Medicina Paliativa最新文献

{"title":"Fiebre y dolor en la cadera derecha tras la colocación de endoprótesis biliar","authors":"Á. Rubiales, Alba Puente García, Marta Orozco Belinchón, Elvira Morán Cuadrado","doi":"10.20986/MEDPAL.2021.1194/2020","DOIUrl":"https://doi.org/10.20986/MEDPAL.2021.1194/2020","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68133478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Varón anciano con cáncer de mama tratado con opioides en unidad de cuidados paliativos de Hospital Público en El Salvador.","authors":"Hilda Aracely Magaña Guardado","doi":"10.20986/medpal.2021.1251/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1251/2021","url":null,"abstract":"Breast cancer in men is a rare disease, it represents less than 1░% of all male cancers; and almost 1░% of breast cancers, and is responsible for 0.1░% of cancer deaths in men. The most common type of breast cancer seen in men is invasive ductal carcinoma, which accounts for approximately 90░% of all male breast cancers. The present study reports the case of a 97-year-old man who was diagnosed with invasive infiltrating ductal carcinoma who was treated with opioids in a palliative care unit. In this case, which is rare in the medical literature due to the type of diagnosis, sex and age of the patient, we observe that the proper use of opioids, teamwork, closeness with the family member and follow-up over time make better decisions are made about treatment, comfort and quality of life is better.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68135242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tanatología y afrontamiento del personal de salud ante la muerte en la pandemia COVID-19","authors":"M. D. L. L. Casas Martínez, Ignacio Mora Magaña","doi":"10.20986/medpal.2021.1257/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1257/2021","url":null,"abstract":"Objective: To determine the coping level of health personnel with death after having received or not training in palliative care. Method: A cross-sectional survey study. Application of the Bugen Scale as validated for Mexico, in a Likert-scale format, in a sample of 394 health staffers;one participant was excluded for not signing a letter of consent. The survey was addressed to health personnel in the public and private sectors, who were currently practicing medicine and who agreed to answer the survey. A Mann-Whitney U-test was performed to compare responses to the scale. Result: Significance was found in the Bugen scale in favor of those who took a thanatology course. The Mann Whitney U-test between those who took a thanatology course and those who did not clearly favored those who took a thanatology course in all responses. Comparison using the Kruskal-Wallis test showed that there were differences in the responses as compared according to the following categories: sex (p = 0.002), religion (p = 0.023), and adulthood (≥ 50 years vs < 50 years) (p = 0.000) The comparisons by marital status and professional field showed no differences when contrasted. Conclusions: Based on the results presented, we consider that the training of health personnel in the thanatological field should be considered both curricularly and extracurricularly, since it constitutes a tool for personal reflection that positively influences own attitudes, communication and the physician-patient relationship. © 2021 Sociedad Espanola de Cuidados Paliativos. All rights reserved.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68135526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paniculitis Mesentérica: ¿es algo de lo que nos tenemos que preocupar?","authors":"Irene Martínez García, Claudio Calvo Espinós","doi":"10.20986/medpal.2021.1273/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1273/2021","url":null,"abstract":"Mesenteric panniculitis is a rare entity, and even less detected except incidentally. However, it can be associated with very prevalent symptoms in palliative care. We present a case that illustrates this problem, as a way of thinking about it.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68136325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La Ley de la Eutanasia: una oportunidad para el desarrollo de los cuidados paliativos en España","authors":"Miguel Angel Cuervo Pinna","doi":"10.20986/medpal.2021.1310/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1310/2021","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68137990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trayectorias de complejidad en final de vida: un estudio multicéntrico prospectivo observacional longitudinal","authors":"Xavier Busquet-Duran, Eva Maria Jiménez-Zafra, Magda Tura-Poma, Olga BOSC-DeLaROSA, Josep María Manresa-Domínguez, Pere Toran-Monserra","doi":"10.20986/MEDPAL.2021.1155/2020","DOIUrl":"https://doi.org/10.20986/MEDPAL.2021.1155/2020","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68130830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Encuesta de opinión a pacientes ingresados en un centro monográfico de cáncer sobre el modo de recibir la información. Estudio descriptivo y transversal.","authors":"Agnès Calsina-Berna, Montse Bleda Perez, Margarita Alvaro Pardo, Joaquim Juli-Torras, J. Muñoz","doi":"10.20986/MEDPAL.2021.1159/2020","DOIUrl":"https://doi.org/10.20986/MEDPAL.2021.1159/2020","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68131990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efectos de la intervención fisioterapéutica en la calidad de vida y el control de síntomas de los pacientes con cáncer avanzado en cuidados paliativos. Una revisión sistemática","authors":"Isabel Cristina Ángel Bustos, Catalina Lopera Muñetón, Silvia Patricia Betancur Bedoya, Sebastian Grajales Toro","doi":"10.20986/MEDPAL.2021.1195/2020","DOIUrl":"https://doi.org/10.20986/MEDPAL.2021.1195/2020","url":null,"abstract":"Introduction: Patients with advanced cancer have a significant loss of functionality, caused by treatment and progression of pathology; in many cases aggravated by prolonged immobilization, which has a significant impact on their quality of life. Due to functional alterations and the trend in the integral treatment of the cancer patient, the role of the physiotherapist has expanded and diversified within the interdisciplinary care team. The objective of the present study is to identify the effects of physical intervention on quality of life and symptom control of cancer patients in palliative care. Material and method: A systematic review was carried out, which consulted the databases The Cochrane Central Register of Controlled Trial (CENTRAL), MEDLINE PubMed, EMBASE, PubMed, Lilacs, and PsycINFO. For prospective and ongoing trials, the WHO International Clinical Trial Registration Platform (ICTRP) search portal, the National Institute of Health clinical trials database, and the International Register of Controlled Trials were reviewed. The search was carried out between 2009 and 2019, considering four types of study design: controlled clinical trials, uncontrolled clinical trials, pre-post interventions, and cohorts. 2148 articles were founded. Results: Five articles met the inclusion criteria; men and women between 35 and 80 years of age, with advanced cancer, in palliative care treatment, intervened by physiotherapy, performed a physiotherapeutic intervention, physiotherapy intervention was compared with basic care or non-intervention, and validated scales were used for quality of life measurement and symptom control. Conclusions: Although changes in the symptomatology and quality of life of patients with advanced cancer in palliative care have been shown, it is uncertain to determine the effectiveness of Physiotherapeutic intervention in that population. Mainly because few studies were identified in the subject, finding low quality of evidence.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68133500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Análisis Comparativo de la Necesidad de Cuidados Paliativos y la Capacidad Instalada para la Atención en el Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (ISSSTE), México, 2019.","authors":"J. A. Ramos-Guerrero, L. Hernandez-Flores, Alejandro Quiroz-Hernández, Mónica Moreno-Camacho, Ramiro López-Elizalde","doi":"10.20986/MEDPAL.2021.1227/2020","DOIUrl":"https://doi.org/10.20986/MEDPAL.2021.1227/2020","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68134314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participación latinoamericana en la producción científica de Medicina Paliativa","authors":"R. M. Hernández, Rafel Garay-Argandoña, Juan José Flores-Cueto","doi":"10.20986/medpal.2021.1256/2021","DOIUrl":"https://doi.org/10.20986/medpal.2021.1256/2021","url":null,"abstract":"","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"261 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68135434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}