pain management in pediatric palliative care

... cognizant in attending to the psychological needs as well as some medical aspects of care such as pain management in children than in the past Being aware of our shortcomings and striving toward ... recognized by leaders in paediatric intensive care and incorporated into the daily routines of the PICU Caring for children in the PICU also involves responding to the needs of dying patients It is ... humanistic culture in critical care where several disciplines with differing opinions and agendas may be involved in caring for a critically ill child For example, in a PICU many disciplines (pulmonology,...

Ngày tải lên: 12/08/2014, 22:21

... goals, like having an adequate income, receiving training, doing research, taking career steps, teaching, and so on Conflicts arise in this area when the goals or interests of individuals cannot ... satisfaction in neonatal intensive care units Nurs Res 1984, 33:97-101 Vincent P, Billings C: Unit management as a factor in stress among intensive care nursing personnel Focus Crit Care 1988, ... of budget prohibiting optimal care Possible interventions include development of procedures and guidelines, training of personnel, (re)structuring the organization, negotiating the budget and...

Ngày tải lên: 13/08/2014, 08:20

... hospitals In addition, pain monitoring is increasingly performed Chanques and colleagues [9] have pointed out that by monitoring and optimizing pain management, the number of nosocomial infections ... Pugin J, Pinsky M, Radermacher P, Richard C: Year in review in Intensive Care Medicine, 2006 I Experimental studies Clinical studies: brain injury, renal failure and endocrinology Intensive Care ... Anästhesiologie und Intensivmedizin Analgesia and sedation in intensive care medicine – short version, S2-guidelines of the German society of anaesthesiology and intensive care medicine Anästh Intensivmed...

Ngày tải lên: 13/08/2014, 10:20

Ngày tải lên: 13/08/2014, 20:21

... approach, all (6/6) indicated they may use insulin infusions for glycemic control, while some also attempt to manage hyperglycemia using intermittent insulin (subcutaneous or intravenous) and/or ... approach to screening or treatment 24 (80) (67) 11 (85) (82) Management for centers that have a standard approach to treating hyperglycemia Insulin infusion 2 Intermittent insulin (IV push or subcutaneous) ... disciplines As such, even in the absence of direct evidence of improved outcomes with glycemic control in pediatric critical care, there may be good reason for pediatric groups interested in providing...

Ngày tải lên: 13/08/2014, 20:21

Ngày tải lên: 28/03/2014, 23:20

... strategy to reduce pain intensity • Cancer pain is often very complex, but the most intractable pain is often neuropathic in origin, arising from tumour invasion of the meninges, spinal cord and dura, ... needed in established teams in terms of funding, time for joint working and the education of all healthcare professionals involved in the treatment of cancer pain • The principles of pain management ... missing out on the benefits of combined multidisciplinary care combining palliative care and pain medicine There is evidence of under-referral and that referral structures are patchy Pain clinics...

Ngày tải lên: 14/02/2014, 21:20

... messages and educating the population and they can serve immensely in vocational training with adequate methodology Thinking about history in the cinema is related to how we think in medicine: what the ... http://www.usal.es/~revistamedicinacine/numero_1/version_ingles/ing_1/ed_ing_1.pdf 2.- Menéndez A, Medina RM Cine, Historia y Medicina Seminario de la asignatura de Historia de la Medicina Conecta [serial on the Internet] ... (Figure 4), in intensive care units, in psychotherapy, in preoperatory and even in actions for improving the self -care of health workers Humour and laughter are useful when establishing a relationship...

Ngày tải lên: 19/02/2014, 10:20

... variety of oral codeinecontaining agents, including acetaminophen plus codeine and proprietary combinations of ∗ ∗ acetaminophen, codeine, and doxylamine (Mersyndol® ) or buclizine (Migraleve® ) ... with status migrainosus (Grade C) • Lidocaine— Intranasal Findings: Limited studies reported lidocaine superior to placebo in relieving acute migraine headache at 15 minutes The incidence of recurrence ... ergotamine-containing compounds, and ergostine-containing compounds were inconsistent and difficult to interpret This is in part because many of these trials are older and used different dosing...

Ngày tải lên: 21/02/2014, 12:20

... control: insulin therapy Oral agent combination therapy with insulin Insulin therapy Insulin detemir Insulin delivery devices 125 130 146 146 12 12.1 12.2 12.3 Blood pressure therapy Clinical introduction ... human insulin in which change of the amino-acid sequence alters duration of action after injection 4 Glossary and definitions Insulin regimen A therapeutic combination of different insulin preparations, ... requiring continued escalation of blood glucose lowering therapy The worsening insulin deficiency with age also means that diabetes can appear in elderly people who are quite thin In some people in...

