Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain, illnesses including other problems whether physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
The NewYork-Presbyterian Hospital, a nonprofit academic medical center in New York City, is the primary teaching hospital for two Ivy League medical schools, Weill Cornell Medicine at Cornell University and Columbia University Vagelos College of Physicians and Surgeons at Columbia University. The hospital includes seven campuses located throughout the New York metropolitan area. The hospital's two flagship medical centers, Columbia University Irving Medical Center and Weill Cornell Medical Center, are located on opposite sides of Upper Manhattan.
Massachusetts General Hospital is a teaching hospital located in the West End neighborhood of Boston, Massachusetts. It is the original and largest clinical education and research facility of Harvard Medical School/Harvard University, and houses the world's largest hospital-based research program with an annual research budget of more than $1.2 billion in 2021. It is the third-oldest general hospital in the United States with a patient capacity of 999 beds. Along with Brigham and Women's Hospital, Mass General is a founding member of Mass General Brigham, formerly known as Partners HealthCare, the largest healthcare provider in Massachusetts.
Intraosseous infusion (IO) is the process of injecting medication, fluids, or blood products directly into the bone marrow; this provides a non-collapsible entry point into the systemic venous system. The intraosseous infusion technique is used to provide fluids and medication when intravenous access is not available or not feasible. Intraosseous infusions allow for the administered medications and fluids to go directly into the vascular system. The IO route of fluid and medication administration is an alternative to the preferred intravascular route when the latter cannot be established promptly in emergent situations. Intraosseous infusions are used when people have compromised intravenous access and need immediate delivery of life-saving fluids and medications.
The University of North Texas Health Science Center at Fort Worth – HSC, Health Science Center, Health Science Center at Fort Worth – is one of the nation’s premier academic health science centers, located in Fort Worth, Texas. It is part of the University of North Texas System and was founded in 1970 as the Texas College of Osteopathic Medicine6, with its first cohort graduating in 1974. The Health Science Center consists of six schools with a total enrollment of 2,338 students (2022-23).
Arkansas Children's Hospital (ACH) is a pediatric hospital with a Level I trauma center in Little Rock, Arkansas. It is among the largest in the United States, serving infants, children, teens, and young adults from birth to age 21. ACH is affiliated with the University of Arkansas for Medical Sciences and serves as a teaching hospital with the UAMS College of Medicine's Department of Pediatrics. ACH staff consists of more than 505 physicians, 200 residents, and 4,400 support staff. The hospital includes 336 licensed beds, and offers three intensive care units. The campus spans 36 city blocks and has a floor space of over 1,200,000 square feet (110,000 m2).
Jacobi Medical Center is a municipal hospital operated by NYC Health + Hospitals in affiliation with the Albert Einstein College of Medicine. The facility is located in the Morris Park neighborhood of the Bronx, New York City. It is named in honor of German physician Abraham Jacobi, who is regarded as the father of American pediatrics.
Wake Forest University School of Medicine is the medical school of Wake Forest University, with two campuses located in Winston-Salem, North Carolina and Charlotte, North Carolina, United States. It is affiliated with Atrium Health Wake Forest Baptist, the academic medical center whose clinical arm is Atrium Health Wake Forest Baptist. In 2021, U.S. News & World Report ranked Wake Forest School of Medicine 48th best for research in the nation and 80th best for primary care. The School of Medicine also ranks in the top third of U.S. medical schools in funding from the National Institutes of Health (NIH).
Dry needling, also known as trigger point dry needling and intramuscular stimulation, is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. Acupuncturists usually maintain that dry needling is adapted from acupuncture, but others consider dry needling as a variation of trigger point injections. It involves the use of either solid filiform needles or hollow-core hypodermic needles for therapy of muscle pain, including pain related to myofascial pain syndrome. Dry needling is mainly used to treat myofascial trigger points, but it is also used to target connective tissue, neural ailments, and muscular ailments. The American Physical Therapy Association defines dry needling as a technique used to treat dysfunction of skeletal muscle and connective tissue, minimize pain, and improve or regulate structural or functional damage.
