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Introduction: Malignant neoplasms are considered a public health problem due to the high rates of morbidity and mortality presented worldwide, particularly those associated with breast cancer. Methods: This is a qualitative exploratory study that included 32 volunteers affected by breast cancer who were followed up at a pub.. Read More
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Nurses' Knowledge and Practice toward Gynecologic Oncology Palliative Care
Objectives: Gynecologic cancers are the second main reasons for morbidity in women following breast cancer in Turkey and globally. The majority of patients with gynecologic cancer experience recurrence and die despite aggressive treatment. Because of this, patients with gynecologic cancers remain an ideal population for pall.. Read More
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Introduction: Code Z515, which indicates palliative care, is a part of the International Classification of Diseases and Related Health Problems (ICD). At present, this diagnostic code is still rarely used although the number of patients requiring palliative care is increasing. So many patients forfeit their right to access t.. Read More
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Physical and Functional Limitations in US Older Cancer Survivors
Objective: The ability to independently perform daily activities is a crucial component of quality of life among older cancer survivors. However, many cancer survivors face difficulties performing their daily activities for living an independent life. The purpose of this study was to evaluate whether physical and functional .. Read More
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Bowel Management: Constipation among Patients with Cancer
Constipation has a negative effect on patients with cancer and their families. It negatively affects the quality of life terms of physical, social, psychological, and spiritual dimensions. The aim of this paper was to review the studies that addressed constipation among patients with cancer and to explore its influence on th.. Read More
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Physician Moral Distress and End-of-Life Physician-Parent Communication and Care
Objective: By exploring perspectives of pediatric specialists on end-of-life (EOL) communication and care through narrative interviews, we aim to examine the extent to which interactions about death lead to feelings of moral distress. Methods: 17 pediatric emergency medicine and pediatric critical care physicians practicing.. Read More
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Objective: Cancer patients often suffer from chronic inflammation, anorexia and the resultant decrease of nutrient intake, followed by weight loss and muscle wasting called “sarcopenia”. Such conditions are known as “cachexia”. In this study, we examined the associations between genetic polymorphisms of A.. Read More
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Mortality at a Portuguese Internal Medicine Service: Is Patient Allocation a Determinant Factor?
Objectives: To verify if patient’s allocation by different wards is a determinant factor of mortality risk. Design: Retrospective longitudinal study, using individual patient data from Internal Medicine Service in Hospital de Braga, Portugal. Setting: From 1st to 31th January 2015. Participants were eligible to our st.. Read More
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Palliative Care Gains Roots in China
In China over the past decade, palliative medicine has emerged as a new program. Development of this program requires attention to current opportunities, obstacles and cultural concerns. A selected review showed that there is an urgent need for palliative care in mainland China. Several challenges to implementing palliative .. Read More
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Self-assessment and Screening for Palliative Care Need in Patients with Chronic Heart Failure
Objective: Patients with chronic heart failure (CHF) rarely receive palliative care today. Methods: In a cross-sectional pilot study we evaluated feasibility of self-assessment and physician-directed screening for palliative care need in CHF patients. Patients answered German versions of the “Minimal Documentation sys.. Read More
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Intractable hiccups can be a debilitating condition in cancer patients especially for those who have recently undergone thoracic or abdominal surgery and have tumor loads causing diaphragmatic irritation. The following case report details complete resolution of severe intractable hiccups due to an ultrasound guided phrenic nerve.. Read More
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Background: In the US, more than 1.2 million adults are living with human immunodeficiency virus (HIV); gay and bisexual men account for 82% of new diagnoses annually. Young men of color account for 67% of this total. Despite advances in disease control, lack of retention in care itself remains a barrier and how outpatient s.. Read More
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Several natural agents, including both human endogenous neuroendocrine substances, namely the pineal hormones, and plants, mainly Aloe, Myrrh and Magnolia, have been proven to exert anticancer activities, due to antiproliferative and immunomodulating properties. On this basis, a study was planned in an attempt to evaluate th.. Read More
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Background: Advance care planning (ACP) for end-of-life care is especially important for individuals with terminal illnesses such as advanced cancer. It ensures that patients’ wishes are honored and alleviates the decisionmaking burden on family members and medical providers. It reduces unnecessary medical costs, and p.. Read More
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Towards a Practice Guided Evidence Based Theory of Mentoring in Palliative Care
Provision of end of life care and coping with the emotional and existential distress engendered by palliative care demands the provision of holistic support and training for palliativists. Mentoring is an effective means of meeting this need; however little is known of mentoring in palliative care and a universally accepted lear.. Read More
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Medical Residents' Practices and Perceptions toward Do-Not-Resuscitate (DNR) Order
The knowledge and implementation skills of the DNR order amongst physicians in training appear to be quite variable. Few studies had assessed residents' views on this complex topic. Our objective was to describe the medical residents’ practices and perceptions toward DNR order. A 26 question survey was distributed to medic.. Read More
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Needs for Palliative Care of Cancer Patients in Brazil: Analysis of Data from 2008-2014
Background: The Brazilian Health System (SUS) faces major challenges to ensure the constitutional right of universal access to health care assistance and technological advances to the entire population. Concerns with the ageing population, the increasing incidence of cancer and the emergence of chronic non-communicable diseases .. Read More
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Multilineage Cytotoxic Treatment for Advanced Colorectal Cancer in Nonagenarians
Decision making in older cancer patients is challenging. We present the case of a fit 90-year old patient with advanced colorectal cancer, focusing on the dilemmas we faced during multilineage systemic treatment. Although chemotherapy can be effective and tolerable in nonagenarians, current evidence on how to identify patients w.. Read More
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Objective: Key to effective Palliative Care is interdisciplinary collaboration and holistic support of members of the multidisciplinary team. Mentoring is increasingly seen as being a critical facet of this process however; there is a dearth of guidance on establishing such a program within the Palliative Care setting. T.. Read More
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Debating Euthanasia in India: A Review of the Proceedings at the UNSECO Bioethics Forum, Manipal
This review is about the discussion that followed my presentation at the UNESCO Bioethics Forum, Manipal. To contextualise, I begin with a brief account of the legal status of euthanasia in India, and then summarize the main argument of my presentation - if the moral objective of euthanasia is to end a patient's sufferin.. Read More
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