Sunday, 6 December 2020

Therapy

A analysis or medical analysis (often abbreviated tx, Tx, or Tx) is the attempted remediation of a bloom problem, usually afterward a medical diagnosis.

As a rule, anniversary analysis has break and contraindications. There are abounding altered types of therapy. Not all therapies are effective. Abounding therapies can aftermath exceptionable adverse effects.

Treatment and analysis are about advised synonyms. However, in the ambience of brainy health, the appellation analysis may accredit accurately to psychotherapy. emantic field

The words care, therapy, treatment, and activity overlap in a semantic field, and appropriately they can be alike depending on context. Moving rightward through that order, the apocalyptic akin of holism decreases and the akin of specificity (to accurate instances) increases. Thus, in bloom affliction contexts (where its senses are consistently noncount), the chat affliction tends to betoken a ample abstraction of aggregate done to assure or advance someone's bloom (for example, as in the agreement antitoxin affliction and primary care, which betoken advancing action), although it sometimes implies a narrower abstraction (for example, in the simplest cases of anguish affliction or postanesthesia care, a few accurate accomplish are sufficient, and the patient's alternation with that provider is anon finished). In contrast, the chat activity tends to be specific and concrete, and appropriately the chat is about countable; for example, one instance of cardiac catheterization is one activity performed, and coronary affliction (noncount) can crave a alternation of interventions (count). At the extreme, the axle on of such accountable interventions amounts to interventionism, a awry archetypal of affliction defective holistic circumspection—merely alleviative detached problems (in billable increments) rather than advancement health. Analysis and treatment, in the average of the semantic field, can betoken either the holism of affliction or the acumen of intervention, with ambience carrying the absorbed in anniversary use. Accordingly, they can be acclimated in both noncount and calculation senses (for example, analysis for abiding branch ache can absorb several dialysis treatments per week).

The words aceology and iamatology are abstruse and anachronistic synonyms apropos to the abstraction of therapies.

The English chat analysis comes via Latin therapīa from Greek: θεραπεία and actually agency "curing" or "healing".[1] Alia
Types of therapies
See also: Account of therapies
By chronology, priority, or intensity
Levels of care

Levels of affliction allocate bloom affliction into categories of chronology, priority, or intensity, as follows:

    Emergency affliction handles medical emergencies and is a aboriginal point of acquaintance or assimilation for beneath austere problems, which can be referred to added levels of affliction as appropriate.
    Intensive care, additionally alleged analytical care, is affliction for acutely ill or afflicted patients. It appropriately requires aerial ability intensity, knowledge, and skill, as able-bodied as quick accommodation making.
    Ambulatory affliction is affliction provided on an outpatient basis. About patients can airing into and out of the dispensary beneath their own ability (hence "ambulatory"), usually on the aforementioned day.
    Home affliction is affliction at home, including affliction from providers (such as physicians, nurses, and home bloom aides) authoritative abode calls, affliction from caregivers such as ancestors members, and accommodating self-care.
    Primary affliction is meant to be the capital affectionate of affliction in general, and alluringly a medical home that unifies affliction beyond referred providers.
    Accessory affliction is affliction provided by medical specialists and added bloom professionals who about do not accept aboriginal acquaintance with patients, for example, cardiologists, urologists and dermatologists. A accommodating alcove accessory affliction as a abutting footfall from primary care, about by provider barometer although sometimes by accommodating self-initiative.
    Tertiary affliction is specialized advising care, usually for inpatients and on barometer from a primary or accessory bloom professional, in a ability that has cadre and accessories for avant-garde medical analysis and treatment, such as a tertiary barometer hospital.
    Aftereffect affliction is added affliction during or afterwards convalescence. Aftercare is about alike with aftereffect care.
    End-of-life affliction is affliction abreast the end of one's life. It about includes the following:
        Booze affliction is admiring care, best abnormally (but not necessarily) abreast the end of life.
        Hospice affliction is booze affliction actual abreast the end of activity back cure is actual unlikely. Its capital ambition is comfort, both concrete and mental.

Lines of therapy

Treatment decisions about chase academic or breezy algebraic guidelines. Analysis options can about be ranked or prioritized into curve of therapy: first-line therapy, second-line therapy, third-line therapy, and so on. First-line analysis (sometimes alleged consecration therapy, primary therapy, or front-line therapy)[2] is the aboriginal analysis that will be tried. Its antecedence over added options is usually either: (1) formally recommended on the base of analytic balloon affirmation for its best-available aggregate of efficacy, safety, and tolerability or (2) alleged based on the analytic acquaintance of the physician. If a first-line analysis either fails to boldness the affair or produces intolerable ancillary effects, added (second-line) therapies may be commissioned or added to the analysis regimen, followed by third-line therapies, and so on.

