Exploring the Relationship Between the Frequency of Documented Bowel Movements and Prescribed Laxatives in Hospitalized Palliative Care Patients

2010 ◽  
Vol 28 (4) ◽  
pp. 258-263 ◽  
Author(s):  
Katherine Clark ◽  
Lawrence Lam ◽  
David Currow
Keyword(s):  
Palliative Care ◽  
Bowel Movements ◽  
The Relationship

Occupational Stress, Burnout, and Professional Support in Nurses Working with Dying Patients

1996 ◽  
Vol 32 (2) ◽  
pp. 93-109 ◽  
Author(s):  
Anne Plante ◽  
Louise Bouchard
Keyword(s):  
Palliative Care ◽  
Occupational Stress ◽  
Medical Oncology ◽  
Professional Support ◽  
Stress Factors ◽  
Metropolitan Region ◽  
Staff Burnout ◽  
Dying Patients ◽  
The Relationship ◽  
And Training

Nurses working with dying people are exposed to numerous stress factors. Their occupational stress may be so important as to lead to burnout. The aim of the present study is to examine the relationship among occupational stress, burnout, and professional support in nurses working with patients dying from cancer. The study has taken place in four palliative care and three medical oncology units of the Montreal metropolitan region. In all, seventy-six nurses of the N nurses fitting the entrance criteria of the study were selected. Participants completed a French version of the following instruments: the Occupational Stress of Nurses Working with Dying Patients, the Jones Staff Burnout Scale for Health Professionals and the Professional Support Scale. Results indicate that there is a significant relationship between occupational stress and burnout ( r = 0.462, p < 0.001) and between professional support and burnout ( r = −0.449, p < 0.001). Further, the results showed that the level of occupational stress and burnout was significantly lower for the palliative care nurses who received significantly more professional support than their colleagues working in medical oncology units. Professional support and training for nurses working with patients dying from cancer should be implemented in order to minimize the development of burnout.

From John Stuart Mill to the Medical Humanities

2019 ◽  
pp. 65-95
Author(s):  
Brittany Pladek
Keyword(s):  
Palliative Care ◽  
Samuel Taylor Coleridge ◽  
John Stuart Mill ◽  
German Romanticism ◽  
New Criticism ◽  
Cultural Education ◽  
Health Humanities ◽  
Whole Person ◽  
Relationship Of ◽  
The Relationship

This chapter traces therapeutic holism from German Romanticism through Victorian proponents of cultural education, represented by John Stuart Mill, down to its contemporary manifestation in the work of major literary health humanists like Rita Charon, Cheryl Mattingly, and Kathryn Montgomery Hunter. It also explains the relationship of therapeutic holism to its sibling discourses, New Criticism and Millian liberalism. The former’s holistic, unified work of art parallels the latter’s proper citizen—a whole person whose wholeness is created and restored by cultural education. These linked discourses helped secure therapeutic holism’s place in interdisciplinary conversations about why medicine needs literature. The final section of the chapter critiques therapeutic holism and explains why palliative poetics offer a necessary corrective, using the work of Samuel Taylor Coleridge to illustrate the heterogeneity of Romantic literary therapies. It also surveys complementary recent work within the health humanities. Health humanists working in fields like nursing, chronic pain, and palliative care have begun to develop palliative poetics that do not expect literature to cure.

scholarly journals Probiotics and Colon Cancer

2019 ◽  
Vol 7 (3) ◽  
pp. 66 ◽  
Author(s):  
Lorenzo Drago
Keyword(s):  
Colon Cancer ◽  
Radiation Therapy ◽  
Gastrointestinal Tract ◽  
Gut Microbiota ◽  
Immune Modulation ◽  
Average Frequency ◽  
Scientific Interest ◽  
Positive Action ◽  
Bowel Movements ◽  
The Relationship

