Pub Date : 2022-10-01DOI: 10.1136/ijgc-2022-esgo.780
S. Mah, A. Sinnarajah, K. Schnarr, L. Eiriksson, Daniel C. Ramirez, C. Reade, A. Gayowsky, Kelvin K. W. Chan, H. Seow
{"title":"2022-RA-747-ESGO Quality of end-of-life care and patterns of palliative care use by women with gynaecologic malignancies in Ontario, Canada: a 13-year population-based retrospective analysis","authors":"S. Mah, A. Sinnarajah, K. Schnarr, L. Eiriksson, Daniel C. Ramirez, C. Reade, A. Gayowsky, Kelvin K. W. Chan, H. Seow","doi":"10.1136/ijgc-2022-esgo.780","DOIUrl":"https://doi.org/10.1136/ijgc-2022-esgo.780","url":null,"abstract":"","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44077204","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 : 2022-10-01DOI: 10.1136/ijgc-2022-esgo.782
E. Canaz, T. Auer, B. Gebauer, J. Sehouli
{"title":"2022-RA-1043-ESGO CT-guided percutenous radiologic gastrostomy in heavily pretreated patients with late stage ovarian cancer: -the charité experiences-","authors":"E. Canaz, T. Auer, B. Gebauer, J. Sehouli","doi":"10.1136/ijgc-2022-esgo.782","DOIUrl":"https://doi.org/10.1136/ijgc-2022-esgo.782","url":null,"abstract":"","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48418802","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 : 2022-10-01DOI: 10.1136/ijgc-2022-esgo.781
Maren Paus Reinertsen, Heidi Liland, Ala Jabri Haug, Jordi Deu Martinez, M. Stockler, G. Aune, B. Kiely, T. Paulsen, I. Vistad, K. Lindemann
{"title":"2022-RA-854-ESGO Giving prognostic information by using scenarios – attitudes of women with gynecological cancer","authors":"Maren Paus Reinertsen, Heidi Liland, Ala Jabri Haug, Jordi Deu Martinez, M. Stockler, G. Aune, B. Kiely, T. Paulsen, I. Vistad, K. Lindemann","doi":"10.1136/ijgc-2022-esgo.781","DOIUrl":"https://doi.org/10.1136/ijgc-2022-esgo.781","url":null,"abstract":"","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49497893","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 : 2021-10-01DOI: 10.1136/ijgc-2021-esgo.522
S. Smyth, C. Pappa, Hj Jiang, M. Abdalla, H. Soleymani majd
{"title":"1022 Documenting the journey from DNACPR to surgical R zero – radical extent in a young patient with metastatic undifferentiated leiomyosarcoma relapse","authors":"S. Smyth, C. Pappa, Hj Jiang, M. Abdalla, H. Soleymani majd","doi":"10.1136/ijgc-2021-esgo.522","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.522","url":null,"abstract":"","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44519423","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 : 2019-09-04DOI: 10.5772/intechopen.85235
Nnadi Daniel Chukwunyere
Palliative care is an area of healthcare that focuses on relieving and preventing the suffering of patients. It utilizes a multidisciplinary team approach to ensure a “holistic” care of the patient. It is a relatively new concept in medicine and the Nigerian experience has not been widely studied. Despite its introduction into the nation over two decades ago, it still faces a lot of challenges in terms of integration into the health care system, implementation and governmental policy. With increasing longevity, urban-ization, high prevalence of HIV/AIDS and chronic diseases including malignancies, there will be an increasing number of Nigerians requiring palliative care.
{"title":"Palliative Care: The Nigerian Perspective","authors":"Nnadi Daniel Chukwunyere","doi":"10.5772/intechopen.85235","DOIUrl":"https://doi.org/10.5772/intechopen.85235","url":null,"abstract":"Palliative care is an area of healthcare that focuses on relieving and preventing the suffering of patients. It utilizes a multidisciplinary team approach to ensure a “holistic” care of the patient. It is a relatively new concept in medicine and the Nigerian experience has not been widely studied. Despite its introduction into the nation over two decades ago, it still faces a lot of challenges in terms of integration into the health care system, implementation and governmental policy. With increasing longevity, urban-ization, high prevalence of HIV/AIDS and chronic diseases including malignancies, there will be an increasing number of Nigerians requiring palliative care.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/intechopen.85235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47340091","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 : 2019-08-29DOI: 10.5772/intechopen.88990
M. Mollaoğlu, Döne Günay, M. Mollaoğlu
Palliative care (PC) refers to all services provided to make the remaining life of a patient meaningful and valuable. It is recommended that palliative care that is applied to improve the life quality of the patients should not be based only on the diagnosis and prognosis of the disease but also on the need of the patients. Even, palliative care was administered only in the late stages of diseases in the past, but these days it is recommended to be administered in addition to therapies starting from the diagnosis of life-threatening diseases. Palliative care requires a multidisciplinary team approach consisting of professionals who serve for a common purpose. No single palliative care model can be fit for all conditions. However, there is a universal fundamental principle of palliative care: it should address the individual wishes and needs of each patient and the relatives of patients. The development and training of palliative care services vary from country to country: palliative care services are in the development stage in developing countries, compared to developed countries. This chapter provides necessary information about palliative care services, a multidisciplinary health service.
