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Nov 9, 2024 · BMJ Supportive & Palliative Care is a Plan S compliant Transformative Journal.. BMJ Supportive & Palliative Care holds an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and ...
Management of hiccups in palliative care patients
Treatment algorithm for persistent and intractable hiccups in palliative care patients. PPI, proton pump inhibitor. If intractable hiccups are caused by a central type of condition, baclofen (level II) is recommended as first-line treatment. It is the only drug that …
Impact of dementia on informal care: a systematic review of family ...
Introduction Caregivers play a major role in providing all the support and care in daily activities for their relatives with dementia. To fully describe the influence of dementia caregiving on family caregivers’ life, we conducted a systematic review including caregivers’ perceptions about the positive and negative aspects of caring and the expressed factors. Materials and methods We ...
Anticipatory prescribing in community end-of-life care: systematic ...
Background The anticipatory prescribing of injectable medications is recommended practice in controlling distressing symptoms in the last days of life. A 2017 systematic review found practice and guidance was based on inadequate evidence. Since then, there has been considerable additional research, warranting a new review. Aim To review the evidence published since 2017 concerning anticipatory ...
Ethical dilemmas for palliative care nurses: systematic review
Mar 27, 2024 · Background Nurses play a unique and critical role in palliative care, and it is noteworthy that nurses often encounter ethical dilemmas in this field. Objective This review aims to conduct a summarised synthesis of the latest research on the ethical considerations nurses faced in palliative care. Methods We conducted a rigorous systematic review of relevant existing studies published in high ...
Anticipatory syringe pumps: benefits and risks | BMJ Supportive ...
Anticipatory syringe pumps were prescribed for 49/167 (29.3%) patients issued with anticipatory medications, with considerable variation in frequency between GP practices, ranging from 10/14 patients (71.4%) to 1/16 patients (6.3%) across practices. Prescription timing varied from 536 to 0 days before death (median 5.5).
Improving care for patients whose recovery is uncertain. The …
What is the AMBER care bundle? A care bundle is a set of evidence-based, or self-evident good-practice-based interventions for a defined patient population and care setting.10 It will typically consist of a small number of interventions (normally 4–5), which when implemented together, are associated with improvements in clinical outcomes11, 12 as well as reliability, consistency and ...
Palliative care in Creutzfeldt-Jakob disease: looking back, thinking ...
Creutzfeldt-Jakob disease (CJD) is a rare and fatal neurodegenerative disease for which there is no cure. However, it is difficult to diagnose and is unique in that it is both a genetic and transmissible disease. The disease is characterised by symptoms of a rapidly progressive dementia. Palliation is the only treatment and early diagnosis is an important aspect in relation to gaining speedy ...
Indwelling urinary catheters at the end of life are associated with ...
At the end of life (EOL), deterioration in the ability to perform bodily functions can be a natural product of the progression of illness. The ability to empty the bladder and bowels decreases as frailty worsens, with unresponsive patients unable to control these bodily processes. The incidence of catheterisation in palliative care often exceeds 40%1 due to …
Effectiveness and cost-effectiveness of palliative care in natural ...
Methods We searched systematically seven databases to identify studies using ‘natural experiments’ to evaluate palliative care’s effect on outcomes and costs. We searched three grey literature repositories, and hand-searched journals and prior systematic reviews. We assessed reporting using the Strengthening the Reporting of Observational Studies in Epidemiology checklist and a bespoke ...