The New Zealand medical journal
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To identify the services available through hospices for people with motor neurone disease (MND) in New Zealand; to find out about the type of care and support available in each service; and to identify any barriers to access to care for these people. ⋯ Palliative care services have much to offer in the care of people with MND particularly in symptom management, respite care, and in addressing the psychological and spiritual issues that have been shown to have a greater bearing on quality of life than physical functioning. Co-ordination of service provision and timely referral to palliative care services are essential if the optimum care is to be provided. The development of the knowledge base required for effective care, a systematic approach to providing support, and effective coordination are all essential to improve the quality of life for people with MND and their families.
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The study assessed the contribution to the control of colorectal cancer achievable from primary prevention, screening, early diagnosis, and treatment in New Zealand. ⋯ The most immediate control of colorectal cancer appeared to be achievable by improvements in surgical services and the introduction of screening while increased consumption of fruit and vegetables provided potential longer-term reductions in colorectal cancer incidence and mortality.
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A pilot study to determine the response rate and feasibility of a postal survey to measure the population frequency of site-specific musculoskeletal (MSK) pain and associated health related quality of life (HRQOL). ⋯ MSK pain is common, disabling, and associated with impaired HRQOL scores that are comparable with complicated diabetes mellitus, chronic liver disease prior to liver transplantation, and terminal cancer. The New Zealand Health Strategy should now be revised to reflect the importance of MSK disorders in the New Zealand adult population.