Pub Date : 2018-08-08DOI: 10.4172/2165-7386-C2-016
J. P. Marujo
Methods: This research was conducted at the residence of São Pedro in Malveira, Portugal and included forty-five elderly people with ages between 75 and 95 years old. The diagnosis of probable Alzheimer dementia was established following the neurological criteria. For this study we used a room equipped with the SSB® (an invention of J Marujo and V Fernandes) as a holistic therapeutic tool that had integrated a Snoezelen system; a laser system; music; video; objects with different smells, textures and colors and different aromas (orange, lemon, strawberry, vanilla, chocolate, etc.). The sessions with 50 minutes per week, carried out between May 2016 and August 2017, were divided into two categories: One to do cognitive stimulation and another to reconnect older people to spirituality. The results of cognitive stimulation’s sessions were registered in a battery of neuropsychological tests to assess cognitive function. The sessions to reconnect older people to spirituality through meditation and relaxation techniques have been proven with a gerontotranscendence’s questionnaire.
方法:本研究在葡萄牙马尔韦拉的s o Pedro住宅进行，包括45名年龄在75 - 95岁之间的老年人。诊断可能的阿尔茨海默氏痴呆是建立在神经学标准。在这项研究中，我们使用了一个配备了SSB®(J Marujo和V Fernandes的发明)的房间，作为集成了Snoezelen系统的整体治疗工具;激光系统;音乐;视频;具有不同气味、质地、颜色和不同香气的物体(橘子、柠檬、草莓、香草、巧克力等)。在2016年5月至2017年8月期间进行的每周50分钟的课程分为两类:一类是认知刺激，另一类是重新连接老年人的精神。认知刺激的结果记录在一系列神经心理学测试中，以评估认知功能。通过冥想和放松技巧让老年人重新与精神联系起来的课程已经通过老人超越的问卷调查得到了证实。
{"title":"Cognitive, sensory stimulation and relaxation, meditation and hypnosis through a smart skirting board","authors":"J. P. Marujo","doi":"10.4172/2165-7386-C2-016","DOIUrl":"https://doi.org/10.4172/2165-7386-C2-016","url":null,"abstract":"Methods: This research was conducted at the residence of São Pedro in Malveira, Portugal and included forty-five elderly people with ages between 75 and 95 years old. The diagnosis of probable Alzheimer dementia was established following the neurological criteria. For this study we used a room equipped with the SSB® (an invention of J Marujo and V Fernandes) as a holistic therapeutic tool that had integrated a Snoezelen system; a laser system; music; video; objects with different smells, textures and colors and different aromas (orange, lemon, strawberry, vanilla, chocolate, etc.). The sessions with 50 minutes per week, carried out between May 2016 and August 2017, were divided into two categories: One to do cognitive stimulation and another to reconnect older people to spirituality. The results of cognitive stimulation’s sessions were registered in a battery of neuropsychological tests to assess cognitive function. The sessions to reconnect older people to spirituality through meditation and relaxation techniques have been proven with a gerontotranscendence’s questionnaire.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70691927","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 : 2018-08-08DOI: 10.4172/2165-7386-C2-017
Ivana Beatrice Manica da Cruz
{"title":"Superoxide-hydrogen peroxide imbalance: Potential risk and its influence on therapeutic response of chronic morbidities prevalent in elderly people","authors":"Ivana Beatrice Manica da Cruz","doi":"10.4172/2165-7386-C2-017","DOIUrl":"https://doi.org/10.4172/2165-7386-C2-017","url":null,"abstract":"","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70691693","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 : 2018-05-28DOI: 10.4172/2165-7386.1000335
Kingsley Akarowhe
Palliative care is an effective health approach in any given nation that pave way for a better health care system and more of patient cantered. In other words, palliative care is a care program that is geared towards increasing aggregate wellbeing of patient through an oriented approach to patient’s ailment. In recent times, developing countries have not been able to achieve this, due to limited driven research findings by researchers, scholars, and health care practitioners. It is in consonance with the forgoing that this paper deems it to fit to investigate the benefits of implementing health insurance policy as the tangible means for an effective and better palliative care in developing countries, through the proactive role to be played by care managers. The benefits farfetched in this miniresearch were parity in service delivery, reduction in financial impediment to care service, improved health/medical sector, increase health awareness, and patient health centered palliative care system. It was recommended that collaboration among stakeholders in the health care subsector/health sector will help in the actualization of effective and efficient implementation process.
