keyword
MENU ▼
Read by QxMD icon Read
search

terminally ill patients

keyword
https://www.readbyqxmd.com/read/29778648/impact-of-insulin-on-the-intestinal-microcirculation-in-a-model-of-sepsis-related-hyperglycemia
#1
Alexa Caldwell, Jan Niklas Morick, Anne-Marie Jentsch, Annette Wegener, Dragan Pavlovic, Nadia Al-Banna, Christian Lehmann
BACKGROUND: Sepsis involves dysfunctional glucose metabolism. Among patients with sepsis, hyperglycemia is frequent and insulin administration has been evaluated for glycemic control to improve patient outcomes. Only few studies have examined the hyperglycemic microcirculation and the impact of insulin on the microvasculature in sepsis. OBJECTIVE: To study the functional capillary density (FCD) and leukocyte activation within the intestinal microcirculation in endotoxin-induced experimental sepsis...
May 17, 2018: Microvascular Research
https://www.readbyqxmd.com/read/29776431/validation-of-verbal-autopsy-methods-using-hospital-medical-records-a-case-study-in-vietnam
#2
Hong Thi Tran, Hoa Phuong Nguyen, Sue M Walker, Peter S Hill, Chalapati Rao
BACKGROUND: Information on causes of death (COD) is crucial for measuring the health outcomes of populations and progress towards the Sustainable Development Goals. In many countries such as Vietnam where the civil registration and vital statistics (CRVS) system is dysfunctional, information on vital events will continue to rely on verbal autopsy (VA) methods. This study assesses the validity of VA methods used in Vietnam, and provides recommendations on methods for implementing VA validation studies in Vietnam...
May 18, 2018: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29764322/biting-the-hands-that-feed-the-alligators-a-case-study-in-morbid-obesity-extremes-end-of-life-care-and-prohibitions-on-harming-and-accelerating-the-end-of-life
#3
Michael J Malinowski
Obesity, recognized as a disease in the U.S. and at times as a terminal illness due to associated medical complications, is an American epidemic according to the Centers for Disease Control and Prevention ("CDC"), American Heart Association ("AHA"), and other authorities. More than one third of Americans (39.8% of adults and 18.5% of children) are medically obese. This article focuses on cases of "extreme morbid obesity" ("EMO")-situations in which death is imminent without aggressive medical interventions, and bariatric surgery is the only treatment option with a realistic possibility of success...
March 2018: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29754123/psychiatry-trainees-attitudes-towards-euthanasia-and-physician-assisted-suicide
#4
M-I Kontaxaki, K Paplos, M Dasopoulou, V Kontaxakis
We investigated the attitudes towards Euthanasia (EUT) and Physician-Assisted Suicide (PAS) in a sample of Greek Psychiatry trainees (PT), (n=120, mean age 32.01±0.21, male 60.0%) and compared these to those of medical trainees of other specialties (OMT), i.e. internal medicine, surgery, intensive care (n=154, mean age 32.97±1.17, male 57.1%). Most of the responders were for the acceptance of EUT and PAS under some circumstances. More often PT answer "never" in the question regarding the permission to withdraw life-sustaining medical treatment to hasten death, if that requested by a terminally ill patient (p<0...
January 2018: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29753102/it-s-not-what-you-think-associations-between-perceived-cognitive-and-physical-status-and-prognostic-understanding-in-patients-with-advanced-cancer
#5
Keiko Kurita, Eugenia L Siegler, M Cary Reid, Renee C Maciejewski, Holly G Prigerson
CONTEXT: Patients with advanced cancer often overestimate their time left to live. Those who have heightened awareness of their cognitive and physical deficits at the end of life may have a better prognostic understanding. OBJECTIVES: We sought to investigate the extent to which patients' self-reports of physical well-being and cognitive function were associated with prognostic understanding. METHODS: Logistic regression analyzed data from Coping with Cancer II, a National Cancer Institute-funded study of patients with advanced cancer from nine US cancer clinics...
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29747631/feasibility-acceptability-and-adaption-of-dignity-therapy-a-mixed-methods-study-achieving-360%C3%A2-feedback
#6
Sandra Stephanie Mai, Swantje Goebel, Elisabeth Jentschke, Birgitt van Oorschot, Karl-Heinz Renner, Martin Weber
BACKGROUND: Dignity Therapy (DT) is a short-term intervention to reduce psychological suffering in end-of-life care. Its strength lies in evidenced-based development and investigation. The aim of the present study is to investigate the feasibility of DT at German palliative care units (PCU), as well as the acceptability and adaption of a German version of the DT question protocol (DTQP). METHOD: A clinical multicentre mixed methods study, whereby patients and relatives provided quantitative (feedback questionnaires) and qualitative (cognitive interviews) data on the DT intervention...
