RPS Wales welcomes Assembly Group findings on access to palliative care
The Royal Pharmaceutical Society in Wales has welcomed recommendations of the National Assembly for Wales's Cross Party Group on Hospices and Palliative Care report into inequalities in access to
Publication date: Available online 16 November 2018Source: SeizureAuthor(s): Jonathan Dallas, Dario J. Englot, Robert P. NaftelAbstractEpilepsy is a common pediatric neurological condition, and approximately one-third of children with epilepsy are refractory to medical management. For these children neurosurgery may be indicated, but operative success is dependent on complete delineation of the epileptogenic zone. In this review, surgical techniques for pediatric epilepsy are considered. First, potentially-curative operations are discussed and broadly divided into resections and disconnections. Then, two palliative approac...
Alcohol-associated cirrhosis (AC) contributes up to 50% of the overall cirrhosis burden in the United States. AC is typically a comorbid condition in association with alcohol-use disorder. AC is often coexistent with other conditions. Several noninvasive methods are available to assist in recognizing the presence of AC. The natural history of AC is governed by the patients continued drinking or abstinence. All treatment starts with abstinence. After decompensation, the progression to acute-on-chronic liver failure heralds death. When patients who have deteriorated are declined liver transplant, palliative care should be considered.
CONCLUSION: Autophagy was decreased in the incomplete ablation model and might be inversely correlated with HSP expression. It is suggested that the HSP90/Akt/mTOR pathway is involved in signal transmission between autophagy and HSPs. PMID: 30428719 [PubMed - as supplied by publisher]
BackgroundDespite advances in therapy, heart failure (HF) patients have significant symptom burden, and poor quality of life. However, data on palliative care (PC) utilization in this population are scarce. We sought to assess national trends in PC utilization in patients admitted with acute HF.MethodsAdults hospitalized with HF without acute coronary syndrome were identified in the National inpatient sample. Palliative care was identified using ICD ‐9‐CM‐Code V66.7. Trends in PC utilization, its predictors and its association with length‐of‐stay and cost were assessed.ResultsA total of 939,680 HF patients were h...
ConclusionsLong-term management of malignancy-associated bowel obstruction is possible with improvement in quality of life using a combination of TPN and a cervical esophagostomy tube. In these two cases the cervical esophagostomy tube was placed with limited adverse events, and adequate drainage of intestinal secretions long-term.
Condition: End Stage Renal Disease Intervention: Other: Palliative care consultation Sponsors: University of Vermont; Icahn School of Medicine at Mount Sinai Recruiting
Conditions: Caregiver; Delirium; Locally Advanced Malignant Neoplasm; Metastatic Malignant Neoplasm; Recurrent Malignant Neoplasm Interventions: Drug: Haloperidol; Drug: Lorazepam; Other: Placebo; Other: Quality-of-Life Assessment; Other: Questionnaire Administration Sponsors: M.D. Anderson Cancer Center; National Cancer Institute (NCI) Not yet recruiting
Condition: Hematologic Neoplasms Intervention: Other: early palliative care Sponsor: Arcispedale Santa Maria Nuova-IRCCS Not yet recruiting
ConclusionThis is the first study in Korea that systematically evaluated community-based palliative care. The Busan Community-based Palliative Care Project improved the QOL of palliative care patients by providing services at an appropriate level and by raising the recognition of palliative care in the community. To increase the utilization ratio of palliative care and the quality of service, strategies should be developed to supplement medical support systems.
Publication date: Available online 15 November 2018Source: The Lancet PsychiatryAuthor(s): Graham Thornicroft, Shalini Ahuja, Sarah Barber, Daniel Chisholm, Pamela Y Collins, Sumaiyah Docrat, Lara Fairall, Heidi Lempp, Unaiza Niaz, Vicky Ngo, Vikram Patel, Inge Petersen, Martin Prince, Maya Semrau, Jürgen Unützer, Huang Yueqin, Shuo ZhangSummaryIntegrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the differe...