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Letteratura scientifica selezionata sul tema "Palliative care"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 31 luglio 2024

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Articoli di riviste sul tema "Palliative care"

Signer, Michaela. "Depression in Palliative Care". Therapeutische Umschau 69, n. 2 (1 febbraio 2012): 99–106. http://dx.doi.org/10.1024/0040-5930/a000259.

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Depression ist eine häufige komorbide behandlungsbedürftige Störung, diedie Lebensqualität von Patienten und ihren Angehörigen erheblich beeinträchtigt. Phänomenologisch ist in palliativen Situationen ein breites Spektrum an Störungen anzutreffen, die es voneinander abzugrenzen gilt: "normal" zu wertende Reaktionen auf eine unheilbare Erkrankung wie Trauer, Wut und Verzweiflung bis hin zu schweren depressiven Störungen. Durch häufige Symptomüberschneidungen zwischen der somatischen Grunderkrankung und einer Depression sind die gängigen ICD-10-Kriterien zur Diagnosestellung Depression in der Palliative Care nicht anwendbar. Es empfiehlt sich, alle Symptome auszuschließen, die auch Folge der Grunderkrankung sein könnten. Durch eine adäquate palliative Betreuung als eines der wenigen Evidenz-basierten Elemente in der Betreuung palliativer Patienten mit Depression kann eine maximale Prävention erreicht werden. Bei der Therapieauswahl sollte neben dem Therapieziel die zu erwartende verbleibende Lebenszeit richtungweisend sein.

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Kornblith, Alice B. "Does Palliative Care Palliate?" Journal of Clinical Oncology 19, n. 8 (15 aprile 2001): 2111–13. http://dx.doi.org/10.1200/jco.2001.19.8.2111.

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Carey, Peter. "Researching Palliative Care Researching Palliative Care". Nursing Standard 15, n. 41 (27 giugno 2001): 29. http://dx.doi.org/10.7748/ns2001.06.15.41.29.b126.

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Hertler, Caroline, e Thomas Hundsberger. "Palliative Care in der Neurologie". Praxis 110, n. 15 (novembre 2021): 897–901. http://dx.doi.org/10.1024/1661-8157/a003786.

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Zusammenfassung. In der Neurologie als Disziplin finden sich klare Überschneidungen mit der Palliative Care. Dennoch findet eine frühe Integration von palliativer Versorgung begleitend zur neurologischen Behandlung eher selten statt, und weiterhin bestehen Missverständnisse in Bezug auf den Zeitpunkt des Einbezugs von Palliative Care und deren Rolle jenseits der oft verwechselten reinen «End-of-Life Care» und Hospizpflege. Ein weiterer Ausbau und die Nutzung der Synergien sollte in den kommenden Jahren integraler Bestandteil beider Disziplinen werden und eine entsprechende Schulung insbesondere junger ärztlicher Kolleginnen und Kollegen im Fokus der Ausbildung stehen.

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Wadiwala, Janvi, Mausam Patel, Chenghui Li, Sanjay Maraboyina, Ahmed Safar e Thomas Kim. "Health care disparities and barriers to palliative care among metastatic renal cell carcinoma patients: An NCDB analysis." Journal of Clinical Oncology 39, n. 15_suppl (20 maggio 2021): 4545. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.4545.

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4545 Background: Palliative care improves quality of life for both patients and caregivers but may be underutilized due to socioeconomic barriers to access. An NCDB analysis was performed to analyze the effect of socioeconomics on palliative care receipt among patients with metastatic renal cell carcinoma. Methods: A retrospective hospital-based analysis was performed using the National Cancer Database to identify variables that significantly affect receipt of palliative care among patients diagnosed with metastatic renal cell carcinoma diagnosed between 2004 and 2016. Sub-cohort analysis was also performed among patients with the most severe disease. Multivariate binominal logistic regression was performed to determine the association of underlying socioeconomics with receipt of palliative care. The odds of receiving palliative care based on socioeconomic factors was reported as odds ratios (OR) with 95% CI. Results: There were 50405 patients meeting inclusion criteria with 40448 (80.2%) undergoing no palliation and 9957 (19.8%) undergoing palliative care. Both Black and Spanish/Hispanic patients had decreased odds of receiving palliative care (OR, 0.816, 95% CI, 0.753 to 0.885 and OR, 0.599, 95% CI, 0.540 to 0.665, respectively). Increasing age, papillary histology, increasing income, and increasing distance were also significantly associated with decreased odds of receiving palliation while treatment at an integrated network cancer program or comprehensive community cancer program and higher educational attainment were associated with increased odds of receiving palliative care. Similar findings were demonstrated among patients with the most severe disease. Limitations include the retrospective design and potential underlying selection biases of this study. Conclusions: Significant associations between receipt of palliative care and socioeconomic factors exist among patients with metastatic renal cell carcinoma. In this study among patients with metastatic renal cancer, we found associations between socioeconomics and palliative care access including age, race, Spanish/Hispanic origin, income, education, and other factors.

