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Dissertations / Theses on the topic 'Palliative Care Units'

Author: Grafiati

Published: 4 September 2021

Last updated: 29 July 2025

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1

Dunbar, Pervell Velethia. "Nursing Care of Terminal patients in Intensive Care Units." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1379.

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Nursing Care for Terminal Patients in Intensive Care Units by Pervell Dunbar Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2015 Although the goal of the ICU has always been to save lives, ICU now additionally provides end-of life (EOL) care. The objective of this project was to provide ICU nurses with a comprehensive awareness of physical, emotional, and spiritual EOL care issues of patients and their families in order to be better equipped to handle EOL care. The framework used was Jean Watson's Caring model

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2

Goldsborough, Jennifer. "Palliative Care Integration in the Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4787.

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Palliative health care is offered to any patient experiencing a life limiting or life changing illness. The palliative approach includes goals of care, expert symptom management, and advance care planning in order to reduce patient suffering. Complex care can be provided by palliative care specialists while primary palliative care can be given by educated staff nurses. However, according to the literature, intensive care unit (ICU) nurses have demonstrated a lack of knowledge in the provision of primary care as well as experiencing moral distress from that lack of knowledge. In this doctor of

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3

Torres, Nicole Marie, and Nicole Marie Torres. "Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626674.

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Objective: The Patient Self-Determination Act of 1990 (PSDA) protects a patient’s right to predetermine the level of life-supporting care they are willing to receive (U.S. Department of Health and Human Services, 1993). In Arizona, the advance directive (AD) complies with the PSDA and is used to guide care in the event of cardiopulmonary failure. The AD may indicate “do not resuscitate” (DNR), which prohibits cardiopulmonary resuscitation in the event of cardiac arrest. In the institution used for this project, a palliative care team assists with identifying goals of care and helps guide inter

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4

Robertson, Cara. "An evaluation of the palliative care unit at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15701.

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Background: Patients often present to the Emergency Department (ED) at the end of life. Caring for these patients present a unique set of challenges, and often the patients' and families' needs are at odds with the pervasive rescue-oriented ED culture. A potential solution to this problem is an Acute Palliative Care Unit. Groote Schuur Hospital opened such a unit in April 2011, managed by the ED staff. This kind of service was not available in this tertiary, academic state hospital prior to that. Objectives: This study aimed to evaluate aspects of care at the Groote Schuur Hospital Palliative

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5

Launay, Pauline. "La fabrique de la fin de vie : ethnographie d'une Unité de Soins Palliatifs." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMC028.

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Dans un contexte de transformation du champ médical, la prise en charge hospitalière de la fin de vie devient un objet central de préoccupation dans les années 1970. La médecine palliative, qui s’institutionnalise en 1986, vise à y répondre en développant des accompagnements holistiques de la souffrance (physique, sociale, psychique et spirituelle) des patients en fin de vie et de leurs proches. Cette approche globale du soin modifie l’organisation du travail et fait primer la temporalité des phénomènes pathologiques sur leur spatialité, interrogeant l’épistémologie médicale dans son ensemble.

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6

Ramos, João Gabriel Rosa. "Avaliação de um instrumento de auxílio à tomada de decisão para a priorização de vagas em unidades de terapia intensiva." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-02082018-090906/.

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Introdução: Triagem para admissão em unidades de terapia intensiva (UTIs) é realizada rotineiramente e é comumente baseada somente no julgamento clínico, o que pode mascarar vieses e preconceitos. Neste estudo, foram avaliadas a reprodutibilidade e validade de um algoritmo de apoio a decisões de triagem em UTI. Também foi avaliado o efeito da implementação de um instrumento de auxílio à tomada de decisão para a priorização de vagas de UTI nas decisões de admissão em UTI. Foi avaliada, ainda, a acurácia da predição prognóstica dos médicos na população de pacientes em deterioração clínica aguda.

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7

Kjörrefjord, Linda. "När vården byter riktning : Palliativ vård på barnintensiven." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2248.

