Articles: palliative-care.
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J Pain Symptom Manage · Jun 2021
Review Case ReportsTopical Management of Bleeding from Malignant Wounds caused by Breast Cancer: A Systematic Review.
Topical management is the main form of control of signs and symptoms regarding malignant wounds (MWs) arising from tumor progression on the skin. Nevertheless, few studies have explored this theme and evidence on the effectiveness of the methods used to control bleeding is unknown, leading to a lack of consensus to support clinical practice. ⋯ Although studies have promoted positive results of topical hemostasis, scientific evidence is still weak and arises from studies with poor methodological quality. Randomized controlled trials were not identified. The results highlight the crucial need for pilot studies to evaluate effect size, study procedures, and measurable results.
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With the introduction of New South Wales Ambulance Authorised Palliative Care Plans within a metropolitan palliative care service, the perspectives of patients, caregivers and clinicians and their understandings of the processes involved in completing the Plans were investigated. ⋯ The Ambulance Palliative Care Plans are a complex intervention that are sometimes misunderstood by patients, particularly those who are very unwell or who have little prognostic awareness. Clinicians perceive the major benefit to be avoidance of admission to the emergency department.
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The provision of palliative care for severe COPD remains low, resulting in unmet needs in patients and carers. ⋯ Palliative care increasingly is being implemented for nonmalignant diseases including COPD throughout the United Kingdom, although models of working vary. A theoretical model was developed to illustrate the concept and pathway of the integration of palliative care support. A standardized screening and needs assessment tool is required to improve timely palliative care and to address the significant needs of this population.
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J Pain Symptom Manage · Jun 2021
Accuracy of the Palliative Prognostic Score with or without Clinicians' Prediction of Survival in Patients with Far Advanced Cancer.
Previous studies suggest that clinicians' prediction of survival (CPS) may have reduced the accuracy of objective indicators for prognostication in palliative care. ⋯ Overall, the PaP total score, PaP-CPS, and PaP without CPS showed good discriminative performances. However, the PaP total score and PaP-CPS were significantly more accurate than the PaP without CPS.
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J Pain Symptom Manage · Jun 2021
Methodological reflections on the recruitment of adult child-parent dyads for end-of-life research in Germany: Experiences from the Dy@EoL study.
Although high-quality research with patients and family members is needed to improve palliative care, difficulties in recruitment are often reported. ⋯ The recruitment was more successful in inpatient than in ambulatory settings. The extension of recruitment partners was beneficial to recruit participants from ambulatory contexts. The inclusion of single participants was conducive as a great number of patients participated without their dyad partner. Sharing the obtained experiences can be helpful for future research planning.