2012-11-01
Fife Palliative Care Service, Cedar House, Whyteman's Brae, Kirkcaldy, Scotland, UK. catrionamacpherson@fife-pct.scot.nhs.uk
A small exploratory study was conducted to identify the psychosocial needs of children facing the death and subsequent bereavement of a parent from cancer.
2012-11-01
Advances in medical science and technology, combined with the primary goal of medical care to restore or maintain health as far as possible, often result in the transition from active to palliative care being blurred.
2012-11-01
Palliative care is rarely delivered by one provider; for most patients their care will be managed by community and one or more hospital teams at the least. This can be problematic for patients, their family and friends, and health professionals.
2012-11-01
Management issues for patients with brain tumors include peritumoral edema, symptomatic seizures, venous thromboembolism, headache, pain, fatigue and neuropsychological complaints. Vasogenic edema is typically ameliorated with the lowest dose possible of corticosteroid.
2012-11-01
OBJECTIVE: Identify opioids prescribed, preferred routes, and doses among children with incurable cancer. STUDY DESIGN: Prospective survey with monthly questionnaires regarding patients 0 to 19 years old from oncology centers.
2012-11-01
il n'y a pas de résumé.....c'est un numéro complet
2012-11-01
BACKGROUND: Many persons and their families are burdened by serious chronic illness in late life. How to best support quality of life is an important consideration for care. PURPOSE: To assess evidence about interventions to improve palliative and end-of-life care.
2012-11-01
Human fingernails, located on the dorsal aspect of the terminal 40% of the distal phalanx of each finger, are complex structures involving 3 different layers:
The nail plate (the nail). This is the keratinized structure, which grows throughout life;
The nail bed (ventral matrix, sterile matrix).
2012-11-01
Il n'y a pas de résumé car ceci est une formation avec des diapositives et du texte et il y a un vidéo possible
2012-11-01
Opioids are commonly used in both cancer and noncancer pain. Many patients who require opioids have renal impairment. This can adversely influence the safety of opioids in these patients.
2012-11-01
The amphetamine, methylphenidate (Ritaline) has been proposed as being of interest in the treatment of asthenia in patients with advanced cancer. To evaluate this hypothesis a randomised controlled double-blind parallel-group national multi-centre trial is proposed versus placebo.
2012-11-01
Overall, critical care nursing and medical teams are inadequately prepared to deliver palliative care for the critically ill geriatric patient.
2012-11-01
The assessment and management of an acute pain crisis in the setting of advanced illness is challenging.
2012-11-01
Abstract
Background: Support for family carers is a core function of palliative care. Family meetings are commonly recommended as a useful way for health care professionals to convey information, discuss goals of care and plan care strategies with patients and family carers.
2012-11-01
A "palliative care" label should not prevent life saving treatment for an illness with reversible cause
The first 150 words of the full text of this article appear below.
The word palliative is used in different ways in different contexts.
2012-11-01
Background:
Access to expertise in palliative management in areas not served by palliative care consultants is
an ongoing challenge.
2012-11-01
Interventional approaches remain a mainstay of chronic pain treatment despite the many challenges to the study of their efficacy. When less invasive analgesic modalities provide inadequate relief, these techniques often play a complementary role.
2012-11-01
Nature of pain
Pain is described as an unpleasant sensation associated with a specific part of the body [1]. It is produced by processes that either damage, or are capable of damaging, the tissues.
2012-11-01
Adjuvant analgesics are a diverse group of drugs that were originally developed for a primary indication other than pain. Many of these medications are currently used to enhance analgesia under specific circumstances [1].
2012-11-01
Background: An increasing amount of reports are being published suggesting a relationship between the use of bisphosphonates (BPs) and the development of osteonecrosis of the jaw (ONJ).
2012-11-01
Bisphosphonates (BP) prevent, reduce, and delay cancer-related skeletal complications in patients, and have substantially decreased the prevalence of such events since their introduction.
2012-11-01
With the estimation of hope as beneficial, there follows also empirical literature concerning ways of managing hope.
