Palliative medicine
-
Palliative medicine · Mar 2022
Palliative care needs and experiences of people in prison: A systematic review and meta-synthesis.
Globally, the prison population is growing and ageing, as is the need for palliative care. Yet, little is known about how people in prison perceive palliative care provision in this setting. ⋯ People in prison expect to receive high-quality palliative care, but their experiences often do not match their expectations. Numerous structural and organisational challenges complicate the provision of palliative care in prisons, limiting accessibility of care.
-
Palliative medicine · Mar 2022
Integrating lived experiences of out-of-hours health services for people with palliative and end-of-life care needs with national datasets for people dying in Scotland in 2016: A mixed methods, multi-stage design.
Unscheduled care is used increasingly during the last year of life by people known to have significant palliative care needs. ⋯ Strengthening unscheduled care in the community, together with patient and public information about how to access these services could prevent hospital admissions of low benefit and enhance community support for people living with advanced illness.
-
Palliative medicine · Mar 2022
Case ReportsHypertonic packs to reverse blindness caused by facial lymphoedema in the setting of head and neck cancer - A case report.
Severe, cancer-related facial oedema can impair vision. It can result from lymphatic and/or venous obstruction due to disease and/or treatment related fibrosis. There is very limited data on the use of directly applied hypertonic packs for the relief of periorbital oedema. ⋯ A case series to define incidence of adverse effects and duration of treatment effectiveness.
-
Palliative medicine · Mar 2022
C-reactive protein and white blood cell count are adverse prognostic markers for patients with advanced cancer on parenteral nutrition in a palliative care unit setting: A retrospective cohort study.
Parenteral nutrition is controversial in patients with advanced cancer. Nevertheless, this treatment is common practice near the end of life. ⋯ Patients who responded with an increase of C-reactive protein or white blood cell count during 2 weeks after reinitiation or start of parenteral nutrition had a worse survival. Our findings might support clinicians and patients in their decision to forgo parenteral nutrition in a palliative care setting.