Search results for " nursing"

New quality regulations versus established nursing home practice: a qualitative study

2012

Published version of an article from the journal: BMC Nursing. Also available from Bio Med Central:http://dx.doi.org/10.1186/1472-6955-11-7 Open Access Background Western governments have initiated reforms to improve the quality of care for nursing home residents. Most of these reforms encompass the use of regulations and national quality indicators. In the Norwegian context, these regulations comprise two pages of text that are easy to read and understand. They focus particularly on residents’ rights to plan their day-to-day life in nursing homes. However, the research literature indicates that the implementation of the new regulations, particularly if they aim to change nursing practice, …

Blocs nerveux périphériques, paresthésies et injections intraneurales

2010

Resume Les fibres nerveuses, myelinisees ou non, sont disposees en faisceaux et entourees de plusieurs membranes l’endonerve, l’epinerve et la perinerve. La transmission de l’influx nerveux se fait de facon saltatoire d’un noeud de Ranvier a l’autre sur les fibres myelinisees et de facon continue sur les fibres non myelinisees. La compression ou le traumatisme d’un nerf produit une rafale de potentiels d’action que le patient interprete comme une paresthesie. Ce phenomene persiste tant que dure la lesion axonale. Les aiguilles a biseau court penetrent moins souvent la perinerve mais donne des lesions plus importantes dans ce cas. L’echoguidage montre que des injections intraneurales interfa…

Cuestionarios de evaluación e intervención espiritual en cuidados paliativos: una revisión crítica

2014

Resumen Objetivo El presente estudio tiene 2 objetivos. El primero, ofrecer una revision de las herramientas de medida de espiritualidad en el contexto espanol de los cuidados paliativos. El segundo, comparar el constructo de los instrumentos revisados desde la perspectiva antropologica del modelo de espiritualidad propuesto por el Grupo de Espiritualidad de la Sociedad Espanola de Cuidados Paliativos. Metodo La revision sigue 5 pasos: 1. identificar las medidas de espiritualidad que se han utilizado en estudios relevantes; 2. conocer aquellos instrumentos con propiedades psicometricas adecuadas; 3. clasificar las medidas en funcion del tipo de instrumento; 4. identificar los instrumentos d…

Bienestar emocional y espiritualidad al final de la vida

2015

Resumen Objetivo La atencion al conjunto de las necesidades fisicas, sociales, psicologicas y espirituales de los pacientes es un elemento clave para la disminucion del sufrimiento en el marco de los cuidados paliativos. Material y metodos Desde el modelo antropologico planteado por el Grupo de Espiritualidad de la SECPAL y mediante un nuevo cuestionario desarrollado para evaluar la espiritualidad en 3 niveles: intrapersonal (sentido), interpersonal (armonia) y transpersonal (pertenencia), se han estudiado los recursos y las necesidades espirituales, asi como las relaciones entre espiritualidad y funcionamiento emocional, atendiendo a aspectos como ansiedad, depresion y resiliencia. Esta in…

Effects of caffeine as an adjuvant to morphine in advanced cancer Patients: A randomized, double-blind, placebo-controlled, crossover study

2001

Psychomotor abnormalities are one of the complications of opioid therapy in advanced cancer patients. Caffeine has potential properties to counteract the central effects of morphine. Twelve patients receiving stable doses of slow release morphine with adequate pain relief were scheduled for this double-blind placebo-controlled crossover trial. The treatment consisted of an intravenous dose of 1/6 of the daily morphine dose, using an intravenous/oral conversion ratio of 1:3. The dose calculated was administered in 5 minutes. Patients were randomly divided to received in a double-blind manner an infusion of 200 mg of caffeine or saline solution intravenously over one hour. A crossover took pl…

Analgesic effect of intravenous ketamine in cancer patients on morphine therapy: A randomized, controlled, double-blind, crossover, double-dose study

2000

Pain not responsive to morphine is often problematic. Animal and clinical studies have suggested that N-methyl-d-aspartate (NMDA) antagonists, such as ketamine, may be effective in improving opioid analgesia in difficult pain syndromes, such as neuropathic pain. A slow bolus of subhypnotic doses of ketamine (0.25 mg/kg or 0.50 mg/kg) was given to 10 cancer patients whose pain was unrelieved by morphine in a randomized, double-blind, crossover, double-dose study. Pain intensity on a 0 to 10 numerical scale; nausea and vomiting, drowsiness, confusion, and dry mouth, using a scale from 0 to 3 (not at all, slight, a lot, awful); Mini-Mental State Examination (MMSE) (0- 30); and arterial pressur…

Role of octreotide, scopolamine butylbromide, and hydration in symptom control of patients with inoperable bowel obstruction and nasogastric tubes: A…

2000

Bowel obstruction may be an inoperable complication in patients with end-stage cancer. Scopolamine butylbromide (SB) and octreotide (OCT) have been successfully used with the aim of reducing gastrointestinal (GI) secretions to avoid placement of a nasogastric tube (NGT); however, there have been no comparative studies concerning the efficacy of these drugs. Furthermore, there is little information about the role played by parenteral hydration in symptom control of these patients. In a prospective trial that involved all 17 inoperable bowel-obstructed patients presenting to our services with a decompressive NGT, patients were randomized to OCT 0.3 mg/day or SB 60 mg/day for 3 days through a …

Clinical Problems with Transdermal Fentanyl Titration from 25 to 50 μg/hr

2001

T-Shirt Days

2018

Breast Cancer in Two Ex‑Votos, A Millennia Apart: Patients’ Hope and Faith Expressed Through the Centuries in Votive Offerings

2023

A votive offering or ex-voto includes a variety of usually non-professional artworks offered to divinities and placed in religious sites to fulfill a vow or in gratitude for recovery from an illness or injury. Unfortunately, the ancient period lacks a scientifically verifiable understanding of the true nature of cancer and its natural history and, consequently, a lack of effective treatment. This paper discusses two ex-votos potentially related to breast cancer distant more than 2000 years, one from the other. The ex-votos convey the complex relationship of humans with illness through an art expression stemming from the heart and minds of ordinary people.