Surgical Palliative Care

2019 ◽  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Supportive Care ◽  
Terminal Illness ◽  
Terminally Ill ◽  
Surgical Care ◽  
Serious Illness ◽  
Moral Framework ◽  
Time Of Presentation

Surgical Palliative Care is a synoptic presentation about the treatment of suffering and the promotion of quality of life for seriously or terminally ill patients under surgical care. The contributors include surgeons of different specialties who are leaders in the new specialty of surgical palliative care. Surgical palliative care encompasses supportive care for patients and families with serious illness that includes disease-directed treatment and supportive care for patients and families with terminal illness not seeking disease-directed treatment. The book commences with chapters covering the historical, conceptual and moral framework for surgical palliative care followed by chapters that follow the trajectory of the patient/family encounter with surgical care, from the time of presentation and proceeding to intraoperative and post-operative periods. The unique problems of several surgical subspecialties such as trauma and burns, thoracic surgery, and the transplantation are addressed in individual chapters.

What's in the Syringe?

2021 ◽  
Author(s):  
Juliet Jacobsen ◽  
Vicki Jackson ◽  
Joseph Greer ◽  
Jennifer Temel
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Clinical Experience ◽  
Clinical Skills ◽  
Psychological Skills ◽  
Illness Trajectory ◽  
Serious Illness ◽  
Case Based

What’s in the Syringe? Principles of Early Integrated Palliative Care, a guide for clinicians, teaches the psychological skills of outpatient palliative care. It does so based on a framework that articulates five challenges faced by patients through the illness trajectory. Each challenge forms the focus of a chapter. By helping patients meet each challenge, clinicians help them cope with serious illness. Patients thereby experience better quality of life and develop prognostic awareness. From this awareness, they can make informed medical and personal decisions. Each chapter focuses on clinical skills to support patients as they take up that challenge. Each chapter then ends with a discussion of how to collaborate with oncology colleagues around that challenge. Rich in illustrative examples and built around case-based chapters, the book draws on two decades of research and clinical experience.

Palliative Care

2015 ◽  
pp. 105-123
Author(s):  
May Hua
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Intensive Care ◽  
Critical Illness ◽  
Serious Illness ◽  
Surgical Units ◽  
Potential Benefits

Palliative care is a specialty of medicine that focuses on improving quality of life for patients with serious illness and their families. As the limitations of intensive care and the long-term sequelae of critical illness continue to be delimited, the role of palliative care for patients that are unable to achieve their original goals of care, as well as for survivors of critical illness, is changing and expanding. The purpose of this chapter is to introduce readers to the specialty of palliative care and its potential benefits for critically ill patients, and to present some of the issues related to the delivery of palliative care in surgical units.

Quality of life in terminally ill patients – a challenge for future research

2013 ◽  
Vol 21 (3) ◽  
Author(s):  
Cornelia Meffert ◽  
Gerhild Becker
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Clinical Studies ◽  
Palliative Medicine ◽  
Pain Therapy ◽  
Unsolved Problem ◽  
Terminally Ill ◽  
Future Research ◽  
Outcome Criterion

SummaryRecent statistics reveal a substantial and even growing need for palliative care in present-day society. Providing adequate pain therapy remains a largely unsolved problem, mainly because of the small number of clinical studies in palliative medicine. Hence, clinical research is urgently needed – and therefore suitable tools to measure outcomes must be developed. Contrary to typical clinical studies, the usual outcome parameters such as decreased mortality and/or morbidity are unsuitable. Future research should focus on developing an instrument which allows to measure quality of life as the central outcome criterion of clinical studies in palliative medicine.

Utilization of palliative care in patients with genitourinary malignancies.

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 669-669
Author(s):  
Arya Mariam Roy ◽  
Manojna Konda ◽  
Akshay Goel ◽  
Rashmi Verma
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Terminal Illness ◽  
Hospital Admissions ◽  
Metastatic Cancer ◽  
Private Insurance ◽  
Malignant Neoplasm ◽  
The West ◽  
Factors Affecting

669 Background: Palliative care provides support and improves the quality of life of patients who has terminal illness such as cancer. Studies have shown that integrating palliative care into cancer care soon after the diagnosis of metastatic cancer can improve the quality of life and also prolong survival. The objective of the study was to analyze the acceptance of palliative care and to determine the factors affecting the utilization of palliative care in patients with genitourinary (GU) cancers. Methods: The National Inpatient Sample Database for the year 2016 was queried for the data. Patients who were admitted with a principal diagnosis of Malignant Neoplasm of Prostate (MNP), Renal Cell Carcinoma (RCC), Malignant Neoplasm of Ureter (MNU) were identified using ICD-10 codes and those who had Encounter for Palliative Care (PC) was also identified. Results: A total of 58765 hospitalizations were identified with MNP (n=39853), RCC (n=17786), MNU (n= 1126) during the study period. The total PC utilization for the above patients were 6.4% (n= 3785). Among those, 6.7% (n=1186), 6.3% (n=2531), 6.03% (n=68) from the groups RCC, MNP, MNU respectively received PC. The mean age for the PC utilization was 73 years (MNP= 72 yrs, RCA= 63 yrs, UCC= 73 yrs). Females received more PC when compared to males (6.7% vs 6.4%). Among those who had PC 27.4% (n=1029) died in the hospital. Interestingly, patients who had Medicare and Medicaid had more PC encounters when compared to those with private insurance (OR= 1.21, P= 0.001). Patients admitted on the weekend received more PC when compared to those who admitted during weekdays (OR= 1.12, P= 0.001). Patients admitted to hospitals in the West received more PC than other regions (OR= 1.42, P=0.03). Impact of race, teaching vs non-teaching hospital admissions were not found to be statistically significant in the utilization of PC in the above GU cancers. Conclusions: Medicare and Medicaid patients, weekend admissions, admissions to hospitals in the West received more palliative care. Further studies are needed to reveal the role of socioeconomic status and insurance in the utilization of palliative care in GU malignancies.

