A5012272329- Palliative Care and End-of-Life Issues
- Pain Management and Opioid Use
- Childhood Cancer Survivors' Quality of Life
- Grief, Bereavement, and Mental Health
- Chronic Disease Management Strategies
- Patient Dignity and Privacy
- Cancer survivorship and care
- Pharmacological Effects and Toxicity Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Intensive Care Unit Cognitive Disorders
- Pediatric Pain Management Techniques
- Family and Patient Care in Intensive Care Units
- Lung Cancer Diagnosis and Treatment
- Dialysis and Renal Disease Management
- Long-Term Effects of COVID-19
- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Glioma Diagnosis and Treatment
- Dementia and Cognitive Impairment Research
- Nursing care and research
- Health Systems, Economic Evaluations, Quality of Life
- Risk Perception and Management
- Patient-Provider Communication in Healthcare
Hospital Universitario La Paz
2016-2025
Madrid Health Service
2019-2023
Universidad Autónoma de Madrid
2011-2023
Hospital Universitario Virgen del Rocío
2021
Bellvitge University Hospital
2021
Hospital Universitario Infanta Leonor
2021
Universitat Internacional de Catalunya
2018
The University of Texas MD Anderson Cancer Center
2011
MD Anderson Cancer Center Madrid
2011
Comunidad de Madrid
2005
Background The desire for hastened death or wish to hasten (WTHD) that is experienced by some patients with advanced illness a complex phenomenon which no widely accepted definition exists. This lack of common conceptualization hinders understanding and cooperation between clinicians researchers. aim this study was develop an internationally agreed the WTHD. Methods Following exhaustive literature review, modified nominal group process international, Delphi were carried out. served produce...
The purpose of this study was to identify factors associated with at-home death among patients advanced cancer and create a decision-making model for discharging from an acute-care hospital.We conducted observational cohort the association between place clinical demographic characteristics who received care palliative home team (PHCT) their primary caregivers. We used logistic regression analysis predictors death.We identified 380 met inclusion criteria; these, 245 (64%) died at home, 72...
Background: The impact of palliative home care programs on in-patient admissions and deaths has not been appropriately established. Aim: main objectives this study have to evaluate the frequency hospital use resources among cancer patients in two areas Madrid Region, as well assess differences between one area with without a team (PHCT) those variables. Design setting: We conducted population-based comparing adjacent metropolitan approximately 200,000 inhabitants each Spain, measuring...
BackgroundDetermining life expectancy in terminally ill cancer patients is a difficult task. We aimed to develop and validate nomogram predict the length of survival with terminal disease.
Using a decision-making and treatment checklist developed to facilitate the at-home palliative sedation process, we assessed incidence efficacy of for end-of-life cancer patients with intractable symptoms who died at home. We retrospectively reviewed medical records 370 were followed by home care team. Twenty-nine 245 (12%) had received sedation. The mean age was 58 ± 17 years, did not receive 69 15 years (p = 0.002). No other differences detected between or most common indications delirium...
Continuity of care is essential to address the multiple needs chronically and terminally ill. To achieve this aim, organizational barriers different levels must be overcome by establishing appropriate coordination mechanisms. Interest in finding effective solutions problems that threaten continuity increasing, favoring continued development professional institutional strategies improve coordination. The present article explores some proposals primary settings, from point view nursing, social...
Consensus has been reached on the need to integrate palliative care in follow-up examinations of chronic obstructive pulmonary disease (COPD) patients. We analyzed survival from initiation by a home team (PHCT) and described needs end-of-life process.This study was prospective observational cohort advanced COPD patients referred PHCT. Sociodemographic variables, start date using Kaplan-Meier model, health resource consumption, perceived quality life, main symptomatology, opioid use, planning...
A reliable and valid measure of the structure process end-of-life care is important for improving outcomes care.This study evaluated validity reliability Spanish adaptation a satisfaction tool Care Evaluation Scale (CES), which was developed in Japan to evaluate palliative from perspective family members.Standard forward-backward translation pilot test were conducted. multicenter survey conducted with relatives patients admitted units symptom control. The dimensional assessed using...
Background: Episodic dyspnea (ED) is a common problem in patients with advanced lung cancer (LC). However, the prevalence of ED and other related aspects this patient population not known. Objectives: To assess describe prevalence, clinical features, treatment, risk factors for outpatients LC. Design: Multicenter cross-sectional study. Subjects: Consecutive sample adult Measurements: We assessed background (BD), characteristics, triggers, management ED. Potential were through multivariate...
Background: The most commonly used switching ratio from parenteral to oral methadone is 1:2. Methadone highly bioavailable and a lower might result in similar analgesia with less toxicity. Objective: To compare success side effects two ratios methadone: 1:2 versus 1:1.2 hospitalized patients cancer pain. Design: A multicenter double-blind randomized clinical trial. Settings/Particiants: Inpatients well-controlled pain requiring rotation the route. Measurements: Outcomes included intensity...
Describir el lugar de muerte preferido por personas mayores que consultaron o eran pacientes algunos servicios un hospital general las Islas Baleares (España), y su posible asociación con otros factores. Estudio descriptivo transversal, realizado en hospital, perteneciente al área salud Ibiza Formentera, entre febrero agosto 2009. Participantes: 105 65 años más. La edad media fue 75 ± 7 años, los cuales 58 hombres (55,2 %). En casa, 67,6 % (IC 95 %: 58,6-76,6), resultó ser encuestados; 6,7...
The benefits of palliative care rely on how healthcare professionals assess patients' needs in the initial encounter/s; crucial to design a personalised therapeutic plan. However, there is currently no evidence-based guideline perform this assessment. We aim and evaluate proactive systematic method for assessment using quality guidelines developing complex interventions. This will involve patients, their relatives all phases study its communication offer clinical practice reliable approach...
Abstract To achieve a successful pain control, interventional techniques are required in approximately 15% of the patients admitted to Palliative Care Service ( PCS ). Objectives evaluate frequency and effectiveness invasive procedures performed our health area. Other matters studied included complications associated with these procedures, effects on morphine consumption, functional status, survival rate, as well type location pain. Methods A descriptive, observational, retrospective study...