Homepage | BMJ Supportive & Palliative Care
WEB2 days 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, epidemiology, behavioural sciences, ethics and ...
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 review summarises the evidence defining ...
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.
Hydration and symptoms in the last days of life
WEBIntroduction. Most patients with a deteriorating chronic illness have a reduced oral intake at the end of life. This may be due to illness or treatment-related symptoms or complications, such as dysphagia, nausea or vomiting, generalised weakness and, in the last days of life, to a decreased level of consciousness or a loss of desire to drink.1 2 The evidence that artificial hydration (AH) may ...
Why and how to apply exploratory sequential mixed methods in …
WEBFootnotes. 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.. Funding The authors have not declared a specific grant for this research from ...
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. Materials and methods We ...
Instructions for Authors | BMJ Supportive & Palliative Care
WEBWhen publishing in BMJ Supportive & Palliative Care, authors choose between three licence types – exclusive licence granted to BMJ, CC-BY-NC and CC-BY (Creative Commons open access licences require payment of an article processing charge).As an author you may wish to post your article in an institutional or subject repository, or on a scientific social sharing network.
Noisy upper respiratory tract secretions: pharmacological …
WEBUpper respiratory tract secretion accumulation with noisy breathing (‘death rattle’) is caused by salivary secretions pooling within the hypopharynx. It occurs in people who cannot swallow, usually in the last days of life.1–3 It is reported in 12%–92% of dying patients3–6; the weighted mean prevalence is 35%.5 The noise and secretions can be distressing for some family members and ...
NECPAL prognostic tool: a palliative medicine retrospective cohort ...
WEBFeb 15, 2021 · Objective To develop and validate a prognostic model to assess mortality risk at 24 months in patients with advanced chronic conditions. Methods Retrospective design based on a previous population cohort study with 789 adults who were identified with the surprise question and NECPAL tool from primary and intermediate care centres, nursing homes and one acute hospital of Spain. A Cox regression ...
Limitations in health professionals’ knowledge of end-of-life law: a ...
WEBJun 2, 2021 · Background Insufficient knowledge about end-of-life law can impede the provision of safe and high-quality end-of-life care. Accurate legal knowledge across health professions is critical in palliative and end-of-life settings given the reliance on multidisciplinary care. Most research has focused on doctors, finding significant knowledge gaps. The limited evidence about other health ...