Parenteral Hydration in Patients with Advanced Cancer (DRAFT)

2018 ◽  
Author(s):  
Carlos Eduardo Paiva ◽  
Bianca Sakamoto Ribeiro Paiva
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Clinical Case ◽  
Fluid Intake ◽  
Hospice Care ◽  
Important Study ◽  
The Common ◽  
To Receive

There has been much debate about the role of parenteral hydration in the last weeks and days of life. In this important study, 129 patients with advanced cancer receiving hospice care with mild to moderate dehydration who were no longer able to maintain adequate fluid intake were randomized to receive parenteral hydration of either 1 L or 100 ml of normal saline per day subcutaneously. Parenteral hydration did not significantly improve the symptoms related to dehydration, the occurrence of delirium, fatigue, quality of life, and overall survival. At the end of the chapter, a clinical case leads readers to consider the common practice of parenteral hydration.

Role of Physiotherapy in Hospice Care of Patients with Advanced Cancer: A Systematic Review

2020 ◽  
pp. 104990912095116
Author(s):  
Prina Vira ◽  
Stephen Rajan Samuel ◽  
Sampath Kumar Amaravadi ◽  
PU Prakash Saxena ◽  
Santosh Rai PV ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Sleep Disturbances ◽  
Hospice Care ◽  
Massage Therapy ◽  
Physical Symptoms ◽  
Loss Of Function ◽  
Compression Bandaging

Objective: To review the role of physiotherapy and its effects in hospice care of patients with advanced cancer. Methods: A comprehensive literature search was performed in PubMed, Scopus, Web of Science, CINAHL and PEDro. The search strategy was devised, articles were screened, and 2 independent reviewers conducted data extraction. Eligible studies were methodologically assessed for quality rating using modified Downs and Black’s checklist. The extracted data was summarized according to site/stage of cancer, details of intervention, outcome measures and the results. Result: The total number of screened articles were 2102, out of which 9 were identified as suitable for the purposes of comprehensive review. The studies included exercise therapy, massage therapy, relaxation therapy, compression bandaging and use of TENS as the various physiotherapy interventions under consideration. Studies were generally of low to moderate quality. A broad range of outcomes were employed including physical symptoms like loss of function, pain, fatigue, edema, sleep disturbances and quality of life. The findings of the studies supported the benefits of the interventions. Conclusion: A structured exercise protocol, massage therapy, TENS and compression bandaging are useful in alleviating the symptoms experienced by patients with advanced cancer in hospice care. The reduced symptom burden has reflected as an improvement in their quality of life. However, there is a further need for high quality studies to strengthen the findings of this review.

Analysis of the Impact of Personalized Nursing Service and Hospice Care on the Quality of Life of Elderly Cancer Patients

2021 ◽  
Vol 7 (4) ◽  
pp. 469-473
Author(s):  
Ting Fang ◽  
Nian Wang ◽  
Meng Chen ◽  
Hongmei Ma
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Hospice Care ◽  
Pain Treatment ◽  
Control Group ◽  
Study Group ◽  
The Difference ◽  
The Impact

Objective Explore the impact of personalized nursing services and hospice care on the quality of life of elderly patients with advanced cancer. Method We selected 80 elderly cancer patients admitted to our hospital from September 2020 to May 2021, and divided these patients into a study group and a control group using a random number table method. The patients in the control group used conventional nursing methods to treat and care for the patients, and the patients in the study group used hospice care measures and combined personalized nursing measures. The quality of life and pain treatment effects of the two groups of patients before and after treatment were compared. Result Before treatment, the quality-of-life scores of the two groups of patients were low, and there was no statistical difference (P>0.05); After treatment, the quality of life of the two groups of patients improved, but compared with the control group, the improvement was more obvious in the study group, and the difference was statistically significant (P<0.05). In terms of pain treatment effect, the total effective rate of pain treatment in the study group was 87.5%, which was significantly better than the 62.5% in the control group. The difference was statistically significant (P<0.05). Conclusion Personalized nursing services and hospice care are conducive to improving the survival and treatment of elderly patients with advanced cancer, and can be used as a clinical application program for the care of advanced cancer patients.

Utilizing Measures in Clinical Practice and Supervision

2021 ◽  
pp. 177-182
Author(s):  
Gary Rodin ◽  
Sarah Hales
Keyword(s):  
Quality Of Life ◽  
Clinical Practice ◽  
End Of Life ◽  
Advanced Cancer ◽  
Clinical Benefit ◽  
Treatment Integrity ◽  
Skill Development ◽  
Peer Supervision

This chapter specifies the quantitative measures that are regularly administered as part of Managing Cancer and Living Meaningfully (CALM) and describes the role of ongoing peer supervision in CALM therapy. The value of administering quantitative measures assessing death anxiety, attachment security, depression, quality of life at the end of life, and perceived clinical benefit is described. The format of CALM supervision is outlined and the benefits of ongoing peer supervision for ensuring treatment integrity, fostering skill development, refining the intervention, and managing the tensions inherent in psychotherapeutic work in the context of advanced cancer are emphasized.

Intermittent catheterisation: the common complications

2021 ◽  
Vol 26 (6) ◽  
pp. 272-277
Author(s):  
Salma Balhi ◽  
Rym Baati Arfaouni ◽  
Ali Mrabet
Keyword(s):  
Quality Of Life ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Gold Standard ◽  
Risk Of Infection ◽  
Intermittent Catheterisation ◽  
The Common ◽  
Neurological Bladder

Intermittent catheterisation (IC) has been in practice for more than 40 years and is considered the gold standard in the management of urinary retention in the neurological bladder. IC has many advantages over indwelling urethral or suprapubic catheterisation, including reducing the risk of infection, protecting the bladder and improving quality of life. However, complications can be caused by the practice of this technique, the most common of which is infection. This review discusses some of the common complications that can occur with the use of intermittent catheterisation, including urinary tract infection (UTIs) and urethral complications. It also highlights the role of the nurse in the management of its complications.