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Henriksen, K. "Palliative Care Symposium: Promoting Joint Palliative Care". Journal of the Royal College of Physicians of Edinburgh 41, n. 3 (19 settembre 2011): 254–55. http://dx.doi.org/10.4997/jrcpe.2011.316.

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Alsirafy, Samy A., Ahmad M. Abou-Alia e Hafez M. Ghanem. "Palliative Care Consultation Versus Palliative Care Unit". American Journal of Hospice and Palliative Medicine® 32, n. 3 (2 dicembre 2013): 275–79. http://dx.doi.org/10.1177/1049909113514476.

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Franjic, Sinisa. "Nursing in Palliative Care". Emergency and Nursing Management 1, n. 1 (21 dicembre 2022): 01–04. http://dx.doi.org/10.58489/2836-2179/001.

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Palliative care is the best example of the art of nursing that looks at the circumstances and difficulties that cause suffering and affect the quality of life of patients. Palliative care is comprehensive care aimed at providing the necessary health care to patients with incurable diseases. A palliative approach is a completely holistic approach to another person, one of whom is a health professional and the other a patient. Palliative care interventions are aimed primarily at reducing suffering and pain which improves the quality of life of patients. The nurse is responsible for planning, conducting and evaluating health care with continuous assessment, educating patients and families, and collaborating with other members of the interdisciplinary team.

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Ganapathy Sankar U., Monisha R., Christopher Amalraj Vallaba Doss e Palanivel R. M. "Evaluation of palliative care knowledge among health care students- A pilot study". International Journal of Research in Pharmaceutical Sciences 11, n. 2 (3 aprile 2020): 1433–37. http://dx.doi.org/10.26452/ijrps.v11i2.2015.

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Palliative care is given much importance in the curriculum of medical and health sciences. Before planning a new design and curriculum development, it is mandatory to test the knowledge and awareness of Occupational therapy students on palliative care. Thus it will help the expert’s panel to enhance the syllabus designing methods appropriate to the student’s knowledge. Without paying much attention to enhance knowledge on palliative care among students might lead to failure in providing quality care. To evaluate the knowledge in palliative care among undergraduate occupational therapy students. The study population included BOT 1ST Year and BOT Final year students and CRI from SRM College OF Occupational therapy, Kattankulathur. After obtaining informed consent signed from the participants, they have been instructed to fill in the questionnaire. The questionnaire has demographic data and 35 questions under nine groups, for which the students were instructed to answer (Yes, No, Don’t know). A detailed instruction was there in the questionnaire to avoid leaving any questions blank. It was found that occupational therapy students were aware of palliative care. Knowledge in palliative care was not precise among occupational therapy students related to healthcare. Hence there is an emerging need to include palliate care in the curriculum for the development of knowledge in palliative care.

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Bierle, Rebecca (Schuetz), Karen M. Vuckovic e Catherine J. Ryan. "Integrating Palliative Care Into Heart Failure Management". Critical Care Nurse 41, n. 3 (1 giugno 2021): e9-e18. http://dx.doi.org/10.4037/ccn2021877.

