Terminally Ill
Hospice Care
Attitude to Death
Hospice and Palliative Care Nursing
Hospices
Neoplasms
Euthanasia
Pain Management
Home Care Services
Spirituality
Patient Care Team
Bereavement
Quality of Life
Karnofsky Performance Status
Pain
Treatment Outcome
Advance Care Planning
Caregivers
Referral and Consultation
Nova Scotia
Attitude of Health Personnel
Retrospective Studies
Intestinal Obstruction
Community Health Nursing
Communication
Oncology Service, Hospital
Quality of Health Care
Death
Standard of Care
Suicide, Assisted
Clinical Nursing Research
Jejunostomy
Questionnaires
Psychosomatic Medicine
Deglutition Disorders
Nurses
Needs Assessment
Prognosis
Right to Die
Patient Care Management
Interdisciplinary Communication
Survival Rate
Survival Analysis
Advance Directives
Radiation Oncology
Patient Care Planning
Decision Making
Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (1/2733)
OBJECTIVE: To evaluate the concept of surgical decompression of the biliary tree by peripheral hepatojejunostomy for palliative treatment of jaundice in patients with irresectable malignant tumors of the liver hilum. SUMMARY BACKGROUND DATA: Jaundice, pruritus, and recurrent cholangitis are major clinical complications in patients with obstructive cholestasis resulting from malignant tumors of the liver hilum. Methods for palliative treatment include endoscopic stenting, percutaneous transhepatic drainage, and surgical decompression. The palliative treatment of choice should be safe, effective, and comfortable for the patient. METHODS: In a retrospective study, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 56 patients who had received a peripheral hepatojejunostomy between 1982 and 1997. Laparotomy in all of these patients had been performed as an attempt for curative resection. RESULTS: Hepatojejunostomy was exclusively palliative in 50 patients and was used for bridging to resection or transplantation in 7. Anastomosis was bilateral in 36 patients and unilateral in 20. The 1-month mortality in the study group was 9%; median survival was 6 months. In patients surviving >1 month, a marked and persistent decrease in cholestasis was achieved in 87%, although complete return to normal was rare. Among the patients with a marked decrease in cholestasis, 72% had no or only mild clinical symptoms such as fever or jaundice. CONCLUSIONS: Peripheral hepatojejunostomy is a feasible and reasonably effective palliative treatment for patients with irresectable tumors of the liver hilum. In patients undergoing exploratory laparotomy for attempted curative resection, this procedure frequently leads to persistent-although rarely complete-decompression of the biliary tree. In a few cases it may also be used for bridging to transplantation or liver resection after relief of cholestasis. (+info)Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (2/2733)
32p and 89Sr have been shown to produce significant pain relief in patients with skeletal metastases from advanced cancer. Clinically significant pancytopenia has not been reported in doses up to 12 mCi (444 MBq) of either radionuclide. To date, no reports comparing the relative efficacy and toxicity of the two radionuclides in comparable patient populations have been available. Although a cure has not been reported, both treatments have achieved substantial pain relief. However, several studies have used semiquantitative measures such as "slight," "fair," "partial" and "dramatic" responses, which lend themselves to subjective bias. This report examines the responses to treatment with 32P or 89Sr by attempting a quantification of pain relief and quality of life using the patients as their own controls and compares toxicity in terms of hematological parameters. METHODS: Thirty-one patients with skeletal metastases were treated for pain relief with either 32P (16 patients) or 89Sr (15 patients). Inclusion criteria were pain from bone scan-positive sites above a subjective score of 5 of 10 despite analgesic therapy with narcotic or non-narcotic medication, limitation of movement related to the performance of routine daily activity and a predicted life expectancy of at least 4 mo. The patients had not had chemotherapy or radiotherapy during the previous 6 wk and had normal serum creatinine, white cell and platelet counts. 32P was given orally as a 12 mCi dose, and 89Sr was given intravenously as a 4 mCi (148 MBq) dose. The patients were monitored for 4 mo. RESULTS: Complete absence of pain was seen in 7 of 16 patients who were given 32P and in 7 of 15 patients who were given 89Sr. Pain scores fell by at least 50% of the pretreatment score in 14 of 16 patients who were given 32P and 14 of 15 patients who were given 89Sr. Mean duration of pain relief was 9.6 wk with 32P and 10 wk with 89Sr. Analgesic scores fell along with the drop in pain scores. A fall in total white cell, absolute granulocyte and platelet counts occurred in all patients. Subnormal values of white cells and platelets were seen in 5 and 7 patients, respectively, with 32P, and in 0 and 4 patients, respectively, after 89Sr therapy. The decrease in platelet count (but not absolute granulocyte count) was statistically significant when 32P patients were compared with 89Sr patients. However, in no instance did the fall in blood counts require treatment. Absolute granulocyte counts did not fall below 1000 in any patient. There was no significant difference between the two treatments in terms of either efficacy or toxicity. CONCLUSION: No justification has been found in this study for the recommendation of 89Sr over the considerably less expensive oral 32P for the palliation of skeletal pain from metastases of advanced cancer. (+info)Reirradiation combined with hyperthermia in recurrent breast cancer results in a worthwhile local palliation. (3/2733)
Both experimental and clinical research have shown that hyperthermia (HT) gives valuable additional effects when applied in combination with radiotherapy (RT). The purpose of this study was evaluation of results in patients with recurrent breast cancer, treated at the Daniel den Hoed Cancer Center (DHCC) with reirradiation (re-RT; eight fractions of 4 Gy twice weekly) combined with HT. All 134 patients for whom such treatment was planned were included in the analysis. The complete response rate in 119 patients with macroscopic tumour was 71%. Including the 15 patients with microscopic disease, the local control rate was 73%. The median duration of local control was 32 months, and toxicity was acceptable. The complete response (CR) rate was higher, and the toxicity was less with the later developed 433-MHz HT technique compared with the 2450-MHz technique used initially. With this relatively well-tolerated treatment, palliation by local tumour control of a worthwhile duration is achieved in the majority of patients. The technique used for hyperthermia appeared to influence the achieved results. The value of HT in addition to this re-RT schedule has been confirmed by a prospective randomized trial in a similar patient group. In The Netherlands, this combined treatment is offered as standard to patients with breast cancer recurring in previously irradiated areas. (+info)Intensive weekly chemotherapy is not effective in advanced pancreatic cancer patients: a report from the Italian Group for the Study of Digestive Tract Cancer (GISCAD). (4/2733)
Twenty-two patients, with locally advanced unresectable and/or metastatic pancreatic carcinoma, received weekly administration of cisplatin 40 mg m(-2), 5-fluorouracil 500 mg m(-2), epidoxorubicin 35 mg m(-2), 6S stereoisomer of leucovorin 250 mg m(-2) and glutathione 1.5 mg m(-2), supported by a daily administration of lenograstim at a dose of 5 microg kg(-1). Nineteen patients were men and three were women. Median age was 63 years (range 47-70). At study entry, pain was present in 15 out of 22 patients (68%) with a mean value of Scott-Huskisson scale of 27.6+/-23.8, whereas a weight loss >10% was present in 15 patients. After eight weekly treatments, three partial responses were achieved for a response rate of 13% (95% CI 0-26%), five patients had stable disease and 14 progressed on therapy. Pain was present in 9 out of 22 patients (40%) with a mean value of Scott-Huskisson scale of 12.3+/-18.4. Eight patients (36%) (three partial response and five stable disease) had a positive weight change. Toxicity was mild: WHO grade III or IV toxicity was recorded in terms of anaemia in 7 out of 188 cycles (3.7%), of neutropenia in 9 out of 188 cycles (4.7%) and of thrombocytopenia in 3 out of 188 cycles (1.5%). Median survival of all patients was 6 months. The outcome of this intensive chemotherapy regimen does not support its use in pancreatic cancer. (+info)A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss. (5/2733)
The use of megestrol acetate in the treatment of weight loss in gastrointestinal cancer patients has been disappointing. The aim of the present study was to compare the combination of megestrol acetate and placebo with megestrol acetate and ibuprofen in the treatment of weight loss in such patients. At baseline, 4-6 weeks and 12 weeks, patients underwent measurements of anthropometry, concentrations of albumin and C-reactive protein and assessment of appetite, performance status and quality of life using EuroQol-EQ-5D and EORTC QLQ-C30. Thirty-eight and 35 patients (median weight loss 18%) were randomized to megestrol acetate/placebo or megestrol acetate/ibuprofen, respectively, for 12 weeks. Forty-six (63%) of patients failed to complete the 12-week assessment. Of those evaluable at 12 weeks, there was a decrease in weight (median 2.8 kg) in the megestrol acetate/placebo group compared with an increase (median 2.3 kg) in the megestrol acetate/ibuprofen group (P<0.001). There was also an improvement in the EuroQol-EQ-5D quality of life scores of the latter group (P<0.05). The combination of megestrol acetate/ibuprofen appeared to reverse weight loss and appeared to improve quality of life in patients with advanced gastrointestinal cancer. Further trials of this novel regimen in weight-losing patients with hormone-insensitive cancers are warranted. (+info)Defining and analysing symptom palliation in cancer clinical trials: a deceptively difficult exercise. (6/2733)