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Bakgrund: År 2012 skapades Sveriges första nationella program och kunskapsstöd för palliativ vård. Den palliativa vården finns beskriven av Socialstyrelsen utifrån fyra hörnstenar, symtomlindring, multiprofessionellt samarbete, stöd till anhöriga samt kommunikation och relation. Det är oftast sjuksköterskan som identifierar behovet av palliation, men läkaren är den som fattar beslutet om palliation ska påbörjas. Detta kan vara en lång process och orsaka barnet onödigt lidande. Syfte: Att beskriva sjuksköterskans erfarenheter av att avsluta livsuppehållande behandling för a

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8

Lincoln, Danielle. "A descriptive analysis of the pilot paediatric palliative care unit at Witwatersrand Hospice, Johannesburg." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/11111.

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Includes bibliographical references (leaves 86-89).<br>Aim of study: to analyze the profile and management of patients admitted to the pilot paediatric unit in order to make recommendations for the further development of the unit.

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9

February, Christine. "The development of palliative care protocols for the emergency and oncology nurses in the government hospitals of the Western Cape." University of the Western Cape, 2019. http://hdl.handle.net/11394/6853.

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Philosophiae Doctor - PhD<br>Background: Palliative care is specialised health care to support people living with a terminal illness, and their families. Palliative care aims to prevent and relieve suffering, to help people to live as well as possible until they die, and to support the processes of dying and bereavement. Palliative care is holistic care provided by Emergency and Oncology Nurses caring for cancer patients. Palliative care protocols for Professional Nurses working in Emergency Units and Oncology Departments are not always posted or in full view in the government hospitals of the

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10

Petteys, Annie R. "Effects of neonatal palliative care consultation on parental stress of patients in the neonatal intensive care unit." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1522646.

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<p> The hospitalization of one's infant is a stressful situation that can lead to decreased bonding and poor health outcomes. This longitudinal comparative design study examined the effects of neonatal palliative care (PC) consultation on stress levels and satisfaction scores of parents of neonatal intensive care unit (NICU) infants. Clinical data was abstracted from the medical record. Demographic data, stress scores, and satisfaction reports were obtained via self-report.</p><p> Mean stress scores indicated most parents experienced moderate stress due to NICU hospitalization. Some parents

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11

Romero, Celena. "Impact of Palliative Care on Patients with Severe Chronic Obstructive Pulmonary Disease." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5650.

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Chronic obstructive pulmonary disease (COPD) requiring long-term oxygen therapy (LTOT) is an incurable lung disease often complicated by other comorbidities. Research is limited for hospitalized COPD exacerbations with LTOT and palliative care services. The purpose of this quantitative research study was to determine the correlation between palliative care interventions and COPD patient outcomes specific to an intensive care unit (ICU) stay, invasive mechanical ventilator support, physician orders for cardiopulmonary resuscitation (CPR) code status, and hospital discharge to hospice care. The

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12

Oliveira, NeulÃnio Francisco de. "Terminalidade em UTI PediÃtrica e Neonatal: prÃticas mÃdicas que antecedem o Ãbito em um hospital de referÃncia do Nordeste Brasileiro." Universidade Federal do CearÃ, 2011. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=12419.

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nÃo hÃ<br>MudanÃas que aconteceram no sÃculo XX, permitiram que avanÃos tecnolÃgicos aumentassem a sobrevida diante de doenÃas anteriormente incurÃveis e processos patolÃgicos irreversÃveis. No entanto, a busca incessante pela cura, alÃm de levar ao aumento da sobrevida, tambÃm gerou a obstinaÃÃo terapÃutica, ou seja, medidas terapÃuticas fÃteis diante de evoluÃÃo inexorÃvel para a morte, impactando em indicadores como Ãndice de satisfaÃÃo do cliente e cuidadores, tempo mÃdio de permanÃncia, elevaÃÃo de custos, bem como em prejuÃzo na distribuiÃÃo equitativa de recursos. No inÃcio dos anos 90,

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13

Engelbrecht, Mari. "An audit of referring patterns for cancer patients to the Palliative Care Unit in 2 Military Hospital, by means of a retrospective evaluation of the percentage of referrals adhering to a given standard, and evaluation of possible barriers." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/10469.