An archetype of a ambience in which the analogue of analysis algorithms and the baronial of curve of analysis is actual all-encompassing is chemotherapy regimens. Because of the abundant adversity in auspiciously alleviative some forms of cancer, one band afterwards accession may be tried. In oncology the calculation of analysis curve may ability 10 or alike 20.

Often assorted therapies may be approved accompanying (combination analysis or polytherapy). Appropriately aggregate chemotherapy is additionally alleged polychemotherapy, admitting chemotherapy with one abettor at a time is alleged single-agent analysis or monotherapy.

Adjuvant analysis is analysis accustomed in accession to the primary, main, or antecedent treatment, but accompanying (as against to second-line therapy). Neoadjuvant analysis is analysis that is amorphous afore the capital therapy. Appropriately one can accede surgical abatement of a bump as the first-line analysis for a assertive blazon and date of blight alike admitting radiotherapy is acclimated afore it; the radiotherapy is neoadjuvant (chronologically aboriginal but not primary in the faculty of the capital event). Premedication is conceptually not far from this, but the words are not interchangeable; cytotoxic drugs to put a bump "on the ropes" afore anaplasty delivers the "knockout punch" are alleged neoadjuvant chemotherapy, not premedication, admitting things like anesthetics or antibacterial antibiotics afore dental anaplasty are alleged premedication.

Step analysis or stepladder analysis is a specific blazon of prioritization by curve of therapy. It is arguable in American bloom affliction because clashing accepted controlling about what constitutes first-line, second-line, and third-line therapy, which in the U.S. reflects assurance and ability aboriginal and amount alone according to the patient's wishes, footfall analysis attempts to mix amount ascendancy by addition added than the accommodating (third-party payers) into the algorithm. Analysis abandon and the agreement amid alone and accumulation rights are involved.
By intent
Therapy blazon     Description
abortive analysis     A analysis that is advised to stop a medical activity from advanced any further. A medication taken at the ancient signs of a disease, such as an analgesic taken at the actual aboriginal affection of a cephalalgia cephalalgia to anticipate it from accepting worse, is an bootless therapy. Compare abortifacients, which arrest a pregnancy.
bridge analysis     A analysis that figuratively provides a arch to accession footfall or phase, arch over some actual abysm (challenge), in adverse with destination therapy, which is the final analysis in cases area clinically appropriate.
consolidation analysis     A analysis accustomed to consolidate the assets from consecration therapy. In cancer, this agency block afterwards any cancerous beef that may be left.
curative analysis     A analysis with alleviative intent, that is, one that seeks to cure the base account of a disorder. (also alleged etiotropic therapy)
definitive analysis     A analysis that may be final, above to others, curative, or all of those.
destination analysis     A analysis that is the final destination rather than a arch to accession therapy. Usually refers to ventricular abetment accessories to accumulate the absolute affection going, not aloof until a affection displace can occur, but for the blow of the patient's activity expectancy.
empiric analysis     A analysis accustomed on an empiric basis; that is, one accustomed according to a clinician's accomplished assumption admitting ambiguity about the illness's adroit factors. For example, empiric antibacterial analysis administers a broad-spectrum antibacterial anon on the base of a acceptable adventitious (given the history, concrete assay findings, and accident factors present) that the affliction is bacterial and will acknowledge to that biologic (even admitting the bacterial breed or another is not yet known).
gold accepted analysis     A analysis that is definitive, aloof as a gold accepted analytic analysis is a absolute test.
investigational analysis     An beginning therapy. Use of beginning therapies charge be ethically justified, because by analogue they accession the catechism of accepted of care. Physicians accept freedom to accommodate empiric affliction (such as off-label care) according to their acquaintance and analytic judgment, but the freedom has banned that avert quackery. Appropriately it may be all-important to architecture a analytic balloon about the new analysis and to use the analysis alone per a academic protocol. Sometimes autograph phrases such as "treated on protocol" betoken not aloof "treated according to a plan" but accurately "treated with investigational therapy".
maintenance analysis     A analysis taken during ache absolution to anticipate relapse.
palliative analysis     See admiring analysis for apocalyptic distinctions.
preventive therapy
(prophylactic therapy)     A analysis that is advised to anticipate a medical activity from occurring (also alleged prophylaxis). For example, abounding vaccines anticipate communicable diseases.
salvage analysis (rescue therapy)     A analysis approved afterwards others accept failed; it may be a "last-line" therapy.
stepdown analysis     Therapy that tapers the dosage gradually rather than abruptly acid it off. For example, a about-face from intravenous to articulate antibiotics as an infection is brought beneath ascendancy accomplish bottomward the acuteness of therapy.
supportive analysis     A analysis that does not amusement or advance the basal condition, but instead increases the patient's comfort, additionally alleged appropriate analysis (see there for added information).[3] For example, admiring affliction for flu, colds, or gastrointestinal agitated can accommodate rest, fluids, and over the adverse affliction relievers; those things don't amusement the cause, but they amusement the affection and appropriately accommodate relief. Admiring analysis may be booze analysis (palliative care). The two agreement are sometimes synonymous, but booze affliction about accurately refers to austere affliction and end-of-life care. Analysis may be categorized as accepting alleviative absorbed (when it is accessible to annihilate the disease) or booze absorbed (when eliminating the ache is absurd and the focus accouterment to aspersing the ache that it causes). The two are about contradistinguished (mutually exclusive) in some contexts (such as the administering of some cancers), but they are not inherently mutually exclusive; about a analysis can be both alleviative and booze simultaneously. Admiring psychotherapy aims to abutment the accommodating by abating the affliction of the symptoms, with the apprehension that absolute analysis can chase after if possible.
systemic analysis     A analysis that is systemic. In the physiological sense, this agency affecting the accomplished anatomy (rather than actuality bounded or locoregional), whether via systemic administration, systemic effect, or both. Systemic analysis in the psychotherapeutic faculty seeks to abode bodies not alone on the alone akin but additionally as bodies in relationships, ambidextrous with the interactions of groups.
By analysis composition
   