The assessment of symptom palliation is an essential component of many treatment comparisons in clinical trials, yet an extensive literature search revealed no consensus as to its precise definition, which could embrace relief of symptoms, time to their onset, duration, degree, as well as symptom control and prevention. In an attempt to assess the importance of these aspects and to compare different methods of analysis, we used one symptom (cough) from a patient self-assessment questionnaire (the Rotterdam Symptom Checklist) in a large (>300 patient) multicentre randomized clinical trial (conducted by the Medical Research Council Lung Cancer Working Party) of palliative chemotherapy in small-cell lung cancer. The regimens compared were a two-drug regimen (2D) and a four-drug regimen (4D). No differences were seen between the regimens in time of onset of palliation or its duration. The degree of palliation was strongly related to the initial severity: 90% of the patients with moderate or severe cough at baseline reported improvement, compared with only 53% of those with mild cough. Analyses using different landmark time points gave conflicting results: the 4D regimen was superior at 1 month and at 3 months, whereas at 2 months the 2D regimen appeared superior. When improvement at any time up to 3 months was considered, the 4D regimen showed a significant benefit (4D 79%, 2D 60%, P = 0.02). These findings emphasize the need for caution in interpreting results, and the importance of working towards a standard definition of symptom palliation. The current lack of specified criteria makes analysis and interpretation of trial results difficult, and comparison across trials impossible. A standard definition of palliation for use in the analysis of clinical trials data is proposed, which takes into account aspects of onset, duration and degree of palliation, and symptom improvement, control and prevention. (+info)When to consider radiation therapy for your patient. (7/2733)
Radiation therapy can be an effective treatment modality for both malignant and benign disease. While radiation can be given as primary treatment, it may also be used pre- or postoperatively, with or without other forms of therapy. Radiation therapy is often curative but is sometimes palliative. There are many methods of delivering radiation effectively. Often, patients tolerate irradiation well without significant complications, and organ function is preserved. To ensure that all patients with cancer have the opportunity to consider all treatment options, family physicians should be aware of the usefulness of radiation therapy. (+info)Use of resources and costs of palliative care with parenteral fluids and analgesics in the home setting for patients with end-stage cancer. (8/2733)
BACKGROUND: In 1992 a home care technology project was started in which infusion therapy in the home setting was made available for patients with end-stage cancer. Beside aspects of feasibility and quality of life the resource utilization and costs of this transition was studied. PATIENTS AND METHODS: We conducted a cost evaluation study, to determine the actual cost of managing patients with endstage cancer who require parenteral administration of fluid or analgesics in the home setting. A total of 128 patients were prospectively followed, with a detailed analysis of some aspects in a sample of 24 patients. RESULTS: The cost for each patient was found to be between $250.00 and $300.00 per day, half of which are for hospital charges, even with this active home care technology program. One-third of the costs can be attributed to primary health care activities, in particular those of the district nurses. A hypothetical control group (n = 25) was constructed based on current practice and chart review. Patients in this group would have cost around $750.00 per day. With a median treatment period of 16 days this means a saving of $8000.00 per patient. CONCLUSION: Our data suggest that significant savings can be obtained by implementing programs transferring palliative care technology to the home setting. (+info)Neoplasm refers to an abnormal growth of cells that can be benign (non-cancerous) or malignant (cancerous). Neoplasms can occur in any part of the body and can affect various organs and tissues. The term "neoplasm" is often used interchangeably with "tumor," but while all tumors are neoplasms, not all neoplasms are tumors.
Types of Neoplasms
There are many different types of neoplasms, including:
1. Carcinomas: These are malignant tumors that arise in the epithelial cells lining organs and glands. Examples include breast cancer, lung cancer, and colon cancer.
2. Sarcomas: These are malignant tumors that arise in connective tissue, such as bone, cartilage, and fat. Examples include osteosarcoma (bone cancer) and soft tissue sarcoma.
3. Lymphomas: These are cancers of the immune system, specifically affecting the lymph nodes and other lymphoid tissues. Examples include Hodgkin lymphoma and non-Hodgkin lymphoma.
4. Leukemias: These are cancers of the blood and bone marrow that affect the white blood cells. Examples include acute myeloid leukemia (AML) and chronic lymphocytic leukemia (CLL).
5. Melanomas: These are malignant tumors that arise in the pigment-producing cells called melanocytes. Examples include skin melanoma and eye melanoma.
Causes and Risk Factors of Neoplasms
The exact causes of neoplasms are not fully understood, but there are several known risk factors that can increase the likelihood of developing a neoplasm. These include:
1. Genetic predisposition: Some people may be born with genetic mutations that increase their risk of developing certain types of neoplasms.
2. Environmental factors: Exposure to certain environmental toxins, such as radiation and certain chemicals, can increase the risk of developing a neoplasm.
3. Infection: Some neoplasms are caused by viruses or bacteria. For example, human papillomavirus (HPV) is a common cause of cervical cancer.
4. Lifestyle factors: Factors such as smoking, excessive alcohol consumption, and a poor diet can increase the risk of developing certain types of neoplasms.
5. Family history: A person's risk of developing a neoplasm may be higher if they have a family history of the condition.
Signs and Symptoms of Neoplasms
The signs and symptoms of neoplasms can vary depending on the type of cancer and where it is located in the body. Some common signs and symptoms include:
1. Unusual lumps or swelling
2. Pain
3. Fatigue
4. Weight loss
5. Change in bowel or bladder habits
6. Unexplained bleeding
7. Coughing up blood
8. Hoarseness or a persistent cough
9. Changes in appetite or digestion
10. Skin changes, such as a new mole or a change in the size or color of an existing mole.
Diagnosis and Treatment of Neoplasms
The diagnosis of a neoplasm usually involves a combination of physical examination, imaging tests (such as X-rays, CT scans, or MRI scans), and biopsy. A biopsy involves removing a small sample of tissue from the suspected tumor and examining it under a microscope for cancer cells.
The treatment of neoplasms depends on the type, size, location, and stage of the cancer, as well as the patient's overall health. Some common treatments include:
1. Surgery: Removing the tumor and surrounding tissue can be an effective way to treat many types of cancer.
2. Chemotherapy: Using drugs to kill cancer cells can be effective for some types of cancer, especially if the cancer has spread to other parts of the body.
3. Radiation therapy: Using high-energy radiation to kill cancer cells can be effective for some types of cancer, especially if the cancer is located in a specific area of the body.
4. Immunotherapy: Boosting the body's immune system to fight cancer can be an effective treatment for some types of cancer.
5. Targeted therapy: Using drugs or other substances to target specific molecules on cancer cells can be an effective treatment for some types of cancer.
Prevention of Neoplasms
While it is not always possible to prevent neoplasms, there are several steps that can reduce the risk of developing cancer. These include:
1. Avoiding exposure to known carcinogens (such as tobacco smoke and radiation)
2. Maintaining a healthy diet and lifestyle
3. Getting regular exercise
4. Not smoking or using tobacco products
5. Limiting alcohol consumption
6. Getting vaccinated against certain viruses that are associated with cancer (such as human papillomavirus, or HPV)
7. Participating in screening programs for early detection of cancer (such as mammograms for breast cancer and colonoscopies for colon cancer)
8. Avoiding excessive exposure to sunlight and using protective measures such as sunscreen and hats to prevent skin cancer.
It's important to note that not all cancers can be prevented, and some may be caused by factors that are not yet understood or cannot be controlled. However, by taking these steps, individuals can reduce their risk of developing cancer and improve their overall health and well-being.
There are several different types of pain, including:
1. Acute pain: This type of pain is sudden and severe, and it usually lasts for a short period of time. It can be caused by injuries, surgery, or other forms of tissue damage.
2. Chronic pain: This type of pain persists over a long period of time, often lasting more than 3 months. It can be caused by conditions such as arthritis, fibromyalgia, or nerve damage.
3. Neuropathic pain: This type of pain results from damage to the nervous system, and it can be characterized by burning, shooting, or stabbing sensations.
4. Visceral pain: This type of pain originates in the internal organs, and it can be difficult to localize.
5. Psychogenic pain: This type of pain is caused by psychological factors such as stress, anxiety, or depression.
The medical field uses a range of methods to assess and manage pain, including:
1. Pain rating scales: These are numerical scales that patients use to rate the intensity of their pain.
2. Pain diaries: These are records that patients keep to track their pain over time.
3. Clinical interviews: Healthcare providers use these to gather information about the patient's pain experience and other relevant symptoms.
4. Physical examination: This can help healthcare providers identify any underlying causes of pain, such as injuries or inflammation.
5. Imaging studies: These can be used to visualize the body and identify any structural abnormalities that may be contributing to the patient's pain.
6. Medications: There are a wide range of medications available to treat pain, including analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants.
