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Paliativos

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8 papers 0 to 25 followers
By M. Carmen Martinez Velasco Internal Medicine
https://www.readbyqxmd.com/read/25614492/ckd-in-elderly-patients-managed-without-dialysis-survival-symptoms-and-quality-of-life
#1
Mark A Brown, Gemma K Collett, Elizabeth A Josland, Celine Foote, Qiang Li, Frank P Brennan
BACKGROUND AND OBJECTIVES: Survival, symptom burden, and quality of life (QOL) are uncertain for elderly patients with advanced CKD managed without dialysis. We examined these outcomes in patients managed with renal supportive care without dialysis (RSC-NFD) and those planned for or commencing dialysis. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In this prospective observational study, symptoms were measured using the Memorial Symptom Assessment Scale and the Palliative care Outcomes Scale - Symptoms (renal) inventory and QOL was measured using the Short Form-36 survey...
February 6, 2015: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/27399839/methadone-as-a-coanalgesic-for-palliative-care-cancer-patients
#2
Fanny Courtemanche, Denis Dao, Félixe Gagné, Lydjie Tremblay, Andrée Néron
BACKGROUND: Methadone offers many advantages for treating cancer pain. However, its pharmacokinetic profile makes its use as a full-dose opioid challenging. OBJECTIVES: To evaluate the efficacy and safety of low-dose methadone as an adjunct to opioids in the treatment of cancer pain in palliative care patients. DESIGN: A cohort was followed retrospectively for up to 60 days after the initiation of methadone as a coanalgesic. SETTING/SUBJECTS: Patients were eligible if they were prescribed methadone as a coanalgesic for cancer pain management and followed by the palliative care team...
September 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27382120/updates-in-the-management-of-brain-metastases
#3
REVIEW
Nils D Arvold, Eudocia Q Lee, Minesh P Mehta, Kim Margolin, Brian M Alexander, Nancy U Lin, Carey K Anders, Riccardo Soffietti, D Ross Camidge, Michael A Vogelbaum, Ian F Dunn, Patrick Y Wen
The clinical management/understanding of brain metastases (BM) has changed substantially in the last 5 years, with key advances and clinical trials highlighted in this review. Several of these changes stem from improvements in systemic therapy, which have led to better systemic control and longer overall patient survival, associated with increased time at risk for developing BM. Development of systemic therapies capable of preventing BM and controlling both intracranial and extracranial disease once BM are diagnosed is paramount...
August 2016: Neuro-oncology
https://www.readbyqxmd.com/read/25304984/understanding-by-older-patients-of-dialysis-and-conservative-management-for-chronic-kidney-failure
#4
MULTICENTER STUDY
Sarah Tonkin-Crine, Ikumi Okamoto, Geraldine M Leydon, Fliss E M Murtagh, Ken Farrington, Fergus Caskey, Hugh Rayner, Paul Roderick
BACKGROUND: Older adults with chronic kidney disease stage 5 may be offered a choice between dialysis and conservative management. Few studies have explored patients' reasons for choosing conservative management and none have compared the views of those who have chosen different treatments across renal units. STUDY DESIGN: Qualitative study with semistructured interviews. SETTINGS & PARTICIPANTS: Patients 75 years or older recruited from 9 renal units...
March 2015: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/24821710/the-challenges-of-uncertainty-and-interprofessional-collaboration-in-palliative-care-for-non-cancer-patients-in-the-community-a-systematic-review-of-views-from-patients-carers-and-health-care-professionals
#5
REVIEW
Ai Oishi, Fliss E M Murtagh
BACKGROUND: Primary care has the potential to play significant roles in providing effective palliative care for non-cancer patients. AIM: To identify, critically appraise and synthesise the existing evidence on views on the provision of palliative care for non-cancer patients by primary care providers and reveal any gaps in the evidence. DESIGN: Standard systematic review and narrative synthesis. DATA SOURCES: MEDLINE, Embase, CINAHL, PsycINFO, Applied Social Science Abstract and the Cochrane library were searched in 2012...
October 2014: Palliative Medicine
https://www.readbyqxmd.com/read/23885011/after-hours-physician-care-for-patients-with-do-not-resuscitate-orders-an-observational-cohort-study
#6
Nin-Chieh Hsu, Ray-E Chang, Hung-Bin Tsai, Yu-Feng Lin, Chin-Chung Shu, Wen-Je Ko, Chong-Jen Yu
BACKGROUND: Medical care at night for patients with do-not-resuscitate orders and the practice patterns of the on-call residents have rarely been reported. AIM: To evaluate the after-hours physician care for patients with do-not-resuscitate orders in the general medicine ward. DESIGN: Observational study. SETTING/PARTICIPANTS: This study was conducted at an urban, university-affiliated academic medical center in Taiwan...
March 2014: Palliative Medicine
https://www.readbyqxmd.com/read/19542532/palliative-sedation-therapy-does-not-hasten-death-results-from-a-prospective-multicenter-study
#7
MULTICENTER STUDY
M Maltoni, C Pittureri, E Scarpi, L Piccinini, F Martini, P Turci, L Montanari, O Nanni, D Amadori
BACKGROUND: Palliative sedation therapy (PST) is indicated for and used to control refractory symptoms in cancer patients undergoing palliative care. We aimed to evaluate whether PST has a detrimental effect on survival in terminally ill patients. METHODS: This multicenter, observational, prospective, nonrandomized population-based study evaluated overall survival in two cohorts of hospice patients, one submitted to palliative sedation (A) and the other managed as per routine hospice practice (B)...
July 2009: Annals of Oncology: Official Journal of the European Society for Medical Oncology
https://www.readbyqxmd.com/read/19357374/review-article-a-model-of-palliative-care-for-heart-failure
#8
REVIEW
Judith E Hupcey, Janice Penrod, Kimberly Fenstermacher
The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such as terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory...
October 2009: American Journal of Hospice & Palliative Care
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