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2 days ago · BMJ Supportive & Palliative Care holds an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. The Journal is …
Opioids for breathlessness: a narrative review | BMJ Supportive ...
Chronic breathlessness is a disabling and distressing condition for which there is a growing evidence base for a range of interventions. Non-pharmacological interventions are the mainstay of management and should be optimised prior to use of opioid medication. Opioids are being implemented variably in practice for chronic breathlessness. This narrative review summarises the evidence defining ...
Management of hiccups in palliative care patients
Persistent hiccups are a frustrating experience for palliative care patients, and can have a profound impact on their quality of life. This article provides an evidence-based approach overview of the causes and treatment of this not infrequently debilitating condition for such patients, with a management algorithm. In situations where no readily reversible cause is identified, or where simple ...
The Surprise Question and clinician-predicted prognosis: …
Introduction. The Surprise Question, ‘Would you be surprised if this person were to die within the next year?’ is a simple prompt, originally developed to help healthcare professionals identify patients who are nearing the end of life who might require additional support and access to palliative care services.1 Anticipated prognosis is a major driver of …
Hydration and symptoms in the last days of life
Introduction. Most patients with a deteriorating chronic illness have a reduced oral intake at the end of life. This may be due to illness or treatment-related symptoms or complications, such as dysphagia, nausea or vomiting, generalised weakness and, in the last days of life, to a decreased level of consciousness or a loss of desire to drink.1 2 …
Impact of dementia on informal care: a systematic review of family ...
Introduction Caregivers play a major role in providing all the support and care in daily activities for their relatives with dementia. To fully describe the influence of dementia caregiving on family caregivers’ life, we conducted a systematic review including caregivers’ perceptions about the positive and negative aspects of caring and the expressed factors. Materials and methods We ...
Osteonecrosis: photobiomodulation and photodynamic therapy – …
A wide range of adjuvant treatments have been studied to treat osteonecrosis. Photobiomodulation and photodynamic therapy are commonly used. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review was conducted to evaluate photobiomodulation and photodynamic therapy for the treatment of osteonecrosis related to the use of medications or related to ionising radiation.
Cognitive–behavioural therapy effectiveness for fear of cancer ...
Objective Fear of cancer recurrence is one of the psychological distresses for patients with cancer and cancer survivors, which poses a physical and psychological threat. There is scant evidence on the effectiveness of cognitive–behavioural therapy in reducing fear of cancer recurrence. Therefore, we conducted a systematic review and meta-analysis to assess the effectiveness of …
Ethical dilemmas for palliative care nurses: systematic review
Mar 27, 2024 · Background Nurses play a unique and critical role in palliative care, and it is noteworthy that nurses often encounter ethical dilemmas in this field. Objective This review aims to conduct a summarised synthesis of the latest research on the ethical considerations nurses faced in palliative care. Methods We conducted a rigorous systematic review of relevant existing studies published in high ...
Low skeletal muscle mass is clinically underestimated in advanced ...
Cancer cachexia occurs in patients with far advanced disease. It is known to be a prognostic factor for poor survival and is almost impossible to reverse. Therefore, early detection and prevention are essential. Sarcopenia, usually based in oncology on skeletal muscle mass loss, is a component of cachexia and an independent prognostic factor for the efficacy and toxicity of cancer therapies ...