{"title":"Benefits of Implementing Health Insurance Policy in Developing Countries for a Better Palliative Care","authors":"Kingsley Akarowhe","doi":"10.4172/2165-7386.1000335","DOIUrl":"https://doi.org/10.4172/2165-7386.1000335","url":null,"abstract":"Palliative care is an effective health approach in any given nation that pave way for a better health care system and more of patient cantered. In other words, palliative care is a care program that is geared towards increasing aggregate wellbeing of patient through an oriented approach to patient’s ailment. In recent times, developing countries have not been able to achieve this, due to limited driven research findings by researchers, scholars, and health care practitioners. It is in consonance with the forgoing that this paper deems it to fit to investigate the benefits of implementing health insurance policy as the tangible means for an effective and better palliative care in developing countries, through the proactive role to be played by care managers. The benefits farfetched in this miniresearch were parity in service delivery, reduction in financial impediment to care service, improved health/medical sector, increase health awareness, and patient health centered palliative care system. It was recommended that collaboration among stakeholders in the health care subsector/health sector will help in the actualization of effective and efficient implementation process.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42972758","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 : 2018-05-14DOI: 10.4172/2165-7386.1000333
H. Hadi, Shamsa Hadi
Death and dying are undoubtedly expected destiny in human’s life. Life becomes hard-hitting when assortments of life-limiting pathologies grasp human body. Every individual desires to spend a quality life but unfortunately those who are sufferers of terminal illness need special care to improve the quality of life. This special care is known as palliative care. As a nurse, it is one of the most intricate tasks to facilitate patients in peaceful and decorous death keeping patient’s autonomy, access to information, and choice as the priorities.
{"title":"Caring for Patients on Palliative Care","authors":"H. Hadi, Shamsa Hadi","doi":"10.4172/2165-7386.1000333","DOIUrl":"https://doi.org/10.4172/2165-7386.1000333","url":null,"abstract":"Death and dying are undoubtedly expected destiny in human’s life. Life becomes hard-hitting when assortments of life-limiting pathologies grasp human body. Every individual desires to spend a quality life but unfortunately those who are sufferers of terminal illness need special care to improve the quality of life. This special care is known as palliative care. As a nurse, it is one of the most intricate tasks to facilitate patients in peaceful and decorous death keeping patient’s autonomy, access to information, and choice as the priorities.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47232392","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 : 2018-03-19DOI: 10.4172/2165-7386.1000331
W. Mutale, F. Goma, L. Gwyther
Introduction: Though significant advances have been achieved in the provision of palliative care in Africa in recent years, there is very little evidence for outcomes of effectiveness of this care. A primary reason for this dearth of evidence is the lack of appropriate and validated outcome tools Methodology: This study assessed and applied 2 research tools to assess palliative care needs in children attending University teaching hospital in Lusaka, Zambia. The study population was parents and guardians of children receiving care at the university teaching hospital. Sample size was calculated as 100. Trained research assistants approached potential participants and explained the research to them. Following informed voluntary consent the two questionnaires were administered by the research assistants. These were the Needs Evaluations questionnaire (NEQ) and the paedsQL4 questionnaires. We used Cronbach’s alpha to determine validity and factor analysis to identify relevant factors. We compared the mean difference across the three groups of patients, general paediatric patients, children with HIV, paediatric and oncology patients using ANOVA. Results: Both tools were found to be reliable for assessing palliative care needs in children (Cronbach’s alpha >0.8). Generally there were very high need gaps across all hospital wards with 15/23 items having need gap of >50%. Overall the largest need caps was in information domain. The HIV ward had least need gap with only 8/23 items having a need gap of >50%. Results from the paedsQL4 showed that there were significant mean differences across the three categories of patients in all domains of functioning with oncology patients performing worst. In physical functioning domain, the items showed that 6/7 items had significant mean differences (p<0.05). Confirmatory factors analysis showed that 2 items were loading highly on the physical functioning factor. These were running and participating in sports (0.896). In the emotional functioning domain, 2 items loaded highly on factor analysis, feeling sad (0.842 and angry (0.666). In the social functioning domain, highest loading were in 2 items, both related to making friends i.e getting along with friends (0.826) and friend wanting to be friend (0.847). In the school domain missing school to go hospital loaded highly on factor analysis (0.842) followed by difficulty paying attention in class (0.716) Conclusion: The study successfully applied two quantitative tools for assessing needs in Children. The results showed that the tools are reliable and applicable in the Zambian context. The findings indicate needs gap for child palliative care services in Zambia. Pain control remained in sub-optimal for especially for children with cancer.
