Palliative Care最新文献_第2页

Palliative Care Ethics: Medicine’s Duty to Help 姑息治疗伦理:医学的帮助责任

Palliative Care Pub Date : 2019-04-06 DOI: 10.5772/INTECHOPEN.85160

Ş. Keleş

引用次数: 1

Palliative Care Network in Brazil 巴西姑息治疗网络

Palliative Care Pub Date : 2019-03-28 DOI: 10.5772/INTECHOPEN.85169

J. Munis, Juliana Dias Reis Pessalacia, Jacqueline Resende Boaventura, Ana Paula Da Silva, Luciana Ferreira Da Silva, Aires Garcia dos Santos Júnior, A. M. Ferreira

引用次数: 0

Palliative Care Education for Everybody 人人享有姑息治疗教育

Palliative Care Pub Date : 2019-03-26 DOI: 10.5772/INTECHOPEN.85496

G. Bollig

引用次数: 2

Communication with Families in the Last Days of a Patient’s Life and Optimal Delivery of a Death Pronouncement 在病人生命的最后几天与家属的沟通和最佳的死亡宣告

Palliative Care Pub Date : 2019-03-12 DOI: 10.5772/INTECHOPEN.84730

Soichiro Okamoto, Yu Uneno, M. Mori, Takashi Yamaguchi, N. Nakajima

引用次数: 1

Advance care planning in dementia: recommendations for healthcare professionals. 痴呆症的预先护理计划:对医疗保健专业人员的建议

Palliative Care Pub Date : 2019-02-27 eCollection Date: 2019-01-01 DOI: 10.1177/1178224219826579

Karen Harrison Dening, Elizabeth L Sampson, Kay De Vries

引用次数: 21

The Marquette Palliative Care System 马奎特姑息治疗系统

Palliative Care Pub Date : 2019-02-22 DOI: 10.5772/INTECHOPEN.84475

R. Love, Sheikh Iqbal Ahamed

{"title":"The Marquette Palliative Care System","authors":"R. Love, Sheikh Iqbal Ahamed","doi":"10.5772/INTECHOPEN.84475","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84475","url":null,"abstract":"Worldwide, major clinical barriers to effective palliative care are the absence of a. current data on symptom type and intensity; b. immediately accessible information on practical, affordable, and effective interventions; and c. self-sustaining systems to facilitate physician engagement in continuing palliative care. Our adaptable system, developed for Bangladesh and Nepal, addresses these barriers. A tele-home palliative care program facilitates home care, minimizes expense, and encourages efficient professional practitioner involvement employing two information technology tools: a patient cell-phone “app” on the Android platform with a 15-item symptom questionnaire and an Internet website with health information sections for patients/families and for clinicians. The physician section contains a guide for patient symptom review, clinical practice palliative care guidelines, secured patient demographics, medical summaries, and current and past symptom reports along with prescription-writing capability. The system is managed by a local organization that registers patients and their physicians, instructs patients on the free download-able application and completes their demographic and medical summaries, and arranges collection of a modest fee. The organization also ensures regular physician/ clinic visits by the patient or by a family member with a patient phone check-in, at least every 2 weeks.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/INTECHOPEN.84475","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47986635","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}

引用次数: 2

Palliative care and public health: an asymmetrical relationship? 姑息治疗和公共卫生：一种不对称的关系？

Palliative Care Pub Date : 2019-02-20 eCollection Date: 2019-01-01 DOI: 10.1177/1178224218819745

