9 documents found, page 1 of 1
A Prevalence of Dysphagia in Patients Admitted to a Department of Internal Medi...
Reis Aguiar, Joana; Carneiro, Rui; Carneiro, Inês; Magalhães, Luís; H. Carneiro, AntónioIntroduction: Dysphagia is a frequent problem during the course of life, but its prevalence in the population admitted to internal medicine services is unknown. Material and Methods: We developed a prospective, single-centre study with the purpose of calculating the prevalence rate of dysphagia in an Internal Medicine service, identifying risk factors and characterizing its main complications. Results: In a sam...
Stroke-Like Migraine Attacks After Radiation Therapy (SMART): A Case Report
Cruz, Marli; Barros, Rui; Mário Roriz, José; Martins, Joana; H. Carneiro, AntónioStroke-like migraine attacks after radiation therapy (SMART)is an extremely rare syndrome that involves the appearance ofcomplex neurological signs and symptoms or confusional statesin patients who have undergone brain radiation years earlier.There are characteristic changes in brain magnetic resonanceimaging that normalize with the resolution of symptoms. We report the case of a 64-year-old woman with a histor...
Words and Concepts in Clinical Relation
H. Carneiro, António; Carneiro, Rui; Simõe, CatarinaClinical relation is the most differentiating element in clinical practice. Communication is the most relevant element in the establishment of a relationship. Listening, asking, clarifying and debating are essential elements to build a relationship but they demand the use of proper words adjusted to the participant’s culture. Recent discussions about end of life issues showed that health care professionals, med...
"Death that Occurs by Decision of the Person Himself": Critical Reflection on t...
H. Carneiro, António; Carneiro, Rui; Simões, CatarinaThe authors discuss terms and concepts included in the "definitions" of Decreto nº. 199/XIV of the National Portuguese Assembly Republic, considering that the expression "medically assisted death" is equivocal and incorrect. They argue that the determining criterion of "death by the will of the person himself" in the context of this diploma is intolerable suffering and not the diagnosed disease.; Os autores dis...
Is It Possible to Reduce the Length of Drug Therapy in Endocarditis?
Cruz, Marli; Carneiro, Rui; Cortez, Miguel; Coutinho, João; Pardal Oliveira, Nuno; H. Carneiro, AntónioEndocarditis is a disease characterized by its high mortality. The treatment recommended in the guidelines often involves the simultaneous use of several antibiotics for a long period. Often, patients affected by this disease have several associated comorbidities, which limit the use of recommended antimicrobials. The present case describes a patient with endocarditis who, due to his pathologies and organic lim...
DNR (Do Not Resuscitate)
H. Carneiro, António; Carneiro, RuiDo Not Resuscitate (DNR) is a medical order in end of life / imminent death situation in which it is established that, in a clearly identified patient, resuscitation should not be implemented (or even tried) in case of cardiac / respiratory arrest occurring or impending. Decision should be supported by a deliberative process, respecting wishes and values of the person and minimizing her/his suffering. DNR appli...
NEBio’s Opinion: “Feeding on Advanced Dementia”
H. Carneiro, António; Carneiro, Rui; Freire, ElgaThe NEBio (Center for Bioethics Studies) of SPMI appreciated the text of the Consensus Feeding in Dementia at request of the authors. An opinion was prepared based on applicable ethical, moral, deontological and legal standards. NEBio concludes by the ethical adequacy of the proposals and of the submitted text and considered it an important contribution to clinical practice in end-of-life situations.; O NEBio (...
An Internist and Intensivist Reflections in Times of SARS CoV-2 Pandemic
H. Carneiro, AntónioSARS CoV-2 (systemic acute respiratory syndrome - virus 2) pandemic spread around the world at an unusual rate. In some countries, it has caused serious and simultaneous infections, in such a large number that several health systems disrupted. There are more doubts than certainties about its pathophysiology and treatment, but it is already clear that it is a systemic disease, which is initiated more often by re...
Individual and Integrated Care Plan in Clinical Relation
Carneiro, Rui; Simões, Catarina; H. Carneiro, AntónioSocio-cultural and technological advances have created anew paradigm of living and dying. Chronic disease, oftenmultiple and complex, creates prolonged states of vulnerability and dependence on health professionals. This vulnerability comes from a set of listable, time-consuming andchangeable needs. This renewed sense of medical professionalism is based on new methodologies for the chroniccondition and complexi...