Ngày tải lên: 08/03/2014, 14:20

... Integrative Pain Medicine Contemporary Pain Medicine Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management Series ... risk management strategies that may be helpful in integrative pain management Key Words: liability, legal issues, pain management INTRODUCTION Clinical integration of CAM therapies into pain management ... Activation Summary Clinical Considerations The Spinal Cord and Pain Ascending Pathways for Pain Cerebral Representation of Pain The Brainstem and Descending Pain Modulation Systems Pain as an Allostatic...

Ngày tải lên: 29/03/2014, 07:21

... binding ratio alone52 123I-FP-CIT SPECT: Binding index in putamen contralateral to initially clinically affected side50 TRODAT-1 SPECT: Binding index in putamen contralateral to initially clinically ... monitoring and medication adjustment • clinical monitoring and medication adjustment • a continuing point of contact for support, including home visits, when appropriate • a continuing point of ... required in tailoring individual therapy and in timing treatment initiation It is hoped that this guideline on Parkinson’s disease will be of considerable help to those involved at all levels in these...

Ngày tải lên: 31/03/2014, 13:20

... undertaken in palliative care sites, in South Africa and in Uganda, based in rural, periurban and urban areas, including homecare, day care and inpatient facilities Two of the sites provide care from ... outcome tools Progress in Palliative Care 2007, 15:55-59 12 Collins K, Harding R: Improving HIV management in sub-Saharan Africa: How much palliative care is needed? AIDS Care 2007, 19(10):1304-1306 ... multi-centre, international approach with early and ongoing input of pan-African clinicians and researchers, and the full validation in diverse inpatient and home care settings, in both HIV and...

Ngày tải lên: 18/06/2014, 19:20

... participants to self report their pain using a verbal rating scale (VRS) of 0-10 where = no pain and 10 = the worst pain imagined Additionally a short questionnaire containing Likert scale questions ... was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion ... 900 on Day Data collection/Instruments Outcome measures for pain management Post operative perceived pain was recorded during routine post operative observations by nursing staff, who asked participants...

Ngày tải lên: 20/06/2014, 04:20

... participants to self report their pain using a verbal rating scale (VRS) of 0-10 where = no pain and 10 = the worst pain imagined Additionally a short questionnaire containing Likert scale questions ... was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion ... 900 on Day Data collection/Instruments Outcome measures for pain management Post operative perceived pain was recorded during routine post operative observations by nursing staff, who asked participants...

Ngày tải lên: 20/06/2014, 07:20

... professionals working in palliative care The questionnaire included questions on: • use of tools in general including questions for those not using tools; • use of tools and PROMs in clinical care/ audit ... measurement in eol care Our findings indicate that these respondents, while mostly committed to measuring outcomes, clearly indicated a cry for help in relation to guidance and training in outcome ... African Palliative Care Association (APCA) is a membership organisation for individuals and organisations interested in and working in palliative care in Africa APCA has 475 individual contacts...

Ngày tải lên: 20/06/2014, 15:20

... Innovative Practice in Palliative Care Our university’s undergraduate and postgraduate curriculum offer training in palliative care in a patient-centered model, including spiritual care and cultural ... professionals in the field of science, medicine, engineering and design As the realm of pain management in palliative care becomes both broader in its capabilities and highly specific in application, ... attitudes against death and political disinterest (Irigoyen,2002) So, this kind of initiative can help in this improvement in medical education Teaching Palliative Care in a Free Clinic: A Brazilian...

Ngày tải lên: 27/06/2014, 13:20

... (O), and Italy and Spain none TRAINING IN INTENSIVE CARE MEDICINE IN THE UK An increasing number of appointments in ICM are now available to trainees in general internal medicine at senior house ... rehabilitation.9 TRAINING IN INTENSIVE CARE MEDICINE Improved training of medical and nursing staff and organisational changes have undoubtedly played their part in improving the outcome of critical ... the growing numbers of respiratory physicians who pursue a subspecialty interest in this clinical arena T EVOLUTION OF INTENSIVE CARE MEDICINE AS A SPECIALTY In Europe intensive care medicine (ICM)...

Ngày tải lên: 29/06/2014, 11:20

... of dynorphin acting on KOR, using siRNAs locally in the periphery If DREAM is a suitable target in pain management, it might well be the switch to reduce chronic pain in patients suffering from ... beta-endorphin Production, release, and control of inflammatory pain in rats J Clin Invest 1997, 100:142-148 41 Machelska H, Cabot PJ, Mousa SA, Zhang Q, Stein C: Pain control in inflammation ... showed the binding of DREAM to DNA, which implied a role in the hierarchical machinery regulating the rat dynorphin-encoding prodynorphin (pdyn) gene in a Ca2+-dependent manner Dynorphin interacts...

Ngày tải lên: 09/08/2014, 10:23