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Includes bibliographical references.<br>The 2 Military Hospital Palliative Care unit seeks to provide high quality, holistic palliative care to all patients suffering from life-threatening diseases. This care should be initiated early after diagnosis, to prevent unnecessary suffering and allowing the patient and the family to be part of the decision making process. However, the majority of the cancer patients are either referred very late in the disease process or are not referred at all. The purpose of this study was to enumerate the percentage of patients who were not referred to the palliat

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14

Forte, Daniel Neves. "Associações entre as características de médicos intensivistas e a variabilidade no cuidado ao fim de vida em UTI." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-07122011-124313/.

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Objetivos: Este estudo investigou as associações entre características dos médicos e a variabilidade de condutas em fim de vida em UTI. Métodos: Um questionário foi aplicado aos médicos das 11 UTIs do HC-FMUSP, apresentando dois casos clínicos. O primeiro apresentava uma paciente em estado vegetativo persistente, sem familiares ou diretivas antecipadas de vontade, com um choque séptico. O segundo, uma paciente de 88 anos, com disfunção de múltiplos órgãos decorrente de uma pneumonia. Investigou-se através do questionário a associação entre condutas e características pessoais, profissionais e e

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15

Blondet, Vanessa. "Les pratiques sédatives en unités de soins palliatifs, entre travail du care et négociation." Thesis, Strasbourg, 2019. https://publication-theses.unistra.fr/restreint/theses_doctorat/2019/Blondet_Vanessa_2019_ED519.pdf.

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Quels sont les différentes formes de la sédation en unité de soins palliatifs ? Comment les sédations sont-elles négociées entre les soignants, le patient et ses proches ? Qu’est-ce que l’usage du Midazolam et sa négociation nous dit du travail en unité de soins palliatifs en France ? Cette thèse repose sur une enquête qualitative menée auprès de quatre structures de soins palliatifs différentes. Le travail s’appuie sur des observations directes et indirectes au sein des structures, le suivi des évolutions dans les doses de Midazolam pour 42 patients, ainsi que soixante entretiens semi-directi

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16

Kilgour, Kelly Naomi. "The family caregivers' transitional experience of admitting a family member from home to the palliative care unit." Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28092.

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Canada's aging population and increasing incidence of cancer, in both older and younger adults (Canadian Cancer Society, 2007), has resulted in palliative care becoming a growing concern for Canadians. Family caregivers are expected to provide care to ill family members at home with limited training, support or community resources. While research has recognized numerous challenges of providing care at home along with the consequences on the caregiver, a thorough literature review showed little research has been published about the caregiver's transitional experience of admitting a family membe

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17

Tsikai, Franciscah Ndayiziveyi. "A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27072.

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Background: This study investigated the factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit. The study was conducted at Island Hospice Service in Harare, Zimbabwe where Palliative care has been practiced in Zimbabwe since 1979 mainly using the home-based care model where patients are cared for by family caregivers with the support of the palliative care teams. Aim:To explore and understand issues that influence family caregivers at Island Hospice to seek help at emergency units for patients who are terminally ill. Me

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18

Oliveira, Irene. "The Lived Experience of Nurses Providing End-of-Life Care to Patients on an Acute Medical Unit." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31776.

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Meeting the heath care needs of patients is becoming more complex as individuals are living longer and often with multiple chronic health conditions. In Canada, the majority of patients will die in hospitals (Statistics Canada, 2009), many on medical units. Studies of hospital care have shown that end-of-life care (EOLC) could be improved. Qualitative nursing research studies on EOLC in hospital medical units have been few. More needs to be known about nurses’ experience of providing EOLC within the medical unit environment. The purpose of this study was to seek to understand the lived experie

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19

Heiland, Matthias [Verfasser]. "Psychosoziale Betreuung schwerstkranker Patienten und ihrer Angehörigen auf einer Palliativstation – Eine quantitative Versorgungsanalyse am Beispiel der Palliativstation am UKE : Psychosocial care for seriously ill patients and their relatives in a palliative care unit - A quantitative supply analysis on example of the palliative care unit at the UKE / Matthias Heiland." Hamburg : Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky, 2020. http://d-nb.info/1221084321/34.

