Acupuncture, Ketamine and Piriformis Syndrome – a Case Report from Palliative Care

2007 ◽  
Vol 25 (3) ◽  
pp. 109-112 ◽  
Author(s):  
Juliet Spiller
Keyword(s):  
Palliative Care ◽  
Case Report ◽  
Spinal Stenosis ◽  
Case History ◽  
Care Setting ◽  
Unusual Presentation ◽  
Hodgkin's Lymphoma ◽  
Piriformis Syndrome ◽  
Palliative Care Setting ◽  
Strong Opioids

This case history gives the unusual presentation of piriformis syndrome as the immediate cause of symptoms for a patient with spinal stenosis and non Hodgkin's lymphoma in a palliative care setting. It also details the relief and subsequent resolution of symptoms with acupuncture where strong opioids and neuropathic agents such as gabapentin and ketamine were providing only minimal relief.

An unusual cause of vomiting in a palliative care setting

2011 ◽  
Vol 9 (3) ◽  
pp. 327-330
Author(s):  
Linda Railsback
Keyword(s):  
Palliative Care ◽  
Case Report ◽  
Male Patient ◽  
Care Setting ◽  
Nausea And Vomiting ◽  
Middle Aged ◽  
Diagnosis And Management ◽  
Palliative Care Setting ◽  
Abdominal Malignancy ◽  
Therapeutic Considerations

AbstractControl of symptoms, including nausea and vomiting, is central to palliative care. Self-induced vomiting in a middle-aged male patient with a life-limiting abdominal malignancy provided a challenge in diagnosis and management. This case report discusses diagnostic and therapeutic considerations.

A prospective assessment of polypharmacy in the palliative care setting.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 112-112
Author(s):  
Michael Joseph McNeil ◽  
Arif Kamal ◽  
Christine Ritchie ◽  
Jean Kutner ◽  
Amy Pickar Abernethy
Keyword(s):  
Palliative Care ◽  
Primary Care Physicians ◽  
Care Setting ◽  
Prospective Trial ◽  
Secondary Analysis ◽  
Primary Diagnosis ◽  
World Health ◽  
Palliative Care Setting ◽  
Prospective Assessment ◽  
Strong Opioids

112 Background: The number of prescribed medications increases substantially in the last year of life aggravating the risk of polypharmacy, adverse reactions and medication non-adherence. What medications do patients with life-limiting illness take? Methods: This was a pre-specified secondary analysis of data from a prospective trial. Eligible participants were adults with a <1-year prognosis taking a statin medication for primary or secondary prevention. Participants were enrolled from 15 sites, randomized to continue or discontinue statin medications, and followed for up to a year. Concomitant medications were recorded at least monthly. For participants with a primary diagnosis of cancer receiving care and with medication data available, prescribed medications were categorized according to the World Health Organization’s (WHO) ‘Guidelines for ATC Classification’ by class and sub-class. An expert panel of palliative care, oncology, geriatrics, and primary care physicians guided categorization. Descriptive statistics were calculated. Results: On average, participants (N=127) were 70 years old (SD 10) and lived 216 days (SD 123) on study; 69% had metastases, 23% had cancer without metastases, 7% had lymphoma, and 1 had leukemia. In total, 49 classes, 156 sub-classes and 283 different medications were prescribed. The five most commonly prescribed medications were: anti-hypertensives, strong opioids, laxatives, gastric protection aids, and anti-emetics. Only 1.2% of medications prescribed were chemotherapy or antineoplastics. Patients took an average of 10.7 (SD 5) number of medications at the time of enrollment and 10.0 (SD 5) medications at death or termination of the study. 31% of patients were on 15 or more medications at any time during the study. Conclusions: Polypharmacy, defined as >10 medicines, is common in the last year of life for people with cancer. Patients commonly receive supportive care medications and drugs for comorbidities like hypertension; antineoplastics are rare. Thoughtful approaches to medication simplification in the palliative care setting are needed.

