Journal of palliative medicine
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Comparative Study Observational Study
Palliative Care Needs in an Acute Internal Medicine Ward in Mexico.
Palliative care is an evolving but underdeveloped practice in Mexico. ⋯ The number of patients requiring palliative care in internal medicine wards may be excessive to the current palliative care structures available.
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Cancer patients have a high rate of emergency department (ED) visits and inpatient hospitalizations (IHs) that may be reduced by use of outpatient palliative care services. ⋯ Further work is needed to define the best model for outpatient palliative care.
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Comparative Study
Life-Limiting Conditions at a University Pediatric Tertiary Care Center: A Cross-Sectional Study.
The increasing number of children with life-threatening and life-limiting conditions requires an individualized approach and additional supportive care in hospitals. However, these patients' characteristics and their prevalence in a pediatric tertiary hospital setting have not been systematically analyzed. ⋯ A substantial proportion of pediatric inpatients suffered from life-threatening or LLDs, as well as rare diseases, indicating a high burden of symptoms and a high need for additional care. The results suggest a substantial need to implement pediatric palliative care structures in tertiary care centers for patients in critical and terminal conditions.
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A majority of cancer-bereaved siblings report long-term unresolved grief, thus it is important to identify factors that may contribute to resolving their grief. ⋯ Siblings' perception that it was not a peaceful death and poor communication with family, friends, and healthcare increased the risk for unresolved grief among the siblings.