Palliative medicine
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Palliative medicine · Dec 2012
Case ReportsTopical application of a beclometasone steroid inhaler for treatment of stoma inflammation.
We describe two cases of peristomal inflammation which resulted in pain, poor adhesion of the stoma bag and faecal leaking. The inflammation did not respond to regular cleaning and barrier film sprays, but dramatically improved with the application of a beclometasone dry powder aerosol inhaler sprayed onto the inflamed skin around the stoma site. A steroid inhaler was used to decrease the peristomal inflammation without affecting the adhesion of the stoma bag which could be caused by creams.
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Palliative medicine · Dec 2012
Reliability and validity of the Thai translation (Thai PPS Adult Suandok) of the Palliative Performance Scale (PPSv2).
the Thai PPS Adult Suandok tool was translated from the Palliative Performance Scale (PPSv2) and had been used in Chiang Mai, Thailand for several years. ⋯ the Thai PPS Adult Suandok translated tool has good inter- and intra-rater reliability and can be used regularly for clinical care.
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Palliative medicine · Dec 2012
Qualitative evaluation of a problem-solving intervention for informal hospice caregivers.
Informal hospice caregivers may experience compromised well-being as a result of significant stress. Although quite limited, problem-solving interventions with this population have garnered empirical support for improved caregiver well-being. ⋯ The study findings provide much needed depth to the field's understanding of problem-solving interventions for informal hospice caregivers and can be used to enhance existing support services.
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Palliative medicine · Dec 2012
Incidence and causes for syringe driver site reactions in palliative care: A prospective hospice-based study.
Syringe drivers are routinely used in palliative care for the subcutaneous infusion of drugs for pain and symptom control. Local site reactions occurring at the site of infusion can lead to patient discomfort and the potential for sub-optimal symptom control. ⋯ Recommendations can be made for the frequency of syringe driver site changes based on which drugs are in use. Incidental findings from the study have been used to change practice at the hospice study site, with regard to choice of parenteral cannulae.
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Palliative medicine · Dec 2012
Implementation and evaluation of an education program to guide palliative care for people with motor neurone disease.
Despite a recognized need for a palliative approach to caring for people with motor neurone disease (MND), access to palliative care is often limited. ⋯ A targeted education program for health professionals improved understanding about end-of-life care for people with MND. Health care providers also reported having made improvements in the care provided to patients and carers, particularly communication, psychosocial care and symptom management.