7. Alternative therapies: These can include acupuncture, massage, and physical therapy.
8. Interventional procedures: These are minimally invasive procedures that can be used to treat pain, such as nerve blocks and spinal cord stimulation.
It is important for healthcare providers to approach pain management with a multi-modal approach, using a combination of these methods to address the physical, emotional, and social aspects of pain. By doing so, they can help improve the patient's quality of life and reduce their suffering.
There are several types of intestinal obstruction, including:
1. Mechanical bowel obstruction: This type of obstruction is caused by a physical blockage in the intestine, such as adhesions or hernias.
2. Non-mechanical bowel obstruction: This type of obstruction is caused by a decrease in the diameter of the intestine, such as from inflammation or scarring.
3. Paralytic ileus: This type of obstruction is caused by a delay in the movement of food through the intestine, usually due to nerve damage or medication side effects.
4. Intestinal ischemia: This type of obstruction is caused by a decrease in blood flow to the intestine, which can lead to tissue damage and death.
Intestinal obstructions can be diagnosed through a variety of tests, including:
1. Abdominal X-rays: These can help identify any physical blockages in the intestine.
2. CT scans: These can provide more detailed images of the intestine and help identify any blockages or other issues.
3. Endoscopy: This involves inserting a flexible tube with a camera into the mouth and down into the intestine to visualize the inside of the intestine.
4. Biopsy: This involves removing a small sample of tissue from the intestine for examination under a microscope.
Treatment for intestinal obstructions depends on the underlying cause and severity of the blockage. Some common treatments include:
1. Fluid and electrolyte replacement: This can help restore hydration and electrolyte balance in the body.
2. Nasojejunal tube placement: A small tube may be inserted through the nose and into the jejunum to allow fluids and medications to pass through the blockage.
3. Surgery: In some cases, surgery may be necessary to remove the blockage or repair any damage to the intestine.
4. Medication: Depending on the underlying cause of the obstruction, medications such as antibiotics or anti-inflammatory drugs may be prescribed to help resolve the issue.
Preventing intestinal obstructions is often challenging, but some strategies can help reduce the risk. These include:
1. Avoiding foods that can cause blockages, such as nuts or seeds.
2. Eating a balanced diet and avoiding constipation.
3. Drinking plenty of fluids to stay hydrated.
4. Managing underlying medical conditions, such as inflammatory bowel disease or diabetes.
5. Avoiding medications that can cause constipation or other digestive problems.
Bile duct neoplasms refer to abnormal growths or tumors that occur in the bile ducts, which are the tubes that carry bile from the liver and gallbladder to the small intestine. Bile duct neoplasms can be benign (non-cancerous) or malignant (cancerous).
Types of Bile Duct Neoplasms:
There are several types of bile duct neoplasms, including:
1. Bile duct adenoma: A benign tumor that grows in the bile ducts.
2. Bile duct carcinoma: A malignant tumor that grows in the bile ducts and can spread to other parts of the body.
3. Cholangiocarcinoma: A rare type of bile duct cancer that originates in the cells lining the bile ducts.
4. Gallbladder cancer: A type of cancer that occurs in the gallbladder, which is a small organ located under the liver that stores bile.
Causes and Risk Factors:
The exact cause of bile duct neoplasms is not known, but there are several risk factors that may increase the likelihood of developing these tumors, including:
1. Age: Bile duct neoplasms are more common in people over the age of 50.
2. Gender: Women are more likely to develop bile duct neoplasms than men.
3. Family history: People with a family history of bile duct cancer or other liver diseases may be at increased risk.
4. Previous exposure to certain chemicals: Exposure to certain chemicals, such as thorium, has been linked to an increased risk of developing bile duct neoplasms.
Symptoms:
The symptoms of bile duct neoplasms can vary depending on the location and size of the tumor. Some common symptoms include:
1. Yellowing of the skin and eyes (jaundice)
2. Fatigue
3. Loss of appetite
4. Nausea and vomiting
5. Abdominal pain or discomfort
6. Weight loss
7. Itching all over the body
8. Dark urine
9. Pale stools
Diagnosis:
Diagnosis of bile duct neoplasms typically involves a combination of imaging tests and biopsy. The following tests may be used to diagnose bile duct neoplasms:
1. Ultrasound: This non-invasive test uses high-frequency sound waves to create images of the liver and bile ducts.
2. Computed tomography (CT) scan: This imaging test uses X-rays and computer technology to create detailed images of the liver and bile ducts.
3. Magnetic resonance imaging (MRI): This test uses a strong magnetic field and radio waves to create detailed images of the liver and bile ducts.
4. Endoscopic ultrasound: This test involves inserting an endoscope (a thin, flexible tube with a small ultrasound probe) into the bile ducts through the mouth or stomach to obtain images and samples of the bile ducts.
5. Biopsy: A biopsy may be performed during an endoscopic ultrasound or during surgery to remove the tumor. The sample is then examined under a microscope for cancer cells.
Treatment:
The treatment of bile duct neoplasms depends on several factors, including the type and stage of the cancer, the patient's overall health, and the patient's preferences. The following are some common treatment options for bile duct neoplasms:
1. Surgery: Surgery may be performed to remove the tumor or a portion of the bile duct. This may involve a Whipple procedure (a surgical procedure to remove the head of the pancreas, the gallbladder, and a portion of the bile duct), a bile duct resection, or a liver transplant.
2. Chemotherapy: Chemotherapy may be used before or after surgery to shrink the tumor and kill any remaining cancer cells.
3. Radiation therapy: Radiation therapy may be used to destroy cancer cells that cannot be removed by surgery or to relieve symptoms such as pain or blockage of the bile duct.
4. Stent placement: A stent may be placed in the bile duct to help keep it open and improve blood flow to the liver.
5. Ablation therapy: Ablation therapy may be used to destroy cancer cells by freezing or heating them with a probe inserted through an endoscope.
6. Targeted therapy: Targeted therapy may be used to treat certain types of bile duct cancer, such as cholangiocarcinoma, by targeting specific molecules that promote the growth and spread of the cancer cells.
7. Clinical trials: Clinical trials are research studies that evaluate new treatments for bile duct neoplasms. These may be an option for patients who have not responded to other treatments or who have advanced cancer.
Intractable pain can have a significant impact on an individual's quality of life, affecting their ability to perform daily activities, sleep, and overall well-being. Treatment for intractable pain often involves a combination of medications and alternative therapies such as physical therapy, acupuncture, or cognitive behavioral therapy.
Some common symptoms of intractable pain include:
* Chronic and persistent pain that does not respond to treatment
* Pain that is severe and debilitating
* Pain that affects daily activities and quality of life
* Pain that is burning, shooting, stabbing, or cramping in nature
* Pain that is localized to a specific area of the body or widespread
* Pain that is accompanied by other symptoms such as fatigue, anxiety, or depression.
Intractable pain can be caused by a variety of factors, including:
* Nerve damage or nerve damage from injury or disease
* Inflammation or swelling in the body
* Chronic conditions like arthritis, fibromyalgia, or migraines
* Infections such as shingles or Lyme disease
* Cancer or its treatment
* Neurological disorders such as multiple sclerosis or Parkinson's disease.
Managing intractable pain can be challenging and may involve a multidisciplinary approach, including:
* Medications such as pain relievers, anti-inflammatory drugs, or muscle relaxants
* Alternative therapies such as physical therapy, acupuncture, or cognitive behavioral therapy
* Lifestyle changes such as regular exercise, stress management techniques, and a healthy diet
* Interventional procedures such as nerve blocks or spinal cord stimulation.
It is important to work closely with a healthcare provider to find the most effective treatment plan for managing intractable pain. With the right combination of medications and alternative therapies, many people are able to manage their pain and improve their quality of life.
In medical terms, death is defined as the irreversible cessation of all bodily functions that are necessary for life. This includes the loss of consciousness, the absence of breathing, heartbeat, and other vital signs. Brain death, which occurs when the brain no longer functions, is considered a definitive sign of death.
The medical professionals use various criteria to determine death, such as:
1. Cessation of breathing: When an individual stops breathing for more than 20 minutes, it is considered a sign of death.
2. Cessation of heartbeat: The loss of heartbeat for more than 20 minutes is another indicator of death.
3. Loss of consciousness: If an individual is unresponsive and does not react to any stimuli, it can be assumed that they have died.
4. Brain death: When the brain no longer functions, it is considered a definitive sign of death.
5. Decay of body temperature: After death, the body's temperature begins to decrease, which is another indicator of death.
In some cases, medical professionals may use advanced technologies such as electroencephalography (EEG) or functional magnetic resonance imaging (fMRI) to confirm brain death. These tests can help determine whether the brain has indeed ceased functioning and if there is no hope of reviving the individual.
It's important to note that while death is a natural part of life, it can be a difficult and emotional experience for those who are left behind. It's essential to provide support and care to the family members and loved ones of the deceased during this challenging time.