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20

Wright, Michael Christopher. "Spiritual health care : an enquiry into the spiritual care of patients with cancer within the acute hospital and the specialist inpatient palliative care unit in England and Wales." Thesis, University of Sheffield, 2001. http://etheses.whiterose.ac.uk/3041/.

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Question: What are the features of the spiritual care of patients with cancer within hospice and the acute hospital? Objectives: To identify: guidelines relating to spiritual care, the means whereby spiritual needs are assessed key features of spiritual care, perceptions of spiritual care stakeholders, perceptions of health professionals, patients and relatives. Methods: A mixed method design incorporating three phases. Phase I-a survey of the views of chaplains in 151 hospices and 195 trusts. Phase II -a phenomenological enquiry into the perceptions of spiritual care amongst 16 stakeholders.

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21

Despres, Sara, and Mark Wikström. "Närståendes upplevelser av palliativ vård på intensivvårdsavdelningar : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6025.

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Bakgrund: Vården på en intensivvårdsavdelning är tänkt att vara kurativ, det vill säga botande. Trots det, så inträffar ca 20 procent av alla dödsfall på intensivvårdsavdelningar i Sverige och omställningen till palliativ vård sker ofta snabbt. Döden inträffar ofta kort därpå, och denna transition kan upplevas på olika sätt beroende på hur personalen informerar och kommunicerar med de närstående om vad som sker. Syfte: Syftet med litteraturöversikten är att undersöka hur närstående upplever den palliativa vården på intensivvårdsavdelningar. Metod: En litteraturöversikt gjordes och tio vetenska

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22

Wilkinson, Margaret Mary. "The understanding, perceptions and expectations of families of terminally ill patients on introducing the syringe driver in a palliative care unit." Thesis, Cape Peninsula University of Technology, 2013. http://hdl.handle.net/20.500.11838/1541.

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Thesis submitted in fulfilment of the requirements for the degree Master of Technology: Nursing In the Faculty of Health and Wellness Sciences At the Cape Peninsula University of Technology, 2013<br>The syringe driver is a battery-operated device which accurately delivers a continuous subcutaneous infusion of a combination of medication to alleviate symptoms, such as pain, nausea and vomiting, noisy moist breathing and preterminal restlessness. The researcher who works in a palliative care unit in Cape Town noticed the ambivalence and negative attitudes from family members regarding the use of

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23

Listermar, Karin. "När vården blir sjuksköterskans ansvar. : sjuksköterskors upplevelser av att ge palliativ vård i livets slut på en strokeenhet." Thesis, Sophiahemmet Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1367.

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24

Drungaite, Akvile, and Christine Larsson. "Livets Brytpunkt : Intensivvårdssjuksköterskans upplevelser av när vården övergår från kurativ behandling till palliativ vård." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-67271.

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Introduktion: På en intensivvårdsavdelning vårdas patienter med livshotande tillstånd med hopp om förbättring i en högteknologisk miljö. Trots detta avlider det cirka 10% av intensivvårdspatienter årligen i Sverige. De livsuppehållande behandlingar som ges är ofta invasiva och smärtsamma. Insikten om att den livsuppehållande behandlingen inte alltid gynnar patienten, har ökat bland vårdpersonalen på intensivvårdsavdelningar. Detta leder även till att beslut om att avbryta den kurativa behandlingen och övergå till palliativ vård har ökat. Detta medför att intensivvårdssjuksköterskan kommer ofta

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25

Santos, Gabriella Cézar dos. "Cuidados paliativos pediátricos: Arte, essência e ciência no cuidado de crianças com doenças limitantes ou ameaçadoras da vida." Universidade Estadual da Paraíba, 2017. http://tede.bc.uepb.edu.br/jspui/handle/tede/3039.

