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PALLIATIVE / SUPPORTIVE CARE FOR CHRONIC KIDNEY DISEASE (CKD) PATIENTS

Harefuah. 2022 May;161(5):327-332.ABSTRACTPatients with advanced/chronic kidney disease (CKD) stage 5 face a high burden of comorbidity, physical and mental symptoms, and impaired quality of life (QOL). Dialysis, which has become a treatment of choice, cannot supply an optimal replacement of the kidney function. Old and fragile dialysis patients with multiple comorbidities often need expensive medical treatments, repeated hospitalizations, and their life expectancy is not longer than those who have chosen not to use dialysis. The WHO emphasizes the need of palliation for serious and incurable diseases, such as CKD stage 5. Among patients who suffer from under-diagnosis and under-treatment of…
Origen: PALLIATIVE / SUPPORTIVE CARE FOR CHRONIC KIDNEY DISEASE (CKD) PATIENTS – PubMed

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(no title)

Harefuah. 2022 May;161(5):293-298.ABSTRACTBACKGROUND: The trend of increasing numbers of terminally ill patients hospitalized in general wards requires nursing staff to be able to provide palliative care (PC). The self-efficacy (SE) to provide PC was found to be a leading factor predicting future professional behavior. There is no tool in the Hebrew language to evaluate SE for symptoms management and provision of psychosocial care within the PC.OBJECTIVES: To validate a Hebrew version of the “Palliative Care Self-Efficacy Scale )PCSES)” among nursing staff employed in various hospital wards.METHODS: A cross-sectional study was performed among nursing staff employed at four Israeli hospitals in…
Origen: (no title) – PubMed

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CHEMOTHERAPY FOR CANCER PATIENTS – ARE WE CHOOSING WISELY?

Harefuah. 2022 May;161(5):277-281.ABSTRACTINTRODUCTION: The American Society of Clinical Oncology has identified non-evidence-based chemotherapy as one of the 10 most prevalent examples of futile care and has identified chemotherapy at the last month of life as a quality indicator of oncology practice.OBJECTIVES: To characterize chemotherapy treatment and the use of palliative and other healthcare services during the last year of life among cancer patients in an Israeli Health Maintenance Organization (HMO).METHODS: A cross-sectional study was conducted of members of Leumit Health Services (LHS) who died of cancer between 2009 and 2013. Data captured from LHS databases included: diagnosis, target drugs prescribed,…
Origen: CHEMOTHERAPY FOR CANCER PATIENTS – ARE WE CHOOSING WISELY? – PubMed

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Improving Outcomes Measurement in Palliative Care: The Lasting Impact of Randy Curtis and his Collaborators

J Pain Symptom Manage. 2022 Jun;63(6):e579-e586. doi: 10.1016/j.jpainsymman.2022.03.012.ABSTRACTPalliative care research is deeply challenging for many reasons, not the least of which is the conceptual and operational difficulty of measuring outcomes within a seriously ill population such as critically ill patients and their family members. This manuscript describes how Randy Curtis and his network of collaborators successfully confronted some of the most vexing outcomes measurement problems in the field, and by so doing, have enhanced clinical care and research alike. Beginning with a discussion of the clinical challenges of measurement in palliative care, we then discuss a selection of the novel…
Origen: Improving Outcomes Measurement in Palliative Care: The Lasting Impact of Randy Curtis and his Collaborators – PubMed

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Utilization and Delivery of Specialty Palliative Care in the ICU: Insights from the Palliative Care Quality Network

J Pain Symptom Manage. 2022 Jun;63(6):e611-e619. doi: 10.1016/j.jpainsymman.2022.03.011.ABSTRACTCONTEXT: Palliative care (PC) benefits critically ill patients but remains underutilized. Important to developing interventions to overcome barriers to PC in the ICU and address PC needs of ICU patients is to understand how, when, and for which patients PC is provided in the ICU.OBJECTIVES: Compare characteristics of specialty PC consultations in the ICU to those on medical-surgical wards.METHODS: Retrospective analysis of national Palliative Care Quality Network data for hospitalized patients receiving specialty PC consultation January 1, 2013 to December 31, 2019 in ICU or medical-surgical setting. 98 inpatient PC teams in 16…
Origen: Utilization and Delivery of Specialty Palliative Care in the ICU: Insights from the Palliative Care Quality Network – PubMed

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