Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Sep 2006
Review[End-of-life decisions in seriously ill patients: the position of intensive care nurses].
Intensive care units regularly have patients in whom a curative treatment plan is changed to palliative treatment. This does not only concern the medical and technical aspects, but also medical-ethical problems and questions relating to communication and organization. ⋯ The optimalization of collaboration between doctors and nurses by means of the mutual exchange of information unique to each different discipline as well as acknowledging one another's talents and skills, forms the basis of good communication and organization concerning end-of-life decisions. It is useful to formalize this collaboration by means of multidisciplinary discussions.
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Ned Tijdschr Geneeskd · Sep 2006
Comment Letter Case Reports[A patient who refused treatment after self-poisoning with paracetamol].
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Ned Tijdschr Geneeskd · Sep 2006
Case Reports[Abdominal intercostal neuralgia: a forgotten cause of abdominal pain].
Four patients, 3 women aged 39, 36 and 58 and a man aged 51, had been experiencing recurring bouts of abdominal pain for periods varying from a few months to years. The pain could be provoked by palpation of a small circumscript area in the lower abdomen. A positive Carnett's sign (pain intensification during palpation while contracting the abdominal muscles by raising the head, whilst lying flat) may aid the diagnosis. ⋯ Establishing a diagnosis in patients with abdominal cutaneous nerve entrapment syndrome is often delayed due to physicians being unaware of this condition. Most patients have to undergo numerous investigations including laparoscopies and explorative laparotomies, often to no avail. This syndrome should be considered in patients with chronic abdominal pain syndromes.