scholarly journals A COMPREHENSIVE REVIEW ON AYURVEDIC APPROACH IN PALLIATIVE CARE

2020 ◽  
Vol 8 (10) ◽  
pp. 4829-4834
Author(s):  
Shubham Ram Kulkarni ◽  
Ujwala Divekar
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Management ◽  
Music Therapy ◽  
Wound Care ◽  
Holistic Approach ◽  
Comprehensive Review ◽  
Integrated Approaches ◽  
Life Threat

Palliative care is a holistic approach towards individualistic health care of people suffering from life threat-ening conditions. There are many misconceptions about palliative care that needs to be resolved. In devel-oping countries like India there is a huge gap between need and availability of sources for palliative care, creating urgent need of availability of more holistic & integrated approaches of palliative care like Ayurve-da. This study aims at reviewing concepts & modalities of Ayurveda which can be integrated in palliative care. The concepts & misconceptions about palliative care are gainfully reviewed with Ayurvedic concepts of Diet, Sleep, Rasayana Therapy, Wound Care, Pain Management, Music Therapy and Yoga in the con-text of palliative care.

Will Heroin Improve Pain Management?

1985 ◽  
Vol 1 (1) ◽  
pp. 40-42 ◽  
Author(s):  
E.M. Sellers
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Management ◽  
Public Education ◽  
Dosage Forms ◽  
Health Care Resources ◽  
Alternative Drugs ◽  
Lack Of Knowledge

The debate on the legalization of heroin has focussed attention on the broader issue of pain management of cancer. Clinicians in palliative care should be aware that poor pain management is related primarily to lack of knowledge, appropriate skills and attitudes, and health care resources. The availability of heroin will not improve these. The need is for research about pain and alternative drugs and dosage forms and the variables affecting efficacy. Professional and public education about pain management is essential.

scholarly journals Historical aspects in pain management in palliative care in an oncological reference unit

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Carolina Fraga Paiva ◽  
Tânia Cristina Franco Santos ◽  
Pacita Geovana Gama de Sousa Aperibense ◽  
Gizele da Conceição Soares Martins ◽  
Lilian Dias Ennes ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Management ◽  
National Cancer Institute ◽  
Historical Aspects ◽  
Palliative Oncology ◽  
History Of ◽  
Oncology Care ◽  
Written Sources ◽  
International Events

ABSTRACT Objective: Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute. Methods: Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme. Results: Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain. Final considerations: These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.

scholarly journals Home Visit and Palliative Care

2017 ◽  
Vol 35 (4) ◽  
pp. 399
Author(s):  
Orapan Fumaneeshoat
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Technology ◽  
Home Visit ◽  
Holistic Approach ◽  
Rapid Progression ◽  
End Stage ◽  
Exacerbation Of Symptoms ◽  
At Home

To date, an advance in medical technology and science increase the population’s life-span. Hence, palliative medicine, aiming to improve quality of life in patients’ life with incurable diseases becomes essentially significant. Palliative care is a holistic approach, incorporating physical, mental, social and spiritual health. Most Thai patients in the late stage of diseases prefer staying and receiving health care at home where they feel more familiar and restful. In addition, home is the place where they can be with their beloveds and relatives. Therefore, they would like to die at home rather than at hospital. However, many of them did not live, the way they want the remaining of their lives to be nor they die where they would like to die. This is because their caregivers could not manage the exacerbation of symptoms properly, along with the rapid progression of diseases, resulted in hospital admission at the end stage of patients’ lives. Hereafter, palliative home visit plays an important role to allow patients spend their precious time as they approach the end of their life and finally die peacefully at home as they wished. Palliative home visit must be well-planned and appropriate for each patient to ensure that patients, their families and caregivers receive the best health care, according to patients’ will.

scholarly journals Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
W. Schmid ◽  
J. H. Rosland ◽  
S. von Hofacker ◽  
I. Hunskår ◽  
F. Bruvik
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Music Therapy ◽  
Integrative Review

End-of-life care in nursing home settings: Do race or age matter?