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Background The World Health Organization defines palliative care as an approach that improves the quality of life of patients and their families through the prevention and relief of suffering by assessment and treatment of physical, psychosocial, and spiritual problems. Any patient with chronic debilitating disease, including heart failure, is a candidate for interdisciplinary palliative care to manage their complex physical and psychosocial needs. Clinical Relevance The philosophy of palliative care has evolved to include a vision of holistic care extended to all individuals with serious illness and their families or caregivers that should be integrated throughout the continuum of care, including the acute phase. The critical care nurse will likely encounter patients with heart failure who are receiving or are eligible to receive palliative care at various time points during their illness. Critical care nurses therefore play a pivotal role in symptom palliation affecting the heart failure patient’s quality of life. Purpose To review the models of palliative care and the role that the critical care nurse plays in symptom palliation and preparation of the patient and their family for transition to other levels and settings of care. Content Covered This review addresses the principles and models of palliative care along with how to integrate these principles into all phases of the heart failure disease continuum. Also included are recommendations for palliation of symptoms specific to heart failure patients as well as a discussion of the role of the critical care nurse and the importance of shared decision-making.

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Tesi sul tema "Palliative care"

Perun, O., e V. Klimenko. "Palliative care". Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27488.

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Perun, O., e V. Klimenko. "Palliative care". Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27492.

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Ortenmo, Andreas. "Efter utbildning av palliativa ombud : En utvärdering av möjligheter och hinder i arbetet med palliativa frågor". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192506.

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Syfte: Syftet med denna studie var att utvärdera om de palliativa ombud som utbildats av Palliativt Kompetenscentrum mellan hösten 2008 och våren 2012 anser att de kan arbeta med palliativa frågor på sin arbetsplats. Metod: En icke experimentell empirisk tvärsnittsstudie med mixad metod i form av en enkätundersökning riktad till samtliga som gått utbildningen till palliativt ombud och som lämnat sin e-postadress vid kursregistreringen. Resultat: Både medarbetare och överordnade ger ett bra stöd i arbetet med palliativa frågor och i ambitionen att arbeta enligt ett palliativt förhållningssätt. Stödet upplevs starkare från medarbetare än från överordnade. Det palliativa förhållningssättet fungerar bra bland personalen på arbetsplatsen. Tidsbrist, att palliativa frågor inte prioriteras och ett ointresse från överordnade upplevs som de största hindren i arbetet som palliativt ombud. Medarbetarna är intresserade av att arbeta enligt ett palliativt förhållningssätt, men mer tid behövs för utbildning. Grundutbildningen till palliativt ombud ger ett gott stöd i arbetet med palliativa frågor. Slutsats: Grundutbildningen till palliativa ombud ger ett gott stöd i arbetet med palliativa frågor. Tidsbrist är det främsta hindret i arbetet med palliativa frågor och mer utrymme att utveckla vården och utbilda personal efterfrågas. Den palliativa vården bör få högre prioritet.
Objective: The aim of this study was to evaluate if the palliative agents trained by Palliativt Kompetenscentrum between autumn 2008 and spring 2012 believe that they can work with palliative care issues in their workplace. Methods: A non-experimental empirical cross-sectional study with a mixed method in the form of a survey directed to all palliative agents who left their email address at course registration. Results: Both the employee and the supervisor gives good support in palliative care issues and in the ambition to work according to a palliative approach. Stronger support is experienced from employees than from superiors. The palliative approach works well among staff in the workplace. Lack of time, low priority of palliative care issues and disinterest from superiors is perceived as the main obstacles. Employees are interested in working according to a palliative approach, but more time is needed for training. Basic training for palliative agents provides good support in palliative care issues. Conclusion: Basic Training for palliative agent gives a good support in the work with palliative care issues. Lack of time is the main obstacle and more time to develop the care and training of staff is required. Palliative care should be given higher priority.

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Ngowi, Epiphania. "Assessing palliative care policies in Africa: Implication for paediatric palliative care". Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32956.

