Palliative Medicine
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Sắp xếp:
Identifying the concerns of informal carers in palliative care
Palliative Medicine - Tập 13 Số 1 - Trang 37-44 - 1999
Variation in the use of palliative radiotherapy at end of life: Examining demographic, clinical, health service, and geographic factors in a population-based study
Palliative Medicine - Tập 25 Số 2 - Trang 101-110 - 2011
Palliative radiotherapy (PRT) can improve quality of life for people dying of
cancer. Variation in the delivery of PRT by factors unrelated to need may
indicate that not all patients who may benefit from PRT receive it. In this
study, 13,494 adults who died of cancer between 2000 and 2005 in Nova Scotia,
Canada, were linked to radiotherapy records. Multivariate logistic regression
was used to exam...
Disconnect between emergency contacts and surrogate decision-makers in the absence of advance directives
Palliative Medicine - Tập 27 Số 8 - Trang 789-792 - 2013
Background: The role played by emergency contacts can be extensive particularly
for chronically seriously ill patients. If the patient’s condition suddenly
deteriorates, the emergency contact may be asked to make decisions that should
instead fall to a designated surrogate decision-maker. Aims: To describe a
process used to help chronically seriously ill patients identify a surrogate
during study ...
Intensity cut-points for the Respiratory Distress Observation Scale
Palliative Medicine - Tập 29 Số 5 - Trang 436-442 - 2015
Background: The Respiratory Distress Observation Scale© is an innovative
solution to assessment when a dyspnea report cannot be elicited. The Respiratory
Distress Observation Scale has acceptable reliability and validity
psychometrics. Aim: To identify distress-intensity cut-points of the Respiratory
Distress Observation Scale. Design: Receiver operating characteristic curve
analysis was conducted...
Burden of care in amyotrophic lateral sclerosis
Palliative Medicine - Tập 17 Số 4 - Trang 327-333 - 2003
Objectives: Amyotrophic lateral sclerosis (ALS) is a fatal disease with unique
demands on patients and carers. Patients and methods: The total burden of care
and burden components in 37 ALS carers were measured using validated
questionnaires. Furthermore, influencing factors (functional impairment of the
patient, additional carers, participation in support groups) were assessed.
Results: The mean ...
Individual breathlessness trajectories do not match summary trajectories in advanced cancer and chronic obstructive pulmonary disease: results from a longitudinal study
Palliative Medicine - Tập 24 Số 8 - Trang 777-786 - 2010
Breathlessness is a distressing symptom in advanced disease. Little is known
about the trajectories of this symptom over time and towards death. This study
aimed to describe and compare the summary and individual trajectories of
breathlessness and overall symptom burden over time and towards the end of life
following patients with advanced cancer or severe chronic obstructive pulmonary
disease (CO...
Evaluation of a novel individualised communication-skills training intervention to improve doctors’ confidence and skills in end-of-life communication
Palliative Medicine - Tập 27 Số 3 - Trang 236-243 - 2013
Background: We developed a novel individualised training program regarding
end-of-life communication, designed to be time effective for busy junior-doctors
working in hospital settings. Aim: We aimed to pilot this brief individualised
training program with junior-doctors to explore its acceptability, feasibility
and effect on the doctors’ confidence, communication skills, attitudes towards
psychos...
A longitudinal evaluation of a communication skills programme
Palliative Medicine - Tập 13 Số 4 - Trang 341-348 - 1999
Communication is an essential component of palliative care, but patients and
their families are often dissatisfied with their interactions with health
professionals. Communication difficulties are also a recognized stress factor
among health professionals. Education and training, however, are said to improve
communication skills. A communication skills training programme for 110 nurses
has demonst...
Nurse–patient communication in palliative care: an evaluation of a communication skills programme
Palliative Medicine - Tập 12 Số 1 - Trang 13-22 - 1998
Good communication between nurses and patients is a central aspect of palliative
care. However, evaluation of courses designed to improve nurses' communication
skills has been inconclusive. Most courses have concentrated on skills training,
although communication training programmes which have been integrated into
clinical practice over time and have also focused on attitudes and used a range
of t...
Using videotelephony to support paediatric oncology-related palliative care in the home: from abandoned RCT to acceptability study
Palliative Medicine - Tập 23 Số 3 - Trang 228-237 - 2009
Videotelephony (real-time audio-visual communication) has been used successfully
in adult palliative home care. This paper describes two attempts to complete an
RCT (both of which were abandoned following difficulties with family
recruitment), designed to investigate the use of videotelephony with families
receiving palliative care from a tertiary paediatric oncology service in
Brisbane, Australia...
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