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Palliative Medicine in Practice最新文献

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Coaching as a method of support for informal and formal caregivers in palliative care 辅导作为支持姑息关怀中非正式和正式照护者的一种方法
Q4 Medicine Pub Date : 2024-02-08 DOI: 10.5603/pmp.98085
Joanna Sułkowska, Ilona Kuźmicz, Ewa Kawalec-Kajstura, Stephen Palmer, Tomasz Brzostek
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引用次数: 0
Death, burial and mourning in Judaism 犹太教中的死亡、葬礼和哀悼
Q4 Medicine Pub Date : 2024-01-25 DOI: 10.5603/pmp.97974
Jolanta Iwanowska, Monika Rucińska
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引用次数: 0
The ethical dilemma of initiating ambulatory peritoneal dialysis in a preterm neonate: an unusual experience 早产新生儿启动非卧床腹膜透析的伦理困境:一次不同寻常的经历
Q4 Medicine Pub Date : 2024-01-23 DOI: 10.5603/pmp.98669
Prashanth Rr, Sruthi Nair, Radhika Raman, A. Haribalakrishna
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引用次数: 0
Audit of Alzheimer’s disease management from a tertiary hospital in Brunei Darussalam 对文莱达鲁萨兰国一家三级医院阿尔茨海默病管理情况的审计
Q4 Medicine Pub Date : 2024-01-22 DOI: 10.5603/pmp.98764
Shi Ying Tan, S. Teo
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引用次数: 0
Spiritual care, compassion for others and light triad among clergy, social workers and hospice staff 神职人员、社会工作者和临终关怀工作人员的精神关怀、对他人的同情和光明三要素
Q4 Medicine Pub Date : 2024-01-18 DOI: 10.5603/pmp.98543
Małgorzata Joanna Fopka-Kowalczyk, Dariusz Krok, Dagna Kocur
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引用次数: 0
COVID-19 infection and mortality risk for people with dementia in Brunei Darussalam COVID-19 感染与文莱达鲁萨兰国痴呆症患者的死亡风险
Q4 Medicine Pub Date : 2023-12-13 DOI: 10.5603/pmp.96342
Suprianto Suryono, S. Teo
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引用次数: 0
Statements for the event of incapacity to consent: current issues and postulates regarding future law 无能力表示同意情况下的声明:当前的问题和未来法律的假设
Q4 Medicine Pub Date : 2023-12-11 DOI: 10.5603/pmp.96441
Zofia Barbara Olszewska
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引用次数: 0
Can selected physiotherapeutic techniques really help in treating back pain and improving the quality of life of advanced cancer patients: a randomised controlled study 一项随机对照研究:选定的物理治疗技术真的能帮助治疗背痛和改善晚期癌症患者的生活质量吗
Q4 Medicine Pub Date : 2023-10-20 DOI: 10.5603/pmp.97647
Magdalena Markowska, Szymon Pasiut, Andrzej Markowski, Katarzyna Filar-Mierzwa, Anna Ścisłowska-Czarnecka, Aneta Bac
Background: The available literature lacks studies using the KinesioTaping (KT) method and the hold-relax (HR) technique in working with advanced cancer patients. Patients and methods: The study involved 72 patients (38 women and 34 men), diagnosed with advanced cancer. Patients were randomly assigned either to KT group (exercise programme and KT), HR group (exercise programme and the HR technique of the proprioceptive neuromuscular facilitation — PNF method) or C group (a control group, exercise programme). To assess selected parameters the Numerical Rating Scale (NRS) scale and Edmonton Symptom Assessment System — revised (ESAS-r) were used. The physiotherapeutic programme lasted three weeks and took place 5 days a week for 30 minutes within each group. Additionally, in the KT group, kinesio tapes were applied on the paraspinal muscles of the lumbar spine. In the HR group the therapy with the Hold–Relax technique was applied. Results: There was a statistically significant decrease in pain in all groups and improvement in the quality of life in patients from both experimental groups. Those changes were significantly greater in the KT group than in both the C group and the HR group. Conclusions: Both KT and HR techniques of the PNF method are effective in reducing pain and improving the quality of life in the examined advanced cancer patients, however KT has a stronger impact.
