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Palliative care integration: a critical review of nurse migration effect in Jamaica

BMC Palliat Care. 2021 Oct 13;20(1):155. doi: 10.1186/s12904-021-00863-7.ABSTRACTBACKGROUND: Provision of palliative care to individuals with late-stage serious illnesses is critical to reduce suffering. Palliative care is slowly gaining momentum in Jamaica but requires a highly skilled workforce, including nurses. Out-migration of nurses to wealthier countries negatively impacts the delivery of health care services and may impede palliative care capacity-building. This critical review aimed to explore the evidence pertaining to the nurse migration effect on the integration of palliative care services in Jamaica and to formulate hypotheses about potential mitigating strategies.METHODS: A comprehensive search in the PubMed, CINAHL, and ProQuest PAIS…
Origen: Palliative care integration: a critical review of nurse migration effect in Jamaica – PubMed

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Stoma-related considerations in palliative patients

Br J Community Nurs. 2021 Oct 2;26(10):494-497. doi: 10.12968/bjcn.2021.26.10.494.ABSTRACTIn the community there are about 200 000 people with a stoma. Some of these may have been performed as a palliative procedure to relieve a bowel obstruction, for example. Alternatively, the condition of the patient may have altered. A person with a stoma may, for many reasons, be approaching the end of life. There are a number of stoma-related issues that can occur at the end of life as a result of cancer treatment, such as skin around the stoma being damaged as a result of chemotherapy or changes in weight.…
Origen: Stoma-related considerations in palliative patients – PubMed

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Impact of enhanced haematology palliative care services in patients with myelodysplastic syndrome and acute myeloid leukaemia: study protocol for a randomized controlled trial

Ann Palliat Med. 2021 Sep;10(9):10013-10021. doi: 10.21037/apm-20-1633.ABSTRACTBACKGROUND: Patients with acute myeloid leukaemia (AML) and myelodysplastic syndrome (MDS) suffer from a significant symptom burden and psychological, spiritual, social needs comparable to patients with solid metastatic malignancy. Referral to palliative care services for these haematological patients remains limited or often confined to the last days of life. We pioneered a palliative care (PC) program integrated with standard haematological care. The purpose of this trial will study the interventions by the PC team and preliminary results in the clinical outcomes.METHODS: This project is a non-blinded, randomized, controlled trial. In this study, we examine…
Origen: Impact of enhanced haematology palliative care services in patients with myelodysplastic syndrome and acute myeloid leukaemia: study protocol for a randomized controlled trial – PubMed

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Reliability, validity and acceptability of the traditional Chinese version of the carer support needs assessment tool in Hong Kong palliative care settings

BMC Palliat Care. 2021 Oct 9;20(1):152. doi: 10.1186/s12904-021-00852-w.ABSTRACTBACKGROUND: Among the few existing needs assessment tools for family carers, the 14-item Carer Support Needs Assessment Tool (CSNAT) is the only brief and holistic needs screening tool designed for everyday use in palliative care practices. The aim of this study was to evaluate the reliability, validity, and acceptability of the traditional Chinese version of the CSNAT in palliative care settings in Hong Kong.METHODS: This adopted a cross-sectional and correlation design with repeated measures. The participants were 125 family carers of palliative cancer patients and 10 healthcare providers (HCPs) that were recruited from…
Origen: Reliability, validity and acceptability of the traditional Chinese version of the carer support needs assessment tool in Hong Kong palliative care settings – PubMed

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