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Nursing has a major role in palliative care as part of a truly interdisciplinary framework. The nurse's primary responsibility is to assist the patient to cope with the effects of advancing disease. The idea of a paramedical model must be replaced by a professional role where the nurse offers...
Dysphagia is here defined as difficulty in transferring solids, pastes or liquids from the oral cavity to the stomach in patients with advanced cancer. The clinical steps required to manage dysphagia are outlined and the importance of including a swallowing therapist in these decisions is...
Palliative care in Finland is in its infancy. The Finnish National Board of Health issued 'Instructions for terminal care' in 1982, and subsequently the specialty has been fostered by the National Board, the Lutheran church and the voluntary sector. The first hospices in Finland opened in 1988,...
Access to appropriate drugs is essential for implementing existing knowledge in cancer pain relief. However, the opioids needed for the control of pain are not available in most countries.
The palatability of Oramorph, a proprietary preparation of morphine sulphate (Boehringer Ingelheim), was compared with an aqueous solution produced by the hospital pharmacy. Thirty patients receiving regular oral morphine sulphate for either pain relief or dyspnoea entered a double-blind,...
Palliative care services in New Zealand are provided in a variety of forms dependent on the local needs and the resources available. There is increasing awareness of the need for education in the care of the terminally ill and this is being addressed in undergraduate and postgraduate medical...
The ability to work through the grieving process by the open expression of grief makes for a healthy bereavement. For the spouse it reduces morbidity and mortality in this period; for the children it diminishes the risk of emotional disorder that may occur later in life when grieving over the...
Nurses in palliative care face particular challenges related to their work with terminally ill patients and their families. Several studies have suggested that workplace stress is a health risk to staff in this specific nursing situation. This study reports the results of a short educational...
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