Some common types of deglutition disorders include:
1. Dysphagia: This is a condition where individuals have difficulty swallowing food and liquids due to weakened or impaired swallowing muscles.
2. Aphasia: This is a condition where individuals have difficulty speaking and understanding language, which can also affect their ability to swallow.
3. Apraxia of speech: This is a condition where individuals have difficulty coordinating the muscles of the mouth and tongue to produce speech, which can also affect their ability to swallow.
4. Aspiration: This is a condition where food or liquids enter the trachea instead of the esophagus, which can cause respiratory problems and other complications.
5. Dystonia: This is a condition where individuals experience involuntary muscle contractions that can affect swallowing and other movements.
Deglutition disorders can be diagnosed through a variety of tests, including videofluoroscopy, fiber-optic endoscopic evaluation of swallowing (FEES), and instrumental assessment of swallowing physiology. Treatment options for deglutition disorders depend on the underlying cause and severity of the condition, and may include speech therapy, medications, surgery, or a combination of these.
In conclusion, deglutition disorders can significantly impact an individual's quality of life, making it important to seek medical attention if swallowing difficulties are experienced. With proper diagnosis and treatment, many individuals with deglutition disorders can improve their swallowing abilities and regain their independence in eating and drinking.
Some common types of bone neoplasms include:
* Osteochondromas: These are benign tumors that grow on the surface of a bone.
* Giant cell tumors: These are benign tumors that can occur in any bone of the body.
* Chondromyxoid fibromas: These are rare, benign tumors that develop in the cartilage of a bone.
* Ewing's sarcoma: This is a malignant tumor that usually occurs in the long bones of the arms and legs.
* Multiple myeloma: This is a type of cancer that affects the plasma cells in the bone marrow.
Symptoms of bone neoplasms can include pain, swelling, or deformity of the affected bone, as well as weakness or fatigue. Treatment options depend on the type and location of the tumor, as well as the severity of the symptoms. Treatment may involve surgery, radiation therapy, chemotherapy, or a combination of these.
Neoplastic metastasis can occur in any type of cancer but are more common in solid tumors such as carcinomas (breast, lung, colon). It is important for cancer diagnosis and prognosis because metastasis indicates that the cancer has spread beyond its original site and may be more difficult to treat.
Metastases can appear at any distant location but commonly found sites include the liver, lungs, bones, brain, and lymph nodes. The presence of metastases indicates a higher stage of cancer which is associated with lower survival rates compared to localized cancer.
Palliative care
Community Hospice & Palliative Care
Hospice Palliative Care Ontario
Coastal Hospice & Palliative Care
African Palliative Care Association
European Journal of Palliative Care
Worldwide Hospice Palliative Care Alliance
Indian Journal of Palliative Care
Journal of Pain and Palliative Care Pharmacotherapy
Palliative surgery
Palliative sedation
Institute of Palliative Medicine (Kozhikode)
Palliative Medicine (journal)
Hospice and palliative medicine
International Journal of Palliative Nursing
Isabel Galriça Neto
Paul Henteleff
Ruth Redpath
Paula Santos
Organ donation after medical assistance in dying
Allow natural death
Terminal lucidity
Sharp Memorial Hospital
Liverpool Care Pathway for the Dying Patient
Naheed Dosani
Ars moriendi
Ásgeir Helgason
Cancer and nausea
Margaret Jeans
Patient record access in the United Kingdom
Geoffrey Hanks
Cervical cancer
Lutterworth
Vincent Burke (producer)
Srimathumitha
Single Convention on Narcotic Drugs
Taipei Veterans General Hospital
Tor-na-Dee Hospital
Montfort Hospital
Immanuel Jakobovits, Baron Jakobovits
Cindy Hyde-Smith
Pallium India
Mojca Senčar
Heart cancer
Michael Adrian Richards
Westmead Medical Research Foundation
Barrington, Illinois
Randy Pausch
Donna Dickenson
Marie Curie (charity)
Oxycodone
Chilliwack General Hospital
Abha Saxena
Minister for Health (Ireland)
Dementia with Lewy bodies
Catholic University of Portugal
Edith Cavell Hospital
Alpert Medical School
Ruth Coker Burks
Palliative Care: MedlinePlus
What Are Palliative Care and Hospice Care? | National Institute on Aging
Palliative Care for Children | National Institute of Nursing Research
Palliative Care in Radiation Therapy
Palliative care
Palliative Care
NIH Guide: REDUCING BARRIERS TO SYMPTOM MANAGEMENT AND PALLIATIVE CARE
NIH Guide: HOSPICE AND PALLIATIVE CARE EDUCATION PROGRAMS
New Pediatric Palliative Care Publication for Spanish-speaking Families | National Institutes of Health (NIH)
Palliative Care in the Acute Care Setting: Background, Symptoms and Pathophysiology, Frequency
Palliative Care: Conversations Matter | NIH News in Health
New Palliative Care Guidelines Demand 'Seismic Shift' in Care
Palliative care - PubMed
Archive of "BMC Palliative Care". - PMC
Specialty Doctor in Palliative Care job with NHS Fife | 180548
Palliative Care | Visiting Angels
Rob Ford is in palliative care, his office confirms | The Star
Collaborative Practice in Palliative Care - 1st Edition - Dave Robert
Archive of "BMC Palliative Care". - PMC
Kentown Children's Palliative Care Programme review | EHU | News
Fellowship Boost for Palliative Care Research - Ulster University
Palliative care health benefits | Alberta.ca
Practice resources
Korones Receives National Honor for Pediatric Palliative Care Work | URMC Newsroom
AHN Perinatal Palliative Care Program Recognizes October as National Pregnancy and Infant Loss Awareness Month
WHO EMRO | Palliative care | Palliative care | NCDs
Palliative Care Consult Service - Community Urban | Alberta Health Services
Presentations - Chair of Geriatric Palliative Care - CHUV
"In pain waiting to die": Everyday understandings of suffering | Palliative & Supportive Care | Cambridge...
Pain and Palliative Care | Clinical Center Home Page
Hospice care19
- Hospice care , care at the end of life, always includes palliative care. (medlineplus.gov)
- What Are Palliative Care and Hospice Care? (nih.gov)
- Home Health Topics A-Z What Are Palliative Care and Hospice Care? (nih.gov)
- Palliative care could transition to hospice care if the doctor believes the person is likely to die within six months (see What does the hospice six-month requirement mean? ). (nih.gov)
- It is not the same as hospice care or end-of-life care. (ucsd.edu)
- In particular, the campaign strives to break the common association between palliative care and hospice care, stressing that palliative care is appropriate throughout illness - not only at the end of life. (nih.gov)
- However, key differences between palliative and hospice care exist. (visitingangels.com)
- Doctors von Gunten, Lutz, and Ferris accurately point out some of the reasons for the tragic underutilization of hospice care and ways oncologists might address this issue. (cancernetwork.com)
- Do you know the difference between hospice care and palliative care? (mercyhealthsystem.org)
- True or false: Accepting hospice care mean stopping all medical care. (mercyhealthsystem.org)
- Hospice care is given to people whose chances for recovery are small and whose life expectancy is measured in months rather than years. (mercyhealthsystem.org)
- True or false: Hospice care is only for older people who are dying of age-related illness. (mercyhealthsystem.org)
- Hospice care is open to anyone with a life expectancy of less than six months. (mercyhealthsystem.org)
- True or false: Hospice care and palliative care can be provided wherever the person lives. (mercyhealthsystem.org)
- Both hospice care and palliative care can be provided in hospitals, nursing homes, assisted living facilities, hospice centers or a person's own home. (mercyhealthsystem.org)
- True or false: There is no limit to how long a person can receive hospice care. (mercyhealthsystem.org)
- Although hospice care is for people who are not expected to live longer than six months, many people do live longer. (mercyhealthsystem.org)
- Don't be afraid to ask your doctor about palliative or hospice care-it's a decision you can make together. (mercyhealthsystem.org)
- Has anyone ever used palliative/hospice care fellowship as a way to another big fellowship just because you didn't match in the fellowship of your choice on first attempt? (studentdoctor.net)
Symptoms17
- Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. (medlineplus.gov)
- For example, if an older person wants to die at home, receiving end-of-life care for pain and other symptoms, and makes this known to health care providers and family, it is less likely he or she will die in a hospital receiving unwanted treatments. (nih.gov)
- Patients in palliative care may receive medical care for their symptoms, or palliative care, along with treatment intended to cure their serious illness. (nih.gov)
- In addition to improving quality of life and helping with symptoms, palliative care can help patients understand their choices for medical treatment. (nih.gov)
- Palliative care is sometimes called "supportive care" because it aims to prevent or treat, as early as possible, the symptoms and side effects of a disease and its treatment. (ucsd.edu)
- NINR supports basic and clinical research that develops the knowledge to build the scientific foundation for clinical practice, prevent disease and disability, manage and eliminate symptoms caused by illness, and enhance end-of-life and palliative care. (nih.gov)
- This type of care is focused on providing patients with relief from the symptoms, pain, and stress of a serious illness-whatever the diagnosis. (medscape.com)
- Palliative care should be offered in all stages of serious disease to relieve symptoms simultaneously with curative, restorative, or maintenance therapies. (medscape.com)
- Gastrointestinal (GI) symptoms are also common in the palliative care population. (medscape.com)
- This service provides palliative care consultative support for adult patients, families, and healthcare teams to help manage complex palliative symptoms related to the patient¿s life-threatening disease. (albertahealthservices.ca)
- For example, in Chapter 21, "Terminal Care and Dying," the summary of the management of physical symptoms in the dying patient neatly guides the caregiver in step-by-step evaluations and consequent decisions required in the terminal patient's care and comfort. (nursingcenter.com)
- Mercyhealth palliative care helps by providing specialized medical care focused on relieving pain, symptoms and stress caused by serious illness for any hospitalized patients, regardless of age. (mercyhealthsystem.org)