2008 ◽  
Vol 6 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Kimberly S. Reynolds ◽  
Laura C. Hanson ◽  
Martha Henderson ◽  
Karen E. Steinhauser
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Pain Management ◽  
Nursing Homes ◽  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Advance Care

ABSTRACTObjective:One-quarter of all U.S. chronic-disease deaths occur in nursing homes, yet few studies examine palliative care quality in these settings. This study tests whether racial and/or age-based differences in end-of-life care exist in these institutional settings.Methods:We abstracted residents' charts (N = 1133) in 12 nursing homes. Researchers collected data on indicators of palliative care in two domains of care—advance care planning and pain management—and on residents' demographic and health status variables. Analyses tested for differences by race and age.Results:White residents were more likely than minorities to have DNR orders (69.5% vs. 37.3%), living wills (39% vs. 5%), and health care proxies (36.2% vs. 11.8%; p < .001 for each). Advance directives were highly and positively correlated with age. In-depth advance care planning discussions between residents, families, and health care providers were rare for all residents, irrespective of demographic characteristics. Nursing staff considered older residents to have milder and less frequent pain than younger residents. We found no disparities in pain management based on race.Significance of results:To the extent that advance care planning improves care at the end of life, racial minorities in nursing homes are disadvantaged compared to their white fellow residents. Focusing on in-depth discussions of values and goals of care can improve palliative care for all residents and may help to ameliorate racial disparities in end-of-life care. Staff should consider residents of all ages as appropriate recipients of advance care planning efforts and should be cognizant of the fact that individuals of all ages can experience pain. Nursing homes may do a better job than other health care institutions in eliminating racial disparities in pain management.

scholarly journals Music Therapy in Whole Person Care at the End of Life

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Deborah Salmon
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Music Therapy ◽  
End Of Life ◽  
Personal Meaning ◽  
Wounded Healer ◽  
Video Clips ◽  
Whole Person ◽  
Didactic Material

Whole Person Care aims to be deeply present to the person in the patient; acknowledging the integration of physical, psychosocial and spiritual facets of human experience, and creating a space in which healing, or a greater sense of wholeness, may occur. Music offers a potent tool in this endeavor. With its inherent capacity to engage body, mind and spirit, music can stimulate or calm, transport us to other times and places, reach our innermost emotions, and connect us to ourselves, our loved ones and our spirituality. In palliative care, music therapy joins with whole person care to meet patients and their loved ones as fully as possible.Concepts central to whole person care will be presented and illustrated through the lens of clinical music therapy. For example, exploring how the skilful use of music addresses many dimensions of personhood will highlight Cassell’s concept of personhood. Demonstrating the ability of a significant melody to access and externalize personal meaning will integrate ideas from Frankl on meaning.  Observing how relationship and creativity function as healing connections will draw from Mount, as will the idea of helping one move on a continuum from suffering to healing (Mount, Hutchinson, Kearney). The role of the health care professional as a ‘vulnerable-enough’ caregiver (Papadatou) or ‘wounded healer’ (Kearney) will also be touched upon. Throughout the presentation, poignant images, stories and video clips of patients engaging in music therapy at the end of life will serve to both enliven the didactic material and demonstrate how music therapy can create a space in which experiences of greater integrity may occur.

scholarly journals Palliative care in primary care: European Forum for Primary Care position paper

2019 ◽  
Vol 20 ◽  
Author(s):  
Danica Rotar Pavlič ◽  
Diederik Aarendonk ◽  
Johan Wens ◽  
José Augusto Rodrigues Simões ◽  
Marie Lynch ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Palliative Care ◽  
Terminal Illness ◽  
Reference Group ◽  
Holistic Approach ◽  
Position Paper ◽  
European Countries ◽  
Care Plans ◽  
European Forum

