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Diagnosing dying: an integrative literature review - BMJ Supportive & Palliative Care

Background To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim to inform clinical decision making. Ensuring appropriate outcomes through the use of these decision aids is dependent on timely use. Diagnosing dying is a complex clinical decision, and most of the available practice checklists relate to cancer. There is a need to review evidence to establish diagnostic indicators that death is imminent on the basis of need rather than a cancer diagnosis.  
spcare.bmj.com
about 5 years ago
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Pharmacovigilance in hospice/palliative care: net effect of gabapentin for neuropathic pain -- Sanderson et al. -- BMJ Supportive & Palliative Care

Objective Hospice/palliative care patients may differ from better studied populations, and data from other populations cannot necessarily be extrapolated into hospice/palliative care clinical practice. Pharmacovigilance studies provide opportunities to understand the harms and benefits of medications in routine practice. Gabapentin, a γ-amino butyric acid analogue antiepileptic drug, is commonly prescribed for neuropathic pain in hospice/palliative care. Most of the evidence however relates to non-malignant, chronic pain syndromes (diabetic neuropathy, postherpetic neuralgia, central pain syndromes, fibromyalgia). The aim of this study was to quantify the immediate and short-term clinical benefits and harms of gabapentin in routine hospice/palliative care practice.  
spcare.bmj.com
about 5 years ago
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Palliative care can provide a better death – and even a longer life | Margaret McCartney

Margaret McCartney: Despite death being our only shared destiny, there is an amazing amount of misinformation about what medicine can achieve at the end of life  
theguardian.com
about 5 years ago
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All healthcare professionals must be trained in palliative care | Jane Collins

The government must make training a priority so that everyone working in health or social care knows how to care for, and communicate with, people who are terminally ill  
theguardian.com
about 5 years ago
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Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams

PLoS One. 2015 Aug 24;10(8):e0136309. doi: 10.1371/journal.pone.0136309. eCollection 2015.  
ncbi.nlm.nih.gov
about 5 years ago
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Pathophysiologic Response to Burns in the Elderly

A paper exploring the high morbidity and mortality rates in elderly patients suffering burns (with statistical analysis).  
ebiomedicine.com
about 5 years ago
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Is anyone else having problems bathing? – UPDATE

I have now tested Nilaqua in the ward, we are testing the shampoo and body wash. I knew one of my patients family were visiting so I decided it would be a good time to test the product. I used the shampoo on Jean, as I said in my previous post it is really easy to use and leaves the hair soft and clean, removing any signs of grease and dirt. Jean was very pleased and said that it felt and smelt nice. I hadn't used the body wash before but again, it was very easy to use, much easier than bed bathing, I didn't have to change any sheets after use and it saves a lot of time. This meant that I had more time to wash more patients and give a few of them the luxury of a hair wash. The body wash uses the same method as the shampoo – apply, massage into the skin until soapy and towel away the liquid with that off comes the dirt and odours. It works really well and is definitely cost effective whilst giving high quality care that this people deserve.  
Yasmin Booth
about 5 years ago
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ACP to Jerry Brown: Veto Physician-Assisted Suicide Bill

Don't allow 'medicalization of suicide'  
medpagetoday.com
about 5 years ago
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Improving supportive and palliative care for adults with cancer | Guidance and guidelines | NICE

The NICE clinical guidance on supportive and palliative care (CSG) advises those who develop and deliver cancer services for adults with cancer about what is needed to make sure that patients, and their families and carers, are well informed, cared for and supported.  
nice.org.uk
almost 5 years ago
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Palliative care for adults: strong opioids for pain relief | Guidance and guidelines | NICE

This guideline will shortly be checked to see if it needs updating, please register as a stakeholder to be informed about the decision.  
nice.org.uk
almost 5 years ago
D1d5df052f9214a752ef16e2e0e4b30fc1488d869953604762742027
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Palliative Medicine Symptom Tip: Dyspnoea

A simple sketchnote/infographic for end of life care  
Susan
over 4 years ago
Bbdc207d8e2ede7a0690b03f20f66c3f9e4aac491908649427881397
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ABC of Dignity:A

 
Susan
over 4 years ago
Af171d5a952ce9a86769c4c9d2e718e03bab42595596266923130391
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ABC of Dignity: D

 
Susan
over 4 years ago
C45746f6b6e5f0ecc0f1cf58a67d3751f7ef76dc07977869640589819
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Breaking Bad News

 
Susan
over 4 years ago
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Palliative Care and the Human Connection: Ten Steps for What To Say and Do

Dr. Diane E. Meier is Director of the Center to Advance Palliative Care (CAPC), a national organization devoted to increasing the number and quality of palliative care programs in the United States. In this video, Dr. Meier discusses 10 important steps in palliative care from over a decade of research. This video will serve as a valuable training tool and guide for medical professionals and their families. Under her leadership the number of palliative care programs in U.S. hospitals has more than doubled in the last 5 years.  
Nicole Chalmers
over 6 years ago
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Early Palliative Care: Improving Quality of Life

A landmark study on the integration of palliative care during early onset of a cancer diagnosis was recently published in the New England Journal of Medicine. Here, lead authors Jennifer Temel, MD, and Victoria Jackson, MD, MPH discuss palliative care and the impressive study findings which showed patients experienced a better quality of life and actually lived longer than patients not receiving the same level of care at an early stage. Jim Windhorst, a stage IV, lung cancer patient describes how palliative care has helped him cope with his illness. For more information visit: http://www.massgeneral.org/about/newsarticle.aspx?id=2330  
Nicole Chalmers
over 6 years ago
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Palliative Care - Research on Aging

Palliative care aims to prevent and relieve suffering and promote quality of life, at every stage of life, through patient and family care, education, research and advocacy. Join Frank D. Ferris, MD, as he presents information on defining elements of past and modern illness and various conceptions of suffering. The general concepts of palliative care, as well as the future goals of palliative care will be addressed. Series: Sam and Rose Stein Institute for Research on Aging (SIRA) [4/2009] [Health and Medicine] [Show ID: 16035]  
Nicole Chalmers
over 6 years ago