Opioids for breathlessness: a narrative review | BMJ Supportive ...
WEBChronic breathlessness is a disabling and distressing condition for which there is a growing evidence base for a range of interventions. Non-pharmacological interventions are the mainstay of management and should be optimised prior to use of opioid medication. Opioids are being implemented variably in practice for chronic breathlessness. This narrative …
Homepage | BMJ Supportive & Palliative Care
WEB1 day ago — 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, …
Management of hiccups in palliative care patients
WEBTreatment 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 was supported by randomised controlled trials.
Impact of dementia on informal care: a systematic review of family ...
WEBIntroduction 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. …
Supportive care interventions in metastatic bone disease: scoping ...
WEBJul 22, 2024 — Background Patients with secondary metastatic involvement of the musculoskeletal system due to primary cancers are a rapidly growing population with significant risks for health-related end-of-life morbidities. In particular, bone metastases or metastatic bone disease (MBD) imparts significant adversity to remaining quality of life. …
Single-arm clinical trials: design, ethics, principles
WEBJun 4, 2024 — Clinical trial staging. Single-arm trials are a commonly used clinical trial design that can be applied in all four phases of clinical trials. In the phase I clinical trials, single-arm trials are employed to investigate the mechanism of action, pharmacokinetic properties and safety of a new drug, providing foundational data for subsequent clinical trials.15 The …
End-of-life care quality measures: beyond place of death
WEBPlace of death. Place of death is widely used as a quality metric in end-of-life care policy in high-income countries.7–10 In policy it has been deployed in a range of ways: as a ‘vital sign’ focusing on the ‘proportion of all deaths that occur at home’25; as a focus on deaths in ‘usual place of residence’ (in residential, care and nursing homes); and more recently to …
Why and how to apply exploratory sequential mixed methods in …
WEBMay 18, 2021 — Footnotes. MA-B and HS-B contributed equally. Collaborators Mehrdad Amir-Behghadami, Homayoun Sadeghi-Bazargani .. Contributors MAB and HSB conceptualised and designed the study, contributed to the writing of the first draft of the manuscript, reviewed the revisions and approved the final manuscript as submitted.. …
Immune checkpoint inhibitors: current status | BMJ Supportive ...
WEBJun 15, 2021 — The use of immune checkpoint inhibitors (ICIs) is growing rapidly in oncology and palliative care clinicians and other generalists will increasingly see patients who are receiving, or who have received ICI. For optimal care, it is important that clinicians have a basic understanding of the unique nature of ICI as anticancer treatments, including …
Patient card games in palliative care: integrative review
WEBFeb 14, 2022 — Abstract. Background In the context of palliative care, a new approach has been documented that allows for sensitive end-of-life conversations to be established through a game of cards. Objective This study aimed to identify the use of card games with patients in palliative care, assess self-reported satisfaction and synthesise findings on …