{"title":"Developing Tools for Needs Assessment for Children in Sub-Saharan Africa: The validation and Application of the PaedsQ4 and NEC Tools in the Zambian Paediatric Population","authors":"W. Mutale, F. Goma, L. Gwyther","doi":"10.4172/2165-7386.1000331","DOIUrl":"https://doi.org/10.4172/2165-7386.1000331","url":null,"abstract":"Introduction: Though significant advances have been achieved in the provision of palliative care in Africa in recent years, there is very little evidence for outcomes of effectiveness of this care. A primary reason for this dearth of evidence is the lack of appropriate and validated outcome tools Methodology: This study assessed and applied 2 research tools to assess palliative care needs in children attending University teaching hospital in Lusaka, Zambia. The study population was parents and guardians of children receiving care at the university teaching hospital. Sample size was calculated as 100. Trained research assistants approached potential participants and explained the research to them. Following informed voluntary consent the two questionnaires were administered by the research assistants. These were the Needs Evaluations questionnaire (NEQ) and the paedsQL4 questionnaires. We used Cronbach’s alpha to determine validity and factor analysis to identify relevant factors. We compared the mean difference across the three groups of patients, general paediatric patients, children with HIV, paediatric and oncology patients using ANOVA. Results: Both tools were found to be reliable for assessing palliative care needs in children (Cronbach’s alpha >0.8). Generally there were very high need gaps across all hospital wards with 15/23 items having need gap of >50%. Overall the largest need caps was in information domain. The HIV ward had least need gap with only 8/23 items having a need gap of >50%. Results from the paedsQL4 showed that there were significant mean differences across the three categories of patients in all domains of functioning with oncology patients performing worst. In physical functioning domain, the items showed that 6/7 items had significant mean differences (p<0.05). Confirmatory factors analysis showed that 2 items were loading highly on the physical functioning factor. These were running and participating in sports (0.896). In the emotional functioning domain, 2 items loaded highly on factor analysis, feeling sad (0.842 and angry (0.666). In the social functioning domain, highest loading were in 2 items, both related to making friends i.e getting along with friends (0.826) and friend wanting to be friend (0.847). In the school domain missing school to go hospital loaded highly on factor analysis (0.842) followed by difficulty paying attention in class (0.716) Conclusion: The study successfully applied two quantitative tools for assessing needs in Children. The results showed that the tools are reliable and applicable in the Zambian context. The findings indicate needs gap for child palliative care services in Zambia. Pain control remained in sub-optimal for especially for children with cancer.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43120008","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 : 2018-02-19DOI: 10.4172/2165-7386.1000329
T. Ciftci, S. Aksoy, Ç. Topel, D. Akıncı, I. Idilman, U. Arslan, E. Akpınar, Blent Erbil, M. Kunt, M. Karaca, O. Akhan