{"title":"Palliative Care Services from Past to Present","authors":"M. Mollaoğlu, Döne Günay, M. Mollaoğlu","doi":"10.5772/intechopen.88990","DOIUrl":"https://doi.org/10.5772/intechopen.88990","url":null,"abstract":"Palliative care (PC) refers to all services provided to make the remaining life of a patient meaningful and valuable. It is recommended that palliative care that is applied to improve the life quality of the patients should not be based only on the diagnosis and prognosis of the disease but also on the need of the patients. Even, palliative care was administered only in the late stages of diseases in the past, but these days it is recommended to be administered in addition to therapies starting from the diagnosis of life-threatening diseases. Palliative care requires a multidisciplinary team approach consisting of professionals who serve for a common purpose. No single palliative care model can be fit for all conditions. However, there is a universal fundamental principle of palliative care: it should address the individual wishes and needs of each patient and the relatives of patients. The development and training of palliative care services vary from country to country: palliative care services are in the development stage in developing countries, compared to developed countries. This chapter provides necessary information about palliative care services, a multidisciplinary health service.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/intechopen.88990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42247011","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 : 2019-07-22DOI: 10.5772/INTECHOPEN.85847
H. Areri
In the era of HIV, palliative care is important to improve the quality of life of people living with HIV. The core activities of palliative care are control of symptoms and psychological, social, and spiritual problems. As a matter of fact, people living with HIV have a high burden of physical, psychological, and social difficulties which require palliative care that is holistic care. This implies palliative care for people living with HIV improves their emotion, physical symptoms, and psychosocial and spiritual functions. It can be provided by trained healthcare professionals, families, and community caregivers. HIV care and treatment guidelines should address the principles of palliative care, and policy should be in place to enforce its implementation for improving the quality of life of people living with HIV.
{"title":"Palliative Care in HIV/AIDS","authors":"H. Areri","doi":"10.5772/INTECHOPEN.85847","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.85847","url":null,"abstract":"In the era of HIV, palliative care is important to improve the quality of life of people living with HIV. The core activities of palliative care are control of symptoms and psychological, social, and spiritual problems. As a matter of fact, people living with HIV have a high burden of physical, psychological, and social difficulties which require palliative care that is holistic care. This implies palliative care for people living with HIV improves their emotion, physical symptoms, and psychosocial and spiritual functions. It can be provided by trained healthcare professionals, families, and community caregivers. HIV care and treatment guidelines should address the principles of palliative care, and policy should be in place to enforce its implementation for improving the quality of life of people living with HIV.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/INTECHOPEN.85847","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42458584","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 : 2019-06-19eCollection Date: 2019-01-01DOI: 10.1177/1178224219850183
Karen Harrison Dening, Caroline Scates, George McGill, Kay De-Vries
Education of health and social care professionals is essential in preparation to confidently and effectively support families affected by dementia to undertake advance care planning. This article describes a training needs analysis of Admiral Nurses, dementia specialists, in facilitating advance care planning for future care.
Methods: A questionnaire survey was completed by Admiral Nurses attending end-of-life care masterclasses in 2017 and 2018. Both quantitative (years registered as a nurse, years as an Admiral Nurse and subjective level of confidence in completing advance care plannings) and qualitative data (interventions perceived to increase confidence) were collected.
Findings: There were 75 completed responses (two incomplete returns). There was no correlation between levels of confidence and years registered as a nurse. However, there was a small positive correlation between confidence and number of years as an Admiral Nurse (r = 0.23; p < 0.05). Themes identified qualitatively to enhance practice were advanced communication skills, supervised practice, resources to frame conversations and a guide and template for advance care planning.