背景:现有文献缺乏对运动贴敷(KT)法和握紧放松(HR)技术在晚期癌症患者中的应用研究。患者和方法:该研究涉及72例确诊为晚期癌症的患者(38名女性和34名男性)。将患者随机分为KT组(运动方案和KT)、HR组(运动方案和本体感觉神经肌肉促进法的HR技术- PNF法)或C组(对照组,运动方案)。采用数值评定量表(NRS)和埃德蒙顿症状评估系统-修订版(ESAS-r)评估所选参数。物理治疗方案持续三周,每周五天,每组30分钟。此外,在KT组中,在腰椎的棘旁肌上应用运动带。HR组采用Hold-Relax技术进行治疗。结果:两组患者疼痛减轻,生活质量改善,均有统计学意义。这些变化在KT组明显大于C组和HR组。结论:PNF法的KT技术和HR技术均能有效减轻晚期癌症患者的疼痛,改善患者的生活质量,但KT技术的影响更大。
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引用次数: 0
Need to rethink before prescribing acetaminophen in malnourished patients? Acetaminophen-induced liver injury in a malnourished cancer patient in palliative care department 在给营养不良患者开对乙酰氨基酚处方前需要重新考虑吗?姑息治疗科营养不良癌症患者对乙酰氨基酚致肝损伤1例
Q4 Medicine Pub Date : 2023-10-02 DOI: 10.5603/pmp.97072
Neethu Susan Abraham, Seema Mishra, Sushma Bhatnagar
Acetaminophen toxicity is one of the major causes of acute liver failure worldwide. Due to wide availability and perception regarding safety, it also remains the commonest drug used in cancer pain settings. Incidental detection of acute liver failure during the hospital course may be observed in cachexia cancer patients. N-acetyl cysteine (NAC) can be used as a rescue drug in case of liver injury as manifested clinically or from altered lab values. There are only a few cases reported of acetaminophen toxicity in malnourished subjects. This case report can provide insight into the importance of reduction of dosage of acetaminophen in cachectic patients. A 47-year-old female patient with no known comorbidities was diagnosed with locally advanced squamous cell carcinoma mid-oesophagus. She was advised best supportive care and was referred to the palliative medicine department where she presented with complaints of central chest pain and absolute dysphagia. General examination revealed a body weight of around 30 kg, Body Mass Index (BMI) of 14.5, and performance status of 4. Her analgesics included an injection of tramadol 50 mg twice daily and an injection of paracetamol 1 g thrice daily. During the course of her stay in the hospital routine examinations revealed an acute rise in the liver enzymes, aspartate transaminase (AST) was 1526 U/L, and alanine transaminase (ALT) was 1880 U/L, compared to the previous day values (on admission to the department the AST and ALT values were 38 and 40 U/L, respectively). Acute liver injury due to paracetamol overdose was suspected. N-acetyl cysteine was initiated according to the 21-hour protocol. Later liver enzymes declined and the patient improved clinically and was discharged home in a stable condition. This case report underlines the importance of cautious dose reduction of acetaminophen in chronic pain patients with less than 50 kg to not more than 2 g per day for the prevention of acute liver failure.
对乙酰氨基酚中毒是世界范围内急性肝衰竭的主要原因之一。由于广泛的可用性和对安全性的认识,它仍然是癌症疼痛设置中最常用的药物。在恶病质癌患者的住院过程中,可能会偶然发现急性肝衰竭。n -乙酰半胱氨酸(NAC)可作为临床表现或实验室值改变的肝损伤的抢救药物。对乙酰氨基酚对营养不良患者的毒性仅有少数报道。本病例报告可以提供洞察减少对乙酰氨基酚剂量的重要性在病毒质患者。一位47岁女性患者,无已知合并症,被诊断为局部晚期食管中部鳞状细胞癌。她被告知最好的支持治疗,并被转介到姑息医学系,在那里她提出了中枢性胸痛和绝对吞咽困难的投诉。全身检查体重约30公斤,身体质量指数(BMI)为14.5,运动状态为4。镇痛药包括曲马多50 mg每日2次,扑热息痛1 g每日3次。住院期间,常规检查显示肝酶急性升高,与前一天相比,天冬氨酸转氨酶(AST)为1526 U/L,丙氨酸转氨酶(ALT)为1880 U/L(入院时AST和ALT分别为38和40 U/L)。怀疑是对乙酰氨基酚过量引起的急性肝损伤。n -乙酰半胱氨酸按照21小时方案启动。后来肝酶下降,患者临床好转,出院时病情稳定。本病例报告强调了谨慎减少对乙酰氨基酚剂量的重要性,慢性疼痛患者少于50公斤,每天不超过2克,以预防急性肝衰竭。
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引用次数: 0
Potential role of microbiota in oncology and palliative care 微生物群在肿瘤学和姑息治疗中的潜在作用
Q4 Medicine Pub Date : 2023-09-29 DOI: 10.5603/pmp.96472
Kornelia Pudło, Zbigniew Żylicz
Gut microbiota and intratumoral microbiota emerge as an important and, until now, completely ignored factor in treating cancer and cancer pain. Changes in gut microbiota can explain symptoms like the onset of cancer cachexia, inflammation, neuropathic pain and cancer pain. This knowledge offers perspectives of discovery of new therapeutic possibilities which may form a non-toxic complementary treatment of cancer with the potential of improvement of the quality of life of our patients. This paper analyses current knowledge and future perspectives on this subject.
肠道微生物群和肿瘤内微生物群是治疗癌症和癌症疼痛的一个重要因素,但到目前为止,它完全被忽视了。肠道菌群的变化可以解释癌症恶病质、炎症、神经性疼痛和癌症疼痛等症状。这些知识提供了发现新的治疗可能性的观点,这些可能性可能形成一种无毒的癌症补充治疗,并有可能改善我们患者的生活质量。本文分析了这一课题的现有知识和未来前景。
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引用次数: 0
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Palliative Medicine in Practice
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