AbstractAim:The aim of this position paper is to assist primary health care (PHC) providers, policymakers, and researchers by discussing the current context in which palliative health care functions within PHC in Europe. The position paper gives examples for improvements to palliative care models from studies and international discussions at European Forum for Primary Care (EFPC) workshops and conferences.Background:Palliative care is a holistic approach that improves the quality of life of patients and their families facing problems associated with terminal illness, through the prevention and relief of suffering by means of early identification and diligent assessment and treatment of pain and other problems, whether physical, psychosocial, or spiritual. Unfortunately, some Europeans, unless they have cancer, still do not have access to generalist or specialist palliative care.Methods:A draft of this position paper was distributed electronically through the EFPC network in 2015, 2016, and 2017. Active collaboration with the representatives of the International Primary Palliative Care Network was established from the very beginning and more recently with the EAPC Primary Care Reference Group. Barriers, opportunities, and examples of good and bad practices were discussed at workshops focusing on palliative care at the international conferences of Southeastern European countries in Ljubljana (2015) and Budva (2017), at regular conferences in Amsterdam (2015) and Riga (2016), at the WONCA Europe conferences in Istanbul (2015), Copenhagen (2016), and Prague (2017), and at the EAPC conference in Madrid (2017).Findings:There is great diversity in the extent and type of palliative care provided in primary care by European countries. Primary care teams (PCTs) are well placed to encourage timely palliative care. We collected examples from different countries. We found numerous barriers influencing PCTs in preparing care plans with patients. We identified many facilitators to improve the organization of palliative care.

Ogilvie's syndrome presented with delirium in an older lady with corticobasal syndrome

2021 ◽  
pp. 1-3
Author(s):  
Feyza Mutlay ◽  
Derya Kaya ◽  
Ahmet Turan Isik
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Colonic Obstruction ◽  
Holistic Approach ◽  
Abdominal Distension ◽  
Corticobasal Syndrome ◽  
Ogilvie's Syndrome ◽  
Geriatric Population ◽  
Ogilvie’S Syndrome ◽  
Neurological Illnesses

Abstract Objective Corticobasal syndrome (CBS) is one of an atypical parkinsonian syndromes characterized by extrapyramidal features as well as cortical involvement signs. A variety of factors may lead to delirium in older adults with chronic progressive life-limiting neurological illnesses like CBS. Ogilvie's syndrome (OS) is an acute colonic pseudo-obstruction in which abdominal distension, nausea, vomiting, and constipation can be seen. We report a case of OS identified as the underlying possible cause of delirium in an 80-year-old woman with CBS. We also discuss the importance of holistic approach which is essential to manage the underlying cause and to preserve the quality of life in particular for the frail geriatric population who potentially needs palliative care or already benefits from palliative care. Method An older patient with CBS presented with symptoms similar to that of acute colonic obstruction and subsequently developed delirium. The patient was found to have colonic pseudo-obstruction (OS). Result Neostigmin infusion was therefore given to treat it and delirium was resolved. Significance of results To the best of our knowledge, clinical manifestation of delirium as OS in a patient with CBS has not been previously reported. OS may be superimposed to CBS in older patients, and OS in such patients may play a role as a precipitating factor for the development of delirium. Given the fact that CBS is progressive and rare neurodegenerative disease and almost all of these patients need palliative care, eventually, health-care professionals, especially in palliative care, should be aware of distinctive challenges of life-limiting chronic neurological illnesses, such as conditions that may lead to the development of acute colonic pseudo-obstruction because the rapid treatment of them prevents the use of potentially harmful drugs, surgical procedures, or inappropriate interventions.

scholarly journals Plain Language Summary: Opioid Prescribing for Analgesia After Common Otolaryngology Operations

2021 ◽  
Vol 164 (4) ◽  
pp. 704-711
Author(s):  
Samantha Anne ◽  
Sandra A. Finestone ◽  
Allison Paisley ◽  
Taskin M. Monjur
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Pain Management ◽  
Health Care Providers ◽  
Clinical Practice Guideline ◽  
Shared Decision ◽  
Care Providers ◽  
Plain Language ◽  
Opioid Prescribing

This plain language summary explains pain management and careful use of opioids after common otolaryngology operations. The summary applies to patients of any age who need treatment for pain within 30 days after having a common otolaryngologic operation (having to do with the ear, nose, or throat). It is based on the 2021 “Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.” This guideline uses available research to best advise health care providers, and it includes recommendations that are explained in this summary. Recommendations may not apply to every patient but can be used to facilitate shared decision making between patients and their health care providers.

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