Suchergebnisse

SUMMARYPreventive dentistry for the elderly must be concerned with the four levels of prevention: initiation of disease, progression and recurrence, loss of function, and loss of life. The areas of greatest pertinence to the elderly are: caries, erosion and abrasion, periodontal disease, special considerations in restorative dentistry, oral cancer, systemic diseases with oral manifestations, and hazards within the dental office.The major problem in preventive dentistry has been the tendency by many practitioners to view it in a very narrow way, as essentially plaque control. I n many offices it is relegated to a separate alcove, taking on the trappings of a religious rite. To be effective, preventive dentistry has to be the philosophic base of a dental practice. Similarly, dentistry for the elderly should not be considered as the palliative treatment of terminal oral disease. We must recognize that there are a range of clinical entities and multiple levels of prevention as well as treatment. Elderly people have many needS. We have the capability of serving them with an ordered set of responses that recognize both the communality and the special aspects of their oral concerns.

Cancer has an unsetting reminder of the stubborn grain of unpredictability, uncertainty and injustice in the human condition. It forces us to confront our lack of control over our own or others' death. The aim of this review was to acquire new knowledge on the scientific evidence based for an effect of psychosocial care on survival from cancer and well-being. The different books, journals and web sites were searched for data base information on psychological and social aspects of cancer. In the developed part of the world, there are well established psychosocial care unit, counseling services, support group concept, palliative care, home hospice, etc but in Nepal where risk for developing cancer is nevertheless. Diagnosis and treatment is being done, but no separate psychosocial unit attached to cancer hospitals. Life expectancy of cancer patients can be prolonged by early diagnosis, appropriate treatment and psychosocial services to the patients. Key words: Cancer, Emerging needs, Nepal, Psychosocial care DOI: 10.3126/jnhrc.v7i1.2297 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 58-61