Purpose: To analyze the results of pleurodesis through pleural catheterization using talc slurry, bleomycin, and tetracycline in patients with symptomatic malignant pleural effusion (MPE) and to compare the efficacy, reliability and outcomes of these agents. Methods: Talc (4 g), bleomycin (60.000 U) or tetracycline (1 g) was used for chemical pleurodesis in 271 patients. Successful pleurodesis was defined as no fluid build up and lack of recurrence of symptoms within the first 30 days after treatment. Data were analyzed using SPSS 15.0 for Windows. Results: Pleural catheterization was performed in a total of 368 patients. Eighteen patients were lost to follow-up. Seventy-nine patients were excluded due to either of the following factors; trapped lung syndrome or patient lost during the early post-catheterization period due to advanced disease. In 271 patients chemical pleurodesis was performed with talc slurry (17.3%), bleomycin (13.7%) or tetracycline (49.1%). In 19.9% of the patients, multiple chemical agents were used in different sessions as successful results were not obtained with one agent. Clinical and radiological success was achieved in 78.2% of patients. There was no significant difference among 4 groups (talc slurry, bleomycin, tetracycline and multiple agents) in terms of clinical success, complication rates and median symptom-free life periods. Conclusion: Talc slurry, bleomycin, or tetracycline administration through percutaneous pleural catheterization have comparable efficacy rates and safety profiles. If pleurodesis failure with one agent occurs, the attempt with other agents may result in success.
目的：分析滑石浆、博来霉素和四环素经胸腔导管胸膜固定术治疗症状性恶性胸腔积液（MPE）的效果，并比较这些药物的疗效、可靠性和结果。方法：271例患者采用滑石粉（4g）、博来霉素（60.000U）或四环素（1g）进行化学胸膜固定术。成功的胸膜固定术被定义为在治疗后的前30天内没有积液，症状没有复发。使用SPSS 15.0 for Windows对数据进行分析。结果：共368例患者进行了胸膜导管插入术。18名患者失访。由于以下任一因素，79名患者被排除在外：；困肺综合征或患者因晚期疾病在导管插入术后早期丢失。271名患者使用滑石浆（17.3%）、博来霉素（13.7%）或四环素（49.1%）进行了化学胸膜固定术。19.9%的患者在不同的疗程中使用了多种化学制剂，因为一种制剂无法取得成功。78.2%的患者在临床和放射学方面取得了成功。4组（滑石粉、博来霉素、四环素和多种药物）在临床成功率、并发症发生率和中位无症状生存期方面没有显著差异。结论：滑石浆、博来霉素或四环素经皮胸膜导管给药具有可比的有效率和安全性。如果使用一种药物进行胸膜固定失败，则使用其他药物的尝试可能会成功。
{"title":"Pleurodesis through Pleural Catheterization in Patients with Symptomatic Malignant Pleural Effusions: Which One is better? Talc, Bleomycin or Tetracycline?","authors":"T. Ciftci, S. Aksoy, Ç. Topel, D. Akıncı, I. Idilman, U. Arslan, E. Akpınar, Blent Erbil, M. Kunt, M. Karaca, O. Akhan","doi":"10.4172/2165-7386.1000329","DOIUrl":"https://doi.org/10.4172/2165-7386.1000329","url":null,"abstract":"Purpose: To analyze the results of pleurodesis through pleural catheterization using talc slurry, bleomycin, and tetracycline in patients with symptomatic malignant pleural effusion (MPE) and to compare the efficacy, reliability and outcomes of these agents. Methods: Talc (4 g), bleomycin (60.000 U) or tetracycline (1 g) was used for chemical pleurodesis in 271 patients. Successful pleurodesis was defined as no fluid build up and lack of recurrence of symptoms within the first 30 days after treatment. Data were analyzed using SPSS 15.0 for Windows. Results: Pleural catheterization was performed in a total of 368 patients. Eighteen patients were lost to follow-up. Seventy-nine patients were excluded due to either of the following factors; trapped lung syndrome or patient lost during the early post-catheterization period due to advanced disease. In 271 patients chemical pleurodesis was performed with talc slurry (17.3%), bleomycin (13.7%) or tetracycline (49.1%). In 19.9% of the patients, multiple chemical agents were used in different sessions as successful results were not obtained with one agent. Clinical and radiological success was achieved in 78.2% of patients. There was no significant difference among 4 groups (talc slurry, bleomycin, tetracycline and multiple agents) in terms of clinical success, complication rates and median symptom-free life periods. Conclusion: Talc slurry, bleomycin, or tetracycline administration through percutaneous pleural catheterization have comparable efficacy rates and safety profiles. If pleurodesis failure with one agent occurs, the attempt with other agents may result in success.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000329","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48699439","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 : 2018-01-01DOI: 10.4172/2165-7386.1000336