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Around the world, there are millions of children who need palliative care from the moment they are diagnosed with life-threatening and life-limiting illnesses, yet very few children have access to palliative care services. In many African countries, where palliative care is still new, many children with chronic illnesses continue to experience needless pain and suffering. The World Health Assembly Resolution 67.19 made a clear call for governments around the world to implement palliative care policies. Such policies should support the “comprehensive strengthening of health systems to integrate evidence-based, costeffective and equitable palliative care services in the continuum of care, across all levels of care”. However, despite these frequent calls, no specific policies target the provision of paediatric palliative care in Africa. This dissertation consists of three parts. Part A is the study protocol, which consists of the introduction and the study methodology. The study is qualitative in nature and it adopted the Walt and Gilson framework for extraction of data and analysis of palliative care policies in Africa. The study used publicly available policy documents, which were identified and obtained from government websites, international agencies' websites and through communication with palliative care experts. An excel spreadsheet was used to extract data, which was analysed thematically. Part B is a literature review of available published and unpublished work pertaining to paediatric palliative care in Africa. It provides the historical background of palliative care and defines palliative care and paediatric palliative care as well as exploring the general literature on paediatric palliative care, and the evidence on the existence of palliative care policies in Africa. Part C is a journal manuscript. It follows the structure and guidelines of the journal of the Health Policy and Planning. The manuscript begins with introduction and the study methods. Further, the study used publicly available policy documents on palliative care in Africa published from 2002 until 2018. An appropriate conceptual framework was chosen, and the results of the policy analysis are provided and followed by the discussion section and conclusions. The study findings indicate that few palliative care policies exist in Africa, and children's palliative care needs are not adequately included and addressed. The findings further show that there was no single policy targeting paediatric palliative care, and children were included among the larger population. As such, palliative care needs were not sufficiently addressed. Only three policies (South Africa, Zimbabwe, and Malawi) clearly address paediatric palliative care needs. The study, therefore, argues that for children with life threatening and life-limiting conditions to be free from pain, African governments need to formulate specific policies that will guide the provision of paediatric palliative care. This study is likely contribute to policy making processes, acts as a reference document for academics and students and provides an advocacy tool for activists, nongovernmental organizations (NGOs), and civil society organizations (CSOs) working on children's welfare and human rights issues more broadly. Further, the findings of the study may contribute to formulating specific palliative care policies for children, particularly in African countries that lack such policies.

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Spaar-Huber, Silvia. "Sozialarbeit unterwegs zu Palliative Care?! zur Funktion der Sozialarbeit in Palliative Care". Zunzgen Rubigen Bern Ed. Soziothek, 2006. http://www.soziothek.ch/?978-3-03796-154-4.

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Greaves, Judith M. "Understanding palliative care: An ethnographic study of three Australian palliative care services". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2005. https://ro.ecu.edu.au/theses/1553.

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Palliative care commenced in Australia in the early 1980s. Although the value of palliative care has become more widely recognised by the public and other health care professionals, there is still a lack of understanding about what palliative care is and the depth and scope of this specialty area of health care. The research that I present in this thesis is based on examination of palliative care practice in a selection of Australian services, undertaken with the aim of enhancing understanding of Palliative Care. The significance of the research arises from the notion that members of the Australian community should be well informed about health care options available to them. Understanding palliative care and the ability to differentiate palliative care from other end-of-life care is important if people are to make informed decisions about supporting, accessing, and using services appropriate to their needs. An interpretive ethnographic study from a symbolic interactionist perspective was undertaken in three palliative care services, one in each of the major Australian cities of Sydney. Melbourne, and Perth. Each palliative care service had been established for at least ten years, and was part of a larger health care facility. A fourth service, a purpose-built three-year-old unit, was added during the course of the research to provide contrast to the emerging analyses. As an experienced palliative care nurse, I assumed the role of marginal native as the primary research instrument. Data collection was by means of participant observation, formal and informal interviews, and examination of supplementary data sources, with two months spent in each of the three study sites. Interpretations made from ethnographic observation of these Australian palliative care services showed a diversity of practice, best understood within the context of the particular service. The major findings are presented under the headings of Politics, Place, People, and Practice of Palliative Care. Common approaches to provision of care were found in creating an appropriate physical environment for patients, with an underlying mission to "make the best of things." Patients cared for in the settings were a similar cohort of middle aged to elderly cancer patients. In general, staff shared expectations of appropriate types of patients and showed discomfort or lack of understanding in caring for non-cancer patients, or patients from non-Australian, non-Christian, and non-English speaking backgrounds. Practice diversity was highlighted by the range of technology used and variations in the availability of social activities for patients in the services. These two: areas in particular warrant further research to examine the outcomes associated with these variations, in terms of survival time, quality of life, and service costs. These findings are particularly relevant at this time when the Australian Government is attempting to enhance access to palliative care. The diversity of practice uncovered in this study suggests that discussions and decisions about allocation of resources and development of services must take into consideration the various interpretations of palliative care services that may exist. The findings also reinforce the need for sound evidence-based studies to examine the impact of variations and the types of populations that might be best served by different types of palliative care support.

