initiate a Palliative Medicine consultation where all of this questions can be discussed. As a consequence of this wrong conception, health professionals many times forget to access the patient’s concerns about other subjects that can be important for their quality of life, like sex and sexuality, and the impact that this changes can have either in patient’s life as in his/her partner.
Congestive heart failure (CHF), chronic obstructive pulmonary disease and other diseases with complex symptoms control can be criteria to act as a Palliative Medicine. Title: Palliative Care and Sexuality: Giving life to a relationship.Ībstract: Palliative Medicine is often mistakenly associated with terminally ill patients. In this ignite session, we will convey information about: vegetarian/vegan diets, food sources of the most important nutrients, deficits of nutrients in vegetarian diets, supplements that can be needed and how to manage vegetarian/vegan patients. We bring the topic of vegetarian and vegan diets during pregnancy and breastfeeding to discussion because the vegetarian/vegan population is growing in our practice and we noticed a lot of misconceptions and lack of information amongst physicians. Again, we need to be prepared in order to fill in these gaps. Moreover, regarding dietary habits and choices, in our country and specially in primary care, the access to nutritionists or dieticians is almost absent, even though a nutritional assessment and counselling is recommended for many patients. However, this can be a very demanding task, as we need to be well informed in a huge variety of issues in order to be able to help our patients. Each day, an increasing number of people choose to follow a vegetarian or vegan diet for the most varied reasons (socioeconomic, environmental, animal rights.).Īs Family Doctors, we should aim for a strong and trustful relationship with our patients, finding common ground fields and helping with their lifestyle options. During these periods, the adoption of a healthy lifestyle and a diversified and balanced diet are of extreme importance for the health and wellbeing of mother and child, as well as for the future adult. Keywords: Vegetarian vegan pregnancy breastfeeding nutrition.Ībstract: Pregnancy and breastfeeding are unique situations. Proponents: Ana Rute Marques, Ana Cláudia Monteiro Pereira, Ana Margarida Gomes, Ines Antunes, Mafalda Lemos Caldas.
Title: Having a vegetarian/vegan diet during pregnancy and breastfeeding: what do we need to know? As family doctors we can incorporate CAM into our practice by engaging in education, collecting key tools and reliable resources, considering new care models and learning how to identify patients who will profit the most with these therapies. Some primary care clinics already offer complementary therapies as part of their care and some family doctors have training in specific CAM therapies. Discussing CAM can lead not only to new insights into illness and health, but also to enhanced patient communication, satisfaction and quality of care. This communication gap represents an important opportunity for family physicians. CAM is considered the fastest growing area in health care today and it is estimated that 50% of primary care patients use at least one complementary therapy.Īlthough CAM therapies are popular, many patients are not comfortable discussing them with their doctors, and many physicians are uncomfortable with the topic as well. Keywords: Complementary therapies, alternative therapies primary care.Ībstract: Complementary and alternative medicine (CAM) is the term for medical products and practices that are not part of standard medical care, such as natural products and mind and body practices. Proponents: Inês Antunes, Ana Cláudia Monteiro Pereira, Ana Margarida Gomes, Ana Rute Marques, Mafalda Lemos Caldas. Title: Complementary and Alternative Therapies: strategies we can no longer ignore.