Pain management programme Health Dictionary

Pain Management Programme: From 1 Different Sources


A set of strategies to address an individual’s pain management requirements and supportive of the individual’s pain control.
Health Source: Community Health
Author: Health Dictionary

Pain

An unpleasant sensory or emotional experience that is derived from sensory stimuli and modified by individual memory, expectations and emotions.... pain

Referred Pain

Pain felt in one part of the body which is actually arising from a distant site (e.g. pain from the diaphragm is felt at the shoulder tip). This occurs because both sites develop from similar embryological tissue and therefore have

common pain pathways in the CENTRAL NERVOUS SYSTEM. (See also PAIN.)... referred pain

Risk Management

The function of identifying and assessing problems that could occur and bring about losses legally, clinically or financially.... risk management

Facial Pain

Many causes, including neuralgia, frontal sinusitis, eye troubles (pain of glaucoma being referred to the temples), dental problems, shingles, psychogenic, migraine; pain referred from lungs or heart. See appropriate entries for each of these complaints.

Maria Treben’s Facial Pack: of any of the following – Thyme, Mullein, Chamomile or Yarrow. Fill small muslin bag and steep in boiling water. Ring out. Apply as hot as possible.

Internal: Chamomile tea. ... facial pain

Abdominal Pain

(Acute). Sudden unexplained colicky pain with distension in a healthy person justifies immediate attention by a doctor or suitably trained practitioner. Persistent tenderness, loss of appetite, weight and bowel action should be investigated. Laxatives: not taken for undiagnosed pain. Establish accurate diagnosis.

Treatment. See entries for specific disorders. Teas, powders, tinctures, liquid extracts, or essential oils – see entry of appropriate remedy.

The following are brief indications for action in the absence of a qualified practitioner. Flatulence (gas in the intestine or colon), (Peppermint). Upper right pain due to duodenal ulcer, (Goldenseal). Inflamed pancreas (Dandelion). Gall bladder, (Black root). Liver disorders (Fringe Tree bark). Lower left – diverticulitis, colitis, (Fenugreek seeds). Female organs, (Agnus Castus). Kidney disorders, (Buchu). Bladder, (Parsley Piert). Hiatus hernia (Papaya, Goldenseal). Peptic ulcer, (Irish Moss). Bilious attack (Wild Yam). Gastro-enteritis, (Meadowsweet). Constipation (Senna). Acute appendicitis, pain central, before settling in low right abdomen (Lobelia). Vomiting of blood, (American Cranesbill). Enlargement of abdominal glands is often associated with tonsillitis or glandular disease elsewhere which responds well to Poke root. As a blanket treatment for abdominal pains in general, old-time physicians used Turkey Rhubarb (with, or without Cardamom seed) to prevent griping.

Diet: No food until inflammation disperses. Slippery Elm drinks. ... abdominal pain

Care Management

See “case management”.... care management

Care Programme

A documented arrangement of integrated care, based on the analysed needs of a specific group of people, from intake to supply of care and services, as well as the intended outcomes, and including a description of the way the arrangement should be applied in order to match the needs of individual persons.... care programme

Case Management

A continuous process of planning, arranging and coordinating multiple health care services across time, place and discipline for persons with high-risk conditions or complex needs in order to ensure appropriate care and optimum quality, as well as to contain costs.... case management

Clinical Risk Management

Initially driven by anxiety about the possibility of medical negligence cases, clinical risk management has evolved into the study of IATROGENIC DISEASE. The ?rst priority of risk managers is to ensure that all therapies in medicine are as safe as possible. Allied to this is a recognition that errors may occur even when error-prevention strategies are in place. Lastly, any accidents that occur are analysed, allowing a broader understanding of their cause. Risk management is generally centred on single adverse events. The threat of litigation is taken as an opportunity to expose unsafe conditions of practice and to put pressure on those with the authority to implement change. These might include senior clinicians, hospital management, the purchasing authorities, and even the Secretary of State for Health. Attention is focused on organisational factors rather than on the individuals involved in a speci?c case.... clinical risk management

Community-based Care / Community-based Services / Programmes

The blend of health and social services provided to an individual or family in his/her place of residence for the purpose of promoting, maintaining or restoring health or minimizing the effects of illness and disability. These services are usually designed to help older people remain independent and in their own homes. They can include senior centres, transportation, delivered meals or congregate meals sites, visiting nurses or home health aides, adult day care and homemaker services.... community-based care / community-based services / programmes