Mohamed Abdallahi Ould Hamed, A. Y. Soulay, K. Reda, A. Oubaaz
Figure 2: Embryotoxon on the nasal side of the right eye. The remainder of the somatic examination reveals no abnormality associated especially the absence of dental malformation. Chronic glaucoma is seen in 50% of patients [1]. The diagnosis of AxenfeldReiger syndrome uncomplicated of chronic glaucoma has been established, despite the absence of signs of Rieger [1]. No treatment has been established. Regular checks have been proposed to detect any complications including glaucoma.
{"title":"Axenfeld-Rieger Syndrome","authors":"Mohamed Abdallahi Ould Hamed, A. Y. Soulay, K. Reda, A. Oubaaz","doi":"10.4172/2165-7386.1000336","DOIUrl":"https://doi.org/10.4172/2165-7386.1000336","url":null,"abstract":"Figure 2: Embryotoxon on the nasal side of the right eye. The remainder of the somatic examination reveals no abnormality associated especially the absence of dental malformation. Chronic glaucoma is seen in 50% of patients [1]. The diagnosis of AxenfeldReiger syndrome uncomplicated of chronic glaucoma has been established, despite the absence of signs of Rieger [1]. No treatment has been established. Regular checks have been proposed to detect any complications including glaucoma.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684259","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 : 2018-01-01DOI: 10.4172/2165-7386.1000347
Y. Ku
{"title":"Hospice Care in the Long-Term Care Facilities","authors":"Y. Ku","doi":"10.4172/2165-7386.1000347","DOIUrl":"https://doi.org/10.4172/2165-7386.1000347","url":null,"abstract":"","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"08 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70685132","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 : 2018-01-01DOI: 10.4172/2165-7386.1000326
Al Hajery M, Al Mutairi H, Ayed A, Ayed Mk
Objective: To determine perception, knowledge, and barriers to the end of life palliative care among neonatal and pediatric intensive care physicians mainly practicing in Kuwait. Methods: This study focuses a detailed self-administered questionnaire based measurements. One hundred and ninety-two (192) Kuwait based neonatal and pediatric intensive care physicians actively evaluated the survey conducted in this study. All the inquiries during this investigation were formatted using a 5-point Likert scale. However, responses to few questions are recorded in a yes or no format as 5-point Likert scale was not applicable to those issues. Results: The response rate was in a range of 80-85% with 157 respondents completing the survey. Of the total 157, 65% (102) were neonatologists and 35% (55) were pediatric intensivists. Thirty-two (21%) were consultant staff, and almost half (n=76, 48%) have more than ten years’ experience. Only 20% had prior training in end of life palliative care, and 19% have a current guideline. Also, only 12% have access to palliative care consultation team. Four different factors from both family support and team were perceived to support the provision of palliative care of a high quality. While the involvement of multidisciplinary team, pain management and formal teaching of EOL palliative care were the major components of team factors; the family support also engaged the involvement of parents/family in EOL palliative care decision. Cultural and religious constraints, lack of palliative care team and insufficient knowledge formed as major barriers. Conclusion: In this study, neonatologists and pediatric intensivists reiterate the importance of palliative care. They evaluated both the facilitators (perception and knowledge) and barriers (cultural and religious constraints, lack of palliative care team and insufficient expertise) that significantly impact the quality of neonates and pediatrics palliative care.