- Still, hospice patients receive the medical care they need to manage symptoms. (mercyhealthsystem.org)
- Palliative care provides skilled management of symptoms from the burden of disease and treatments and allay suffering (psychosocial, emotional, and spiritual). (nih.gov)
- The word "palliative" means to "relieve symptoms. (chla.org)
- In this session, he will describe attributes and design features of ECA systems with a focus on the current system as deployed with six content modules (symptoms, exercise, meditation, spiritual needs, advance care planning, and storytelling). (nih.gov)
- These include symptoms management, communication guide, advance care planning , and management for bereavement . (bvsalud.org)
Goal of palliative care3
- The goal of palliative care is to improve the quality of life of those with serious illness. (ucsd.edu)
- The goal of palliative care is achievement of the best quality of life for patients and their families. (medscape.com)
- The goal of palliative care is to enhance their quality of life and offer peace of mind to their families. (visitingangels.com)
Model of palliative care2
- Drawing on experiences from within traditional specialist palliative care settings like hospices and community palliative care services, as well as more generalist contexts of the general hospital and primary care, this practical text highlights the social or public health model of palliative care. (routledge.com)
- At present, the Network has developed a road map for palliative care in the Eastern Mediterranean Region in line with the WHO Model of Palliative Care and other global guidance. (who.int)
Access to palliative care2
- At global level, the World Health Assembly Resolution 67.19 on Strengthening of palliative care as a component of comprehensive care throughout the life course, adopted in 2014, called upon WHO and Member States to improve access to palliative care as a core component of health systems, with an emphasis on primary health care and community/home-based care. (who.int)
- Access to palliative care services is a major challenge in the Eastern Mediterranean Region, where only an estimated 5% of adults who are in need of palliative care actually receive it. (who.int)
Demand for palliative care2
- There is now a very high demand for palliative care. (medscape.com)
- The situation is further compounded by complicated political situations and weak health care systems coupled with conflicts affecting some countries in the Region, weakening health services and further increasing the demand for palliative care services. (who.int)
Benefit from palliative care3
Receive palliative care2
- But you may receive palliative care at any stage of an illness. (medlineplus.gov)
- While hospice is end-of-life care, you can receive palliative care at any time. (mercyhealthsystem.org)
Illness23
- Palliative care is specialized medical care for people living with a serious illness, such as cancer or heart failure. (nih.gov)
- Palliative care is a resource for anyone living with a serious illness, such as heart failure , chronic obstructive pulmonary disease , cancer , dementia , Parkinson's disease , and many others. (nih.gov)
- Palliative care can be helpful at any stage of illness and is best provided soon after a person is diagnosed. (nih.gov)
- In palliative care, a person does not have to give up treatment that might cure a serious illness. (nih.gov)
- In fact, many people seek palliative care soon after they have been diagnosed with a serious illness. (ucsd.edu)
- What is exciting from the pediatric standpoint, coverage of the entire continuum of care puts it in the hands of anyone who is interfacing with anyone who is dealing with a serious illness regardless of age," said Friebert. (medscape.com)
- Hospice delivers services to those with limited life expectancy, while palliative care can be provided any time after the diagnosis of a chronic illness, regardless of a person's life expectancy. (visitingangels.com)
- Mrs Payne said: "Palliative rehabilitation can have a significant positive impact on a person's illness day to day- I don't mean by 'beating' cancer but by enabling people to live in a more resilient way. (ulster.ac.uk)
- This research is about assisting people to participate fully in their own health care, maintaining hope and improving the experience of daily living in the face of incurable illness. (ulster.ac.uk)
- Palliative refers to patients who have been diagnosed by a physician or nurse practitioner as being in the end stage of a terminal illness or disease. (alberta.ca)
- Palliative care aims to improve the quality of life for patients and families facing the problems associated with a life-limiting and/or life-threatening illness through the prevention and relief of suffering by means of early identification, comprehensive interdisciplinary assessments and appropriate interventions. (albertahealthservices.ca)
- PEOLC is both a philosophy and an approach to care that enables all individuals with a life-limiting and/or life-threatening illness to receive integrated and coordinated care across the continuum. (albertahealthservices.ca)
- Palliative care is explicitly recognized under the human right to health and is an approach that aims to improve the quality of life of patients (adults and children) and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems-physical, psychological, social and spiritual. (who.int)
- Palliative care is a crucial part of integrated, people-centered health services, at all levels of care and aims to relieve suffering, whether it is caused by cancer, major organ failure, drug-resistant tuberculosis, end-stage chronic illness, extreme birth prematurity or extreme frailty of old age. (who.int)
- Palliative care is most effective when considered early in the course of the illness. (who.int)
- Her research interests focus on developing and testing novel early palliative care models for patients with serious illness, and their family caregivers, especially for underserved populations in rural areas. (capc.org)
- Our palliative care team will partner with you to support your child and family throughout your child's illness. (lebonheur.org)
- Our Comfort and Palliative Care team can significantly improve a child's and family's well-being, beginning when a patient is first diagnosed with a life-altering illness and continuing all the way through treatment and beyond. (chla.org)
- Helps to bring together different caregivers and teams caring for a child with a complicated illness to talk together with families about treatment goals and plans. (chla.org)
- When something changes during an illness, causing patients and families to face difficult decisions about treatments or care. (chla.org)
- When medical treatments cannot cure an illness, but treatment that offers care and support will continue. (chla.org)
- Palliative care can be part of the treatment plan at any time, beginning even at the time of diagnosis of a serious illness. (chla.org)
- Ms. Berman shares her experiences from the front row of terminal illness and talk about the role of the patient in establishing the goals of care, the importance of palliation, and recommendations for healthcare policy. (nih.gov)
Field of palliative2
- The guidelines were initially created to define the field of palliative care, and in many ways to define the specialty practice," said Betty Ferrell, RN, PhD, co-chair of the NCP Steering Committee. (medscape.com)
- This is a comprehensive and authoritative text with a practical approach to the field of palliative medicine. (nursingcenter.com)
Illnesses11
- The National Institute of Nursing Research (NINR) , developed the Palliative Care: Conversations Matter TM campaign to increase the use of palliative care for children and teens living with serious illnesses. (nih.gov)
- Some of our team members specialize in both palliative care and specific types of illnesses, including cancer, neurological diseases, or kidney disease. (ucsd.edu)
- More specifically, they call for a "seismic shift" in the way palliative care is delivered by urging all healthcare professionals and organizations to integrate such care into the services they provide to individuals with serious illnesses. (medscape.com)
- Palliative care is inclusive of all individuals with serious illnesses, regardless of the setting, diagnosis, prognosis, or age. (medscape.com)
- Spanish language brochure shows how palliative care can help children with serious illnesses and their families. (nih.gov)
- The campaign, which offers materials for both health care providers and for patients and families, emphasizes that palliative care works along with other treatments to enhance quality of life for children of any age living with a broad range of serious illnesses. (nih.gov)
- [ 1 ] Another definition of palliative care is "specialized medical care for people with serious illnesses. (medscape.com)
- It is anticipated that the findings will be applicable to people with other forms of incurable cancer and to people in the advanced stages of other illnesses requiring rehabilitative care. (ulster.ac.uk)
- Pediatric palliative care is specialized medical care for children with chronic and complex illnesses. (lebonheur.org)
- Palliative care at Children's Hospital Los Angeles offers physical, emotional, physical and spiritual support to children and teens with life threatening illnesses, and their families. (chla.org)
- Pediatric palliative care is supportive care for children with serious illnesses and their families. (medlineplus.gov)
Curative4
- Palliative care can be provided along with curative treatment and may begin at the time of diagnosis. (nih.gov)
- Palliative care has been defined by the World Health Organization (WHO) as "the active total care of patients whose disease is not responsive to curative treatment. (medscape.com)
- Hospice services can also begin when curative treatments stop, but palliative care can be offered in conjunction with treatments. (visitingangels.com)
- It's simply focused on improving your comfort and quality of life-you can have palliative care alongside curative care. (mercyhealthsystem.org)
Bereavement2
- In addition to clinical guidance, the team provides extra palliative care, hospice and bereavement care for families. (prweb.com)
- This care incorporates patient and family values, preferences and goals of care, and spans the disease process from early diagnosis to end of life, including bereavement. (albertahealthservices.ca)
Specialty3
- This is a medical specialty that aims to relieve suffering and make sure your health care is comprehensive and compassionate. (ucsd.edu)