Congregate Meals Programme

Delivery of meals and socialization activities to older adults in a designated location.... congregate meals programme

Continence Management

The practice of promoting and maintaining continence and the assessment, evaluation and action taken to support this.... continence management

Disease Management

The process of identifying and delivering, within selected populations (e.g. people with asthma or diabetes), the most efficient, effective combination of resources, interventions or pharmaceuticals for the treatment or prevention of a disease. Disease management could include team-based care, where medical practitioners and/or other health professionals participate in the delivery and management of care. It also includes the appropriate use of pharmaceuticals.... disease management

Health Programme

An organized series of activities directed towards the attainment of defined health objectives and targets.... health programme

Health-service Management

The administrative machinery for planning, delivering and monitoring health care provided by health professionals and their supporting sta?. This may range from running a small primary-care centre to organising a large hospital or being responsible for meeting the health needs of a region or a nation. Whether the overall structure for proving care is state-funded, insurance-based, private-practice or a mixture of these, health-service management is essential in an era of rapidly evolving and expensive scienti?c medicine. Health-service managers are administrators with special training and skills in managing health care; sometimes they are doctors, nurses or other health professionals, but many have been trained in management in commercial, civil service or industrial environments.... health-service management

Home And Community-based Services; Home And Community Care Programme

See “community-based care”.... home and community-based services; home and community care programme

Individual Programme Plan

See “care plan”.... individual programme plan

Information Management

Decision processes oriented towards the creation or acquisition of information and knowledge, the design of information storage and flow, and the allocation and utilization of information in organizational work processes. See also “health information system”.... information management

Management

The sum of the measures taken to plan, organize, operate and evaluate all the many interrelated elements of a system. Such measures are required to translate policies into strategies and strategies into plans of action for determining the action required to define and operate health programmes and ensure that the health system infrastructure is built up to deliver them efficiently and effectively.... management

Management Information System

A system of databases designed to process and exchange information to support decision-making as well as implementation, monitoring and evaluation of programmes, activities and projects. See also “health information system”.... management information system

Money Management

Activities that support a person in keeping control over bank accounts, finances, etc.... money management

Programme

An organized aggregate of activities directed towards the attainment of defined objectives and targets which are progressively more specific than the goals to which they contribute. See “health programme”; “care programme”.... programme

Programme Budgeting

The process of making resources available to attain the objectives of programmes. Programme budgeting differs from ordinary budgeting in that the emphasis is on the results to be achieved rather than on unconnected budgetary items. The objectives and targets of the programme are defined clearly and, in order to attain them, the resources required are grouped together, those who will receive them specified, and their sources determined.... programme budgeting

Programme Evaluation / Review

The systematic assessment of the relevance, adequacy, progress, efficiency, effectiveness and impact of a programme.... programme evaluation / review

Programme Management

A system of management which involves the integration of planning, resourcing and evaluation processes to achieve stated outcomes.... programme management

Quality Assessment And Performance Improvement Programme (qapi)

QAPI establishes strategies for promoting high quality health care. First, each organization must meet certain required levels of performance when providing specific health care and related services. Second, organizations must conduct performance improvement projects that are outcome-oriented and that achieve demonstrable and sustained improvement in care and services. It is expected that an organization will continuously monitor its own performance on a variety of dimensions of care and services, identify its own areas for potential improvement, carry out individual projects to undertake system interventions to improve care, and monitor the effectiveness of those interventions.... quality assessment and performance improvement programme (qapi)

Resource Management

The process of trying to attain the most rational use of manpower, knowledge, facilities and funds to achieve the intended purposes with the greatest effect with the least outlay.... resource management

Self-reliance / Self-sufficiency / Self-management

The capacity of individuals, communities or national authorities to take the initiative in assuming responsibility for their own health development and adopting adequate measures to maintain health that are understood by them and acceptable to them, knowing their own strengths and resources and how to use them and knowing when, and for what purpose, to turn to others for support and cooperation.... self-reliance / self-sufficiency / self-management

