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Training primary healthcare workers on a task-strengthening strategy for integrating hypertension management into HIV care in Nigeria: implementation strategies, knowledge uptake, and lessons learned

BMC Health Serv Res. 2023 Jun 21;23(1):673. doi: 10.1186/s12913-023-09603-4.ABSTRACTBACKGROUND: With improved access to anti-retroviral drugs, persons living with HIV/AIDS (PLWHA) are living longer but with attendant increased risks of non-communicable diseases (NCDs). The increasing burden of NCDs, especially hypertension, could reverse gains attributed to HIV care. Nurses and Community Health Officers (CHO) in Nigeria are cardinal in delivering primary health care. A task-strengthening strategy could enable them to manage hypertension in HIV care settings. This study aimed to assess their knowledge and practice of hypertension management among Healthcare workers (HCWs) and to explore the challenges involved in conducting onsite training…
Origen: Training primary healthcare workers on a task-strengthening strategy for integrating hypertension management into HIV care in Nigeria: implementation strategies, knowledge uptake, and lessons learned – PubMed

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Impact of an outpatient palliative care consultation and symptom clusters in terminal patients at a tertiary care center in Pakistan

BMC Palliat Care. 2023 Jun 21;22(1):75. doi: 10.1186/s12904-023-01195-4.ABSTRACTBACKGROUND: Patients with terminal diseases may benefit physically and psychosocially from an outpatient palliative care visit. Palliative care services are limited in Pakistan. An improved understanding of the symptom clusters present in our population is needed. The first outpatient palliative care center in Karachi, Pakistan, was established at our tertiary care institution. The primary aim of this study was to evaluate the impact of a palliative care outpatient consultation on symptom burden in patients with a terminal diagnosis. The secondary aim was to analyze the symptom clusters present in our population.METHODS: Patients with…
Origen: Impact of an outpatient palliative care consultation and symptom clusters in terminal patients at a tertiary care center in Pakistan – PubMed

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The holistic management of malignant bowel obstruction in women with advanced ovarian cancer at end of life

Br J Nurs. 2023 Jun 22;32(12):550-555. doi: 10.12968/bjon.2023.32.12.550.ABSTRACTBowel obstruction is commonly a pre-terminal event in women with advanced ovarian cancer. Management of symptoms will often be the focus rather than surgical intervention. Determining the patient’s end-of-life wishes is paramount – because the prognosis for these patients can be short, advanced care planning is key. This case study will explore the management of nausea and vomiting associated with malignant bowel obstruction and demonstrate how a patient’s psychological and social wellbeing is as important as managing the physical symptoms. It will discuss how skilled and effective communication is vital early in the…
Origen: The holistic management of malignant bowel obstruction in women with advanced ovarian cancer at end of life – PubMed

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Monitoring sarcopenia with wearable devices: a systematic review protocol

BMJ Open. 2023 Jun 21;13(6):e070507. doi: 10.1136/bmjopen-2022-070507.ABSTRACTINTRODUCTION: Sarcopenia is a highly prevalent muscle dysfunction among older adults and is associated with adverse events. The periodic monitoring enables an early screening of patients at risk and control of the progression of muscle impairment. Wearable devices have been used as clinical support for sarcopenia detection. Therefore, this review aims to identify how wearable devices have been used to screen sarcopenia.METHODS AND ANALYSES: Searches will be conducted from August 2023 on PubMed, CINHAL, Embase, Web of Science and SciELO databases. We will include cross-sectional and/or baseline data from prospective studies reporting the use…
Origen: Monitoring sarcopenia with wearable devices: a systematic review protocol – PubMed

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