J Med Internet Res. 2025 Oct 28;27:e72104. doi: 10.2196/72104.ABSTRACTBACKGROUND: Digital health (DH) provides a valuable opportunity for accessible and efficient palliative care delivery. In recent years, an expanding body of systematic reviews and meta-analyses has examined DH-based interventions in palliative care. However, their conclusions regarding effects remain inconsistent, often constrained by methodological limitations and the variable quality of primary studies, making it difficult to form a coherent appraisal.OBJECTIVE: This umbrella review aimed to examine, appraise, and synthesize previous systematic reviews and evaluate the role of DH-based services on palliative care, and to identify barriers to using DH-based services in these…
Origen: Role of Digital Health on Palliative Care: Umbrella Review – PubMed

Anasthesiol Intensivmed Notfallmed Schmerzther. 2025 Oct;60(10):574-590. doi: 10.1055/a-2060-8786. Epub 2025 Oct 28.ABSTRACTThe decision to initiate extended intensive care in older patients is often challenging. The ethical principles of beneficence and non-maleficence, together with the patient’s autonomous will, form the foundation of decision-making. Important prognostic factors include frailty, functional status, and comorbidities. If intensive care treatment is initiated, it should be started promptly, but with a clearly defined treatment goal and predefined limitations regarding interventions that should not be undertaken. If, during the course, the decision is made against curative intensive care, palliative care should be provided. In situations where the…
Origen: Very old Patients in the Intensive Care Unit – Balancing Benefits and Risks – PubMed

Anasthesiol Intensivmed Notfallmed Schmerzther. 2025 Oct;60(10):557-572. doi: 10.1055/a-2351-8514. Epub 2025 Oct 28.ABSTRACTThe circadian rhythm regulates key biological processes such as sleep, hormone balance, and immune defence. Sleep disorders are particularly prevalent among patients with chronic or advanced diseases and are associated with significant physical and psychological consequences. They impair quality of life, increase morbidity, and negatively affect the immune system. Diagnosis involves a thorough medical and sleep-specific history, supplemented by sleep diaries and screening questionnaires. Polysomnography remains the gold standard, while wearables can provide useful indications but cannot fully replace comprehensive diagnostics. Treatment should primarily focus on non-pharmacological interventions and…
Origen: The Circadian Rhythm: What Role do Sleep Disorders Play in Pain Management and Palliative Care? – PubMed

BMC Palliat Care. 2025 Oct 27;24(1):272. doi: 10.1186/s12904-025-01912-1.ABSTRACTBACKGROUND: At the end of life, patients frequently experience distressing symptoms. When they become refractory, sedating medications and palliative sedation (PS) may be used to alleviate suffering. PS is mainly practised in specialist settings, as it requires defined procedures and guidelines. Little is known, however, about how registered nurses (RNs) and healthcare assistants (HCAs) manage refractory symptoms and unbearable suffering in nursing homes and how sedating medications are used in this non-specialist setting. This study explored how RNs and HCAs in Swiss nursing homes recognise, assess, and alleviate unbearable suffering, the challenges they…
Origen: Recognising and alleviating unbearable suffering in residents living in Swiss nursing homes: a grounded theory study on nursing staff's perspectives on sedating medications and palliative sedation – PubMed

La UNED organiza un seminario sobre muerte y cuidados paliativos  Faro de Vigo
Origen: La UNED organiza un seminario sobre muerte y cuidados paliativos – Faro de Vigo – Google News