Spiritual Pain

Spiritual pain is what may be felt when one of a person’s four key spiritual relationships (with other people, with oneself, with the world around, or with ‘Life’ itself) is traumatised or broken. A bad trauma in one of the ?rst three relationships can lead to damage to the last of them – that of the relationship with Life itself. For example, a wife deserted by her husband for another woman may not only feel devastated by the loss of her partner around the place, but may also feel a pain caused by the shattering of her beliefs about life (about faithfulness, hope, love, security, etc.). It is as if there is a picture at the centre of each person of what life should be about – whether or not held in a frame by a belief in God; this picture can be smashed by a particular trauma, so that nothing makes sense any more. The individual cannot get things together; everything loses its meaning. This shattering of someone’s picture of life is the source of the deepest pain in any spiritual trauma. The connection is often made between spiritual pain and meaninglessness. If the shattering of the picture, on the other hand, is done by the individual – for instance, by breaking his or her own moral or religious code – the pain may take the form of guilt and associated feelings. Hence, the therapist will be intent upon helping a client to recognise and come to terms with this ‘pain beneath the pain’.... spiritual pain

Total Quality Management (tqm)

TQM is synonymous with continuous quality improvement (CQI). It is an integrative management concept of continuously improving the quality of delivered goods and services through the participation of all level and functions of the organization to meet the needs and expectations of the customer.... total quality management (tqm)

Visiting Service / Visitor Programme

Through volunteers or community workers, a service providing companionship and support for older people who may be lonely and isolated.... visiting service / visitor programme

Eyes – Pain

A number of causes including reflex pain from inflammation of the middle ear or decayed teeth. Eyeball tender to touch.

Alternatives. Plantain, Ginkgo. Teas, tablets, etc.

Topical. Cold compress: Witch Hazel.

Supplements. Daily. Vitamins C (500mg); E (400iu). Beta-carotene. Palming. ... eyes – pain

Griping Pain

Acute pain in the abdominal cavity. Non-recurring.

Tea. Combine equal parts: Avens, Catmint, Thyme. 2 teaspoons to each cup boiling water; infuse 5 minutes. Half-1 cup freely.

Alternative: quarter of a teaspoon powdered Ginger, or Cinnamon in honey.

Enema: Catmint, Chamomile or Balm.

See: COLIC.

Persistent griping should be investigated. ... griping pain

Tea For Back Pain

Back pain is usually an affection caused by both external and internal problems. Standing too long, pregnancy, weight lifting or pulmonary problems could cause severe back pains. Other than a prolonged pain localized in your back area, this affection could also interfere with your coronary and circulatory systems: the blood pressure is high and it’s hard for your heart to pump oxygen in your system. How a Tea for Back Pain Works A Tea for Back Pain’s main purpose is to make your body release enough endorphins to induce a state of calmness and well-being to your entire organism. In order to do that, a Tea for Back Pain must contain an important amount of nutrients, acids, volatile oils, antioxidants, enzymes and minerals (such as sodium, iron, magnesium and manganese). Efficient Tea for Back Pain An efficient Tea for Back Pain must show results as quickly as possible and be one hundred percent sure (when choosing an herbal treatment, always be well informed of the risks). If you don’t know which teas could have a positive effect on your health, here’s a list for guidance: - Ginger Tea – will bring relief to your pain and improve your general health in no time. You can also take it in case you’re suffering from anemia, asthenia, loss of appetite or headaches. However, in order to avoid other health complications, make sure you’re using a small amount of herbs when preparing this decoction. Otherwise, you might develop an acid foods and drinks intolerance. - Turmeric Tea – not very popular among Europeans, this Tea for Back pain acts as a great pain reliever, calming all your affected areas and restoring your general health in no time. You may also want to try it in case you’re suffering from inflammations, bruises, spreads, skin or digestive issues. Make sure you don’t drink more than 2 cups per day and everything will be fine. - Valerian Tea – used as a great sedative since ancient times, when the Greeks and the Romans drank a cup of it before every night, this Tea for Back Pain will nourish your nervous system and bring relief to your wounded areas. However, make sure you pay attention to the amount of tea you’re ingesting in order to avoid hallucinations and even death. Tea for Back Pain Side Effects When taken properly, these teas are generally safe. However, exceeding the number of cups recommended per day may lead to a series of affections, such as nausea, upset stomach, vomiting and even death. If you’ve been taking one of these teas for a while and you’ve noticed some unusual reactions from your body, ask for medical assistance immediately! If you have the green light from your doctor and there’s nothing that could interfere with your treatment, choose a Tea for Back Pain that fits best your needs and enjoy its health benefits!... tea for back pain

Analgesics  - Pain-relievers - Anodynes

Herbs taken orally for relief of mild pain. May also be applied externally. An analgesic may also be an antispasmodic, relieving cramp (Cramp bark etc.). Throughout history, Opium Poppy has always been the most effective analgesic, but must be given by a qualified medical practitioner except applied externally as a poultice. The same rule may apply to Aconite, Arnica and Belladonna.

