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Nutrition, Diabetes, Palliative care

Amanda Hanora Lavan, Paul Gallagher, Carole Parsons, Denis O'Mahony
Objective: to validate STOPPFrail, a list of explicit criteria for potentially inappropriate medication (PIM) use in frail older adults with limited life expectancy. Design: a Delphi consensus survey of an expert panel comprising academic geriatricians, clinical pharmacologists, palliative care physicians, old age psychiatrists, general practitioners and clinical pharmacists. Setting: Ireland. Subjects: seventeen panellists...
July 1, 2017: Age and Ageing
Deepak Manjiani, D Baby Paul, Sreekumar Kunnumpurath, Alan David Kaye, Nalini Vadivelu
BACKGROUND: Pain can significantly influence an individual's health status and can have serious negative consequences: poor nutrition, decreased appetite, abnormal sleep patterns, fatigue, and impairment of daily living activities. Pain can cause psychological impairment and decrease healing and recovery from injuries and illness. A hallmark of many chronic conditions, pain affects more patients' lives than diabetes mellitus, heart disease, and cancer combined. However, many chronic sufferers do not have access to effective pain management for a variety of reasons, including limited access, restrictions, and personal and cultural biases...
2014: Ochsner Journal
N Jover, T Traissac, G Pinganaud, J-B Moras, M Rainfray, I Bourdel-Marchasson
OBJECTIVE: Observation of insulin use in consecutive hospitalized diabetic older patients in acute care wards with reference to nutritional intakes, measures of functional status, and varying clinical situations. METHODS: Prospective case study in a geriatric medicine ward with CGA, dietary intake measure and used insulin dosage. RESULTS: Among 600 inpatients, 90 diabetic subjects were found. Only 12.2 % diabetic patients had MMSE > 23 and 23...
May 2009: Journal of Nutrition, Health & Aging
James R Yankaskas, Bruce C Marshall, Beth Sufian, Richard H Simon, David Rodman
No abstract text is available yet for this article.
January 2004: Chest
E Hentschel, S Meryn
Due to the progressive clinical course and unchanged poor prognosis of pancreatic cancer supportive therapy has to focus on improvement of the quality of life. Pain control is best achieved with slow release opiates and by chemoablation of the coeliac plexus. Furthermore, management of anorexia with megestrol acetate and tumor-adapted enteral and parenteral nutritional therapy are discussed. The treatment of chemotherapy-induced side effects with haemopoetic growth factors and antiemetics is dealt with as well...
1994: Wiener Klinische Wochenschrift
A K Webb
Aggressive palliative therapy which includes antibiotics, physiotherapy, exercise and adequate nutrition remain the basis for treatment and account for improved survival into adulthood. However, although mean actuarial survival into the third decade of life is to be expected in well organised cystic fibrosis centres, a plateau has probably been reached and we need innovative forms of treatment before we can expect further improvements. Indeed, as patients have matured into adulthood new clinical problems have arisen; diabetes is more common, liver disease can progress, and vasculitis may affect joints, skin and brain...
January 26, 1991: Schweizerische Medizinische Wochenschrift
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