Literature has recently highlighted the enormous scientific interest on the relationship between the gut microbiota and colon cancer, and how the use of some selected probiotics can have a future impact on the adverse events which occur during this disease. Although there is no clear evidence to claim that probiotics are effective in people with cancer, recent reviews have found that probiotics can significantly reduce the incidence of diarrhea and the average frequency of daily bowel movements. However, most of this evidence needs to be more clinically convincing and further discussed. Undoubtedly, some probiotics, when properly dosed and administered, can have a strong rebalance effect on the gut microbiota and as a consequence a possible positive action on immune modulation of the gastrointestinal tract and on inflammation of the intestinal mucosa. Many recent findings indeed support the hypothesis that the daily use of some selected probiotics can be a feasible approach to effectively protect patients against the risk of some severe consequences due to radiation therapy or chemotherapy. This paper aims to review the most recent articles in order to consider a possible adjuvant approach for the use of certain well-balanced probiotics to help prevent colon cancer and the adverse effects caused by related therapies.

scholarly journals The relationship between pain, analgesics and survival in patients with advanced cancer; a secondary data analysis of the international European palliative care Cancer symptom study.

2019 ◽  
Vol 76 (3) ◽  
pp. 393-402 ◽  
Author(s):  
Jason W Boland ◽  
Victoria Allgar ◽  
Elaine G Boland ◽  
Mike I Bennett ◽  
Stein Kaasa ◽  
...  
Keyword(s):  
Palliative Care ◽  
Subgroup Analysis ◽  
Clinical Decision Making ◽  
Secondary Analysis ◽  
Opioid Use ◽  
Sensitivity Testing ◽  
Pain Analgesics ◽  
Prospective Longitudinal ◽  
The Relationship

Abstract Purpose Opioids reduce cancer-related pain but an association with shorter survival is variably reported. Aim: To investigate the relationship between pain, analgesics, cancer and survival within the European Palliative Care Cancer Symptom (EPCCS) study to help inform clinical decision making. Methods Secondary analysis of the international prospective, longitudinal EPCCS study which included 1739 adults with advanced, incurable cancer receiving palliative care. In this secondary analysis, for all participants with date of death or last follow up, a multilevel Weibull survival analysis examined whether pain, analgesics, and other relevant variables are associated with time to death. Results Date of death or last follow-up was available for 1404 patients (mean age 65.7 [SD:12.3];men 50%). Secondary analysis of this group showed the mean survival from baseline was 46.5 (SD:1.5) weeks (95% CI:43.6–49.3). Pain was reported by 76%; 60% were taking opioids, 51% non-opioid analgesics and 24% co-analgesics. Opioid-use was associated with decreased survival in the multivariable model (HR = 1.59 (95% CI:1.38–1.84), p < 0.001). An exploratory subgroup analysis of those with C-reactive protein (CRP) measures (n = 219) indicated higher CRP was associated with poorer survival (p = 0.001). In this model, the strength of relationship between survival and opioid-use weakened (p = 0.029). Conclusion Opioid-use and survival were associated; this relationship weakened in a small sensitivity-testing subgroup analysis adjusting for CRP. Thus, the observed relationship between survival and opioid-use may partly be due to tumour-related inflammation. Larger studies, measuring disease activity, are needed to confirm this finding to more accurately judge the benefits and risks of opioids in advanced progressive disease.

Suffering Compounded: The Relationship between Abuse History and Distress in Five Palliative Care Domains

2013 ◽  
Vol 16 (10) ◽  
pp. 1242-1248 ◽  
Author(s):  
Danielle R. Probst ◽  
Sharla Wells-Di Gregorio ◽  
Donald R. Marks
Keyword(s):  
Palliative Care ◽  
Abuse History ◽  
The Relationship

scholarly journals Discussing the Effect of Medical Team Model in the Hospice Palliative Care to Terminal Cancer Patient

2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Chia Hsing Wu
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Care Program ◽  
Team Work ◽  
Terminal Cancer ◽  
Medical Team ◽  
Terminally Ill Cancer Patients ◽  
The Relationship ◽  
Hospice Palliative Care ◽  
Team Model

