Mostrando entradas con la etiqueta Palliative care. Mostrar todas las entradas
Mostrando entradas con la etiqueta Palliative care. Mostrar todas las entradas

jueves, 1 de marzo de 2018

Cuidados paliativos / Palliative care

Marzo 1, 2018. No. 3009
Cuidado y cuidado domiciliario
Caregiving and Home Care
Edited by Mukadder Mollaoglu, ISBN 978-953-51-3779-5, Print ISBN 978-953-51-3778-8, 238 pages, Publisher: InTech, Chapters published February 14, 2018 under CC BY 3.0 license
DOI: 10.5772/66261
Edited Volume
The management of chronic diseases is one of the tasks of all members of the health team, and different models need to be applied in the practice of chronic care management. One of these models is home care services. There are two main sections in this book. In the first part of the section, the concept of caregiving and care at home is explained. In the second part, the responsibilities of caregivers at home and the responsibilities of caregivers of people who have health problems that occur during different periods of life are discussed. In the second section, the problems of caregivers are also included. I would like to think that what is quoted in this book, which contains examples from different cultures of the world for home care approaches, will contribute to the development of home care services. This book is presented to all health professionals working in the field of health services as well as health politics professionals and students trained in these areas.
Cuidados paliativos en el hospital: ¿Deberíamos reconsiderar qué función deberían tener los hospitales en pacientes con enfermedad en etapa terminal o cáncer avanzado?
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer?
J Clin Med. 2018 Jan 30;7(2). pii: E18. doi: 10.3390/jcm7020018.
Abstract
Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in emergency departments. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, in-hospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to identify, early and properly, these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of in-hospital PC in patients with end-stage disease or advanced cancer.
KEYWORDS: acute palliative care unit; cost savings; end-of-life; palliative care team; quality of life; seriously ill patients; symptom relief
Traducción de un modelo de cuidados paliativos precoces de EE. UU. Para Turquía y Singapur.
Translating a US Early Palliative Care Model for Turkey and Singapore.
Asia Pac J Oncol Nurs. 2018 Jan-Mar;5(1):33-39. doi: 10.4103/apjon.apjon_73_17.
Abstract
The field of palliative care is growing in acceptance and sophistication globally. No longer considered just for patients at end-of-life, palliative care is now being incorporated early in the disease trajectory. Despite professional guidelines supporting early palliative care, there are few models that have been created that can be translated into practice cross-culturally. In the United States, the Educate, Nurture, Advise, Before, Life Ends (ENABLE) early palliative care telehealth model has demonstrated effectiveness in improving quality of life, mood, symptom relief, and survival for patients with cancer and is now being tested in patients with heart failure. Family caregivers of patients who have received ENABLE concurrent with their care recipients have also demonstrated positive outcomes in quality of life and caregiver burden. Internationally, a number of investigators are culturally adapting ENABLE for patients and family caregivers. While some elements of ENABLE, such as symptom management and self-care, and the caregiving role are relevant cross-culturally, others have been built on Western principles of self-determination or represent concepts such as advance care planning which will require more cultural adaptation. In addition, ENABLE was initially an in-person approach that was converted to telehealth to accommodate a rural population-it will be important to understand cultural norms related to receiving care by phone or if an in-person approach will be more culturally acceptable. This paper describes efforts in Turkey and Singapore to culturally adapt the ENABLE early palliative care principles for their countries.
KEYWORDS: Advise; Before Life Ends; Educate; Nurture; oncology patients; palliative care
Hospicio y cuidados paliativos en China: desarrollo y desafíos.
Hospice and Palliative Care in China: Development and Challenges.
Lu Y1, Gu Y1, Yu W2.
Asia Pac J Oncol Nurs. 2018 Jan-Mar;5(1):26-32. doi: 10.4103/apjon.apjon_72_17.
Abstract
Hospice and palliative care have been demonstrated to improve quality of life, shorten hospital stays, and save costs. As a developing country, faced with a rapidly aging population and an increasing number of patients with life-threatening illnesses such as cancer, China has made great progress in promoting hospice and palliative care during the past few decades. A trained nurse can play a significant role in promoting quality hospice and palliative care by providing care, coordinating a multidisciplinary team, calling for policy support, and raising public awareness. It is critical for nurses to clearly understand the development and challenges that currently exist in the country. With this awareness, nurses will improve their ability to recognize and address patients' and families' needs, resulting in quality, dignified, and individualized end-of-life care.
KEYWORDS: Challenge; China; development; hospice and palliative care; nurses
Safe Anaesthesia Worldwide
Delivering safe anaesthesia to the world's poorest people
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Anestesiología y Medicina del Dolor

