Search results for "END OF LIFE"
showing 10 items of 21 documents
Green Roofs’ End of Life: A Literature Review
2023
Green roofs are increasingly being used in urban settings because of the many benefits they are capable of providing. Because of their widespread use, the issue of how to conduct proper disposal of green roofs once they have reached their end of life is beginning to be raised. The present study is a review of the scientific literature published between 2007 and 2022. Specifically, the contribution of this review study is to clarify whether a waste scenario exists and if so, identify the methodological frameworks and/or criteria used in green roof-related studies to establish the end-of-life scenario of a given green roof, which will then be used to analyze its environmental and economic per…
Le sollecitazioni delle Corti e l’inerzia del legislatore in tema di suicidio assistito. Un confronto tra Italia e Inghilterra
2019
Starting from the analysis of the decision of the Italian Constitutional Court on the ���Cappato case���, the essay is the occasion for a joint reflection between Italian constitutional law and comparative law on the subject of assisted suicide and euthanasia, which seems to determine the inertia of the legislators in the face of activism of the Courts, perpetually seeking a dialogue with the first. To suffer the most serious damage of these attitudes are the sick, who in this matter more than ever need certainty to the law.
End of life pedagogy and empathetic guidance
2019
The scientific progress has recently provoked profound physical and conceptual changes related to the end of life (EOL), and it has been necessary an intense debate about EOL and euthanasy. It is significant to define death as the absence of life qualities and not as a physical end. Hence, the end stage of our life is a crucial and meaningful moment. For this reason, it is essential to try to integrate the purely technical perspective with an ethic of guidance, which allows patients to live in dignity their death. For this reason, it urges to engage a continue and deep educational and experiential co-construction on the end of life, aware of its precariousness.
Palliative sedation in advanced cancer patients followed at home: A retrospective analysis
2012
Abstract CONTEXT: Data regarding palliative sedation at home in dying patients are lacking. OBJECTIVES: To describe the frequency, indication, and modality of palliative sedation (PS) in patients followed at home. METHODS: A retrospective analysis of home care cancer patients was performed. Patients who received PS before dying were selected and information about epidemiologic characteristics, indications, duration, drugs, and outcomes was collected. RESULTS: Of 370 medical charts of patients who died at home, 49 patients received PS before dying. PS was proposed by the team, relatives, or both in 63.3%, 4.1%, and 32.6% of cases, respectively. Delirium alone or in combination with other sym…
Palliative care quality indicators in Italy. What do we evaluate?
2012
Purpose In recent years, the number of palliative service providers has increased significantly. This expansion necessitates an evaluation in order to provide the basis for quality improvement of the care. Policymakers, managers of palliative care programs, and others committed to the improvement of end-of-life care need methods and criteria to measure and evaluate the care delivered. As quality measurement is expensive and difficult to undertake, it is fundamental that quality measures evaluate the right things. Quality evaluation in Italy is supported by health authorities who have developed some indicators of palliative care. The aims of this study were to give an overview of these indic…
Gestion de casos en pacientes con cronicidad compleja y con necesidades al final de la vida. Análisis de los resultados
2019
Introduction: Los programas de gestion de casos (GC) surgieron como un nuevo enfoque en la atencion de personas con problemas de salud complejos con el objetivo de mejorar la calidad de vida y de procurar por la eficiencia en el uso de recursos. Theory/methods: Desde 2010, en el Departament de Salud Valencia-LaFe se desarrolla la GC sobre dos grupos de poblacion: pacientes con cronicidad compleja y con necesidades paliativas (oncologicos y no oncologicos). En ambos casos, la atencion se caracteriza por desarrollar intervenciones de seguimiento programado y continuo, y por la posibilidad de proporcionar atencion avanzada en domicilio ante la identificacion temprana de necesidades y exacerb…
Palliative sedation in patients with advanced cancer followed at home: A systematic review
2011
Abstract Context Patients with advanced cancer who are near the end of life may experience intolerable suffering refractory to targeted palliative therapies. Palliative sedation (PS) is considered to be an effective treatment modality for these refractory symptoms when aggressive efforts fail to provide relief. Objectives The aim of this study was to systematically review articles regarding PS performed at home in patients with intractable symptoms. Methods Literature databases searched included MedLine, PubMed, and EMBASE. The text words and MeSH/EMTREE terms "home care" and "sedation" were used for electronic database searches. Results Six articles met the inclusion criteria for research …
End-of-Life Care in High-Grade Glioma Patients. The Palliative and Supportive Perspective.
2018
High-grade gliomas (HGGs) are the most frequently diagnosed primary brain tumors. Even though it has been demonstrated that combined surgical therapy, chemotherapy, and radiotherapy improve survival, HGGs still harbor a very poor prognosis and limited overall survival. Differently from other types of primary neoplasm, HGG manifests also as a neurological disease. According to this, palliative care of HGG patients represents a peculiar challenge for healthcare providers and caregivers since it has to be directed to both general and neurological cancer symptoms. In this way, the end-of-life (EOL) phase of HGG patients appears to be like a journey through medical issues, progressive neurologic…
Espiritualidad en atención paliativa: evidencias sobre la intervención con counselling
2015
Las necesidades espirituales, cuando son elaboradas de forma efectiva, ayudarán a la persona al final de la vida a encontrar significado, mantener la esperanza y aceptar la muerte. El counselling es una de las terapias más utilizadas para mejorar estas necesidades. El objetivo del presente trabajo es ofrecer evidencia sobre la eficacia de esta terapia para la mejora de la espiritualidad de los pacientes atendidos en diversos dispositivos de salud. Para conseguirlo, se llevó a cabo una intervención de tres semanas en 131 pacientes de atención domiciliaria y hospitalizados. Tenían una edad media de 70.61 años (DT = 11.17). El 51.1% eran hombres. Se evaluó la espiritualidad de los pacientes an…
A Role for Judges in Assisted Dying
2009
Medically provoked death, whether euthanasia or assisted suicide, is a common issue for discussion in various forums, participants coming from widely differing fields of knowledge, among who are, of course, doctors. Substantial legal differences exist in Europe on this issue and in an ever-wider Europe, it is essential, for practical reasons, that legislation be standardised. We would like to propose possible regulations that would provide effective safeguards in the application of euthanasia or assisted suicide.