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Täckström, Linda, Annette Johansson e Lundholm Anne Björkegren. "Relations in palliative care". Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3601.

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Abstract

Background: Relation means the relationship between two parts. By creating a good relation between nurse and patient you can conduce a better caring. Aim: The aim of the study was to illustrate the relation within palliative care from nurse- patient perspective. Method: The study is a literature review where ten articles were analysed with qualitative content analysis. Results: The findings showed that knowledge, communication, continuity, silence and availability were the most important thing for the nurse in the relationship. Energy, regular contacts, having time and the nurse being able to listen was most important for the patient. In the encounter between the nurse and patient, communication is fundamental for understanding in the conversation where the patient tried to find information about treatment, medicament and the illness. The most valuable was being able to talk about feelings. You must get to know the patient as the person he is to be able to know his interests and what he considers important. Continuity is a prerequisite to make the patient feel safe and secure. Conclusion: Being able to pay attention to unspoken needs and understanding why the patient reacts the way he does is a proof that knowledge has appeared.

Keywords: Relationship, relation nurse – patient, communication, palliative care.

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Buttry, Nancy Kyle. "Palliative Care: Viewpoints from Nurses". OpenSIUC, 2016. https://opensiuc.lib.siu.edu/dissertations/1300.

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TITLE: Palliative Care: Viewpoints from Nurses Palliative Care has been described as care that includes the physical, intellectual, emotional, social, and spiritual needs of an individual when they are diagnosed with a serious or life-limiting illness. The ultimate goal of palliative care is to promote the best quality of life possible. Palliative care should be implemented across the lifespan and across different health care settings. The purpose of this study was to describe the perceptions, impact, and meaning of palliative care from the viewpoint of nurses who provide basic palliative care to patients and their families. This study used a qualitative design to investigate the meaning, experiences, and feelings of nurses who provide palliative care in small or critical access hospitals and other agencies in this rural area. Three focus groups and eleven interviews were conducted with nurses working in a variety of agencies from October 2015 to February 2016. The four themes that emerged from the data included inconsistencies, knowledge deficits, communication issues, and emotional responses and rewards to providing palliative care. The themes focused on the need for clarification of the meaning of palliative care, more education on the topic and better communication. The nurses shared that it was rewarding to provide palliative care but identified barriers that they felt should be addressed. Nurses participating in the study did not perceive that they had palliative care at their agencies. Recommendations included that more health education about palliative care be provided to healthcare professionals, the community, and individuals with life-limiting illnesses and their families. Key words: palliative care, quality of life, life-limiting illness, nursing

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Goldsborough, Jennifer. "Palliative Care Integration in the Intensive Care Unit". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4787.

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Palliative health care is offered to any patient experiencing a life limiting or life changing illness. The palliative approach includes goals of care, expert symptom management, and advance care planning in order to reduce patient suffering. Complex care can be provided by palliative care specialists while primary palliative care can be given by educated staff nurses. However, according to the literature, intensive care unit (ICU) nurses have demonstrated a lack of knowledge in the provision of primary care as well as experiencing moral distress from that lack of knowledge. In this doctor of nursing practice staff education project, the problem of ICU nurses' lack of knowledge was addressed. Framed within Rosswurm and Larrabee's model for evidence-based practice, the purpose of this project was to develop an evidence-based staff education plan. The outcomes included a literature review matrix, an educational curriculum plan, and a pretest and posttest of questions based on the evidence in the curriculum plan. A physician and a master's prepared social worker, both certified in palliative care, and a hospital nurse educator served as content experts. They evaluated the curriculum plan using a dichotomous 6-item format and concluded that the items met the intent of the objectives. They also conducted content validation on each of the pretest/posttest items using a Likert-type scale ranging from 1 (not relevant) to 4 (very relevant). The content validation index was 0.82 indicating that test items were relevant to the educational curriculum objectives. Primary palliative care by educated ICU nurses can result in positive social change by facilitating empowerment of patients and their families in personal goal-directed care and reduction of suffering.

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Daniels, Alexandra. "Paediatric Palliative Care - describing patient needs and the experiences of caregivers and health care workers in a Cape Town Paediatric Intermediate Care Facility". Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33603.

