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Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care

BMC Health Serv Res. 2021 Sep 4;21(1):915. doi: 10.1186/s12913-021-06934-y.ABSTRACTBACKGROUND: Journey mapping involves the creation of visual narrative timelines depicting the multidimensional relationship between a consumer and a service. The use of journey maps in medical research is a novel and innovative approach to understanding patient healthcare encounters.OBJECTIVES: To determine possible applications of journey mapping in medical research and the clinical setting. Specialist palliative care services were selected as the model to evaluate this paradigm, as there are numerous evidence gaps and inconsistencies in the delivery of care that may be addressed using this tool.METHODS: A purposive convenience sample of specialist…
Origen: Journey mapping as a novel approach to healthcare: a qualitative mixed methods study in palliative care – PubMed

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Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods process evaluation of The RESOLVE PCOM Implementation Strategy

BMJ Open. 2021 Sep 3;11(9):e051904. doi: 10.1136/bmjopen-2021-051904.ABSTRACTINTRODUCTION: Person-centred outcome measures improve quality of care and patient outcomes but are used inconsistently in palliative care practice. To address this implementation gap, we developed the ‘RESOLVE Implementation Strategy’. This protocol describes a process evaluation to explore mechanisms through which this strategy does, or does not, support the implementation of outcome measures in routine palliative care practice.METHODS AND ANALYSIS: Multistrand, mixed-methods process evaluation. Strand one will collect routine outcomes data (palliative Phase of Illness, Integrated Palliative care Outcomes Scale, Australia-modified Karnofsky Performance Status) to map the changes in use of outcome measures over…
Origen: Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods process evaluation of The RESOLVE PCOM Implementation Strategy – PubMed

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Long COVID and breathlessness: an overview

Br J Community Nurs. 2021 Sep 2;26(9):438-443. doi: 10.12968/bjcn.2021.26.9.438.ABSTRACTThis article offers a review of what is known so far about post-acute covid-19 and the underlying pathophysiology related to this condition. The main focus will be on the respiratory symptoms. It will then explore how community nurses can monitor and support patients with symptoms of breathlessness with a supporting discussion of the current recommendations for the management and treatment of patients presenting with symptoms of breathlessness. Palliation of symptoms will be highlighted but managing the supportive care needs for patients affected by COVID-19 and nearing the end of life is outside…
Origen: Long COVID and breathlessness: an overview – PubMed

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End-of-life Care Among Gynecological Oncology Patients in a Single Institute in Israel

Isr Med Assoc J. 2021 Sep;23(9):556-562.ABSTRACTBACKGROUND: Early referral to palliative care services in patients with advanced cancer is widely accepted. In addition, the use of futile intervention at the end of life is a pivotal aspect of assessing quality of care at that time.OBJECTIVES: To evaluate the use of palliative care and aggressive treatments during the last month of life in women with gynecological malignancies.METHODS: The study was designed in two steps. The first step included a retrospective analysis of a gynecologic oncology cohort that underwent end-of-life (EOL) care. In the second part, a questionnaire regarding EOL care was completed…
Origen: End-of-life Care Among Gynecological Oncology Patients in a Single Institute in Israel – PubMed

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Historical aspects in pain management in palliative care in an oncological reference unit

Rev Bras Enferm. 2021 Aug 30;74(5):e20200761. doi: 10.1590/0034-7167-2020-0761. eCollection 2021.ABSTRACTOBJECTIVE: Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.METHODS: Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.RESULTS: Professionals contributed with actions for pain management in palliative oncology care: in discussions…
Origen: Historical aspects in pain management in palliative care in an oncological reference unit – PubMed

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