Search results for "End of life"

Espiritualidad en atención paliativa: Evidencias sobre la intervención con counselling

2015

ResumenLas 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 pacie…

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…

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…

Embedding “substrate” in environmental assessment of green roofs life cycle: evidences from an application to the whole chain in a Mediterranean site

2012

Abstract A classical LCA methodology is here applied to green roofs including in this analysis also the whole life cycle of the substrate, that represented a lack of previous LCA studies on green roofs. This inclusion will allow a complete and proper application of the LCA methodology to achieve an environmental accounting of the “green roof” performance. We have here chosen to approach the problem by analysing a specific substrate, that is used within an actual extensive green roof. Afterwards, we have applied the LCA methodology to the whole actual extensive green roof whose substrate under analysis is part of. In this manner, we achieved an environmental accounting of the “green roof” pe…

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.

Evaluating the Environmental Performance of Green Roofs by a Life Cycle Approach: an Application of the LCA Method on a Case Study in Italy

2011

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…

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…

Palliative Care Principles and Anesthesiology Clinical Practice: Current Perspectives

2021

Background Palliative care is a person-centered approach aiming to relieve patient's health-related suffering and it is often needed when caring for critically ill patients to manage symptoms and identify goals of care. Aim To describe the integration of palliative care principles in anesthesiology clinical practice, within and outside the ICU and to analyze the additional challenges that COVID-19 pandemic is posing in this context. Methods For the purpose of this review, PubMed database was searched for studies concerning palliative care and end of life care, in contexts involving anesthesiologists and intensivists, published in the last 5 years. Results Anesthesiologists and intensivists …

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…