This area is too long. Accede agreeable it into new pages, abacus subheadings, or abbreviating it. Please accede agreeable agreeable into sub-articles, abbreviating it, or abacus subheadings. (May 2019)

Treatments can be classified according to the adjustment of treatment:
By matter

    by drugs: pharmacotherapy, chemotherapy (also, medical analysis about agency accurately pharmacotherapy)
    by medical devices: implantation
        cardiac resynchronization therapy
    by specific molecules: atomic analysis (although best drugs are specific molecules, atomic anesthetic refers in accurate to anesthetic relying on atomic biology)
        by specific biomolecular targets: targeted therapy
            atomic babysitter therapy
        by chelation: chelation therapy
    by specific actinic elements:
        by metals:
            by abundant metals:
                by gold: chrysotherapy (aurotherapy)
                by platinum-containing drugs: platin therapy
            by biometals
                by lithium: lithium therapy
                by potassium: potassium supplementation
                by magnesium: magnesium supplementation
                by chromium: chromium supplementation; phonemic acoustic hypochromium therapy
                by copper: chestnut supplementation
        by nonmetals:
            by diatomic oxygen: oxygen therapy, hyperbaric oxygen analysis (hyperbaric medicine)
                transdermal connected oxygen therapy
            by triatomic oxygen (ozone): blast therapy
            by fluoride: fluoride therapy
            by added gases: medical gas therapy
    by water:
        hydrotherapy
        amphibian therapy
        rehydration therapy
            articulate rehydration therapy
        baptize cure (therapy)
    by biological abstracts (biogenic substances, biomolecules, amoebic materials, accustomed products), including their constructed equivalents: biotherapy
        by accomplished organisms
            by viruses: virotherapy
            by bacteriophages: phage therapy
            by beastly interaction: see beastly alternation section
        by capacity or articles of organisms
            by bulb genitalia or extracts (but abounding drugs are acquired from plants, alike back the appellation phytotherapy is not used)
                accurate type: phytotherapy
                acceptable (prescientific) type: herbalism
            by beastly parts: affectation involving bluff fins, tiger parts, and so on, about active blackmail or chance of species
            by genes: gene therapy
                gene analysis for epilepsy
                gene analysis for osteoarthritis
                gene analysis for blush blindness
                gene analysis of the beastly retina
                gene analysis in Parkinson's disease
            by epigenetics: epigenetic therapy
            by proteins: protein analysis (but abounding drugs are proteins admitting not actuality alleged protein therapy)
            by enzymes: agitator backup therapy
            by hormones: hormone therapy
                hormonal analysis (oncology)
                hormone backup therapy
                    estrogen backup therapy
                    androgen backup therapy
                    hormone backup analysis (menopause)
                    hormone backup analysis (transgender)
                        hormone backup analysis (male-to-female)
                        hormone backup analysis (female-to-male)
                antihormone therapy
                    androgen denial therapy
            by accomplished cells: corpuscle analysis (cytotherapy)
                by axis cells: axis corpuscle therapy
                by allowed cells: see allowed arrangement articles below
            by allowed arrangement products: immunotherapy, host modulatory therapy
                by allowed cells:
                    T-cell vaccination
                    corpuscle alteration therapy
                    autologous allowed accessory therapy
                    TK corpuscle therapy
                by humoral allowed factors: antibiotic therapy
                    by accomplished serum: serotherapy, including antibiotic therapy
                    by immunoglobulins: immunoglobulin therapy
                        by monoclonal antibodies: monoclonal antibiotic therapy
        by urine: urine analysis (some accurate forms; abounding prescientific or pseudoscientific forms)
        by aliment and comestible choices:
            medical diet therapy
            grape analysis (quackery)
    by salts (but abounding drugs are the salts of amoebic acids, alike back biologic analysis is not alleged by names absorption that)
        by salts in the air
            by accustomed dry alkali air: "taking the cure" in arid locales (especially accepted in prescientific medicine; for example, one 19th-century way to amusement tuberculosis)
            by bogus dry alkali air:
                low-humidity forms of speleotherapy
                abrogating air ionization therapy
            by clammy alkali air:
                by accustomed clammy alkali air: bank cure (especially accepted in prescientific medicine)
                by bogus clammy alkali air: baptize breath forms of speleotherapy
        by salts in the water
            by mineral water: spa cure ("taking the waters") (especially accepted in prescientific medicine)
            by seawater: bank cure (especially accepted in prescientific medicine)
    by aroma: aromatherapy
    by added abstracts with apparatus of activity unknown
        by occlusion with aqueduct tape: aqueduct band occlusion therapy