Methadone and oedema in the palliative care setting: a case report and review of the literature

2014 ◽  
Vol 59 (2) ◽  
pp. e11-e13 ◽  
Author(s):  
Camilla Dawson ◽  
Fiona Paterson ◽  
Fiona McFatter ◽  
Deans Buchanan
Keyword(s):  
Palliative Care ◽  
Case Report ◽  
Care Setting ◽  
Review Of The Literature ◽  
Palliative Care Setting

Managing an intentional overdose in a hospice

2017 ◽  
Vol 8 (2) ◽  
pp. 189-190 ◽  
Author(s):  
Toby Dinnen ◽  
Hannah Armstrong ◽  
Paul Perkins
Keyword(s):  
Palliative Care ◽  
Case Report ◽  
Hospital Admission ◽  
Medical Treatment ◽  
Care Setting ◽  
Ethical Challenges ◽  
Conventional Medical Treatment ◽  
Palliative Care Setting

This case report describes a patient admitted unconscious to a hospice following an intentional overdose of oxycodone. She had previously declined conventional medical treatment for cancer and had made an advance decision stating that she wished to avoid hospital admission and refusing life-prolonging treatment. This case illustrates the practical and ethical challenges of managing an intentional overdose in a palliative care setting.

Validation of the Phase II Feasibility Study in a Palliative Care Setting

2012 ◽  
Vol 30 (8) ◽  
pp. 752-758 ◽  
Author(s):  
Cindy Lee ◽  
Ryash Vather ◽  
Anne O’Callaghan ◽  
Jackie Robinson ◽  
Briar McLeod ◽  
...  
Keyword(s):  
Palliative Care ◽  
Feasibility Study ◽  
Phase Ii ◽  
Care Setting ◽  
Palliative Care Setting

Outcome measures for holistic, complex interventions within the palliative care setting

2008 ◽  
Vol 14 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Elizabeth Anita Thompson ◽  
Tina Quinn ◽  
Charlotte Paterson ◽  
Helen Cooke ◽  
Deidre McQuigan ◽  
...  
Keyword(s):  
Palliative Care ◽  
Outcome Measures ◽  
Care Setting ◽  
Complex Interventions ◽  
Palliative Care Setting

scholarly journals Bereaved spouses' adjustment after the patients' death in palliative care

2007 ◽  
Vol 5 (4) ◽  
pp. 397-404 ◽  
Author(s):  
Maria E. Carlsson ◽  
Ingrid M. Nilsson
Keyword(s):  
Palliative Care ◽  
Sleep Disturbance ◽  
Care Setting ◽  
Significant Decline ◽  
First Year ◽  
Inclusion Criteria ◽  
Life Situation ◽  
Palliative Care Setting ◽  
Advanced Home Care ◽  
Grief Reactions

ABSTRACTObjectives:To improve the support to bereaved spouses during the year after the patient's death, a project was started consisting of three visits by a nurse (after 1, 3, and 13 months) with conversations about the patient's death and the spouse's life situation. The aim of this study was to describe the bereaved spouse's situation and adaptation during the first year after the loss.Methods:Spouses of patients cared for by The Advanced Home Care Team (APHCT) in Uppsala, Sweden, were invited to participate in the project. Each participant was encouraged to talk freely about his or her situation, but enough direction was given to ensure that all items listed on a standardized questionnaire were covered.Results:Fifty-one spouses met the inclusion criteria and were invited to participate and 45 accepted. The subjects felt quite healthy but were tired and suffered from sleep disturbance. The grief reactions had initially been high but showed a significant decline from 1 to 13 months (p < .01). Forty-nine percent had experienced postbereavement hallucinations.Significance of results:This study showed that the bereaved spouses felt quite healthy and adjusted quite well to their new life situation, after the patient's death in a palliative care setting. The grief reactions had initially been high but showed a significant decline during the year.

Choice of access route for artificial nutrition in cancer patients: thirty years of activity in a home palliative care setting

Nutrition ◽  
2021 ◽  
pp. 111264
Author(s):  
Enrico Ruggeri ◽  
Marilena Giannantonio ◽  
Rita Ostan ◽  
Federica Agostini ◽  
Anna Simona Sasdelli ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Care Setting ◽  
Artificial Nutrition ◽  
Access Route ◽  
Palliative Care Setting
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