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Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2018-05-16T13:54:21Z No. of bitstreams: 1 PDF - Gabriella Cézar dos Santos.pdf: 53943300 bytes, checksum: 8c47ede31c4e6c665d96c73d7b0f4317 (MD5)<br>Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2018-05-22T20:50:54Z (GMT) No. of bitstreams: 1 PDF - Gabriella Cézar dos Santos.pdf: 53943300 bytes, checksum: 8c47ede31c4e6c665d96c73d7b0f4317 (MD5)<br>Made available in DSpace on 2018-05-22T20:50:54Z (GMT). No. of bitstreams: 1 PDF - Gabriella Cézar dos Santos.pdf: 53943300 bytes, checksum: 8c47ede31c4e6c665d96c73d7b0

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Braz, Mariana Sarkis. "Prevenção de luto complicado em cuidados paliativos: percepções dos profissionais de saúde acerca de suas contribuições nesse processo." Pontifícia Universidade Católica de São Paulo, 2013. https://tede2.pucsp.br/handle/handle/15305.

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Made available in DSpace on 2016-04-28T20:38:46Z (GMT). No. of bitstreams: 1 Mariana Sarkis Braz.pdf: 618893 bytes, checksum: 1611e2369644aad5db2f2d2aad7695b6 (MD5) Previous issue date: 2013-11-01<br>Coordenação de Aperfeiçoamento de Pessoal de Nível Superior<br>Palliative care seek quality of life based primarily on prevention and relief of suffering of patients who have life threatening diseases, encompassing the areas of physical, psychosocial and spiritual. Furthermore, extending the post-mortem patient, it offers support the family support in the grieving process. The theme provides dis

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McClure, Anne Carey. "Ritualized Futility via Clinical Momentum at the End of Life in the Intensive Care Unit:An Ethical Inquiry into Moral Distress in Nurses as a Response to a Culturally MediatedHealthcare System Failure." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1587082543896911.

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Santo, Ana Cristina Martins Dal. "Avaliação de fatores de risco para injúria renal aguda (IRA) em pacientes oncológicos na UTI." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5148/tde-23062014-084607/.

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Introdução: Pacientes portadores de câncer estão sobrevivendo mais devido aos avanços no diagnóstico precoce e tratamento dos tumores. A diminuição da mortalidade relacionada ao câncer e o envelhecimento da população acarretaram um número crescente de pacientes oncológicos internados em UTI. Objetivos: Identificar a prevalência e os fatores de risco para IRA nos pacientes oncológicos críticos. Métodos: Foram avaliados, prospectivamente, 371 pacientes oncológicos internados nas UTIs do Instituto do Câncer do Estado de São Paulo e do Hospital AC Camargo, entre novembro de 2011 a março de 2013. O

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Krmaš, Jan. "Hospic sv. Michaela." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-226675.

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The topic of the master thesis is new medico-social facility hospice St. Michaela. The purpose of the object is the maximizing of improvement in the quality of life of dying, severely ill and incurable patients, with the use of palliative care. The construction follows the Complex of Regional Hospital Náchod. Together with as a retirement home Náchod completes a support network of health and social care. The building is designed as a four-building storey and is partially embedded into the sloping terrain. Floors are divided into individual facilities and together constitute a functional unit.

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Chiou, Jenf-Fong, and 邱仲峰. "Evaluation of Quality of Care in Hospice Palliative Care Units: A Comparison to Non-Hospice Palliative Cancer Patients Care Units." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/73269133273646499443.