By energy

    by electric activity as electric current: electrotherapy, electroconvulsive therapy
        Transcranial alluring stimulation
    by alluring energy:
        allurement therapy
        pulsed electromagnetic acreage therapy
        alluring resonance therapy
    by electromagnetic radiation (EMR):
        by light: ablaze analysis (phototherapy)
            ultraviolet ablaze therapy
                PUVA therapy
            photodynamic therapy
                photothermal therapy
                cytoluminescent therapy
            claret betterment therapy
            by darkness: aphotic therapy
            by lasers: laser therapy
                low akin laser therapy
        by gamma rays: radiosurgery
            Gamma Knife radiosurgery
            stereotactic radiation therapy
            azure therapy
        by radiation generally: radiation analysis (radiotherapy)
            intraoperative radiation therapy
            by EMR particles:
                atom therapy
                    proton therapy
                    electron therapy
                        intraoperative electron radiation therapy
                        Auger therapy
                    neutron therapy
                        fast neutron therapy
                        neutron abduction analysis of cancer
            by radioisotopes abounding EMR:
                by nuclear medicine
                by brachytherapy
        affectation type: electromagnetic analysis (alternative medicine)
    by mechanical: chiral analysis as massotherapy and analysis by exercise as in physiotherapy and exercise therapy
        antagonism therapy
    by sound:
        by ultrasound:
            accelerated lithotripsy
                extracorporeal shock beachcomber lithotripsy
                extracorporeal shockwave therapy
            sonodynamic therapy
        by music: music therapy
            neurologic music therapy
    by temperature
        by heat: calefaction analysis (thermotherapy)
            by moderately animated ambient temperatures: hyperthermia therapy
                by dry balmy surroundings: Waon therapy
                by dry or boiling balmy surroundings: sauna, including bittersweet sauna, for diaphoresis therapy
        by cold:
            by acute algid to specific tissue volumes: cryotherapy
            by ice and compression: algid compression therapy
            by ambient cold: hypothermia analysis for neonatal encephalopathy
        by hot and algid alternation: adverse ablution therapy

By action and beastly interaction

    Surgery
    by counseling, such as psychotherapy (see also: account of psychotherapies)
        systemic therapy
        by accumulation psychotherapy[4]
    by cerebral behavioral therapy
        by cerebral therapy
        by behaviour therapy
            by analytic behavior therapy
        by cerebral affecting behavioral therapy
    by cerebral rehabilitation therapy
    by ancestors therapy
    by education
        by psychoeducation
        by advice therapy
    by concrete therapy/occupational therapy, eyes therapy, beating therapy, chiropractic or acupuncture
    by affairs modifications, such as alienated ailing aliment or advancement a anticipated beddy-bye schedule
    by coaching

By beastly interaction

    by pets, abetment animals, or alive animals: animal-assisted therapy
        by horses: equine therapy, hippotherapy
        by dogs: pet analysis with analysis dogs, including affliction analysis dogs
        by cats: pet analysis with analysis cats
    by fish: ichthyotherapy (wading with fish), aquarium analysis (watching fish)
    by maggots: bastard therapy
    by worms:
        by centralized worms: helminthic therapy
        by leeches: drain therapy
    by immersion: beastly bath

By meditation

    by mindfulness: mindfulness-based cerebral therapy

By reading

    by bibliotherapy

By creativity

    by expression: alive therapy
        by writing: autograph therapy
            account therapy
    by play: comedy therapy
    by art: art therapy
        acoustic art therapy
        banana book therapy
    by gardening: agronomical therapy
    by dance: ball therapy
    by drama: ball therapy
    by recreation: recreational therapy
    by music: music therapy

By sleeping and waking

    by abysmal sleep: abysmal beddy-bye therapy
    by waking: deathwatch therapy

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