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PalliativeCare

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Development of a tool for defining and identifying the dying patient in hospital: Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) -- Cardona-Morrell and Hillman 5 (1): 78 -- BMJ Supportive & Palliative Care

Objective To develop a screening tool to identify elderly patients at the end of life and quantify the risk of death in hospital or soon after discharge for to minimise prognostic uncertainty and avoid potentially harmful and futile treatments.  
spcare.bmj.com
over 4 years ago
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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
over 4 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
over 4 years ago
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Palliative Care | Medical Mnemonics

Posts about Palliative Care written by medmnemonics  
medmnemonics.wordpress.com
over 4 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
over 4 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
over 4 years ago
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RNs can help promote geropalliative care | Nurse.com News

Studies show palliative care not only helps people feel better, but it also helps them live longer by improving mood, energy and well-being.  
news.nurse.com
over 4 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
over 4 years ago
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Expanding the concept of Palliative Care, by Mari Cruz Martín

Expanding the concept of Palliative Care, by Mari Cruz Martín.  
prehospitalmed.com
over 4 years ago
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Care of dying patients 'still inconsistent and poor' - BBC News

Palliative care experts say more investment is needed to improve the care of dying patients.  
bbc.co.uk
over 4 years ago
Www.bmj
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“Euthanasia kits” are prepared for Quebec doctors as palliative care centres rebel on right to die

New guidelines from the Collège des Médecins du Québec explain how doctors will provide medical aid in dying to terminally ill patients who request it, when Canada’s second largest province becomes North America’s biggest right to die jurisdiction on December 10.  
feeds.bmj.com
over 4 years ago
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“Euthanasia kits” are prepared for Quebec doctors as palliative care centres rebel on right to die

New guidelines from the Collège des Médecins du Québec explain how doctors will provide medical aid in dying to terminally ill patients who request it, when Canada’s second largest province becomes North America’s biggest right to die jurisdiction on December 10.  
feeds.bmj.com
over 4 years ago
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Is anyone else having problems bathing? I have investigated!

After seeing a lot of Nilaqua on the internet recently, I decided to give the product a go. I was a little sceptical as I haven't heard of it before and dry shampoo products never seem to work that well. However, the lady at norinse.co.uk assures me Nilaqua is a water based product and is NOT a dry shampoo, so works really well. Its kinda like a liquid solution which you rub into the hair, creating a bubbly lather and then towel off the residue and with that the dirt is lifted away with the towel. I bought it to help care for my mum who is currently wheelchair bound and her shower is such a nightmare to get in and out off. My mum is very proud of her appearance so not washing is very humiliating for her. I brought a 200ml bottle, it cost around £4.50 we've been using it every couple of days and has lasted for about 2 weeks. So I shall be buying the larger size next time. It leaves the hair soft, manageable and most of all clean!! So would really would recommend! You do have to get used to it though, applying enough so the hair is saturated! My colleague noticed it is now in the NHS catalogue, so have approached purchasing to get some shampoo and body wash in for our palliative unit. Should save a lot of time compare to bed bathing & have them nice and clean for family visiting. I'll write another update after I have tested it I the hospital to see how it does in a ward environment.  
Yasmin Booth
over 4 years ago
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Doctors need more training in care of the dying, experts say

The recent draft guideline from the National Institute for Health and Care Excellence on care of the dying is a good summary of evidence but not much help at the bedside, two experts on palliative care have said.  
feeds.bmj.com
over 4 years ago
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Children's end-of-life care 'needs attention', a report says - BBC News

A report into palliative care for children says it needs "strategic attention" and previous lessons remain "largely unheard".  
bbc.co.uk
over 4 years ago
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Children's end-of-life care 'needs attention', a report says - BBC News

Children's palliative care in Wales needs more "strategic attention" by ministers and the NHS, a new report says.  
bbc.co.uk
over 4 years ago
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Chronic underfunding in palliative care is key cause of poor care of dying people

Longstanding underfunding of palliative care training and services is a major cause in the NHS in England of failure to provide good care, MPs have been told.  
feeds.bmj.com
over 4 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 4 years ago