Management of hiccups in palliative care patients
Treatment algorithm for persistent and intractable hiccups in palliative care patients. PPI, proton pump inhibitor. If intractable hiccups are caused by a central type of condition, baclofen (level II) is recommended as first-line treatment. It is the only drug that …
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 ...
Anticipatory prescribing in community end-of-life care: systematic ...
Background The anticipatory prescribing of injectable medications is recommended practice in controlling distressing symptoms in the last days of life. A 2017 systematic review found practice and guidance was based on inadequate evidence. Since then, there has been considerable additional research, warranting a new review. Aim To review the evidence published since 2017 concerning anticipatory ...
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 …
Homepage | BMJ Supportive & Palliative Care
4 days ago · BMJ Supportive & Palliative Care is a Plan S compliant Transformative Journal.. 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 ...
Breast cancer nursing interventions and clinical effectiveness: a ...
Methods Cochrane Controlled Register of Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and Embase databases were searched (January 1999 to May 2019) to identify randomised controlled trials (RCTs) and controlled before-and-after studies of interventions delivered by nurses with oncology …
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 ...
Jul 8, 2020 · This guideline recommends that subcutaneous Furosemide is delivered over 24hours, as a continuous infusion via a Mckinley T24 pump. The volumes of Furosemide are large ranging from 20mls for 200mg up to 40mls for 400mgs Furosemide in 24 hours. Traditionally the Mckinley pumps have been used with lock boxes, however if 50ml syringes are being ...
Introducing the Palliative Performance Scale to clinicians: the ...
Objectives The Palliative Performance Scale (PPS) was introduced across NHS Grampian. Our aim was to determine how practical and useful the PPS was for clinicians looking after palliative patients in a variety of settings. Methods A prospective audit approach was used in primary, secondary and nursing home care settings who. Demographic and assessment data were gathered for 3 months; feedback ...
Pain management strategies for patients on methadone …
Context Prescription opioid and heroin abuse has increased substantially in recent years. Enrolment on opioid agonist therapy programmes is consequently increasing as well. As a result of these trends, more patients who present with acute pain secondary to a malignancy are also on chronic methadone maintenance therapy (MMT) for substance abuse. This combination of diagnoses presents a pain ...