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Aim: The study describes the population (and care needs) of children admitted to the facility, the experiences of their primary caregivers and the health care workers caring for them. Methodology: This was a descriptive study that utilised elements of both prospective and crosssectional design. The health records of 25 patients were reviewed and matched caregivers partook in a three-part questionnaire. Focus group discussions were conducted with 15 health care workers at a single point during the study. Results: The majority (48%) of patients were referred to the facility for transitional care, the average length of stay was calculated at 97 days and pain was identified as the most prevalent symptom. Despite significant degrees of worry, most primary caregivers derived emotional strength and spiritual meaning from the experience of caring for their child. Health care workers valued access to training, appropriate resources, and support to meet the challenge of caring for children and families with specific care needs. Conclusion/Recommendations: These results conclude that children living with LL or LTC's and their families have complex holistic care needs that require a comprehensive approach. In order to best meet these needs, at ICF level, health care workers need to be assured access to a range of skills, resources and support.

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Più fonti

Libri sul tema "Palliative care"

Kränzle, Susanne, Ulrike Schmid e Christa Seeger, a cura di. Palliative Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 2018. http://dx.doi.org/10.1007/978-3-662-56151-5.

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Kränzle, Susanne, Ulrike Schmid e Christa Seeger, a cura di. Palliative Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-41608-8.

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Kränzle, S., U. Schmid e C. Seeger, a cura di. Palliative Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-20934-5.

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Loitman, Jane E., Christian T. Sinclair e Michael J. Fisch, a cura di. Palliative Care. Totowa, NJ: Humana Press, 2010. http://dx.doi.org/10.1007/978-1-60761-590-3.

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Kränzle, Susanne, Ulrike Schmid e Christa Seeger. Palliative Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-01325-6.

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Faull, Christina. Palliative care. Oxford: Oxford University Press, 2002.

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Campbell, Heather. Palliative care. Harlow, England: Pearson Education, 2012.

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B, Regnard Claud F., a cura di. Palliative care. Newcastle: Pentaxion Limited, 1995.

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B, Regnard Claud F., Gamlin Richard e Thompson John, a cura di. Palliative care. Newcastle: St Oswald's Hospice, 1994.

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Kränzle, S. Palliative Care. 3^a ed. Heidelberg: Springer Medizin, 2010.

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Più fonti

Capitoli di libri sul tema "Palliative care"

Breakwell, Susan. "Palliative Care". In Clinical Case Studies in Home Health Care, 437–46. West Sussex UK: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118785744.ch41.

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Inserra, Alessandro, e Alessandro Crocoli. "Palliative Care". In Neuroblastoma, 375–83. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18396-7_22.

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Alt-Epping, Bernd. "Palliative Care". In Radiation Oncology, 1–8. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-52619-5_116-1.

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Alt-Epping, Bernd. "Palliative Care". In Radiation Oncology, 1–8. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-52619-5_116-2.

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Fink, Ezekiel. "Palliative Care". In Pain, 933–36. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99124-5_198.

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Sloan, John P. "Palliative Care". In Protocols in Primary Care Geriatrics, 107–12. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-1884-5_15.

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Green, Jennifer, e Michael Green. "Palliative care". In Dealing with Death, 103–13. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-7216-3_12.

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Bergsträsser, Eva. "Palliative Care". In Plastische Chirurgie bei Kindern und Jugendlichen, 103–6. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-662-51391-0_13.

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Smith, Mary Denise, e Amy Guthrie. "Palliative Care". In Blood and Marrow Transplant Handbook, 277–80. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-7506-5_25.

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Brook, Lynda. "Palliative Care". In Pediatric Hematology and Oncology, 392–414. Oxford, UK: Wiley-Blackwell, 2010. http://dx.doi.org/10.1002/9781444315134.ch23.

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Atti di convegni sul tema "Palliative care"

Alencar, Rafisah Sekeff Simão, Larissa Bispo Alves Roncen, Maria Eduarda de Oliveira Rodrigues e Marcos Curcio Angelini. "Glioblastoma and Palliative Care". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.090.

