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Joana Rita Carvalho, Mariana Vasconcelos, Pedro Marques da Costa, Rui Tato Marinho, Narcisa Fatela, Miguel Raimundo, Sofia Carvalhana, Fernando Ramalho, Helena Cortez-Pinto, José Velosa
BACKGROUND & AIMS: Chronic liver disease is a major worldwide cause of morbidity and mortality. Palliative care policies are not clearly established in chronic liver disease. The NECPAL CCOMS-ICO© (NECesidades PALiativas/Palliative Needs) is a tool to identify palliative care needs, including a section for liver disease. AIM: The aim of this study was to identify palliative care needs in liver patients hospitalised in a tertiary referral Liver Unit METHODS: single-center prospective observational study...
April 23, 2018: Liver International: Official Journal of the International Association for the Study of the Liver
Laura-Jane E Smith, Elizabeth Moore, Ifrah Ali, Liam Smeeth, Patrick Stone, Jennifer K Quint
INTRODUCTION: COPD is a major cause of mortality, and the unpredictable trajectory of the disease can bring challenges to end-of-life care. We aimed to investigate known prognostic variables and scores that predict prognosis in COPD in a systematic literature review, specifically including variables that contribute to risk assessment of patients for death within 12 months. METHODS: We conducted a systematic review on prognostic variables, multivariate score or models for COPD...
2017: International Journal of Chronic Obstructive Pulmonary Disease
Araceli Vicente da Silva, Eliana Zandonade, Maria Helena Costa Amorim
Objective: to identify the coping strategies used by women with breast cancer in chemotherapy and to verify the association with the anxiety profile presented by them. Method: cross-sectional study of the analytical type. We used a random sample of 307 women with cancer in previous chemotherapy, adjuvant or palliative treatment. The data was collected using an interview technique with form registration, active search in medical records, Scale of Mode of Confronting Problems and Inventory of Anxiety and State...
June 5, 2017: Revista Latino-americana de Enfermagem
Eduardo Garralda, Jeroen Hasselaar, José Miguel Carrasco, Karen Van Beek, Naouma Siouta, Agnes Csikos, Johan Menten, Carlos Centeno
BACKGROUND: Integrated palliative care (IPC) involves bringing together administrative, organisational, clinical and service aspects in order to achieve continuity of care between all actors involved in the care network of patients receiving palliative care (PC) services. The purpose of this study is to identify literature on IPC in the Spanish context, either in cancer or other advanced chronic diseases. METHODS: Systematic review of the literature about IPC published in Spain between 1995 and 2013...
May 13, 2016: BMC Palliative Care
Miguel Ángel Celis, Marco Antonio Alegría-Loyola, Alberto González-Aguilar, Jorge Martínez-Tlahuel, Dan Green-Renner, Gervith Reyes-Soto, Alfonso Arellano-Reynoso, Jesús Manuel Flores-Castro, Sergio Moreno-Jiménez, María Adela Poitevin-Chacón, Bernardo Cacho-Díaz, Eduardo Olvera-Manzanilla, Ana Ruth Díaz-Victoria, Erika Aguilar-Castañeda, Martín Granados-García, Josana Rodríguez-Orozco, Roberto Herrera-Goepfert, Miguel Ángel Álvarez-Avitia
Glioblastoma multiforme is one of the most aggressive central nervous system tumors and with worse prognosis. Until now,treatments have managed to significantly increase the survival of these patients, depending on age, cognitive status, and autonomy of the individuals themselves. Based on these parameters, both initial or recurrence treatments are performed, as well as monitoring of disease by imaging studies. When the patient enters the terminal phase and curative treatments are suspended, respect for the previous wishes of the patient and development and implementation of palliative therapies must be guaranteed...
May 2015: Gaceta Médica de México
Alvaro Sanz Rubiales, María Luisa Del Valle Rivero, Luis Alberto Flores Pérez, Silvia Hernansanz de la Calle, Celia Gutiérrez Alonso, Consuelo García Recio
OBJECTIVE: "Medicina Paliativa" is the official journal of the Spanish Society of Palliative Care ("Sociedad Española de Cuidados Paliativos"; SECPAL) and it reflects the interests, also on bioethics, of the professionals caring terminal people. We want to know what the bioethical questions they discuss and their approaches are. METHODS: From all the published articles in "Medicina Paliativa" from 1994 to 2013 we selected those referred to bioethics topics. We analysed: number of publications, author, subtype of article, year of publication, topic, philosophic approach, and the presence of answers and discussion...
January 2014: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
Xavier Gómez-Batiste, Marisa Martínez-Muñoz, Carles Blay, Jordi Amblàs, Laura Vila, Xavier Costa, Alicia Villanueva, Joan Espaulella, Jose Espinosa, Montserrat Figuerola, Carles Constante
Palliative care (PC) has focused on patients with cancer within specialist services. However, around 75% of the population in middle-income and high-income countries die of one or more chronic advanced diseases. Early identification of such patients in need of PC becomes crucial. In this feature article we describe the initial steps of the NECPAL (Necesidades Paliativas [Palliative Needs]) Programme. The focus is on development of the NECPAL tool to identify patients in need of PC; preliminary results of the NECPAL prevalence study, which assessed prevalence of advanced chronically ill patients within the population and all socio-health settings of Osona; and initial implementation of the NECPAL Programme in the region...
September 2013: BMJ Supportive & Palliative Care
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