- A good few months ago I posted on here about wanting to transition from my current specialty of aged psychiatry into palliative care. (allnurses.com)
- Please explore this page to learn more about our program and the specialty of palliative care. (nih.gov)
Caregivers7
- Caregivers have several factors to consider when choosing end-of-life care, including the older person's desire to pursue life-extending treatments, how long he or she has left to live, and the preferred setting for care. (nih.gov)
- A new Spanish language publication, from the National Institute of Nursing Research (NINR), a component of the National Institutes of Health, aims to increase awareness of the benefits of pediatric palliative care among Hispanic families and caregivers. (nih.gov)
- Are Palliative Caregivers Trained? (visitingangels.com)
- Visiting Angels' offers non-medical certification in palliative care to caregivers through a unique Palliative Care Certification Program. (visitingangels.com)
- The program educates caregivers about delivering compassionate comfort care that addresses the physical, emotional, and spiritual needs of chronically ill individuals with the overall goal of positively impacting their quality of life. (visitingangels.com)
- Professional caregivers will provide day-to-day comfort and support for your loved one along with other care providers, which may include doctors, nurses, social workers, nutritionists, massage therapists, pharmacists, chaplains, and home health care providers. (visitingangels.com)
- Through the program, a team of AHN physicians and caregivers support and care for patients who have experienced a sudden perinatal loss or receive a diagnosis that their child's life will be limited. (prweb.com)
Symptom8
- We must expand and accelerate our potential to address the problems of inadequate symptom management and palliative care among diverse populations in the United States. (nih.gov)
- Although the chronicity of cancer-associated conditions mandates symptom management and palliative care throughout the course of the disease, many cancer patients fail to receive such care and continue to suffer needlessly. (nih.gov)
- The addition of palliative care to standard care has been shown to provide patients with better quality of life, reduced symptom burden, and better rates of advance directive completion. (medscape.com)
- Pain is the single most prevalent symptom for patients receiving palliative care. (medscape.com)
- End-of-life-care is care provided to patients and their families when they are approaching a period of time closer to death, which may be exemplified by an intensification of inter-disciplinary services and assessments such as anticipatory grief support, and pain and symptom management. (albertahealthservices.ca)
- Some of the services that a palliative care team can offer include symptom management and psychosocial support that often allow cancer patients to continue with their therapies. (cancernetwork.com)
- Oncologists are generally very happy to have us work with them, because doing so eliminates many distress calls for symptom management issues and spares them long and sometimes difficult discussions with patients and families about care planning. (cancernetwork.com)
- In the more palliative position it may be evident that you do not have first hand clinical experience with symptom management but if you are willing to learn and get oriented ok I think you will be able to do it. (allnurses.com)
Pediatric oncologist2
- Our teams are also known as the Doris A. Howell Consult Teams, after Dr. Doris Howell, a pediatric oncologist who devoted her life to caring for patients and training the next generation of doctors in San Diego. (ucsd.edu)
- David Korones, M.D. , pediatric oncologist and palliative care physician at UR Medicine's Golisano Children's Hospital , has been awarded the 2015 Hastings Center Cunniff-Dixon Senior Physician Award , a national award for physicians who care for people at the end of life. (rochester.edu)
Conversations Matter3
- The brochure is part of NINR's Palliative Care: Conversations Matter campaign. (nih.gov)
- To develop the Palliative Care: Conversations Matter campaign, NINR brought together families and pediatric palliative care clinicians, scientists, and professionals to identify what they felt was needed in the field. (nih.gov)
- Find videos and other resources on how palliative care can help you and your family on the new "Palliative Care: Conversations Matter" site. (nih.gov)
Oncology4
- Other This RFA proposes to stimulate medical schools, schools of nursing, cancer centers, oncology divisions, and other health professional entities to design methodologies for the education and training of health care professionals in hospice and palliative care. (nih.gov)
- She is internationally recognized for her contributions to the fields of oncology nursing and palliative care. (capc.org)
- She has received prestigious research and mentoring awards from the National Institute of Nursing Research, the Oncology Nursing Society, the Council on the Advancement of Nursing Science, and the Hospice and Palliative Nurses Association, among many others. (capc.org)
- Oncology nurses and social workers work very closely with us, to optimize patient care. (cancernetwork.com)
Team29
- Who makes up the palliative care team? (nih.gov)
- A palliative care team is made up of multiple different professionals that work with the patient, family, and the patient's other doctors to provide medical, social, emotional, and practical support. (nih.gov)
- The team is comprised of palliative care specialist doctors and nurses, and includes others such as social workers, nutritionists, and chaplains. (nih.gov)
- A person's team may vary based on their needs and level of care. (nih.gov)
- Over time, if the doctor or the palliative care team believes ongoing treatment is no longer helping, there are two possibilities. (nih.gov)
- Or, the palliative care team could continue to help with increasing emphasis on comfort care . (nih.gov)
- Having a palliative care provider as part of your medical team gives you an added layer of support, in addition to your regular treatment. (ucsd.edu)
- You may see the palliative care team during a hospital stay, or you may meet a palliative care provider during a clinic visit. (ucsd.edu)
- If you would like to be referred to a palliative care provider for a clinic visit, please ask your care team for a referral. (ucsd.edu)
- The inter-disciplinary team of researchers, Dr Katherine Knighting, Professor Bernie Carter, Professor Axel Kaehne and Dr Julie Feather , are based in the Faculty of Health, Social Care and Medicine and the Evaluation and Policy Analysis Unit at Edge Hill. (edgehill.ac.uk)
- It should help a wide audience of generic and specialist practitioners in the delivery of palliative care in the range of clinical settings, but with a particular emphasis on the care of patients in the community by the primary care team. (nursingcenter.com)
- David's palliative care team helps manage his pain but also provides psycho-social support for him and his family. (getpalliativecare.org)
- Le Bonheur's palliative care team includes doctors, a nurse practitioner, a social worker, a chaplain, a coordinator, a parent mentor and volunteers who develop collaborative partnerships with patients, specialists, primary care physicians and the family to provide continuity, care coordination and additional support. (lebonheur.org)
- How does the palliative care team help? (lebonheur.org)
- If you would like to talk to someone about whether palliative care may be of benefit to your child, please call (901) 233-9768 at any time of day or night to speak with a member of Threads of Care, our palliative care team. (lebonheur.org)
- During this time, Dedra and her mom, Goldie Harwell, were introduced to the palliative care team here at Le Bonheur. (lebonheur.org)
- The whole time they cared for my daughter, the palliative care team treated my daughter and me with respect. (lebonheur.org)
- The palliative care team made themselves available 24/7 to answer any questions that Goldie might have. (lebonheur.org)
- Le Bonheur's Palliative Care Team is unmatched when it comes to care. (lebonheur.org)
- It was literally two hours after I accepted the dementia consultant job that the palliative team called me to ask for an interview. (allnurses.com)
- I am going to be working 0.4EFT with the palliative care team, and the DON seems to think I will be a good fit. (allnurses.com)
- Ask your research team if palliative care may help you and your family. (nih.gov)
- The Comfort and Palliative Care team is comprised of physicians, nurses, psychologists and social workers. (chla.org)
- What does the Comfort and Palliative Care team do? (chla.org)
- Who is on a Comfort and Palliative Care team? (chla.org)
- The Comfort and Palliative Care team at Children's Hospital Los Angeles currently includes a physician, nurse practitioner, support coordinator, psychologist, nurse care manager and support counselor. (chla.org)
- The Comfort and Palliative Care team will work with your doctors to provide additional, supportive care. (chla.org)
- This is an opportunity to learn how an activated patient, in partnership with the healthcare team, can play a vital role in achieving the triple aim of better health, better care, and lower costs. (nih.gov)
- Additionally, details are provided regarding the establishment of a multidisciplinary palliative care team which is critical to provide the most appropriate multimodal treatment for good quality of life and survival of patients . (bvsalud.org)
Treatments2
Aims to improve1
- Palliative care aims to improve quality of life for both patients and their families. (nih.gov)
Populations1
- The difference here is that we're talking about palliative care being the standard in populations across the continuum of health. (medscape.com)
Cancer12
- Full Text CA-94-012 HOSPICE AND PALLIATIVE CARE EDUCATION PROGRAMS NIH GUIDE, Volume 23, Number 13, April 1, 1994 RFA: CA-94-012 P.T. Keywords: National Cancer Institute Letter of Intent Receipt Date: May 2, 1994 Application Receipt Date: June 16, 1994 PURPOSE The National Cancer Institute (NCI) invites grant applications to create new educational programs to address health professional training in palliative patient care. (nih.gov)
- For more information, see Medscape's Palliative Care Resource Center and Palliative Cancer Care Guidelines . (medscape.com)
- In a large study of patients with cancer who were in palliative care, approximately 55% of pain was somatic in origin, with the remainder nearly equally divided between visceral and neuropathic causes. (medscape.com)
- The pathophysiology of pain in patients who do not have cancer and are in palliative care is a function of the specific nature and anatomic location of the underlying disease process. (medscape.com)
