Ritualization as Alternative Approach to the Spiritual Dimension of Palliative Care: A Concept Analysis
This article explores how ritualized practices have the ability to open up space for the spiritual dimension of care in the context of palliative care.
Conditions: Care Giver; Recurrent Malignant Neoplasm; Refractory Malignant Neoplasm Interventions: Other: Internet-Based Intervention; Other: Best Practice; Other: Quality-of-Life Assessment; Other: Questionnaire Administration Sponsors: Vanderbilt-Ingram Cancer Center; National Institute of Nursing Research (NINR); Palliative Care Research Cooperative Group Active, not recruiting
Journal of Palliative Medicine, Ahead of Print.
In a recent article, McGowan et al. reported on the first clinical trial using a phospoinositide 3-kinase (PI3K) inhibitor as a radiosentisizer in patients with non-small cell lung carcinoma . Palliative thoracic radiotherapy (20 Gy in 5 fractions) was combined with buparlisib (a pan-class I PI3K inhibitor) at dose levels of 50 mg, 80 mg and 100 mg once daily. As no dose limiting toxicity was reported, 100 mg was considered to be the maximum tolerated dose. In a total of 21 treated patients (13 in the cohort with the highest dosage), three cases of grade III toxicity were seen which were r...
Clinicians deciding whether to refer a patient or family to specialty palliative care report facing high levels of uncertainty. Most research on medical uncertainty has focused on prognostic uncertainty. As part of a pediatric palliative referral intervention for oncology teams we explored how uncertainty might influence palliative care referrals.
Palliative care is rarely accessible in low- and middle-income countries, and lack of adequate training for healthcare providers is a key reason. In Vietnam, the Ministry of Health, major hospitals and medical universities, and foreign physician-educators have partnered to initiate palliative care training for physicians.
CONCLUSION: Undertreated myasthenia gravis can lead to a rapid deterioration in a patient's clinical condition, and such patients may be mistakenly diagnosed as dying. Undertreated myasthenia gravis should therefore be considered as a potentially reversible cause of acute deterioration, especially in patients with complex comorbidities. The use of neostigmine as a continuous subcutaneous infusion may have a role in the management of such patients, particularly when enteral administration of acetylcholinesterase inhibitors is no longer possible. PMID: 31411109 [PubMed - as supplied by publisher]
CONCLUSION: The new complexities of MAiD present unique challenges to those working in the health-care field. There needs to be an increased focus on educating/training providers as without proper support, health-care workers will be unable to perform to their full potential/scope of practice while also providing patients with holistic and accessible care. PMID: 31411105 [PubMed - as supplied by publisher]
A new concept in palliative care, cocreation, appears to be a part of caring in nursing but has not yet been explored as a caring phenomenon. The aim was to, from a caring science perspective, explore how cocreation can be experienced as a phenomenon by nurses working in palliative home care. A hermeneutical approach and thematic analysis were used. The material consisted of texts from in-depth interviews with 12 nurses in a home care context. Informed consent regarding study participation and the storage and handling of data for research purposes were sought from participants. One main theme and 4 subthemes emerged. Cocre...
Conclusions: Among HPM physicians in Taiwan, only a small percentage exhibited long-term dedication to the field, whereas most HPM physicians had short practice periods. More strategies are needed to improve work continuity among HPM physicians.