Improving the quality of life of terminally ill oncological patients: the example of palliative care at Hospice Villa Speranza

2013 ◽  
Vol 9 (6) ◽  
pp. 771-776 ◽  
Author(s):  
Adriana Turriziani ◽  
Gennaro Attanasio ◽  
Santina Cogliandolo ◽  
Francesco Scarcella ◽  
Luisa Sangalli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Terminally Ill ◽  
Oncological Patients

Palliative Care in the Neurosurgical Patient

2019 ◽  
pp. 265-286
Author(s):  
Michael Liquori ◽  
Kathleen Mechler ◽  
John Liantonio ◽  
Adam Pennarola
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Symptom Management ◽  
Hospice Care ◽  
Serious Illness ◽  
Neurosurgical Patient ◽  
Neurosurgical Patients ◽  
Hospice Referral ◽  
The Difference

Palliative care is specialized medical care for people living with serious illness. It focuses on improving quality of life of the patient. Many neurosurgical patients have a life-altering, serious illness and benefit from palliative care expertise. This chapter describes key roles for palliative care, including understanding the difference between palliative care and hospice care and when and how to identify appropriate patients for palliative care referral. A framework for the effective communication of difficult information is discussed. An approach to symptom management for both pain and nonpain symptoms, like nausea, constipation, and delirium, is provided. Finally, identification of patients appropriate for hospice referral is reviewed.

The Meaning of Hope in the Dying

2019 ◽  
pp. 379-389
Author(s):  
Valerie T. Cotter ◽  
Anessa M. Foxwell
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Terminal Illness ◽  
Well Being ◽  
Nursing Assessment ◽  
Life Threatening Illness ◽  
Key Factor ◽  
Primary Means ◽  
The Many

This chapter explores the many dimensions of hope and identifies its possible influence on health and quality of life. Hope is a key factor in coping with and finding meaning in the experience of life-threatening illness. Hope is integrally entwined with spiritual and psychosocial well-being. Although terminal illness can challenge and even temporarily diminish hope, the dying process does not inevitably bring despair. The human spirit, manifesting its creativity and resiliency, can forge new and deeper hopes at the end of life. Palliative care nurses play important roles in supporting patients and families with this process by providing expert physical, psychosocial, and spiritual care. Sensitive, skillful attention to maintaining hope can enhance quality of life and contribute significantly to a “good death,” as defined by the patient and family. Fostering hope is a primary means by which palliative care nurses accompany patients and families on the journey through terminal illness. In this chapter, nursing assessment and strategies to nurture and respect individual variations in hope are described. Specific issues such as “unrealistic hopefulness” and cultural considerations in the expression and maintenance of hope are discussed. The goals of the chapter are to provide the reader with an understanding about this complex but vital phenomenon; to offer guidance in the clinical application of this concept to palliative nursing care; and to explore some of the controversies about hope that challenge clinicians.

Nonpain Symptom Management

2019 ◽  
pp. 266-283
Author(s):  
Jennifer Pruskowski
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Symptom Management ◽  
Self Report ◽  
Care Providers ◽  
Serious Illness

Along with pain, surgical palliative care patients often suffer from both physical and psychosocial symptoms in the weeks to months before death. They can have a variety of nonpain symptoms due to their serious illness. Literature suggests these symptoms can be more debilitating than pain, but patients are less likely to self-report. Surgical palliative care providers have an important opportunity to manage these nonpain symptoms to improve a patient’s quality of life. This chapter briefly reviews the principles of nonpain symptom management and focuses on the management of six common nonpain symptoms experienced by surgical palliative care patients: dyspnea, delirium, nausea, constipation, anorexia, and anxiety.

scholarly journals Sterben in Würde

2014 ◽  
Vol 6 (2) ◽  
pp. 174-196
Author(s):  
Gerhard Marschütz
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Medical Treatment ◽  
End Of Life ◽  
Final Stage ◽  
Point Of View ◽  
Voluntary Euthanasia ◽  
Actual Situation ◽  
Serious Illness

Abstract To die in dignity is often understood as a personal right to independently determine the time and the way of one’s own death, assuming dignity as a quality of life that wouldn’t exist in serious illness or in the final stage of life. On the contrary and from a traditional point of view dignity belongs to a person’s being that can never get lost and hence has to be respected also at the end of life. For that reason, from a catholic point of view a voluntary euthanasia as a deliberate killing of a person is definitely rejected. However, a so-called ‘aggressive medical treatment’ must be avoided because it doesn’t accept the actual situation of death and only causes a pointless extension of life. Nevertheless, the palliative care is essential to provide people even in their final lifetime with quality of life and to help them with the personal acceptance of death.

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