Mild analgesics:– Black Cohosh, Black Willow, Catnep, Chamomile, Cowslip root (Bio-Strath), Cramp bark, Devil’s Claw, Gelsemium, Guaiacum, Hops, Jamaican Dogwood, Ladyslipper, Lobelia, Passion flower, Rosemary, Skullcap, St John’s Wort, Skunk Cabbage, Valerian, White Willow bark, Wild Lettuce, Wild Yam, Wintergreen, Yerbe Mate tea, Poke root, White Poplar.

Skullcap, Mistletoe, Valerian and Feverfew are herbs of choice. All four are believed to have an anti- prostaglandin effect, the first three given in combination; the latter (Feverfew) appearing to work best singly. ... analgesics  - pain-relievers - anodynes

Pain-relievers

See: ANALGESICS. ... pain-relievers

Myofascial Pain Syndrome

See temporomandibular joint syndrome.... myofascial pain syndrome

Pain Relief

The treatment of pain, usually with analgesic drugs. Paracetamol, aspirin and codeine are the most widely used drugs in this group. Pain accompanied by inflammation is often alleviated by nonsteroidal anti-inflammatory drugs (NSAIDs). Severe pain may require treatment with opioids, such as morphine.

Other methods of pain relief include massage, ice-packs, poultices, TENS, acupuncture, or hypnosis. Surgery to destroy pain-transmitting nerves (as in a cordotomy) is occasionally performed when other treatments fail.... pain relief

Pelvic Pain

See abdominal pain.... pelvic pain

Period Pain

See dysmenorrhoea.... period pain

Teas For Menstrual Pain

Menstrual pain is known for its acute and localized action on the abdominal area. However, not all women suffer from this affection.The good thing about menstrual pain, however, is that this is not a chronic disease and that it can go away as quickly as it came to you. All you have to do is treat it properly and wait for your body to respond. If the pain is very powerful and you need to put a stop to it, you may want to try taking an herbal treatment, in which case Raspberry leaf tea, Corn silk tea and Wild yam tea could be the answer. How Teas for Menstrual Pain Work Most of these Teas for Menstrual Pain involve helping your body release the right amount of endorphins in order to fight localized pain. Although menstrual pain is probably the most popular cause of distress for women around the world, alternative medicine found new ways to fight it alongside with traditional medicine. However, choosing one of these Teas for Menstrual Pain will only make your system healthier, without having to worry for possible side effects. The main characteristic of these Teas for Menstrual Pains is that they have a pleasant taste and fragrance and that they are generally safe, unlike traditional medicines. A cup of raspberry leaf tea brings relief to your abdominal area, by calming the muscles and increasing the uterus action. Efficient Teas for Menstrual Pain If you have a heavy menstrual flow or a severe pain crisis during periods, you may find out that the following Teas for Menstrual Pain could be the right answer to your problems: - Cramp Bark Tea – thanks to its antispasmodic and anti-inflammatory properties, Cramp Bark Tea is one of the best Teas for Menstrual Pain there is! Unfortunately, it’s rather inaccessible to the European public. However, if you find a shop that specializes in Cramp Bark products, hold on to it! Cramp Bark Tea can also be used as a detoxifier and a good face cleanser; when used topically, it may bring relief to your skin sores. - Raspberry Leaf Tea – this is a tea that may also come in hand in case you want to perform natural cosmetic procedures at home. Just soak a compress in Raspberry Leaf Tea and apply it on your face for 5 minutes to open and clean your pores. However, a cup of Raspberry Tea per day will improve your general health, bringing relief to those of you who are suffering from severe menstrual pain. - Corn Silk Tea – on this Teas for Menstrual Pain list, Corn silk Tea use needs extra caution. It is true that it can calm your menstrual pain, but you also need to measure the amount of tea you drink in order to avoid other complications: Corn Silk Tea is a very powerful urinary stimulant. - Wild Yam Tea – one of the most dangerous Teas for Menstrual Pain, Wild Yam Tea can bring relief to all kinds of pain, starting with menstrual pain, stomach pain and ending with migraines and severe headaches. However, don’t take this tea if you have protein S deficiency or a hormone-sensitive condition, such as breast cancer, uterine fibroids or endometriosis. Teas you should avoid During menstruation, you may want to avoid all teas based on a high level of acids, such as green or black teas . They will only make your pain insufferable, by increasing your stomach acidity and also your heart beat. Teas for Menstrual Pain Side Effects When taken according to specifications, these Teas for Menstrual Pain are rarely dangerous. However, if you’ve been taking one of them for a while and you’re experiencing some unusual reactions from your body, talk to a doctor as soon as possible. In high dosages, these teas may cause urinary dysfunctions, nausea, headaches and vomiting. First, make sure you’re not allergic to the tea you’re about to take in order to avoid other health complications. Once you have the green light from your doctor, give these Teas for Menstrual Pain a try and enjoy their wonderful benefits wisely!... teas for menstrual pain