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sábado, 14 de octubre de 2017

Libro y revistas sobre cuidados paliativos / Book and journals on palliative care

Octubre 8, 2017. No. 2835




Aspectos destacados de varios temas subestimados en cuidados paliativos
Highlights on Several Underestimated Topics in Palliative Care
Edited by Marco Cascella, ISBN 978-953-51-3566-1, Print ISBN 978-953-51-3565-4, 154 pages, Publisher: InTech, Chapters published October 04, 2017 under CC BY 3.0 license
Edited Volume
This book focuses on several underestimated topics in palliative care. 
Seven chapters have been divided into four sections: Ethical Issues, Volunteers in Palliative Care, Special Circumstances, and Prognostic Models in Palliative Care. The underestimated topics concern several ethical themes such as the Balance sheets of suffering, Good Death, Euthanasia, Assisted suicide, and the question of the 'Do not attempt resuscitation'. In addition, the role of volunteers, the approach to non-malignant diseases such as diabetes and Amyotrophic Lateral Sclerosis are also addressed. Finally, the features and utility of different tools in order to facilitate optimal decision making for both physicians and patients, are given in details. This book will aid several figures facing the daily challenges of palliative care. Clinicians, nurses, volunteers, students and resident trainees, and other professionals can find this volume useful in their very difficult but extraordinarily fascinating mission
Indian Journal of Palliative Care
October-December 2017; Volume 23 | Issue 4 
Volume 17, Issue 1, December 2018
Journal of Palliative Care & Medicine
2017¸ Volume 7, Issue 5
Arch Palliat Care
Volume 1, Issue 1
Revista / Journal
Palliat Med Hosp Care Open J. 
2017
Revista / Journal

XXVII Congreso Peruano de Anestesiología
Lima, Noviembre 2-4, 2017
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Anestesiología y Medicina del Dolor

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sábado, 7 de octubre de 2017

