Search results for "palliative care"
showing 9 items of 329 documents
Ethical issues: invasive ventilation in amyotrophic lateral sclerosis.
2012
The first man was a school headmaster. By his eye-gaze system he is able to order coins to enlarge his 10-year collection. His grandchildren extort presents from him in exchange for help. The second was a prefect and even now insists that the flowers in the garden represent the national flag. In spite of his gastrostomy, he still likes to sip his espresso from porcelain cups. The ventilation circuit 24/7 has not changed his custom to read the newspapers and listen to classical music in the living room. That girl is a young mum. She is fed by a tube, but she always makes her little child laugh with the dialectal phrases that she writes on the screen. The surgeon, every day in his electric wh…
Pancoast's syndrome caused by lymph node metastasis from breast cancer.
2018
Pancoast’s syndrome may be the result of neoplastic, inflammatory or infectious disease. We report an unusual case of Pancoast’s syndrome in a patient with metastatic breast cancer. A 54-year-old woman, affected by metastatic breast cancer, presented for severe shoulder pain, paraesthesia and numbness in the right arm. Despite further multiple lines of systemic chemotherapy, she developed a progressive enlargement of retropectoral, supraclavicular and infraclavicular lymph node metastases, which involved brachial plexus, apex of lung and anterior mediastinum. Physical examination revealed severe weakness of proximal muscles of the right arm. Neuropathic pain was managed with pharmacological…
Helsepersonells erfaringer og tanker om bruk av frivillige i palliativ omsorg
2017
Health care personnel’s experiences and thoughts on the use of volunteers in palliative care in a social perspectiveThe government of Norway is planning for the municipalities’ health care resources, including volunteering. The purpose of this study was to shed light on the experiences and thoughts of a group of health care personnel on the use of volunteers in palliative care in the community health care services, and to discuss the findings in a social perspective. Individual interviews were conducted with seven nurses and three nursing assistants. Using a qualitative content analysis three categories emerged: "The importance of organization, clarification and responsibility," "Qualificat…
Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study.
2022
Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman’s correlation coefficients were categorized as weak (rs &l…
Elpas trūkums onkoloģiskiem pacientiem. Biežums un problēmas risinājums
2018
Elpas trūkums ir viens no visbiežākajiem un mokošākajiem vēža pacientu simptomiem. Katram pacientam šo simptomu etioloģija, patoģenēze un smaguma pakāpe atšķiras, tas traucē efektīvai ārstēšanai un ir nepieciešama individualizēta pieeja. Šis pētījums izvērtē elpas trūkuma sastopamību un kā tā tiek menedžēta starp termināliem vēža slimniekiem, kā arī simptomu dinamiku un individuālās pacientu atšķirības. Tā kā elpas trūkums ir subjektīvs simptoms un vāji korelē ar objektīviem veselības parametriem, šādi mērījumi šajā pētījumā netiks iekļauti, liekot uzsvaru uz dažādām ārstēšanas metodēm gan farmakoloģiskām, gan nefarmakoloģiskām. Lai to paveiktu, tika izveidota anketa, kas tika izsniegta 46 …
The Palliative Care in the Metastatic Spinal Tumors. A Systematic Review on the Radiotherapy and Surgical Perspective
2022
Spine represents the most common site for metastatic disease involvement. Due to the close relationship between the spinal cord and critical structures, therapeutic management of spinal metastases remains challenging. Spinal localization can lead to neurological sequelae, which can significantly affect the quality of life in patients with a limited life expectancy. The authors conducted a systematic literature review according to PRISMA guidelines in order to determine the impact of the most updated palliative care on spinal metastases. The initial literature search retrieved 2526 articles, manually screened based on detailed exclusion criteria. Finally, 65 studies met the inclusion criteri…
Pediatrisku pacientu paliatīvās aprūpes kvalitāte
2017
Maģistra darba tēma ,,Pediatrisku pacientu paliatīvās aprūpes kvalitāte”. Tēmas aktualitāti nosaka pediatrisku pacientu skaita pieaugums katru gadu. Darba mērķis -noskaidrot un analizēt māsu un vecāku viedokli par pediatrisku pacientu paliatīvās aprūpes kvalitāti. Darba uzdevumi: pielietot pētījuma teorētiskajā pamatojumā pamatvajadzību aprūpes teoriju un komforta teoriju, izpētīt un analizēt zinātnisko literatūru par pediatrisku pacientu paliatīvās aprūpes kvalitāti un tās vērtēšanu, izstrādāt un aprakstīt pētniecības instrumentus, veidot respondentu atlasi, organizēt un veikt māsu anketēšanu un intervijas ar pacientu vecākiem, aprakstīt un analizēt pētījuma rezultātus, izstrādāt un argume…
Risk stratification at primary care centres in Valencia (Spain) to activate integrated care pathways for elderly patients with chronic conditions
2017
Introduction: The activation of integrated care pathways is not always easy and is time-consuming, so the standardized use of stratification tools (ST) can support health care professionals in decision-making processes. Several ST –developed and validated in the United States– have been implemented in the Valencia Region (Spain) at primary care (PC) centres to identify elders with multimorbidity at risk of suffering future hospital admissions (FHA). In spite of the usefulness of these instruments, it would be recommended to apply STs which have been specifically designed on the basis of the Spanish healthcare system and the characteristics of its population. Thus, the objective of this stud…
Palliative Care and End-of-Life Issues in Patients with Brain Cancer Admitted to ICU
2023
Background and Objectives: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. Materials and Methods: We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). Results: We identified 967 articles and, after excluding 952 articles in accordance with the PRISMA flow chart, we included a total of 15 articles in the final selection. The potential role of palliative care in neuro-oncology appears necessary to ensure comprehensive end-of-life patient care. However, this seems under…