Breast (female) Tenderness, Pain

May be from hormonal imbalance for which Agnus Castus is almost specific.

Rosemary. 1 teaspoon leaves to cup boiling water; infuse 15 minutes. Half-1 cup 2-3 times daily.

Tea. Formula. Equal parts leaves, Agnus Castus, Rosemary, Balm. 1-2 teaspoons to each cup boiling water; infuse 15 minutes; 1 cup 2-3 times daily.

Evening Primrose oil. 10 drops (or 2 × 250ml capsules) 3 times daily.

Poke root. Internally and externally.

Yorkshire gypsy device: fix a cabbage or a rhubarb leaf beneath brassiere.

Liquid Extract Blue Cohosh BHP (1983): 0.5-1ml, Thrice daily. Alternative: Liquid Extract Rosemary BHP (1983): 2-4ml. Thrice daily.

Vitamins. All-round multivitamin and mineral supplement. Vitamin C (1g daily). Vitamin E (400iu daily). ... breast (female) tenderness, pain

Retrosternal Pain

Pain in the central region of the chest, behind the sternum. Causes include irritation of the oesophagus, angina pectoris, or myocardial infarction. (See also chest pain.)... retrosternal pain

Testis, Pain In The

Pain in a testis may be caused by mild injury, a tear in the wall of the testis due to a direct blow, orchitis, epididymo-orchitis, and torsion of the testis (see testis, torsion of). Sometimes, no cause is found and the pain disappears without treatment. If the wall of the testis is torn, an operation to repair it may be needed. ... testis, pain in the

Anxiety Management

a *behaviour therapy designed to allow patients who suffer from anxiety disorders to reduce their symptoms by learning how to achieve states of relaxation and deal with excessive *rumination about anxiety-provoking thoughts.... anxiety management

Atypical Facial Pain

see persistent idiopathic facial pain.... atypical facial pain

Chronic Idiopathic Facial Pain

see persistent idiopathic facial pain.... chronic idiopathic facial pain

Chronic Pelvic Pain

(CPP) intermittent or constant pain in the lower abdomen or pelvis of at least six months’ duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. It may be caused by an underlying gynaecological condition, such as *endometriosis or adhesions, but bowel or bladder disorders (e.g. irritable bowel syndrome, interstitial cystitis), visceral hypersensitivity, and psychological conditions may all contribute.... chronic pelvic pain

Feet – Pain In

(Metatarsalgia)

Causes: foot-strain, deformity, osteoporosis, high heels throwing the body out of its normal posture, tight shoes.

Feet are often painful because one or more of the bones are out of alignment and which may be adjusted by simple osteopathy. The process can be assisted by foot-baths of Chamomile flowers, Arnica flowers, or Comfrey to relax muscles and tendons.

Alternatives. Alfalfa, Chaparral, Ligvites, Prickly Ash.

Topical. Aromatherapy. (Sensitive feet) Oils of Pine, Eucalyptus or Thyme – 6 drops, any one, to 2 teaspoons Almond oil. Warm. Massage into foot and wrap round with damp hot towel.

General. Acupuncture. Shoes should be bought in the afternoon, particularly if feet swell during the day. Shoes that fit well in the morning may have become too tight by tea-time. ... feet – pain in

Back Pain

Pain affecting the back, often restricting movement. The pain usually lasts for only a week or so but can recur in some people. Rarely, persistent back pain causes long-term disability.