One of the main purposes of the hospice-palliative care program is to provide a hospice for the terminally ill cancer patients. Weisman assumed that a hospice should consist of five aspects which include Awareness of the end of life, Acceptance, Proprietary, Timing and Comfort. Therefore, the purpose of this research is to explore firstly the condition of the terminal cancer patients in the hospice. Secondly to Investigate the effect of Medical team work method and finally to compare the relationship between the hospice score and service result

scholarly journals Prevalence of the Z515 (Palliative Care) Diagnosis from the ICD-10 System in Cancer Patients and the Relationship between Treatment and Cost in Songklanagarind Hospital

2018 ◽  
Vol 36 (4) ◽  
Author(s):  
Orapan Fumaneeshoat
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Average Cost ◽  
Data Extraction ◽  
Diagnostic System ◽  
Healthcare Services ◽  
Diagnostic Code ◽  
Icd 10 ◽  
The Government ◽  
The Relationship

Objective: To determine the prevalence of use of the diagnostic system ICD-10 code Z515 in patients diagnosed with cancer and the relationship between treatment and cost in Songklanagarind Hospital during the 2012-2016 period. Material and Methods: A retrospective descriptive study was performed in patients who were diagnosed as code Z515 in Songklanagarind Hospital from 2012-2016. Data were collected through the Hospital Information System (HIS), and the patients were divided into 2 groups based on whether they were Inpatient Department (IPD) or Outpatient Department (OPD). From the HIS, data concerning sex, age, the right of access to healthcare services, date of diagnosis, first and last department that diagnosed the Z515 code, other departments that diagnosed the same code, other codes diagnosed besides Z515, the latest treatment received, number of regularly-used medications, symptoms that persisted according to the most recent record, ward name, duration of hospitalization (for IPD cases), and the average cost of treatment were recorded on data extraction forms and analyzed as percentages with 95% confidence interval and odds ratios. Results: The prevalence of the diagnostic code Z515 in cancer patients during the study period was 0.2% in both inand outpatients. For outpatient the relationship between average cost and number of medications and average cost and type of treatment were statistically significantly different, while for inpatients the difference was not statistically significant. Conclusion: In Songklanagarind Hospital the use of code Z515 is very low, even though we know that all cancer patients should get the best palliative care support and the earlier we diagnose them as palliative, the better the care they will receive. Therefore, if the doctors are aware of this code, the patient will receive the best care in their end stages of life, and that would make them and their families feel happier. Moreover, our hospital will get reimbursement from the government to get more resources. Hence, more patients can be helped. Songklanagarind Hospital should undertake some kind of program to ensure all physicians are aware of code Z515 and how to use it in order to provide the best care for end-of-life patients.

scholarly journals PEMODELAN KASUS DIARE DI PROVINSI BALI DENGAN METODE ANALISIS REGRESI SPASIAL

2021 ◽  
Vol 10 (2) ◽  
pp. 95
Author(s):  
I.G.A. DIAH SULASIH ◽  
MADE SUSILAWATI ◽  
NI LUH PUTU SUCIPTAWATI
Keyword(s):  
Regression Analysis ◽  
Spatial Dependence ◽  
Spatial Regression ◽  
Spatial Effect ◽  
Model Estimation ◽  
Spatial Error Model ◽  
Spatial Error ◽  
Bowel Movements ◽  
Spatial Regression Analysis ◽  
The Relationship

Diarrhea is a disease that occurs due to changes in the frequency of bowel movements and can cause death. In 2018, 115.889 cases of diarrhea were found in Bali Province. Information on the relationship between locations indicates the spatial effect in the model. Model estimation was done by using spatial regression analysis. This study aims to determine what factors influence diarrhea cases in Bali Province. The results show that the number of diarrhea cases in a district is influenced by the surrounding districts. This is reinforced in the Moran’s I test which shows spatial dependence. In the analysis of the Spatial Error Model (SEM), it was obtained that the value of  was 57,69% and the variables that significantly affected diarrhea cases in Bali Province were population density and sanitation facilities

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