2012-11-01
Background: The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm Program was designed to ensure the full range of patient treatment preferences are honored throughout the health care system.
2012-11-01
Objective:
Delirium is the most common neuropsychiatric complication of medical illness, a medical emergency that needs to be identified and treated vigorously.
2012-11-01
Although families often play an integral role in palliative care, there are currently few measures to help clinicians gauge families' abilities to participate in this process.
2012-11-01
As inpatient palliative care units (IPCUs) have become more widespread, experience grows regarding the patients for whom they are best suited.
2012-11-01
Metastatic bone disease is a major contributor to the deterioration of the quality of life of patients with cancer; it causes pain, impending and actual pathological fractures, and loss of function and may also be associated with considerable metabolic alterations.
Operative treatment may be requir
2012-11-01
Purpose:
Baclofen is a g-aminobutyric acid receptor agonist commonly used for managing many types of neuropathic pain. The effect of baclofen on cancer pain has not previously been studied.
2012-11-01
Terminally ill cancer patients near the end of life may experience intolerable suffering refractory to palliative treatment. Although sedation is considered to be an effective treatment when aggressive efforts fail to provide relief in terminally ill patients, it remains controversial.
2012-11-01
Opioid rotation refers to a switch from one opioid to another in an effort to improve the response to analgesic therapy or reduce adverse effects. It is a common method to address the problem of poor opioid responsiveness despite optimal dose titration.
2012-11-01
AB Purpose of review: To review the clinical presentation and management of cutaneous side effects of some of the new targeted anticancer therapies.
2012-11-01
Opioid analgesics are crucial for pain management in most patients receiving palliative care.
2012-11-01
Objective: The objective of this review is to describe the current status of research on hope in palliative care.
Methods: Integrative review was conducted to determine current knowledge on the topic. CINAHL and PubMed MEDLINE databases were used to find the articles relevant to this review.
2012-11-01
Organ donation is generally accepted within the medical profession as a beneficial practice with demand continuing to exceed supply. For patients who are dying from cancer opportunities for organ donation are generally limited to eye donation.
2012-11-01
La société actuelle promeut un droit à ne plus avoir mal. Pourtant, la complexité du phénomène de la douleur s’oppose à ce vœu, comme nous le montre l’empathie. En effet, l’imagerie cérébrale confirme que la relation empathique favorise la douleur, que la personne regardée soit douloureuse ou non.
2012-11-01
Background: Patients and clinicians often find it difficult to discuss wishes regarding cardiopulmonary resuscitation (CPR) or “code status.” Some authors have published effective communication styles, but there are currently no published guidelines for the content of a discussion about resuscitatio
2012-11-01
Cet article présente les recommandations de bonnes pratiques retenues par un groupe d’experts pour la sédation pour détresse, ses spécificités en gériatrie et au domicile. Quatre questions ont été étudiées : quelle est la définition de la sédation pour détresse ?
2012-11-01
Résumé La plupart des auteurs réservent la mise en oeuvre d’une sédation profonde maintenue jusqu’au décès aux patients dont la mort est attendue dans un bref délai, généralement de quelques heures à quelques jours.
2012-11-01
Dying patients and their caregivers frequently experience that which is known as deathbed phenomena, that is, visions of past deceased relatives or friends, religious figures, and a visionary language pertaining to travel.
2012-11-01
Nous revoyons la physiologie de la production et de l’élimination des liquides dans l’arbre pulmonaire.
2012-11-01
Clarissa, a businesswoman whose youthful looks belie her 55 years, sits in front of me. Her husband stands behind her. She has been feeling more tired and reports right quadrant abdominal pain over the past few days. She looks at me anxiously as I study the results of her scans on my computer.
2012-11-01
Background:
Currently available prognostic models for noncancer patients lack high levels of discrimination. Therefore, the quest for additional prognostic factors must continue.
2012-11-01
Context
Malignant fungating wounds (MFW) result from cutaneous infiltration by carcinogenic cells. Fetid odor, profuse exudate, pain, and infection are common symptoms that add to the physical and psychological suffering of patients with MFW.