- Lung cancer and advanced congestive heart failure (CHF) are common causes of dyspnea in palliative care patients. (medscape.com)
- Dave Roberts is Senior Lecturer in Cancer and Palliative Care at Oxford Brookes University. (routledge.com)
- His research interests and publications focus primarily on psychosocial aspects of health, principally cancer & palliative care, communication skills, and psychological interventions, and global aspects of health care and education. (routledge.com)
- Cathy Payne, a widely experienced palliative care specialist, has been awarded a major scholarship by a North-South consortium of hospices and universities to research her ideas on how people with advanced lung cancer might combine nutrition and physical activity to self-manage aspects of their condition. (ulster.ac.uk)
- The selection committee cited the success of Korones in advancing palliative care for children with brain tumors, as well as his work to care for children with cancer in Russia and Ethiopia. (rochester.edu)
- At regional level, improved access to essential palliative care services is one of the regional strategic health care interventions included in the Framework for action on cancer prevention and control in the Eastern Mediterranean Region. (who.int)
- Misconceptions about palliative care, such as that it is only for patients with cancer, or for the last weeks of life. (who.int)
- It's a great path to Heme Onc, and if an applicant told me 'I want to do the fellowship so I can provide better care to my patients with cancer' I'd be all for it. (studentdoctor.net)
Families9
- The guidelines clarified that palliative care means whole-person care for patients and families and that it encompasses and treats physical, psychological, social, and spiritual needs. (medscape.com)
- The Kentown Children's Palliative Care Programme in Lancashire and South Cumbria was set up earlier this year to better meet the needs of children with life limiting conditions and their families by co-ordinating services, avoiding duplication and increasing awareness of support available. (edgehill.ac.uk)
- The evaluation will assess the effectiveness of the community focused model of care adopted as part of the programme, including the differences in the experiences of children with life limiting conditions and their families, as well as the professionals supporting them. (edgehill.ac.uk)
- Dr Katherine Knighting , Reader in Palliative and Supportive Care and lead for the evaluation, said: "We are delighted to be evaluating this innovative programme which has the needs of children and their families at its heart. (edgehill.ac.uk)
- Commissioners, children's palliative care providers and families have been involved in the development of the programme which aims to build on established children's palliative care and support services to support delivery of the right care to families, when and where they need it. (edgehill.ac.uk)
- This month is a special time where we as a clinical community must come together to better educate the public on statistics surrounding pregnancy and infant loss, promote local resources for bereaved families and designate a special time to remember babies who have passed," said Marta Kolthoff, MD, AHN perinatologist and lead physician of Olivia's Angels Perinatal Palliative Care Program. (prweb.com)
- The training is vital to the delivery of coordinated, high-level care for patients and families, tapping into the resources and specialized clinical expertise found at the AHN Women's Behavioral Health Institute. (prweb.com)
- From "day one" we utilize many of the methods that Dr. von Gunten et al describe to provide comprehensive, interdisciplinary care to patients and their families. (cancernetwork.com)
- No. We follow up with families in our outpatient clinics to provide care for pain and related issues. (chla.org)
Support6
- Although all of these types of care do focus on comfort and support, palliative care often begins at diagnosis and continues during treatment and beyond. (ucsd.edu)
- In addition to the many benefits palliative care can provide, research has shown that palliative care can provide improvements in patient-provider communication, emotional support, and satisfaction with overall care. (nih.gov)
- This post will support the provision of high quality patient care within the Emergency Department. (bmj.com)
- Palliative care is a specialized approach to support and provide relief for individuals with chronic conditions by managing their physical, emotional, social, and spiritual well-being and comfort. (visitingangels.com)
- Working with health and social care services across the Lancashire and South Cumbria region, the Kentown Programme offers a model of care that builds on established children's palliative care and support services. (edgehill.ac.uk)
- If you need ongoing Home Care support see below. (albertahealthservices.ca)
Services15
- The organized services available through palliative care may be helpful to any older person having a lot of general discomfort and disability very late in life. (nih.gov)
- Our services are designed to provide compassionate care so your elder loved one can continue to live at home. (visitingangels.com)
- In addition to dedicated home care services, Visiting Angels also offers a customized program for end-of-life care . (visitingangels.com)
- Find your nearest Visiting Angels' home care agency today or CONTACT US to learn more about palliative services! (visitingangels.com)
- There is no time limitation for palliative services, which can be used from the time of diagnosis through end-of-life care. (visitingangels.com)
- The Palliative Coverage Program provides subsidized benefits to Albertans who are diagnosed as palliative and remain in their home or in a hospice where access to publicly funded drugs, diabetes supplies and ambulance services are not included. (alberta.ca)
- Albertans who are palliative are provided access to supplementary health benefits that provide coverage for health-related services not covered by the Alberta Health Care Insurance Plan (AHCIP). (alberta.ca)
- Early palliative care not only improves quality of life for patients but is also a cost-saving public health intervention that reduces unnecessary hospitalizations and use of health-care services. (who.int)
- Furthermore, WHO explicitly recognizes that palliative care is part of the comprehensive services required for noncommunicable diseases (NCDs) through the Global Action Plan for the Prevention and Control of NCDs 2013-2020, and fundamental to improving the quality of life, wellbeing, comfort, and human dignity for individuals, as an effective person-centered health service. (who.int)
- Additionally, palliative care is encompassed in the definition of universal health coverage and the WHO global strategy on people-centered and integrated health services which offers a framework for strengthening palliative care programmes across diseases. (who.int)
- Palliative care in most of the Eastern Mediterranean Region remains at an early stage of development, with insufficient strategic planning by governments for palliative care services. (who.int)
- In Canada and Europe, "hospice" and "palliative care" services are not distinct, but in the United States hospice eligibility and reimbursement is determined by the Medicare Hospice Benefit. (cancernetwork.com)
- 3] To address some of the problems that Dr. von Gunten and coauthors point out, hospital-based, home-based, and clinic-based palliative care services are emerging. (cancernetwork.com)
- Early in our relationship, we begin talking about the continuum of palliative care services that includes hospice. (cancernetwork.com)
- She heads the Foundation's Integrating and Improving Services grants, focusing on the development and dissemination of innovative, cost-effective models of care that improve health outcomes for older adults. (nih.gov)
Supportive1
- Dr. Marie Bakitas is professor and associate director at the Center for Palliative and Supportive Care at the University of Alabama at Birmingham (UAB). (capc.org)
Collaborative3
- Sarah Friebert, MD, director of pediatric palliative care at Akron's Children's Hospital, Ohio, who is a representative of the National Pediatric Hospice and Palliative Care Collaborative, explained that although all age groups have been represented since the guidelines began, a big change in this edition has been a focus on care across the continuum. (medscape.com)
- Collaborative Practice in Palliative Care explores how different professions work collaboratively across professional, institutional, social, and cultural boundaries to enhance palliative care. (routledge.com)
- 1.What is collaborative practice and why is it important in palliative care? (routledge.com)
Clinicians2
- All clinicians who care for seriously ill people need to practice palliative care. (medscape.com)
- Timely consideration of palliative care is the responsibility of all clinicians who care for seriously ill patients, including primary care practices, specialist care practices, hospitalists, nursing home staff, and palliative care specialist teams, such as hospice, hospital and community-based palliative care teams. (medscape.com)
NINR2
- It is important for health care providers to offer information on what palliative care is and the options surrounding their child's care, so the family is properly equipped with the knowledge to make the best decisions for their child and entire family," noted NINR Director Patricia A. Grady, Ph.D. (nih.gov)
- The National Institute of Nursing Research (NINR) offers pediatric palliative care resources to help you, your family, and your health care provider through this difficult time. (medlineplus.gov)
Opioid1
- Over 40 experts from Bulgaria, Croatia, Hungary, Lithuania, Poland and Romania, along with experts from WHO and other organizations, attended the Workshop to evaluate national policies for opioid control and to develop action plans to improve the availability of these drugs for palliative care in their countries. (who.int)
Life16
- Palliative care is meant to enhance a person's current care by focusing on quality of life for them and their family. (nih.gov)
- Research shows that palliative care can benefit a patient's health and well-being, and may help to prolong life. (ucsd.edu)
- Our palliative care providers work with your other doctors to help you achieve your best quality of life throughout treatment. (ucsd.edu)
- So regardless of where you are physically, geographically, and regardless of where you are on the trajectory of your care - from prenatal all the way to end of the life in the elderly - it needs to be integrated into care," she said. (medscape.com)
