Assessing End-of-Life Care Quality Across Settings in an Integrated Healthcare Delivery System (TH310C)
Kaiser Permanente has implemented programs aiming to improve care at the end of life. To better understand patient care experience, we adapted existing instruments to develop and test a survey assessing quality of end-of-life care (EOLC) across all care settings.
AbstractPurpose of ReviewTo offer a fresh perspective on the evolving management of salivary gland disease by introducing a sequence of articles organized by a classification system grouping disorders by etiology.Recent FindingsSialendoscopy has been successful in improving the management of salivary gland disease. This endoscopic approach to imaging and instrumentation of the salivary duct system has been a focal point of recent discussion. The overall management of salivary pain and swelling as well as xerostomia and sialorrhea has improved through additional treatment options including increased application non-surgical...
This article aims to describe the anatomical and technical aspects of various regional techniques used for fracture hip and hip surgery. We reviewed the commonly used nerve blocks, interfascial plane blocks and current evidence of their utility in hip fracture patients.Recent FindingsFascia iliaca compartment block (FICB) and femoral nerve block (FNB) are the most commonly used nerve blocks for providing pain relief for hip fracture patients. Supra-inguinal FICB has more consistent spread to all nerves and can enable better pain control. Both the FICB and FNB have shown analgesic efficacy with reduced pain scores, opioid s...
CONCLUSION: Radiological imaging is essential for the management of patients affected by lung cancer. PMID: 32445458 [PubMed - as supplied by publisher]
Condition: Chronic Low-back Pain Interventions: Behavioral: Cognitive Functional Therapy+; Behavioral: Interdisciplinary pain management Sponsors: Odense University Hospital; University of Southern Denmark; Curtin University; Manchester Metropolitan University Not yet recruiting
ConclusionDuloxetine treatment in patients with RA in clinical remission appears to have comparable effectiveness on relieving remnant pain, improving activities of daily living and maintaining QOL. Duloxetine is not expected to have any effects on disease activity control.
Palliative care consultation before left ventricular assist device (LVAD) surgery (PreVAD) has been recommended, but its impact on goal concordant care is unknown.
Cancer related fatigue is a highly prevalent symptom with a strong negative impact on patients' daily life.
Conclusion: Tracking of tele-consultations and access to patient information from the electronic medical records enabled a timely response in an ongoing lockdown due to the COVID-19 pandemic. The current experience provided valuable insights to the possibility of managing patient follow-up visits remotely in the future.
ConclusionOur study suggests possible benefit of URIM in terms of less blood transfusions with no difference in consolidation rates. Even though without significance, a tendency to less blood loss, less events of systemic complication and lower length of stay was observed with URIM. Despite its limitations, this study can be used to design future prospective ventures that quantify patient-reported outcomes and provide more clear evidence.
AbstractObjectivesTo compare the outcome of US-guided percutaneous irrigation of calcific tendinopathy (US-PICT) of the rotator cuff in patients with or without previous external shockwave therapy (ESWT).MethodsWe analyzed all patients treated with US-PICT from March 1, 2016, to October 1, 2019, with shoulder pain refractory to conservative management for rotator cuff calcific tendinopathy, diagnosed with ultrasound. Each patient was examined using the Constant –Murley Score (CMS) questionnaire (score 0–100) before and after treatment. We tested CMS differences using the Mann–WhitneyU (Wilcoxon rank-sum) ...