Conclusion: Although Admiral Nurses are specialists in dementia, several educational initiatives could be employed to better enable them to support advance care planning for families affected by dementia. This training needs analysis is contributed towards developing an educational intervention for Admiral Nurses to improve advance care planning support.
{"title":"A training needs analysis of admiral nurses to facilitate advance care planning in dementia.","authors":"Karen Harrison Dening, Caroline Scates, George McGill, Kay De-Vries","doi":"10.1177/1178224219850183","DOIUrl":"10.1177/1178224219850183","url":null,"abstract":"<p><p>Education of health and social care professionals is essential in preparation to confidently and effectively support families affected by dementia to undertake advance care planning. This article describes a training needs analysis of Admiral Nurses, dementia specialists, in facilitating advance care planning for future care.</p><p><strong>Methods: </strong>A questionnaire survey was completed by Admiral Nurses attending end-of-life care masterclasses in 2017 and 2018. Both quantitative (years registered as a nurse, years as an Admiral Nurse and subjective level of confidence in completing advance care plannings) and qualitative data (interventions perceived to increase confidence) were collected.</p><p><strong>Findings: </strong>There were 75 completed responses (two incomplete returns). There was no correlation between levels of confidence and years registered as a nurse. However, there was a small positive correlation between confidence and number of years as an Admiral Nurse (<i>r</i> = 0.23; <i>p</i> < 0.05). Themes identified qualitatively to enhance practice were advanced communication skills, supervised practice, resources to frame conversations and a guide and template for advance care planning.</p><p><strong>Conclusion: </strong>Although Admiral Nurses are specialists in dementia, several educational initiatives could be employed to better enable them to support advance care planning for families affected by dementia. This training needs analysis is contributed towards developing an educational intervention for Admiral Nurses to improve advance care planning support.</p>","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/05/10.1177_1178224219850183.PMC6585248.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37377794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-07DOI: 10.5772/INTECHOPEN.85161
Thomas Antony Thaniyath
Based on the WHO definition, the primary objective of palliative care (PC) is to improve the quality of life (QoL) of the patients facing life threatening illness by means of a multidisciplinary approach. The assessment of QoL in patients under PC is an important process for the identification of patient’s overall conditions including psycho-social, spiritual issues as well as the evaluation of the services provided to the patient. The ideal assessment tool the measurement of QoL in patients under PC should be patient centered and contain both subjective and objective domains and be able to correlate with the definition of QoL. The factors which positively influence the extend of the QoL include, good doctor-patient communication, economic status, education, socio-economic support and spirituality. The negative factors are social isolation, lack of employment, poverty, rejection and stigmatization and experience of symptoms, such as uncontrolled pain. Early Integration of PC leads to higher psycho-social support and acceptance of diagnosis, and severity of illness, which in turn helps for the better symptom management and reduces the disease related stress, which clearly associated with improved QoL. It provides more time for the end of life decision making, promotes self-efficacy and sense of control in decision with respect to individual values.
{"title":"The Quality of Life of the Patients Under Palliative Care: The Features of Appropriate Assessment Tools and the Impact of Early Integration of Palliative Care","authors":"Thomas Antony Thaniyath","doi":"10.5772/INTECHOPEN.85161","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.85161","url":null,"abstract":"Based on the WHO definition, the primary objective of palliative care (PC) is to improve the quality of life (QoL) of the patients facing life threatening illness by means of a multidisciplinary approach. The assessment of QoL in patients under PC is an important process for the identification of patient’s overall conditions including psycho-social, spiritual issues as well as the evaluation of the services provided to the patient. The ideal assessment tool the measurement of QoL in patients under PC should be patient centered and contain both subjective and objective domains and be able to correlate with the definition of QoL. The factors which positively influence the extend of the QoL include, good doctor-patient communication, economic status, education, socio-economic support and spirituality. The negative factors are social isolation, lack of employment, poverty, rejection and stigmatization and experience of symptoms, such as uncontrolled pain. Early Integration of PC leads to higher psycho-social support and acceptance of diagnosis, and severity of illness, which in turn helps for the better symptom management and reduces the disease related stress, which clearly associated with improved QoL. It provides more time for the end of life decision making, promotes self-efficacy and sense of control in decision with respect to individual values.","PeriodicalId":56348,"journal":{"name":"Palliative Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/INTECHOPEN.85161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41835975","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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