- Although palliative care is typically delivered in hospice programs, it is not restricted to end-of-life care. (medscape.com)
- Many think palliative is only associated with hospice or end-of-life care. (visitingangels.com)
- Laura Green is Lecturer in Adult Nursing at the University of Manchester, teaching palliative and end of life care at pre-registration and Masters level programmes. (routledge.com)
- Improving knowledge through research such as this is hugely important for the future of palliative and end of life care development in Ireland and Northern Ireland. (ulster.ac.uk)
- Her early telehealth palliative care model ENABLE (Educate, Nurture, Advise, Before Life Ends), has led to practice and policy changes. (capc.org)
- Thanks to his palliative care treatment, David is now able to enjoy life at home as he continues his recovery. (getpalliativecare.org)
- We commonly diagnose life-threatening complications and get patients the acute care they need. (cancernetwork.com)
- End-of-life care: True or false? (mercyhealthsystem.org)
- These are just a few of the facts about types of care that could make life easier for the ill person and their family. (mercyhealthsystem.org)
- Throughout her life, Dedra Jarret received care from Le Bonheur Children's Hospital for epilepsy and associated intellectual delays. (lebonheur.org)
- Hospice is a specific service for home-based care at the end of life. (chla.org)
- Dr. Paasche-Orlow's work has brought attention to the role health literacy plays in racial and ethnic disparities, self-care for patients with chronic diseases, end-of life decision making, and the ethics of research with human subjects. (nih.gov)
Diagnosis1
- Patients are aware of their diagnosis and have made a voluntary informed decision related to resuscitation, and the focus of care is palliation and not treatment aimed at a cure. (alberta.ca)
Faculty2
- Your financial gift to the Palliative Care Excellence Fund will go directly to supporting the palliative care program, faculty and staff. (ucsd.edu)
- Ms. Berman is responsible for the development of the National League for Nursing's geriatric-focused faculty development effort, Advancing Care Excellence for Seniors. (nih.gov)
Patient's2
- There are far too few health care professionals who have been trained or have an interest in dealing with this phase of a patient's disease. (nih.gov)
- Another way to look at palliative care is the concept of a "good death," free of avoidable pain and suffering for the patient and the patient's family. (medscape.com)
Multidisciplinary1
- The text is further strengthened by discussion of important areas of multidisciplinary teamwork and ethical issues in palliative medicine. (nursingcenter.com)
Guidelines3
- The latest edition of the National Consensus Project's (NCP's) Clinical Practice Guidelines for Quality Palliative Care has just been released. (medscape.com)
- The guidelines emphasize the importance of interdisciplinary care and care coordination as patients move across care settings. (medscape.com)
- The key difference in this edition of the guidelines is the emphasis that palliative is not just restricted to specialists," she said. (medscape.com)
David2
- David is a physician who embraces many disparate, challenging worlds, and he does so with the utmost knowledge, skill and compassion," said Timothy E. Quill , M.D., Georgia and Thomas Gosnell Distinguished Professor in Palliative Care , in his nomination of Korones. (rochester.edu)
- After repeated visits to the emergency room to deal with the pain, David asked for palliative care. (getpalliativecare.org)
Outpatient1
- Palliative care can be provided in hospitals, nursing homes, outpatient palliative care clinics and certain other specialized clinics, or at home. (nih.gov)
Practice1
- Analysing palliative care as an interaction between different professionals, clients, and carers, and the social context or community within which the interaction takes place, it is grounded in up-to-date evidence, includes global aspects of palliative care and cultural diversity as themes running throughout the book, and is replete with examples of good and innovative practice. (routledge.com)
Physician3
- You can also get the application form from Alberta Blue Cross, your physician or nurse practitioner, the palliative care program or home care offices in your area. (alberta.ca)
- In addition to directing the pediatric palliative care program, which serves about 200 children a year, Korones also directs the pediatric brain tumor program and is an attending physician on the adult palliative care service. (rochester.edu)
- He is also the lead physician consultant at CompassionNet , a community-based pediatric palliative care program. (rochester.edu)
Health19
- Contact a health care provider if you have questions about your health. (medlineplus.gov)
- If the person is no longer able to make health care decisions for themselves, a caregiver or family member may have to make those decisions. (nih.gov)
- To begin palliative care, a person's health care provider may refer him or her to a palliative care specialist. (nih.gov)
- If he or she doesn't suggest it, the person can ask a health care provider for a referral. (nih.gov)
- Palliative care appointments are available to UC San Diego Health patients who have been diagnosed with a serious medical condition. (ucsd.edu)
- Dr. Howell, who passed away in 2018 at age 95, was proud to see the palliative care program thrive and serve people throughout UC San Diego Health. (ucsd.edu)
- We'll match you with a senior home care provider who will care for all your loved one's health and well - being needs. (visitingangels.com)
- The All-Ireland Institute of Hospice and Palliative Care (AIIHPC), in conjunction with the Health & Social Care Research & Development Division of the Public Health Agency (HSC R&D Division) in Northern Ireland, has awarded Mrs Payne a three-year Doctoral Fellowship in Hospice and Palliative Care. (ulster.ac.uk)
- Mrs Payne, who qualified as a clinical dietitian in 1997, became the first Palliative Care Dietitian in all Ireland in 2004 and its first Lecturer in Palliative Care for Allied Health Professionals in 2007. (ulster.ac.uk)
- and Laura Iglesias-Lino, M.D., medical director for geriatrics and palliative care at Brightwood Health Center and associate medical director for hospice at Baystate Medical Center in Massachusetts. (rochester.edu)
- Allegheny Health Network's (AHN) Perinatal Palliative Care program, "Olivia's Angels," will recognize this month as National Pregnancy and Infant Loss Awareness Month by sharing helpful guidance and resources for grieving parents as well as their friends, family and loved ones. (prweb.com)
- Patients and family may discuss their palliative care needs with their health professional or call the Palliative Care Consult Service office for more information. (albertahealthservices.ca)
- National health policies and systems do not often include palliative care at all. (who.int)
- Training on palliative care for health professionals is often limited or non-existent. (who.int)
- Lack of awareness among policy-makers, health professionals and the public about what palliative care is, and the benefits it can offer patients and health systems. (who.int)
- The Eastern Mediterranean Region Expert Network on Palliative Care was established in 2019 to push forward palliative care in the Region-which is becoming increasingly important given the ongoing COVID-19 pandemic and the strain it has put on health systems. (who.int)
- The road map aims to address current gaps and inform health policy in regard to palliative care in countries of this region. (who.int)
- Established in 2000, the Pain and Palliative Care consultation service is available to all patients who are actively participating in a research study within the Clinical Research Center at the National Institutes of Health. (nih.gov)
- Her findings were cited in the Institute of Medicine's report, Retooling for an Aging America: Building the Health Care Workforce . (nih.gov)
Professionals3
- Our senior home care providers are skilled professionals. (visitingangels.com)
- This text is an important reference for all professionals engaged in palliative care, particularly those studying for post-qualification programmes in the area. (routledge.com)
- Such meaning has a significant impact upon patients and palliative care professionals alike. (cambridge.org)
Family4
- How do I know if my child or family needs palliative care? (nih.gov)
- How can our family get palliative care? (nih.gov)
- Every member of the Visiting Angels family has made it their mission to put seniors first, prioritizing the safety, security, and personal well-being of each and every client in our care. (visitingangels.com)
- By subsidizing the cost of care in the home, a major financial burden is removed for the patient and the family. (alberta.ca)
Diseases1
- Ms. Berman is the program officer responsible for a number of efforts to improve transitions of care as well as the Foundation's work to improve home healthcare delivery and efforts to redesign primary care to better meet the needs of those with multiple chronic diseases. (nih.gov)
Relieve1
- A palliative care specialist suggested she get a blood transfusion to manage the anemia and relieve some of the fatigue she was experiencing. (nih.gov)
Emotional and spiritual1
- Palliative care also addresses emotional and spiritual issues. (ucsd.edu)
Compassionate1
- If you have a loved one who is living with a chronic condition, contact your local Visiting Angels home care office to learn more about our compassionate approach to in-home palliative care. (visitingangels.com)
Psychological1
- 7.Psychological care: everybody's business? (routledge.com)
Program5
- Visiting Angels' Certified Palliative Care program uses a broader, more holistic approach that sets itself apart from other providers. (visitingangels.com)
- Learn about the Palliative Coverage Program, who is eligible, what benefits are provided, and how to apply to receive benefits. (alberta.ca)
- The program is open to Albertans registered with the AHCIP and who have been diagnosed as being palliative. (alberta.ca)
- Korones specializes in treating children with brain tumors and is the founding director of Golisano Children's Hospital's pediatric palliative care program . (rochester.edu)
- The University of Tennessee ACGME approved Hospice and Palliative Medicine Fellowship Program offers comprehensive, multi-disciplinary training in Hospice and Palliative Care, providing fellows with a unique skill set to deliver outstanding clinical care, achieve board certification in hospice and palliative medicine and position themselves for diverse and rewarding career opportunities. (lebonheur.org)