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D A Pack

Publications and source records attributed to D A Pack.

4 recordsLinked to original sources
PubMedDate not supplied

Cholangiocarcinoma: a nursing perspective.

Primary cancer of the bile duct (cholangiocarcinoma [CC]) is a rare malignancy that presents many nursing challenges. This article focuses on disease presentation, treatment options, quality of life, and the nurse's unique role in caring for this patient population. Surgical resection is the only treatment modality that offers a potential cure and prolonged survival. In patients with unresectable disease, biliary bypass or nonoperative biliary drainage procedures can provide palliation. Other palliative treatment modalities include chemotherapy, radiation, and photodynamic therapy. The sudden onset, limited treatment options, and overall poor prognosis add to the challenge of caring for patients with CC.

Bile Duct Neoplasms↗
PubMedDate not supplied

Patient-focused care and the future of radiography.

Reforming the U.S. health care system to make medical services affordable and accessible to all Americans will require dramatic change. In fact, many of the reform strategies that have been proposed would revolutionize the way medical care is delivered in this country. One such proposal is the patient-focused care model. As its name implies, PFCM would redesign hospital operations to place patients at the center of all activity. Thus, PFCM has ramifications not only on bottom-line medical costs, but also on organizational structure, the efficiency and quality of service, employee relations, educational standards, professionalism and job satisfaction. This article describes PFCM and its potential positive and negative effects on health care delivery in the United States, with particular emphasis on its impact on radiologic technologists.

Health Care Reform↗