Adventist HealthCare Shady Grove Medical Center is a 266-licensed bed acute care facility located in Rockville, Maryland. Shady Grove Medical Center provides a range of health services to the community such as high-risk obstetrical care, cardiac and vascular care, oncology services, orthopedic care, surgical services and pediatric care. Opened in 1979 as Shady Grove Adventist Hospital, Shady Grove Medical Center operates as part of Adventist HealthCare, a health-care delivery system that includes hospitals, home health agencies and other health-care services. Adventist HealthCare is headquartered in Gaithersburg, Maryland.
Nationwide Children's Hospital is a nationally ranked pediatric acute care teaching hospital located in the Southern Orchards neighborhood of Columbus, Ohio. The hospital has 673 pediatric beds and is affiliated with the Ohio State University College of Medicine. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout Ohio and surrounding regions. Nationwide Children's Hospital also sometimes treats adults that require pediatric care. Nationwide Children's Hospital also features an ACS-verified Level 1 Pediatric Trauma Center, one of four in the state. The hospital has affiliations with the nearby Ohio State University Wexner Medical Center. Nationwide Children's Hospital is located on its own campus and has more than 1,379 medical staff members and over 11,909 total employees.
Tufts Medical Center, a 15-building campus located in Boston, Massachusetts, is a downtown Boston hospital midway between Chinatown and the Boston Theater District.
OSF Saint Francis Medical Center, located in Peoria, Illinois, United States, is a teaching hospital for the University of Illinois College of Medicine at Peoria and part of the OSF Healthcare System. The center, which is the largest hospital in the Peoria metropolitan area and in central Illinois, is designated by the state of Illinois as the Level I adult and pediatric regional trauma center for a 26-county region in mid-Illinois.
NYU Langone Health is an academic medical center located in New York City, New York, United States. The health system consists of the NYU Grossman School of Medicine and NYU Grossman Long Island School of Medicine, both part of New York University (NYU), and more than 300 locations throughout the New York City Region and Florida, including six inpatient facilities: Tisch Hospital; Kimmel Pavilion; NYU Langone Orthopedic Hospital; Hassenfeld Children's Hospital; NYU Langone Hospital – Brooklyn; and NYU Langone Hospital – Long Island. It is also home to Rusk Rehabilitation. NYU Langone Health is one of the largest healthcare systems in the Northeast, with more than 49,000 employees.
The Emergency Medical Services for Children (EMSC) program is a US federal government health initiative. It is administered by the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA), and the Maternal and Child Health Bureau (MCHB). Its aim is to reduce child and youth disability and death due to severe illness or injury by increasing awareness among health professionals, provider and planners and the general public of the special needs of children receiving emergency medical care.
Monroe Carell Jr. Children's Hospital at Vanderbilt, also known as Children's Hospital at Vanderbilt, is a nationally ranked pediatric acute care children's teaching hospital and entity of Vanderbilt University Medical Center in Nashville, Tennessee. The hospital is affiliated with Vanderbilt University School of Medicine's Department of Pediatrics.
Trauma in children, also known as pediatric trauma, refers to a traumatic injury that happens to an infant, child or adolescent. Because of anatomical and physiological differences between children and adults the care and management of this population differs.
Children's Healthcare of Atlanta (CHOA) is a not-for-profit children's healthcare system located in the Atlanta area, dedicated to caring for infants, children, teens, and young adults age 0–21 throughout Georgia. Children's formed in 1998 when Egleston Children's Health Care System and Scottish Rite Medical Center came together, becoming one of the largest pediatric systems in the United States. In 2006, Children's assumed responsibility for the management of services at Hughes Spalding Children's Hospital, growing the system to three hospitals.
Dell Children's Medical Center of Central Texas is a pediatric acute care hospital located in Austin, Texas. Serving a 46-county area and beyond, the hospital has 262 beds with an additional 72 beds available beginning fall 2022. It is a member of Ascension and is affiliated with Dell Medical School at The University of Texas. The hospital provides comprehensive pediatric specialties and subspecialties to pediatric patients aged 0–21 throughout Central Texas.The hospital features the only Level I pediatric trauma center in the Central Texas region.
Colleen A. Kraft is an American pediatrician specialized in community pediatrics, child advocacy, and healthcare financing.