Back pain is usually caused by minor damage to the ligaments and muscles in the back. The lower back is especially vulnerable to these problems because it supports most of the body’s weight and is under continual stress from movements such as bending, twisting, and stretching. Less commonly, lower back pain may result from an underlying disorder such as a prolapsed intervertebral disc (see disc prolapse) in the spine.

In most cases, back pain can be treated with over-the-counter painkillers (see analgesic drugs) such as aspirin and related drugs, nonsteroidal antiinflammatory drugs, or muscle-relaxant drugs. If the pain persists, a heat pad, a wrapped hot-water bottle or, sometimes, an ice-pack, may provide additional relief. Generally, it is advisable to remain as active as the pain permits. People whose pain worsens or is still too severe to allow normal movement after several days should consult a doctor for medical tests.

Investigations for back pain, such as X-rays, CT scanning, or MRI, sometimes reveal abnormalities, such as disc prolapse, that require surgical treatment and can be treated by a microdiscectomy.

Other treatments for back pain include acupuncture, spinal injection, exercise, or spinal manipulation.... back pain

Chest Pain

Pain in the chest, which is often without serious cause, but which may be a symptom of an underlying disorder requiring urgent treatment. The pain may be in the chest wall or in an organ within the chest. The most common causes of pain in the chest wall are a strained muscle or an injury, such as a broken rib. A sharp pain that travels to the front of the chest may be due to pressure on a nerve root attached to the spinal cord as a result of, for example, osteoarthritis of the vertebrae. Pain in the side of the chest may be due to pleurodynia. The viral infection herpes zoster (shingles) may cause severe pain along the course of a nerve in the chest

wall. In Tietze’s syndrome, inflammation at the junctions of the rib cartilages causes pain on the front of the chest wall.

Pain within the chest may be caused by pleurisy, as a result of bronchitis, pneumonia, or, rarely, pulmonary embolism. Cancerous tumours of the lung (see lung cancer; mesothelioma) may cause pain as they grow and press on the pleura and ribs. Acid reflux may lead to heartburn, a burning pain behind the sternum. The common heart disorder angina pectoris causes pain in the centre of the chest that may spread outwards to the throat, jaw, or arms. Myocardial infarction (heart attack) and acute pericarditis both also produce severe pain in the centre of the chest. Mitral valve prolapse may cause sharp chest pain, usually on the left side. Chest pain may also be a result of anxiety and emotional stress (see hyperventilation; panic attack).... chest pain

Complex Regional Pain Syndrome

(CRPS, reflex sympathetic dystrophy, RSD, Sudek’s atrophy) neurological dysfunction in a limb following trauma, surgery, or disease, characterized by intense burning pain, swelling, stiffness, and sweaty shiny mottled skin. It is caused by overactivity of the sympathetic nervous system. The *ESR is often elevated, X-rays may reveal some patchy osteoporosis, and a bone scan usually demonstrates increased blood flow. Early treatment with splinting and physiotherapy are essential, in combination with *sympatholytic drugs, corticosteroids, and regional sympathetic blocks; *sympathectomy may be required in chronic cases.... complex regional pain syndrome

Foundation Programme

a two-year programme of postgraduate medical training, introduced as part of the Modernizing Medical Careers initiative in 2005. Foundation year 1 replaced the old preregistration house officer year, and foundation year 2 replaced the first year of senior house officer training. See also Doctor.... foundation programme

Pain Clinic

a clinic that specializes in the management and relief of pain. Pain clinics are usually directed by anaesthetists.... pain clinic

Persistent Idiopathic Facial Pain

(atypical facial pain, chronic idiopathic facial pain) a chronic pain in the face that has no known cause and does not fit the classic presentation of other cranial neuralgias. It may be stress-related, and in some cases appears to be associated with defective metabolism of *tyramine. Treatment may involve the use of antidepressants.... persistent idiopathic facial pain

Public Access Defibrillation Programmes

programmes of lay education in the UK that aim to provide training in cardiac resuscitation up to and including *defibrillation. Together with programmes to increase the availability of *automated external defibrillators in public places (e.g. shops and railway stations), they recognize that the best outcomes from cardiac resuscitation are obtained with early defibrillation and good bystander basic life support.... public access defibrillation programmes

Rest Pain

pain without prior exertion, usually experienced in the feet or chest (*angina pectoris), that indicates an extreme degree of *ischaemia.... rest pain



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