{"title":"Perception, Knowledge and Barriers to End of Life Palliative Care among Neonatal and Pediatric Intensive Care Physicians","authors":"Al Hajery M, Al Mutairi H, Ayed A, Ayed Mk","doi":"10.4172/2165-7386.1000326","DOIUrl":"https://doi.org/10.4172/2165-7386.1000326","url":null,"abstract":"Objective: To determine perception, knowledge, and barriers to the end of life palliative care among neonatal and pediatric intensive care physicians mainly practicing in Kuwait. Methods: This study focuses a detailed self-administered questionnaire based measurements. One hundred and ninety-two (192) Kuwait based neonatal and pediatric intensive care physicians actively evaluated the survey conducted in this study. All the inquiries during this investigation were formatted using a 5-point Likert scale. However, responses to few questions are recorded in a yes or no format as 5-point Likert scale was not applicable to those issues. Results: The response rate was in a range of 80-85% with 157 respondents completing the survey. Of the total 157, 65% (102) were neonatologists and 35% (55) were pediatric intensivists. Thirty-two (21%) were consultant staff, and almost half (n=76, 48%) have more than ten years’ experience. Only 20% had prior training in end of life palliative care, and 19% have a current guideline. Also, only 12% have access to palliative care consultation team. Four different factors from both family support and team were perceived to support the provision of palliative care of a high quality. While the involvement of multidisciplinary team, pain management and formal teaching of EOL palliative care were the major components of team factors; the family support also engaged the involvement of parents/family in EOL palliative care decision. Cultural and religious constraints, lack of palliative care team and insufficient knowledge formed as major barriers. Conclusion: In this study, neonatologists and pediatric intensivists reiterate the importance of palliative care. They evaluated both the facilitators (perception and knowledge) and barriers (cultural and religious constraints, lack of palliative care team and insufficient expertise) that significantly impact the quality of neonates and pediatrics palliative care.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684157","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 : 2018-01-01DOI: 10.4172/2165-7386.1000332
Maĭstrenko Na, Sazonov Aa, Hvatov Aa
Late diagnosis of colorectal cancer (CRC), along with a high proportion of older patients, explain the relevance of studying the efficiency of cytoreductive surgery in geriatric patients with colorectal cancer. A comparative evaluation of the results of cytoreductive operations (removal of the primary tumor) in two groups of patients with disseminated CRC: younger and over 60 years old. It is established that the implementation of palliative resections in elderly and senile patients allows achieving encouraging long-term results, providing higher survival rates than in patients of young and middle age. More frequent development of complications after cytoreductive operations in patients of older age groups is usually associated with decompensation of the concomitant pathology, which requires its adequate correction in the preoperative period. The use of cytoreductive surgery in patients of older age groups with advanced forms of CRC significantly improves their quality of life.
{"title":"Palliative Primary Tumor Resection in Elderly and Senile Patients with Metastatic Colorectal Cancer","authors":"Maĭstrenko Na, Sazonov Aa, Hvatov Aa","doi":"10.4172/2165-7386.1000332","DOIUrl":"https://doi.org/10.4172/2165-7386.1000332","url":null,"abstract":"Late diagnosis of colorectal cancer (CRC), along with a high proportion of older patients, explain the relevance of studying the efficiency of cytoreductive surgery in geriatric patients with colorectal cancer. A comparative evaluation of the results of cytoreductive operations (removal of the primary tumor) in two groups of patients with disseminated CRC: younger and over 60 years old. It is established that the implementation of palliative resections in elderly and senile patients allows achieving encouraging long-term results, providing higher survival rates than in patients of young and middle age. More frequent development of complications after cytoreductive operations in patients of older age groups is usually associated with decompensation of the concomitant pathology, which requires its adequate correction in the preoperative period. The use of cytoreductive surgery in patients of older age groups with advanced forms of CRC significantly improves their quality of life.","PeriodicalId":91127,"journal":{"name":"Journal of palliative care & medicine","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7386.1000332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684304","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：