Analysis of the Impact of Personalized Nursing Service and Hospice Care on the Quality of Life of Elderly Cancer Patients

2021 ◽  
Vol 7 (5) ◽  
pp. 3320-3324
Author(s):  
Ting Fang ◽  
Nian Wang ◽  
Meng Chen ◽  
Hongmei Ma
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Hospice Care ◽  
Pain Treatment ◽  
Control Group ◽  
Study Group ◽  
The Difference ◽  
The Impact

Objective Explore the impact of personalized nursing services and hospice care on the quality of life of elderly patients with advanced cancer. Method We selected 80 elderly cancer patients admitted to our hospital from September 2020 to May 2021, and divided these patients into a study group and a control group using a random number table method. The patients in the control group used conventional nursing methods to treat and care for the patients, and the patients in the study group used hospice care measures and combined personalized nursing measures. The quality of life and pain treatment effects of the two groups of patients before and after treatment were compared. Result Before treatment, the quality-of-life scores of the two groups of patients were low, and there was no statistical difference (P>0.05); After treatment, the quality of life of the two groups of patients improved, but compared with the control group, the improvement was more obvious in the study group, and the difference was statistically significant (P<0.05). In terms of pain treatment effect, the total effective rate of pain treatment in the study group was 87.5%, which was significantly better than the 62.5% in the control group. The difference was statistically significant (P<0.05). Conclusion Personalized nursing services and hospice care are conducive to improving the survival and treatment of elderly patients with advanced cancer, and can be used as a clinical application program for the care of advanced cancer patients.

scholarly journals Clinical example of enhancing efficacy of paclitaxel by combining it with ramuchirumabin in the second-line chemotherapy of disseminated gastric cancer

2019 ◽  
pp. 136-140
Author(s):  
T. A. Titova ◽  
E. V. Artamonova ◽  
N. S. Besova
Keyword(s):  
Quality Of Life ◽  
Clinical Case ◽  
Molecular Targets ◽  
Second Line ◽  
Toxicity Profile ◽  
Cytostatic Therapy ◽  
Line Chemotherapy

The low efficacy of cytostatic therapy in mGC led to an active study of the role of molecular targets in the carcinogenesis of GC. Ramucirumab is the only neoangiogenesis inhibitor, which demonstrated its antitumor activity both as monotherapy and in combination with paclitaxel in patients with mGC. A clinical case demonstrated an example of a long-term (26+ months) response to paclitaxel therapy after it was combined with ramucirumab with an acceptable toxicity profile, which allowed a patient to participate in social activities and maintain quality of life.

scholarly journals Applying the Common Sense Model to predicting quality of life in alopecia areata: The role of illness perceptions and coping strategies

2018 ◽  
Vol 24 (11) ◽  
pp. 1461-1472
Author(s):  
Heidi Willemse ◽  
Margot van der Doef ◽  
Henriët van Middendorp
Keyword(s):  
Quality Of Life ◽  
Common Sense ◽  
Alopecia Areata ◽  
Illness Perceptions ◽  
Avoidant Coping ◽  
Common Sense Model ◽  
The Common ◽  
Sense Model

Applying the Common Sense Model, this cross-sectional study examines associations between illness perceptions and quality of life and the mediating role of coping in 243 adults with alopecia areata, a chronic dermatological condition. At least some QoL impairment was reported by 84 percent of participants, with 31 percent reporting very to extremely large impairment. Stronger perceptions of consequences, emotional representations, identity, and lower attribution to chance were related to more impairment, with avoidant coping acting as (partial) mediator. Illness perceptions and avoidant coping seem to play an important role in QoL and are relevant intervention targets in alopecia areata.

Role of a Medical Social Worker in Improving Quality of Life for Patients with Advanced Cancer with a Structured Multidisciplinary Intervention

2007 ◽  
Vol 25 (4) ◽  
pp. 105-119 ◽  
Author(s):  
Janis J. Miller ◽  
Marlene H. Frost ◽  
Teresa A. Rummans ◽  
Mashele Huschka ◽  
Pamela Atherton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Social Worker ◽  
Multidisciplinary Intervention ◽  
Medical Social Worker

scholarly journals FEATURES OF DIAGNOSTICS AND REHABILITATION OF ТНЕ PATIENTS WITH MIGRAINE INFARCTION

2020 ◽  
Vol 26 (3) ◽  
pp. 46-49
Author(s):  
Е. А. Savchuk ◽  
T. N. Shcherbinina ◽  
Е. О. Savchuk
Keyword(s):  
Quality Of Life ◽  
Cerebral Infarction ◽  
Exercise Therapy ◽  
Clinical Case ◽  
Vascular System ◽  
Rare Complication ◽  
Relationship Of ◽  
The Relationship

The relationship of migraine and stroke has long been known. Migraine infarction is a rare complication of migraine and accounts for 0.2-0.5 % of all cases of ischemic strokes. This complication most often develops in women in the vertedro-basilary vascular system. Despite the widespread prevalence of migraine in the population, there is a tendency to underestimate the role of migraine in the development of cerebral infarction and, as a result, the lack of recommendations for the treatment and rehabilitation of this category of patients. The purpose of this article is to describe the clinical case of the diagnosis and rehabilitation of a patient with a migraine stroke. During rehabilitation of patients with migraine infarction, it is necessary to use, in addition to traditional rehabilitation methods: kinesiotherapy, exercise therapy, physiotherapy, rehabilitation methods aimed at preventing the development of migraine attacks, which improves the quality of life of this category of patients.

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