Med Clin North Am. 2025 Nov;109(6):1255-1272. doi: 10.1016/j.mcna.2025.04.007. Epub 2025 May 20.ABSTRACTCardiogenic shock is a complex clinical syndrome primarily resulting from acute myocardial infarction or decompensated heart failure, though other less common causes exist. It is characterized by hypotension, reduced organ perfusion, and diminished cardiac output, potentially leading to extremis and, if untreated, death. Advances in hemodynamic monitoring and the use of vasoactive support can promote recovery, along with mechanical circulatory support. Given the high mortality rate associated with cardiogenic shock, early identification and intervention by specialized shock teams have been explored. Additionally, palliative care is integral to multidisciplinary teams…
Origen: Cardiogenic Shock and Temporary Mechanical Circulatory Support – PubMed

Nurs Health Sci. 2025 Dec;27(4):e70247. doi: 10.1111/nhs.70247.ABSTRACTVoluntary fasting at the end of life raises complex spiritual, ethical, and clinical challenges for palliative care providers. This qualitative study explored healthcare professionals’ experiences in managing patient-initiated fasting within a culturally and religiously diverse palliative care context in Saudi Arabia. Sixteen participants-including nurses, physicians, and allied health professionals-were interviewed using a phenomenological-hermeneutic approach and analyzed through reflexive thematic analysis. Four interrelated themes emerged: (1) between respect and responsibility, reflecting ethical tensions between honoring autonomy and providing care; (2) spiritual framing of fasting, where fasting was seen as a sacred act of surrender and…
Origen: Fasting at Life's End: Exploring the Spiritual and Medical Tensions in Palliative Care – PubMed

Med Clin North Am. 2025 Nov;109(6):1157-1173. doi: 10.1016/j.mcna.2025.04.010. Epub 2025 May 27.ABSTRACTHeart failure (HF) is no longer centered on the failing ventricle. Various salutary treatment discoveries now support substantially improved survival with lesser likelihood for urgent care or hospitalization. Careful assessment of comorbidities and early recognition of symptoms further support the care for patients with HF. Advanced care strategies are effective, but not only includes mechanical circulatory assist and heart transplantation, but also clinical trial participation, palliative care, and hospice. With this contemporary view of HF, failure is supplanted with opportunity. At the patient level, longer healthier lives, in concert…
Origen: Heart Failure with Reduced Ejection Fraction – PubMed

Beijing Da Xue Xue Bao Yi Xue Ban. 2025 Oct 18;57(5):996-1001.ABSTRACTOBJECTIVE: To evaluate the effect of palliative care on drug use, medical service utilization and medical expenditure of patients with advanced cancer.METHODS: A cohort of patients including pal-liative care and standard care was constructed using the medical records of the patients in Peking University Cancer Hospital from 2018 to 2020, and coarsened exact matching was used to match the two groups of patients. The average monthly opioid consumption, hospitalization rate, intensive care unit (ICU) rate and operation rate, and the average monthly total cost were selected to evaluate drug use,…
Origen: Impact of palliative care on medication use and medical utilization in patients with advanced cancer – PubMed

Am J Nurs. 2025 Nov 1;125(11):35. doi: 10.1097/AJN.0000000000000188d. Epub 2025 Oct 23.ABSTRACTACCORDING TO THIS STUDY.PMID:41128579 | DOI:10.1097/AJN.0000000000000188d
Origen: Palliative care video consultation shows promise – PubMed