Pub Date : 2021-12-30DOI: 10.15406/hpmij.2021.04.00196
A. Fonseca, R. Cruz, Sylvio Fadu, Daniel Rodríguez
This brief communication aims to present a discussion on spirituality in health, in Brazil, from a focus group. Spirituality is a little explored topic in the health area; however, its importance grows exponentially. The need to insert this theme is relevant to improve care practice and even more so that it can better manage your emotions, seek self-awareness and, consequently, reduce burn out. It was a focus group formed by a multidisciplinary health team that, over the course of a year, discussed the theme based on the manual of spiritual care of the Spanish Society of Palliative Care. Among the results achieved, the importance of inserting the theme as an opportunity for professional growth, with consequent improvement in assistance and even more, personal due to the help in the search for the meaning of one's life, stands out. Among the conclusions, promoting a study group on spirituality in health makes it possible to develop a more systematic care approach, focusing on the insertion of the theme in the care routine, in addition to generating intrapersonal reflections in the search for improvement in social skills.
{"title":"Spirituality in health and its practical interaction in a multiprofessional Gerontology group: a Brazilian experience","authors":"A. Fonseca, R. Cruz, Sylvio Fadu, Daniel Rodríguez","doi":"10.15406/hpmij.2021.04.00196","DOIUrl":"https://doi.org/10.15406/hpmij.2021.04.00196","url":null,"abstract":"This brief communication aims to present a discussion on spirituality in health, in Brazil, from a focus group. Spirituality is a little explored topic in the health area; however, its importance grows exponentially. The need to insert this theme is relevant to improve care practice and even more so that it can better manage your emotions, seek self-awareness and, consequently, reduce burn out. It was a focus group formed by a multidisciplinary health team that, over the course of a year, discussed the theme based on the manual of spiritual care of the Spanish Society of Palliative Care. Among the results achieved, the importance of inserting the theme as an opportunity for professional growth, with consequent improvement in assistance and even more, personal due to the help in the search for the meaning of one's life, stands out. Among the conclusions, promoting a study group on spirituality in health makes it possible to develop a more systematic care approach, focusing on the insertion of the theme in the care routine, in addition to generating intrapersonal reflections in the search for improvement in social skills.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126219046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health care through alternative therapies","authors":"Leticia Casique Casique, Vianey Álvarez López, Arely Hernandez Rodríguez","doi":"10.15406/hpmij.2020.04.00189","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00189","url":null,"abstract":"","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114593494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-21DOI: 10.15406/hpmij.2020.04.00187
G. Lazzar, V. Speciale, G. Silvano
Coagulopathy in COVID-19 pneumonia is a deleteroius complication which has lead to a high rate of deaths in several populations world wide like in Northern Italy Red Zone during pandemic time in March 2020. Due to an high incidence of thrombo embolic (TE) events among several clusters of involved populations, a suspect of an hereditary predisposition due to polymorphisms in several genes involved in the caoagulation process could be formulated and investigated.