Cuidados pediátricos paliativos / Pediatric palliative care

Octubre 6, 2017. No. 2834





CTCT-20170914_102711 a.m.
¿Debería considerarse itrogénica la eutanasia?
Should Euthanasia Be Considered Iatrogenic?
AMA J Ethics. 2017 Aug 1;19(8):802-814. doi: 10.1001/journalofethics.2017.19.8.msoc1-1708.Abstract
As more countries adopt laws and regulations concerning euthanasia, pediatric euthanasia has become an important topic of discussion. Conceptions of what constitutes harm to patients are fluid and highly dependent on a myriad of factors including, but not limited to, health care ethics, family values, and cultural context. Euthanasia could be viewed as iatrogenic insofar as it results in an outcome (death) that some might consider inherently negative. However, this perspective fails to acknowledge that death, the outcome of euthanasia, is not an inadvertent or preventable complication but rather the goal of the medical intervention. Conversely, the refusal to engage in the practice of euthanasia might be conceived as iatrogenic insofar as it might inadvertently prolong patient suffering. This article will explore cultural and social factors informing families', health care professionals', and society's views on pediatric euthanasia in selected countries.
¡Por favor haga lo que sea necesario para acabar con el sufrimiento de nuestra hija!
Please Do Whatever It Takes to End Our Daughter's Suffering!
Pediatrics. 2016 Jan;137(1). doi: 10.1542/peds.2015-3812. Epub 2015 Dec 7.
Abstract
What is the best way to care for a child with severe neurologic impairment who seems to be dying and is in intractable pain? Can we give sedation as we remove life support? Is it ethically permissible to hasten death? In the United States, 5 states have legalized assisted suicide (although only for competent adults). In Belgium and the Netherlands, euthanasia is legal for children under some circumstances. We present a case in which parents and doctors face difficult decisions about palliative care. Experts from Belgium, the Netherlands, and the United States then discuss how they would respond to such a case.
EL MEJOR INTERÉS DEL NIÑO EN NEONATOLOGÍA: ¿ES LO MEJOR PARA EL NIÑO?
The Best Interest of the Child in Neonatology: Is It Best for the Child?
Cuad Bioet. 2015 May-Aug;26(87):201-22.
Resumen
Desde sus inicios, el estándar del mejor interés del niño estuvo unido a las decisiones de suspensión de tratamientos de soporte vital en unidades de neonatología y a la evaluación de los tratamientos aplicados al niño en función de su calidad de vida. Éste origen ha condicionado la interpretación del estándar desde dos extremos: uno vitalista y uno no vitalista que ha triunfado en la bioética occidental y ha llevado a la consagración del estándar del mejor interés del niño en la Convención de Derechos del Niño de Naciones Unidas. Un análisis detallado nos descubre un estándar simplista, utilitarista y proporcionalista, que ha cambiado el fundamento de la paternidad. Por ello creemos que el estándar del mejor interés del niño no es lo mejor para el niño en las unidades de neonatología y especialmente en los procesos de decisión sobre mantener o suspender los tratamientos de soporte vital.
Abstract
Since its inceptions, the standard of best interest of the child was linked to decisions about suspend life-sustaining treatments in neonatal units and evaluation of treatments applied to children in terms of their quality of life. This origin has conditioned the interpretation of the standard from two extremes: a vitalistic one, and a non vitalistic interpretation that triumphed in Western bioethics and has led to the consecration of the standard of best interest of the child in the Convention on the Rights of the Child of United Nations. A detailed analysis reveals a simplistic, utilitarian and proportionalist standard, which change the basis of parenthood. We therefore believe that the standard of the best interest of the child is not the best for the child in neonatal intensive care units and especially not in the process of withhold or withdrawal life-sustaining treatments.
LOS DESAFÍOS BIOÉTICOS DE LA NEONATOLOGÍA
[The Bioethics Challenges in Neonatology].
Cuad Bioet. 2015 May-Aug;26(87):195-9.
Uno de los fenómenos sociales de mayo repercusión en la humanidad entera ha sido el efecto de la evolución de la medicina en relación a los niños. Se ha de considerar uno de los cambios más grandes en la historia. La disminución drástica de la mortalidad infantil ha tenido consecuencias inmensas a nivel universal. En primer lugar, ha tenido un efecto demográfico que, tras una primera acogida positiva, ha sido posteriormente tomado desde una perspectiva neomalthusiana que ha sido aplicada en el ámbito político y legislativo por medio de las conferencias internacionales sobre población, con un criterio de reducción drástica de los nacimientos. Pero, al mismo tiempo, ha sido motivo de un modo nuevo de tratar a los niños pequeños, que ha alcanzado una dimensión antes desconocida. El cuidado de los hijos, con una atención del todo especial en los primeros meses de vida, está lleno de tareas y dedicaciones unidas a una medicina preventiva muy desarrollada. Los cuidados que se requieren son tan grandes y exigen tal atención que hasta se puede observar un cierto puerocentrismo en nuestra cultura actual.
XIV Congreso Virtual Mexicano de Anestesiología 2017
Octubre 1-Diciembre 31, 2017
Información / Information
XXVII Congreso Peruano de Anestesiología
Lima, Noviembre 2-4, 2017
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Anestesiología y Medicina del Dolor

52 664 6848905