Search results for "interventio"
showing 10 items of 3167 documents
Intravenous morphine for management of cancer pain.
2010
Summary In recent years, a growing interest in palliative care and in routes of administration other than oral have prompted more aggressive measures to improve the efficacy of analgesic interventions in patients with difficult pain conditions. This review provides an overview of the use of intravenous morphine to control pain in patients with cancer. Intravenous morphine has been increasingly used in different clinical situations—including breakthrough pain, poor pain control with escalating doses of oral opioids, retitrating patients with acute pain, treating patients with long-standing poor pain control and unpredictable needs, and optimising opioid therapy to prevent incident pain assoc…
Responsive and Minimalist App Based on Explainable AI to Assess Palliative Care Needs during Bedside Consultations on Older Patients
2021
[EN] Palliative care is an alternative to standard care for gravely ill patients that has demonstrated many clinical benefits in cost-effective interventions. It is expected to grow in demand soon, so it is necessary to detect those patients who may benefit from these programs using a personalised objective criterion at the correct time. Our goal was to develop a responsive and minimalist web application embedding a 1-year mortality explainable predictive model to assess palliative care at bedside consultation. A 1-year mortality predictive model has been trained. We ranked the input variables and evaluated models with an increasing number of variables. We selected the model with the seven …
Responding to the Spiritual Needs of Palliative Care Patients: A Randomized Controlled Trial to Test the Effectiveness of the Kibo Therapeutic Interv…
2020
Context The WHO recognizes the need to attend to patients' spiritual needs as being fundamental to comprehensive and high-quality end-of-life care. Spiritual needs must be attended since the resolution of biological and psychosocial issues is insufficient to reduce patients' suffering. Associations have been found between spiritual needs and other variables of importance for patients in palliative care. Despite the consensus that exists regarding the importance of assessing and attending to spiritual needs, professionals encounter many difficulties in attempting to do so. Objectives Our study aims to demonstrate the benefits that the KIBO therapeutic interview in palliative care patients ca…
Carer’s experience of a brief systemic group intervention for Parents of young patients with Eating Disorders: A Qualitative Study.
2012
Introduction: Several studies support the importance of involving parents of adolescents with eating disorders (ED) to facilitate successful treatment. This study explored the experiences of parents of adolescents with ED after having participated in a brief systemic group intervention. Methodology: Data were obtained from a group of 12 parents (mean age = 51,82 ys; sd = 6,40), of adolescent outpatients (mean age = 18 ys; ds = 2,83) with ED, carried out in an Italian public center specializing in ED treatment. All participants filled in a questionnaire constructed specifically for this study measuring group helpful events for the individual and for the family. The content analysis was perfo…
PERCEIVED SCHOOL CLIMATE, PARENTAL MONITORING AND CYBERBULLYING AMONG ADOLESCENTS
2020
The aim of this research was to find out the connection between the perceived school climate, parental monitoring and cyberbullying among adolescents, and whether there were differences in these variables between two adolescent age groups. It was examined how the dimensions of the perceived school climate and parental monitoring explain the adolescents’ experience of cyber victims and cyberbullies. A total of 309 Latvian students from grades 5 to 12 (200 respondents from grades 5-9 and 109 respondents from grades 10-12) participated in the research. In data collection Parental Monitoring Scale (Stattin & Kerr, 2000), Georgia School Climate Survey (La Salle, McIntosh, & Eliasson, 20…
Mindfulness Training for Children with ADHD and Their Parents: A Randomized Control Trial
2021
Objective: The aim of this randomized control trial is to analyze the efficacy of a Mindfulness-based program (MYmind) in improving ADHD symptoms, associated problems, executive functions, and family functioning. Method: The sample was composed of 30 children (9–14 years old) with an ADHD diagnosis and their parents. Participants were randomized into two groups, the MYmind group ( n = 15) and a wait-list group ( n = 15). Participants were assessed in three time periods: pre-, post-intervention, and at 6-month follow-up. Results: After the program, parents reported a decrease in parenting stress and improvements in parenting styles. Six months after the intervention, parents reported signifi…
The Specific Role of Childhood Abuse, Parental Bonding, and Family Functioning in Female Adolescents With Borderline Personality Disorder.
2015
This study examined a broad variety of adverse childhood experiences in a consecutive sample of female adolescent inpatients with borderline personality disorder (BPD; n = 44) compared with a clinical control (CC; n = 47) group with mixed psychiatric diagnoses. BPD was diagnosed using a structured clinical interview; different dimensions of childhood adversity were assessed using the Childhood Experiences of Care and Abuse Questionnaire, the Parental Bonding Instrument, and the Family Assessment Device. A history of childhood adversity was significantly more common in patients with BPD than in the CC group. Using a multivariate model, sexual abuse (OR = 13.8), general family functioning (OR…
Turning a new “page”: ways to decrease the number of pages after hours without compromising patient care
2020
Pages to house staff after hours, especially overnight, lead to interrupted sleep and fatigue the next day. Although some pages are urgent, others may not need an immediate response. In this study we aimed to identify unwarranted pages and to establish ways to reduce them.Over 2 months, all pages to the Department of Pediatric Urology at the Hospital for Sick Children in Toronto, Canada, during call hours were documented, including the assessment of the responding physicians of their medical necessity. After analyzing the reasons for inappropriate pages, we took several steps to try to reduce them without impairing patient care. One year later, pages were tracked again to evaluate the effic…
An examination of the impact of care giving styles (accommodation and skilful communication and support) on the one year outcome of adolescent anorex…
2016
Abstract Background The cognitive interpersonal model predicts that parental caregiving style will impact on the rate of improvement of anorexia nervosa symptoms. The study aims to examine whether the absolute levels and the relative congruence between mothers' and fathers' care giving styles influenced the rate of change of their children's symptoms of anorexia nervosa over 12 months. Methods Triads ( n =54) consisting of patients with anorexia nervosa and both of their parents were included in the study. Caregivers completed the Caregiver Skills scale and the Accommodation and Enabling Scale at intake. Patients completed the Short Evaluation of Eating Disorders at intake and at monthly in…
Apparent Life-Threatening Events
2018
Objectives Apparent life-threatening event (ALTE) refers to a constellation of unexpected events suddenly occurring in infants that extremely alarm the observers. The objectives of this study were to evaluate 1) intervention of Emergency Service (ES) at home, 2) parental behavior before ES intervention, 3) patients' outcome at follow-up of a minimum of 6 months. Methods Retrospective study of infants younger than 12 months whose parents called ES and were evaluated for ALTE from 2005 to 2014. Tactile stimulation (TS) was defined as any maneuver performed by parents or ES staff aimed at rescuing patients without cardiopulmonary resuscitation attempts. Cardiopulmonary resuscitation was define…