{"title":"High incidence of venous and arterial thrombo embolic high complications in specific COVID-19 pandemic areas: are there clusters of populations carrying an hereditary predisposition to assess?","authors":"G. Lazzar, V. Speciale, G. Silvano","doi":"10.15406/hpmij.2020.04.00187","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00187","url":null,"abstract":"Coagulopathy in COVID-19 pneumonia is a deleteroius complication which has lead to a high rate of deaths in several populations world wide like in Northern Italy Red Zone during pandemic time in March 2020. Due to an high incidence of thrombo embolic (TE) events among several clusters of involved populations, a suspect of an hereditary predisposition due to polymorphisms in several genes involved in the caoagulation process could be formulated and investigated.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114516980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-30DOI: 10.15406/hpmij.2020.04.00186
A. Garófolo, Priscila dos Santos Maia Lemos
Serum albumin has been shown to be associated with clinical indicators in hospitalized patients. The objective was to study the association of serum albumin with clinical and nutritional indicators in pediatric cancer patients. A prospective cohort study carried out at Pediatric Oncology Institute of Federal University of São Paulo, Brazil. This study follows patients of 1 year old or above, during anti-cancer therapy, from January 2002 to January 2004, enrolled in an enteral nutritional protocol. Exclusion criteria were corticoid therapy, swallowing abnormalities and previous nutritional support. They received two types of oral supplement (industrialized formula and non-industrialized/homemade supplementation) and were followed for three weeks. Serum albumin was collected at admission of the nutritional protocol and after three weeks. The associations of the clinical and nutritional index with the decrease in serum albumin, serum albumin at admission and in week three and the differences between serum albumin in week zero and week three were studied. Fifty-four patients were analyzed. The analysis showed that episode of hospital stay and fever were associated with the decrease in serum albumin (p<0.05); and episode of hospital stay (p=0.05) and infection (p=0.02) with serum albumin in week three. Nutritional performance showed association with serum albumin: the higher albumin at admission of the protocol, the better nutritional outcome (p=0.02). Serum albumin at week three also influenced nutritional outcome: higher serum albumin was associated with reduced tube feeding indication (p=0.04). No association was found between serum albumin and anthropometric and body composition indexes. Albumin was more associated with clinical than nutritional index. This confirms adult studies that found association between albumin depletion and prognostic factors.
{"title":"Is serum albumin associated with prognostic in pediatric cancer patients?","authors":"A. Garófolo, Priscila dos Santos Maia Lemos","doi":"10.15406/hpmij.2020.04.00186","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00186","url":null,"abstract":"Serum albumin has been shown to be associated with clinical indicators in hospitalized patients. The objective was to study the association of serum albumin with clinical and nutritional indicators in pediatric cancer patients. A prospective cohort study carried out at Pediatric Oncology Institute of Federal University of São Paulo, Brazil. This study follows patients of 1 year old or above, during anti-cancer therapy, from January 2002 to January 2004, enrolled in an enteral nutritional protocol. Exclusion criteria were corticoid therapy, swallowing abnormalities and previous nutritional support. They received two types of oral supplement (industrialized formula and non-industrialized/homemade supplementation) and were followed for three weeks. Serum albumin was collected at admission of the nutritional protocol and after three weeks. The associations of the clinical and nutritional index with the decrease in serum albumin, serum albumin at admission and in week three and the differences between serum albumin in week zero and week three were studied. Fifty-four patients were analyzed. The analysis showed that episode of hospital stay and fever were associated with the decrease in serum albumin (p<0.05); and episode of hospital stay (p=0.05) and infection (p=0.02) with serum albumin in week three. Nutritional performance showed association with serum albumin: the higher albumin at admission of the protocol, the better nutritional outcome (p=0.02). Serum albumin at week three also influenced nutritional outcome: higher serum albumin was associated with reduced tube feeding indication (p=0.04). No association was found between serum albumin and anthropometric and body composition indexes. Albumin was more associated with clinical than nutritional index. This confirms adult studies that found association between albumin depletion and prognostic factors.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122055072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-23DOI: 10.15406/hpmij.2020.04.00184
A. Frossard
{"title":"Poetry in palliative care","authors":"A. Frossard","doi":"10.15406/hpmij.2020.04.00184","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00184","url":null,"abstract":"","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115643192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-19DOI: 10.15406/hpmij.2020.04.00183
Menka Kapil, A. Verma, R. Sareen
Palliative care is a health care that involve physical, emotional, mental , behavioral care to persons with debilitating illness from diagnosis till death .Obstacles of growth of palliative care in India has various factors as population density, poverty, geographical and cultural diversity, workforce scarcity at base level, limited national palliative care policy and lack of institutional interest in palliative care. For developing country like India continual efforts are needed to overcome these barriers for successful implementation of palliative care ,as now is the need of the hour.
