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
Source: Royal Pharmaceutical Society News - Category: Drugs & Pharmacology Source Type: news

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This article should lead you to talk to your trauma surgeons and/or orthopedists to develop a routine palliative care or hospice consultation for these patients.Robert Arnold, MD is a palliative care doctor at the University of Pittsburgh and a co-founder ofVitalTalk (@VitalTalk). He loves both high and low brow comedy (The Good Place and Nanette), pop culture (the National Enquirer and Pop Culture Happy hour) and music of all kinds (not opera tho!) You can find him onTwitter at @rabob. MorePallimed posts from Bob Arnold can be found here. Morejournal article reviews can be found here. References1. Berry SD,...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: arnold dementia journal article nursing home pallimed writing group surgery trauma Source Type: blogs
Abstract Urgent palliative surgery in the setting of advanced malignancy is associated with significant morbidity, mortality, and cost. Malignant bowel obstruction is the most frequent indication for such intervention. Traditional surgical dogma is often invoked to justify associated risks and cost, but little evidence exists to support surgical over nonsurgical approaches. Evolving evidence may provide more meaningful guidance for treatment selection. PMID: 30213414 [PubMed - in process]
Source: Clinical Colorectal Cancer - Category: Cancer & Oncology Authors: Tags: Surg Oncol Clin N Am Source Type: research
Here are just some of the highlights of our upcoming second 2018 update to The Right to Die: The Law of End-of-Life Decisionmaking.  This supplement covers the most recent legal developments—judicial cases, legislation, and news accounts of important legal proceedings that are not officially reported—concerning end-of-life decisionmaking.  Enactment of the “Our Care, Our Choice Act,” making Hawaii the seventh U.S. jurisdiction to legalize medical aid in dying with a statute modeled on the Oregon Death with Dignity Act. An amendment to the California penal code, clarifying that individuals ...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
This study included 44 patients who underwent decompression and stabilization for spinal metastases at Yokosuka Kyosai Hospital between 2008 and 2017. The patients were divided into two groups: stable (SINS ≤12) and unstable (SINS ≥13). Changes in the Frankel score and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) were compared between the two groups, and patient survival was evaluated according to the SINS, Tokuhashi score, and Katagiri score. RESULTS: The stable group (SINS range, 7-12) included 24 patients while the unstable group (SINS range, 13-16) included 20 patients. The Frankel score si...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
We report images of the 7th case worldwide of a twin fetus with a complete isolated ectopia cordis in a dichorionic diamniotic twin gestation. There is no consanguinity, family history of abnormalities, IVF, or first trimester medication. The diagnosis of this isolated anomaly was done at 23  weeks in one fetus, while the other had normal morphology; the pregnancy was complicated by preterm labor and a cesarean delivery followed at 34 weeks. The affected baby weighed 1800 g and had an outcome complicated by episodes of desaturation and deceased at day 8. Parents did not wish either i n utero termination of p...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
Authors: Daniels AM, Schulte AR, Herndon CM Abstract Interstitial cystitis (IC) is a chronic pain disorder of the bladder that is often underdiagnosed and mistreated. The difficulties in diagnosis stem from numerous theories regarding pathophysiology and etiology, including the breakdown of the glycosaminoglycan (GAG) layer, altered permeability of the urothelium, uroinflammation, and neural up-regulation. Dysfunction of the bladder increases the struggle for proper treatment and continues to prove difficult for health care providers to correctly diagnose and manage IC. If diagnosed and/or managed inappropriately, ...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Authors: Majeed MH, Nadeem R, Khokhar MA, Qaisar MN Abstract PURPOSE: Pain is highly prevalent in advanced cancer and requires aggressive management. However, pain management in cancer is minimally investigated in Pakistan. This cross-sectional study explores the adequacy of pain management in patients with advanced stage cancer in Pakistan. METHOD: From January 2017 to May 2017, a cross-sectional study was conducted at Mayo Hospital, Lahore, Pakistan. A total of 218 patients with cancers were interviewed, and 136 patients with pain ≥5 on a Numerical Rating Scale for pain were included in the study. Demograp...
Source: Journal of Palliative Care - Category: Palliative Care Tags: J Palliat Care Source Type: research
ConclusionsQOL discrepancies are said to arise from healthy surrogates overestimating the effects of chronic illness. In this novel assessment, many surrogates had a shared HIV diagnosis, without increased agreement. These findings highlight the challenge of accurately assessing patient QOL by surrogates, even when there is a shared HIV diagnosis. Improved communication is needed between patients and surrogates about the patients ’ representation of illness.National Clinical Trial Number: NCT01775436.
Source: Quality of Life Research - Category: Health Management Source Type: research
CONCLUSION: A modified SIB technique is dosimetrically feasible for large tumors, where doses higher than the tolerance dose of healthy tissues are necessary to increase the therapeutic gain. PMID: 30220111 [PubMed - as supplied by publisher]
Source: Journal of Applied Clinical Medical Physics - Category: Physics Authors: Tags: J Appl Clin Med Phys Source Type: research
Conclusions: The emphysematous patients with hypercapnia should not be excluded from the benefits of LVRS. PMID: 30210821 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
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