Sandy Whitelaw, David Clark

{"title":"Palliative care and public health: an asymmetrical relationship?","authors":"Sandy Whitelaw, David Clark","doi":"10.1177/1178224218819745","DOIUrl":"10.1177/1178224218819745","url":null,"abstract":"Interest in the potential for public health and palliative care to work together is now widely established. Based on a mapping review of existing literature, we describe for the first time the ways in which public health has entered palliative care policy and practice and how this has been specifically articulated. We then go on to pursue analytical and critical lines of enquiry that are largely absent from the existing literature. We do this in three ways: (i) by considering why the link between public health and palliative care has become so ubiquitous within palliative care policy; (ii) by establishing how this has been constructed; and (iii) by exploring public health as a 'reference discipline' from which its 'secondary deployment' can become embedded inside another disciplinary field. From this, we develop a range of critical perspectives on the relationship between public health and palliative care by scrutinising its claims of utility and effectiveness and questioning the strength of the interdisciplinary interaction between the two disciplines. We see their relationship in a 'cross disciplinary' context which is still largely symbolic and tactical in nature. We conclude by considering the significance of these insights for policy and practice, with two possible scenarios. If the use of public health is essentially figurative and its resources are not unique, the particular and exclusive use of the term becomes insignificant. Progressive and effective policy and practice is possible, independent of any explicit public health label. If however public health is considered to have intrinsic and definable worth, we suggest that this currently asymmetrical association needs to be significantly developed with much higher levels of theoretical, practical and critical engagement between the two disciplines. Such work would result in more reflective and robust policy and practice.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37006753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary palliative care in southern Brazil: the legacy of Cicely Saunders. 巴西南部的初级姑息治疗:Cicely Saunders的遗产。

Palliative Care Pub Date : 2019-02-18 eCollection Date: 2019-01-01 DOI: 10.1177/1178224219825874

Santiago Rodríguez Corrêa, Carla Mazuko, David Clark

引用次数: 1

The effectiveness of pancreatic enzyme replacement therapy for malabsorption in advanced pancreatic cancer, a pilot study. 胰酶替代疗法治疗晚期胰腺癌吸收不良的有效性，一项初步研究。

Palliative Care Pub Date : 2019-02-17 eCollection Date: 2019-01-01 DOI: 10.1177/1178224218825270

Amanda Landers, Helen Brown, Matthew Strother

{"title":"The effectiveness of pancreatic enzyme replacement therapy for malabsorption in advanced pancreatic cancer, a pilot study.","authors":"Amanda Landers, Helen Brown, Matthew Strother","doi":"10.1177/1178224218825270","DOIUrl":"https://doi.org/10.1177/1178224218825270","url":null,"abstract":"Advanced adenocarcinoma of the pancreas has a globally poor prognosis. One of the characteristic features of pancreatic cancer (PC) is pancreatic exocrine insufficiency (PEI). This leads to a malabsorption syndrome and subsequent digestive symptoms. Given the high prevalence of PEI and malabsorption in PC, empiric use of pancreatic enzyme replacement therapy (PERT) is recommended. The aim of this pilot study was to determine the potential efficacy of PERT in improving symptoms and quality of life in those with metastatic PC. The study recruited patients with advanced PC referred to a specialist palliative care service. Following an initial assessment, patients were commenced on pancrealipase 25,000IU (Creon) and reassessed after 1 week and 3 weeks post-initiation of supplementation. These assessments included demographics, malabsorption symptom checklist, and completion of two validated quality-of-life questionnaires, the European Organisation for Research and Treatment of Cancer QLQ-C30 and QLQ-PAN26. PERT was associated with statistically significant improvement of symptoms in both the general (QLQ-C30) and pancreatic cancer specific tool (PAN26). Within 1 week of PERT initiation, there was a reduction in diarrhoea scores (26 vs. 8, p<0.005), pancreatic and hepatic pain (47 vs. 33 and 24 vs. 11, respectively, p<0.05). After 3 weeks, there were significant improvements in pancreatic pain and bloating/gas symptoms (47 vs. 26 and 46 vs. 26, respectively, p< 0.005). PERT appears to have the potential to improve symptoms of malabsorption in patients with metastatic PC.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1178224218825270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36994851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

What is hypnosis and how might it work? 什么是催眠?它是如何起作用的?

Palliative Care Pub Date : 2019-01-31 eCollection Date: 2019-01-01 DOI: 10.1177/1178224219826581

Ann Williamson

引用次数: 13