{"title":"Palliative care in India–need of the hour","authors":"Menka Kapil, A. Verma, R. Sareen","doi":"10.15406/hpmij.2020.04.00183","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00183","url":null,"abstract":"Palliative care is a health care that involve physical, emotional, mental , behavioral care to persons with debilitating illness from diagnosis till death .Obstacles of growth of palliative care in India has various factors as population density, poverty, geographical and cultural diversity, workforce scarcity at base level, limited national palliative care policy and lack of institutional interest in palliative care. For developing country like India continual efforts are needed to overcome these barriers for successful implementation of palliative care ,as now is the need of the hour.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124562952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-18DOI: 10.15406/hpmij.2020.04.00181
Fatin Abusyriah BSN
Background: Palliative care sometimes perceived as hastening death or care delivered when active treatment failed. Nurses play a significant role in providing palliative care, but nurses, as well as other health care worker, need training about palliative care in order to achieve the intended goals. Aim: Explore the level of knowledge and attitude for the staff in King Saud Medical City (KSMC) Riyadh, Saudi Arabia toward palliative care. Method: A quantitative, cross-sectional study, 323 questionnaires were completed by the staff nurses covering medical-surgical, oncology and ICU. The tool consists of demographical data, Palliative Care Quiz for Nursing(PCQN), Frommlet Attitudes Toward Care of Dying (FATCOD) scale. Result: Poor knowledge toward palliative care founded among respondent PCQN mean total score (9.229) out of 20 SD (2.402) while Moderate attitude showed FATCOD mean total score 97.817 out of 150, SD (8.325). The area of assignments significantly affects the Knowledge of the staff; oncology unit reported higher score than the other areas, right knowledge has been shown, mean score for oncology unit (11.36), SD (3.53). Conclusion: Institutional strategy has to be implemented in the Middle East a to improve the palliative care services, palliative care nursing education has to be added to the undergraduate curricula in every nursing school, formal training and courses for post graduated nurses is necessary.
{"title":"Staff nurses’ knowledge and attitude toward the concept of palliative care; Fatin Abusyriah RN BSN, abdelqader tayyem RN MSN questionnaire in a quaternary central hospital","authors":"Fatin Abusyriah BSN","doi":"10.15406/hpmij.2020.04.00181","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00181","url":null,"abstract":"Background: Palliative care sometimes perceived as hastening death or care delivered when active treatment failed. Nurses play a significant role in providing palliative care, but nurses, as well as other health care worker, need training about palliative care in order to achieve the intended goals. Aim: Explore the level of knowledge and attitude for the staff in King Saud Medical City (KSMC) Riyadh, Saudi Arabia toward palliative care. Method: A quantitative, cross-sectional study, 323 questionnaires were completed by the staff nurses covering medical-surgical, oncology and ICU. The tool consists of demographical data, Palliative Care Quiz for Nursing(PCQN), Frommlet Attitudes Toward Care of Dying (FATCOD) scale. Result: Poor knowledge toward palliative care founded among respondent PCQN mean total score (9.229) out of 20 SD (2.402) while Moderate attitude showed FATCOD mean total score 97.817 out of 150, SD (8.325). The area of assignments significantly affects the Knowledge of the staff; oncology unit reported higher score than the other areas, right knowledge has been shown, mean score for oncology unit (11.36), SD (3.53). Conclusion: Institutional strategy has to be implemented in the Middle East a to improve the palliative care services, palliative care nursing education has to be added to the undergraduate curricula in every nursing school, formal training and courses for post graduated nurses is necessary.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133773154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-17DOI: 10.15406/hpmij.2020.04.00182
Da Yong Lu, Hong Ying Wu, Ting Ren Lu
HIV/AIDS is currently an incurable viral infectious disease characterized with life-long drug utility. To overcome this therapeutic setback, fatal pathological processes and different therapeutic mechanisms must be explored in broader-range and greater dimension. In this Article, the major types of global HIV/AIDS therapeutic strategies (pharmaceutical modification, herbal medicine, novel drug targets, drug combination modality, animal models, palliative medicine, immune-stimulate for HIV latency as well as HIV clearance by biological-based therapy) are especially highlighted. After novel pathologic identifications and therapeutic evolution, HIV/AIDS therapeutic curability will be translated from animal model unto larger human population. In this biomedical scenario, major breakthroughs are looked forward.
