Introduction:Our goal was to evaluate patients’ threshold for waiting in an emergency department (ED) waiting room before leaving without being seen (LWBS). We analyzed whether willingness to wait was influenced by perceived illness severity, age, race, triage acuity level, or insurance status.Methods:We conducted this survey-based study from March to July 2010 at an urban academic medical center. After triage, patients were given a multiple-choice questionnaire, designed to ascertain how long they would wait for medical care. We collected data including age, gender, race, insurance status, and triage acuity level. We looked at the association between willingness to wait and these variables, using stratified analysis and logistic regression.Results:Of the 375 patients who were approached, 340 (91%) participated. One hundred seventy-one (51%) were willing to wait up to 2 hours before leaving, 58 (17%) would wait 2 to 8 hours, and 110 (32%) would wait indefinitely. No association was found between willingness to wait and race, gender, insurance status, or perceived symptom severity. Patients willing to wait >2 hours tended to be older than 25, have higher acuity, and prefer the study site ED.Conclusion:Many patients have a defined, limited period that they are willing to wait for emergency care. In our study, 50% of patients were willing to wait up to 2 hours before leaving the ED without being seen. This result suggests that efforts to reduce the percentage of patients who LWBS must factor in time limits.
A physiotherapist treats patients with Glioblastoma multiforme. Glioblastoma multiforme treatment includes chemotherapy, radiotherapy, and surgery, which are being continuously developed and thus increase the survival of patients with a cancer diagnosis. More specifically, 5-year survival rates increase with a cancer diagnosis. Patients with Glioblastoma multiforme have many problems including muscle weakness, pulmonary dysfunction, fatigue, and pain. In the end, patients with cancer tend to have a decline in activities of daily living (ADL) and quality of life (QOL). Additionally, patients often have progressive disease, depression, and anxiety. Physiotherapy often helps patients regain strength and physical function and improve their QOL and independence of daily living that they may have lost due to its treatment. Physiotherapy has an important role in increasing the physical function of Glioblastoma multiforme patients. In the future, physiotherapy may be progressively needed for the management of Glioblastoma multiforme patients. KEYWORDS: Glioblastoma multiforme, Activities of daily living, Quality of Life, Physiotherapy.
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