Palliative medicine
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Palliative medicine · Feb 2022
ReviewThe experiences, perceptions, and support needs among family caregivers of patients with advanced cancer and eating problems: An integrative review.
Advanced cancer patients often present with numerous eating problems, posing a significant challenge for family caregivers during the provision of nutritional care. ⋯ Research on the studied topic was descriptive and predominantly qualitative in nature. Quantitative research examining the impact of caregiving experiences in relation to food and eating in the context of advanced cancer patients is the first important step moving this research area forward.
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Palliative medicine · Feb 2022
Palliative care needs and models of care for people who use drugs and/or alcohol: A mixed methods systematic review.
Providing palliative care for individuals who use alcohol and/or drugs poses a multi-faceted challenge. In addition to clinical and social needs, individuals may endure mental health problems, co-morbidities and homelessness, thus requiring a multi-disciplinary, flexible approach to care. ⋯ Despite end-of-life needs of this population being different to others, challenges include creating inclusive policies, sensitising staff to distinctive individual needs and training exchanges for staff working in both drug and alcohol services and palliative care.
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Palliative medicine · Feb 2022
Which factors influence the quality of end-of-life care in interstitial lung disease? A systematic review with narrative synthesis.
People dying from interstitial lung disease experience considerable symptoms and commonly die in an acute healthcare environment. However, there is limited understanding about the quality of their end-of-life care. ⋯ There is inadequate knowledge regarding the most appropriate location for end-of-life care for people with interstitial lung disease. Early palliative care involvement can improve accordance with end-of-life care wishes. Future research should consider symptom management at the end-of-life and association with location of death.
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Palliative medicine · Feb 2022
Patient perspectives on states worse than death: A qualitative study with implications for patient-centered outcomes and values elicitation.
Seriously ill patients rate several health outcomes as states worse than death. It is unclear what factors underlie such valuations, and whether consideration of such states is useful when making medical decisions. ⋯ Common factors underlying undesirable states suggest that for care to be patient-centered it must also be family-centered. Patients' views on using states worse than death in decision making highlight barriers to using avoidance of such states as a quality measure, but also suggest opportunities for eliciting patients' values.
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Palliative medicine · Feb 2022
Case ReportsUse of long term aprepitant as a treatment for refractory nausea following oesophageal stent insertion - a case report.
Aprepitant, a substance P neurokinin-1 receptor antagonist, is licenced for the prevention of acute and delayed nausea and vomiting associated with highly and moderately emetogenic cancer chemotherapy. ⋯ Further research of neurokinin-1 inhibitors for indications other than chemotherapy-induced nausea and vomiting is indicated.