May 10, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29743759/knowledge-and-attitude-of-er-and-intensive-care-unit-physicians-toward-do-not-resuscitate-in-a-tertiary-care-center-in-saudi-arabia-a-survey-study
#7
Alaa Gouda, Norah Alrasheed, Alaa Ali, Ahmad Allaf, Najd Almudaiheem, Youssuf Ali, Ahmad Alghabban, Sami Alsalolami
Introduction: Only a few studies from Arab Muslim countries address do-not-resuscitate (DNR) practice. The knowledge of physicians about the existing policy and the attitude towards DNR were surveyed. Objective: The objective of this study is to identify the knowledge of the participants of the local DNR policy and barriers of addressing DNR including religious background. Methods: A questionnaire has been distributed to Emergency Room (ER) and Intensive Care Unit (ICU) physicians...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29737245/palliative-care-volunteerism-across-the-healthcare-system-a-survey-study
#8
Steven Vanderstichelen, Dirk Houttekier, Joachim Cohen, Yanna Van Wesemael, Luc Deliens, Kenneth Chambaere
BACKGROUND: Volunteers fulfil several roles in supporting terminally ill people and their relatives and can positively influence quality of care. Healthcare in many countries faces resource constraints and some governments now expect communities to provide an increasing proportion of palliative care. However, systematic insights into volunteer presence, tasks and training and organisational challenges for volunteerism are lacking. AIM: Describe organised volunteerism in palliative direct patient care across the Flemish healthcare system (Belgium)...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29736126/perceived-barriers-to-symptoms-management-among-family-caregivers-of-cancer-patients
#9
Malathi G Nayak, Anice George, M S Vidyasagar
Introduction: Caring for patients with advanced disease involves many concerns for caregivers. All aspects of health of the caregiver is compromised in the process of caring for the cancer patients. Usually, most of the terminally ill cancer patients live with their caregivers at home. Objectives: The aims of the present study was to identify the barriers to symptom management among caregivers of cancer patients and to find the association between perceived barriers to symptom management of caregivers' with their demographic variables and their patients' disease-related variables...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29734814/the-optimal-cutoff-point-for-expressing-revised-edmonton-symptom-assessment-system-scores-as-binary-data-indicating-the-presence-or-absence-of-symptoms
#10
Jun Kako, Masamitsu Kobayashi, Yusuke Kanno, Asao Ogawa, Tomofumi Miura, Yoshihisa Matsumoto
CONTEXT: Terminally ill patients with cancer experience various physical and emotional symptoms that have a negative impact on quality of life and activities of daily living. Recently, revised Edmonton Symptom Assessment System (ESAS-r) scores have been proposed for assessing symptoms in terminally ill patients with cancer. OBJECTIVE: To determine the optimal cutoff point for expressing ESAS-r scores as binary data, indicating the presence or absence of symptoms...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29733062/actitud-del-personal-m%C3%A3-dico-de-un-servicio-de-pediatr%C3%A3-a-ante-la-muerte-de-los-pacientes
#11
Luz María Sánchez-Sánchez, Edreí Daniel López-Córdova, Pedro Siller-Gómez
Introducción: Los médicos de hospitales de tercer nivel requie-ren alta competencia emocional, ya que enfrentan las de-mandas de enfermos terminales y sus fami-liares. Objetivo: Evaluar la actitud de médicos de un servicio de pediatría ante la muerte de los pacientes. Método: Médicos adscritos y residentes de pediatría contestaron anónimamente el Cuestionario de Actitudes ante la Muerte (CAM). Se utilizaron frecuencias absolutas, porcentajes, medias, desviaciones estándar, t de Student y chi cuadrado...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29729350/secondary-traumatization-and-proneness-to-dissociation-among-palliative-care-workers-a-cross-sectional-study
#12
Tali Samson, Pesach Shvartzman
CONTEXT: Exposure to dying patients can contribute to secondary traumatic stress among palliative care workers. Peritraumatic dissociation, an individual's personal proneness to dissociation during exposure to a stressful event, is the strongest predictor of post-traumatic stress, but existing research on its relationship to secondary traumatic stress is limited. OBJECTIVE: To compare the level of secondary traumatic stress among palliative workers with clinical levels of peritraumatic dissociation compared to those without clinical levels of peritraumatic dissociation...
May 2, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29727329/indicated-but-not-always-appropriate-surgery-in-terminally-ill-patients-with-abdominal-catastrophe
#13
Zara Cooper
No abstract text is available yet for this article.
May 1, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29722608/lysergic-acid-diethylamide-and-psilocybin-for-the-management-of-patients-with-persistent-pain-a-potential-role
#14
Andy Whelan, Mark I Johnson
Recently, there has been interest in lysergic acid diethylamide (LSD) and psilocybin for depression, anxiety and fear of death in terminal illness. The aim of this review is to discuss the potential use of LSD and psilocybin for patients with persistent pain. LSD and psilocybin are 5-hydroxytryptamine receptor agonists and may interact with nociceptive and antinociceptive processing. Tentative evidence from a systematic review suggests that LSD (7 studies, 323 participants) and psilocybin (3 studies, 92 participants) may be beneficial for depression and anxiety associated with distress in life-threatening diseases...