{"title":"HIV/AIDS treatment, therapeutic strategy break throughs","authors":"Da Yong Lu, Hong Ying Wu, Ting Ren Lu","doi":"10.15406/hpmij.2020.04.00182","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00182","url":null,"abstract":"HIV/AIDS is currently an incurable viral infectious disease characterized with life-long drug utility. To overcome this therapeutic setback, fatal pathological processes and different therapeutic mechanisms must be explored in broader-range and greater dimension. In this Article, the major types of global HIV/AIDS therapeutic strategies (pharmaceutical modification, herbal medicine, novel drug targets, drug combination modality, animal models, palliative medicine, immune-stimulate for HIV latency as well as HIV clearance by biological-based therapy) are especially highlighted. After novel pathologic identifications and therapeutic evolution, HIV/AIDS therapeutic curability will be translated from animal model unto larger human population. In this biomedical scenario, major breakthroughs are looked forward.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134302078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-18DOI: 10.15406/hpmij.2020.04.00179
José Eduardo de Siqueira, L. Pessini
The influence of technological pragmatism on the health care offered to critically ill patients, especially to those who are at the end of their lives, makes most of them end up in intensive care units. As we advocate a more humanized care for these people, we have prepared this article, which proposes a bioethical reflection on this matter. The text is divided into three parts: first, we discuss the reality of intensive care units in Brazil, based on the resolution of the Brazilian Federal Council of Medicine that regulates medical practice in intensive care units (Res. No. 2,156/16); second, we compare some aspects of the end-of-life care in 4 different countries: the USA, Japan, Italy and Brazil; finally we analyze euthanasia and assisted suicide, considering the technical and moral arguments presented by the American bioethicist Dr. Ezequiel Jonathan Emmanuel.
{"title":"Bioethical reflections on the end-of-life care","authors":"José Eduardo de Siqueira, L. Pessini","doi":"10.15406/hpmij.2020.04.00179","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00179","url":null,"abstract":"The influence of technological pragmatism on the health care offered to critically ill patients, especially to those who are at the end of their lives, makes most of them end up in intensive care units. As we advocate a more humanized care for these people, we have prepared this article, which proposes a bioethical reflection on this matter. The text is divided into three parts: first, we discuss the reality of intensive care units in Brazil, based on the resolution of the Brazilian Federal Council of Medicine that regulates medical practice in intensive care units (Res. No. 2,156/16); second, we compare some aspects of the end-of-life care in 4 different countries: the USA, Japan, Italy and Brazil; finally we analyze euthanasia and assisted suicide, considering the technical and moral arguments presented by the American bioethicist Dr. Ezequiel Jonathan Emmanuel.","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134320489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-13DOI: 10.15406/hpmij.2020.04.00178
Roberto Germán Zurriaráin
The article deals with three “medical” options about the end of a man’s life. The first two, respectively euthanasia and therapeutic obstinacy, are misunderstandings of human nature and dignity at the end of life and do not accept, in the end, that death is a human fact. That is why, in this article, a third option is advocated: for the medical service of Palliative Care because comprehensively cares for terminally ill patients, with In order that they may lead a full life, within the context of the terminal illness
{"title":"Between euthanasia and therapeutic obstinacy: palliative care","authors":"Roberto Germán Zurriaráin","doi":"10.15406/hpmij.2020.04.00178","DOIUrl":"https://doi.org/10.15406/hpmij.2020.04.00178","url":null,"abstract":"The article deals with three “medical” options about the end of a man’s life. The first two, respectively euthanasia and therapeutic obstinacy, are misunderstandings of human nature and dignity at the end of life and do not accept, in the end, that death is a human fact. That is why, in this article, a third option is advocated: for the medical service of Palliative Care because comprehensively cares for terminally ill patients, with In order that they may lead a full life, within the context of the terminal illness","PeriodicalId":426765,"journal":{"name":"Hospice & Palliative Medicine International Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127110884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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