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Background: Glioblastoma is a primary malignant tumor of the central nervous system with 12 to 15 month survival. Its prognosis, considering the initial diagnosis, equals to stage 4 of other types of cancer, being recommended to consider palliative care, with advanced care planning, at an early stage of the disease. Such care is complex due to the significant symptoms, being necessary to reduce the symptomatic charge to maintain the patient’s quality of life. Objective: Analyze the early practice of palliation in patients with glioblastoma. Methods: A literature review was carried out on the PubMed, BVS and Scielo platforms using the descriptors: “Glioblastoma” AND “Palliative Care.” 7 articles were selected in the english language, published in the last 5 years. Results: The quality of life of patients with glioblastoma gradually reduces. In that sense, cognitive decline compromises end-of-life care with relation to patient autonomy. However, antecipate guidelines were found completed late to the course of the disease, possibly after loss of decisionmaking capacity. Moreover, despite the proven benefits of palliation, early involvement of palliative care is rare in neuro- oncology, with the excessive use of chemotherapy among terminal patients. Conclusions: The late practice of palliation and of early guidelines in patients with glioblastoma affect the management of symptoms and quality of life of those patients.

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Vilcu, Dana mihaela. "ELEARNING AND MOBILE APPS IN PALLIATIVE CARE". In eLSE 2016. Carol I National Defence University Publishing House, 2016. http://dx.doi.org/10.12753/2066-026x-16-057.

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On one hand, roughly speaking, palliative care is a multidisciplinary approach aiming to improve the quality of life of people facing life-threatening illness, and of their families. As such, it is included -- more or less -- in the health system of each country. On the other hand, due to the increased usage of Internet, mobile phones and tablets, eLearning and mobile applications (in short apps) can effectively improve the quality of life. The purpose of this paper is to identify how palliative care could benefit from those IT tools. The domains of issues associated with illness and bereavement are presented corroborated to appropriates eLearning tools and mobile apps. We survey of the nowadays eLearning tools and mobile apps for palliative care, and propose new ideas for their development in this direction. With this respect, we also mention possibilities of collaboration between IT developers and the specialists in palliation, specifying for each case the specialization needed by each part. Other approaches to these IT tools are given: by their type, by their users, by their specific domains. Much has been done in some parts of the world to improve the palliative care, including the direction of IT; we specify how to make the respective tools useful here and elsewhere. Concluding, the paper can be seen as a collection of descriptions of existing tools, proposed tools, and ideas about making eLearning tools and apps for palliative care useful everywhere. Last but not least, we mention that the eLearning and mobile apps tools considered here are never supposed to substitute the specialist, but to give support to the patient, to the personal care of the patient and/or to the corresponding specialist.

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Crispin, Helen, Carol Davis, Robert Chambers e Karen Haynes. "P-195 ‘palliative critical care’: transforming the relationship between intensive care and palliative care". In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.220.

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Reis, Arsénio, Eliza Bento da Guia, Vitor Rodrigues e João Barroso. "Supporting Palliative Care Services". In International Workshop on Artificial Intelligence for Health. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0006752607020706.

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Bedford, Linda. "17 Palliative radiotherapy". In Marie Curie Palliative Care Research Conference. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-mariecuriepalliativecare.17.

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Boardman, Anne, Barbara Collumbine, Mandy Greaves e Kellie Gittins. "P-252 Healthcare assistants in palliative care: a new voice for palliative care?" In Thinking Differently Hospice UK National Conference, 06–08 November 2023, Liverpool. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-hunc.270.

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Davies, Gwenllian, Ed O’Brian, Anthony Williams, Sian Davies-Kumar, Beth Hewes, Rosanna Ashford, Rachel Lilley e Andedep Chohan. "110 Specialist Palliative Care Paramedics". In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress, Sustaining Each Other, Growing Together, 16–17 March 2023, The Edinburgh International Conference Centre (EICC), Edinburgh, Scotland. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-pcc.130.

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Potocnik, Iztok. "#36092 Dexmedetomidine in palliative care". In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.422.

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Crispin, HK, K. Haynes, A. Cran, E. Murphy, R. Chambers e CL Davis. "8 ‘palliative critical care’: evolution of a hospital palliative care service in the intensive care unit setting". In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.8.

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Larkin, Philip. "E1 Palliative nursing—an essential component for the future of palliative care". In Sapporo Conference for Palliative and Supportive Care Abstracts. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-scpsc.31.