May 3, 2018: Pain Management
https://www.readbyqxmd.com/read/29718859/the-do-not-resuscitate-order-for-terminal-cancer-patients-in-mainland-china-a-retrospective-study
#15
Bo-Yan Huang, Hui-Ping Chen, Ying Wang, Yao-Tiao Deng, Ting-Wu Yi, Yu Jiang
With the development of palliative care, a signed do-not-resuscitate (DNR) order has become increasingly popular worldwide. However, there is no legal guarantee of a signed DNR order for patients with cancer in mainland China. This study aimed to estimate the status of DNR order signing before patient death in the cancer center of a large tertiary affiliated teaching hospital in western China. Patient demographics and disease-related characteristics were also analyzed.This was a retrospective chart analysis...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29714640/cannabis-in-end-of-life-care-examining-attitudes-and-practices-of-palliative-care-providers
#16
Rachel Luba, Mitch Earleywine, Stacey Farmer, Melissa Slavin
Medical cannabis research has become quite extensive, with indications ranging from glaucoma to chemotherapy-induced nausea. Despite increased interest in cannabis' potential medical uses, research barriers, cannabis legislation, stigma, and lack of dissemination of data contribute to low adoption for some medical populations. Of interest, cannabis use appears low in palliative care settings, with few guidelines available to palliative care providers. The present study sought to examine the attitudes, beliefs, and practices of palliative care providers regarding the use of cannabis for terminally ill patients...
May 1, 2018: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/29713689/improving-rates-of-implantable-cardioverter-defibrillator-deactivation-in-end-of-life-care
#17
M R Javaid, Suzanne Squirrell, Fahad Farooqi
Implantable cardioverter defibrillators (ICDs) save lives in selected patients at risk of sudden cardiac death. However, in patents suffering with terminal illness, ICD therapy could pose a risk of unnecessary futile shocks which could lead to undignified discomfort in their final days of life. National guidelines advise that patients approaching the end of their natural life should be offered a compassionate choice of having their defibrillator deactivated. Following an actual clinical incident involving a patient receiving avoidable ICD shocks in his final hours, we identified shortcomings in communication and gaps in knowledge about ICD management in end-of-life care...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29713623/nutrition-intervention-through-interdisciplinary-medical-treatment-in-hospice-patients-from-admission-to-death
#18
Hyelim Kang, Yu Jin Yang, Juyeon Park, Gyu Jin Heo, Jeong-Im Hong, Hye-Jin Kim
The demand for hospice services as well as for 'well-dying' of terminal patients is increasing as patient financial burden is decreasing due to National Health Insurance coverage for hospice care. Hospice institutions utilize interdisciplinary teams comprising doctors, nurses, dietitians, and other health staffs to provide comprehensive patient management. This report examined the nutritional status of a hospice patient from admission to death as well as the nutrition management of this patient in the hospice ward through nutrition interventions performed by a dietitian in the interdisciplinary team...
April 2018: Clinical Nutrition Research
https://www.readbyqxmd.com/read/29713302/alleviation-of-psychological-distress-and-the-improvement-of-quality-of-life-in-patients-with-amyotrophic-lateral-sclerosis-adaptation-of-a-short-term-psychotherapeutic-intervention
#19
Moritz Caspar Franz Oberstadt, Peter Esser, Joseph Classen, Anja Mehnert
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that is inevitably fatal. To be diagnosed with a terminal illness such as ALS deeply affects one's personal existence and goes along with significant changes regarding the physical, emotional, and social domains of the patients' life. ALS patients have to face a rapidly debilitating physical decline which restrains mobility and impairs all activities of daily living. This progressive loss of autonomy may lead to a sense of hopelessness and loss of quality of life, which in turn may even result in thoughts about physician-assisted suicide...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29710177/economics-of-palliative-care-for-hospitalized-adults-with-serious-illness-a-meta-analysis
#20
Peter May, Charles Normand, J Brian Cassel, Egidio Del Fabbro, Robert L Fine, Reagan Menz, Corey A Morrison, Joan D Penrod, Chessie Robinson, R Sean Morrison
Importance: Economics of care for adults with serious illness is a policy priority worldwide. Palliative care may lower costs for hospitalized adults, but the evidence has important limitations. Objective: To estimate the association of palliative care consultation (PCC) with direct hospital costs for adults with serious illness. Data Sources: Systematic searches of the Embase, PsycINFO, CENTRAL, PubMed, CINAHL, and EconLit databases were performed for English-language journal articles using keywords in the domains of palliative care (eg, palliative, terminal) and economics (eg, cost, utilization), with limiters for hospital and consultation...
April 30, 2018: JAMA Internal Medicine
keyword
keyword
31811
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"