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Rapporti di organizzazioni sul tema "Palliative care"

Aslakson, M.D., Ph.D., Rebecca, Sydney M. Dy, M.D., M.S. e Renee F. Wilson, M.S. Assessment Tools for Palliative Care. Agency for Healthcare Research and Quality (AHRQ), 2017. http://dx.doi.org/10.23970/ahrqepctb30.

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Tummala, Rohan, Andrew de Jesus, Natasha Tillett, Jeffrey Nelson e Christine Lamey. Clinical and Socioeconomic Predictors of Palliative Care Utilization. University of Tennessee Health Science Center, gennaio 2021. http://dx.doi.org/10.21007/com.lsp.2020.0006.

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INTRODUCTION: Palliative care continues to gain recognition among primary care providers, as patients suffering from chronic conditions may benefit from use of this growing service. OBJECTIVES: This single-institution quality improvement study investigates the clinical characteristics and socioeconomic status (SES) of palliative care patients and identifies predictors of palliative care utilization. METHODS: Retrospective chart review was used to compare clinical and SES parameters for three groups of patients: (1) palliative care patients who attended at least one visit since the inception of the University Clinical Health Palliative Care Clinic in Memphis, TN in October 2018 (n = 61), (2) palliative care patients who did not attend any appointments (n = 19), and (3) a randomized group of age-matched primary care patients seen by one provider from May 2018 to May 2019 (n = 36). A Poisson regression model with backward conditional variable selection was used to determine predictors of palliative care utilization. RESULTS: Patients across the three care groups did not differ in demographic parameters. Compared to palliative care-referred non-users and primary care patients, palliative care patients tended to have lower health risk (p < 0.001). Palliative care patients did not differ from primary care patients in socioeconomic status but did differ in comorbidity distribution, having a higher prevalence of cancer (𝜒2 = 14.648, df = 7, p = 0.041). Chance of 10-year survival did not differ across risk categories for palliative care patients but was significantly lower for very high-risk compared to moderate-risk primary care patients (30% vs. 78%, p = 0.019). Significant predictors of palliative care use and their corresponding incidence rate ratios (IRR) were hospital referral (IRR = 1.471; p = 0.039), higher number of prescribed medications (IRR = 1.045; p = 0.003), lower Charlson Comorbidity Index (IRR = 0.907; p = 0.003), and lower systolic blood pressure (IRR = 0.989; p = 0.004). CONCLUSIONS: Patients who are expected to benefit from and of being high utilizers of palliative care may experience greater clinical benefit from earlier referral to this service.

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Sullender, Renee, e Sarah Selenich. Financial Considerations of Hospital-Based Palliative Care. RTI Press, marzo 2016. http://dx.doi.org/10.3768/rtipress.2016.rr.0027.1603.

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Neugut, Alfred I. Racial Disparities in Palliative Care for Prostate Cancer. Fort Belvoir, VA: Defense Technical Information Center, ottobre 2013. http://dx.doi.org/10.21236/ada594511.

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Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), febbraio 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.

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Bongiovanni, Annette, e Mary Greenan. Hospice Africa Uganda: End-of-project evaluation of palliative care services. Population Council, 2009. http://dx.doi.org/10.31899/hiv11.1019.

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Alexander, Carla, Victoria Raveis, Daniel Karus e Mian Hossain. Using a Palliative Approach Early in HIV Care—The CASA Study. Patient-Centered Outcomes Research Institute® (PCORI), maggio 2020. http://dx.doi.org/10.25302/04.2020.ih.13047297.

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Alexander, Carla, Victoria Raveis, Daniel Karus e Mian Bazle Hossain. Using a Palliative Approach Early in HIV Care—The CASA Study. Patient-Centered Outcomes Research Institute (PCORI), maggio 2020. http://dx.doi.org/10.25302/05.2020.ih.13047297.

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Enguidanos, Susan, e Anna Rahman. Identifying Challenges to Using Home-Based Palliative Care for Patients with Serious Illness. Patient-Centered Outcomes Research Institute (PCORI), ottobre 2021. http://dx.doi.org/10.25302/10.2021.ihs.160234070.

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Cain, Shelby, Dana Zimmerman, Charis Oji e Michelle Rickard. Advantages of Early Utilization of Palliative Care in the Pediatric ICU: A Scoping Review. University of Tennessee Health Science Center, aprile 2022. http://dx.doi.org/10.21007/con.dnp.2022.0035.

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