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碩士<br>台北醫學院<br>醫學研究所<br>89<br>Since 1982 year, cancer was the first cause of death in Taiwan. The Hospice Palliative Care, which was originated from England, is a better medical care for terminal cancer patients. To define the quality of Hospice Palliative Care it is necessary to have an excellent evaluation tool, and further to use these evaluations in practice to improve the quality of the Hospice Palliative Care. The purpose of this study was to use the Palliative Care Outcome Scale(The POS), which published by Higginson et al in 1999, as quality indicator for Hospice Palliative Care units

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Wu, Jonathan. "Proactive palliative care in the intensive care units of an academic hospital." Thesis, 2015. https://hdl.handle.net/2144/16070.

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Palliative care (PC) is a specialty that improves the quality of care often for terminally ill patients and their family members by providing physical, psychosocial, and spiritual pain and symptom management. PC assists patients in decision making about their goals of care. These goals of care discussions help the treating physicians to better plan more appropriate treatment options specifically tailored for each patient based on their preferences. Due to the illness severity of the patients, approximately 20% of all hospital deaths occur in the intensive care unit (ICU). Recognition of and ad

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CHEN, YA-LI, and 陳雅莉. "Behavior Intention and Factors Affecting Decision-Making in Palliative Care Among Nurses in Non-Palliative Units." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/73699581120749543811.

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碩士<br>國立臺北護理健康大學<br>護理研究所<br>105<br>Palliative care is a global trends and demand grows in Taiwan for non-cancer Patients. Nurses contact patients directly who sensitive to patients’ needs of palliative care. They must have accurate knowledge, attitudes to provide palliative care. The aim of this study is to investigate the behavioral intention and factors affecting decision-making in palliative care among nurses in non-palliative units. It was a cross-sectional study. The self designed questionnaires including knowledge, attitude, subjective norm and behavioral intention of palliative care ba

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Lin, Wei-Chun, and 林維君. "Information Needs of Family Caregivers of Terminal Cancer Patients in the Palliative Care Units." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/17150303412247988668.

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Chen, Hsiu-Ping, and 陳秀蘋. "The Importance of Palliative Care Needs in Intensive Care Units: Comparisons between the Families’ and the Nurses’ Perspectives." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/37338117768189326803.

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碩士<br>輔英科技大學<br>護理系碩士班<br>105<br>Background: Terminally ill patients and their families should be honestly informed by the fact that their conditions are beyond cure to avoid their suffering and pain before death. More than half of the terminal patients need palliative care; however, healthcare professional should understood what palliative care they need before nursing. This is why we conducted a survey of the important needs for palliative care among families and nurses in order to provide nursing care that can better meet the palliative care needs of the terminal patients. Purpose: This st

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Huang, Yu-Shan, and 黃郁珊. "Differences between Hospice and Palliative Care Knowledge, Attitudes, and Referral Behaviors of Nurses in Different Units." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4t5p84.

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Braga, Vanessa Filipa de Jesus Leitão. "Satisfação Profissional em Cuidados Paliativos." Master's thesis, 2018. http://hdl.handle.net/10316/84711.

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Dissertação de Mestrado em Gestão e Economia da Saúde apresentada à Faculdade de Economia<br>A satisfação profissional tem sido uma temática de investigação em crescimento, pelo seu valor na compreensão do impacto que pode provocar na saúde e na qualidade de vida dos trabalhadores e que, por sua vez, se reflete nos níveis de produtividades das organizações.Desta forma, seguindo esta perspetiva, este estudo tem como objetivo geral avaliar os níveis de satisfação dos profissionais que constituem as equipas multidisciplinares em cuidados paliativos, a nível nacional. Partindo deste objetivo compr

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Bernardino, Adriana Filipa Fonseca. "Avaliação das necessidades e das discrepâncias de respostas sociais nos Cuidados Paliativos a nível nacional: A formação e o papel do Assistente Social nas Equipas de Cuidados Paliativos." Master's thesis, 2021. http://hdl.handle.net/10316/98789.

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Dissertação de Mestrado em Cuidados Continuados e Paliativos apresentada à Faculdade de Medicina<br>Introdução: O aparecimento dos cuidados paliativos em Portugal veio procurar colmatar as fragilidades que existiam nesta área. No entanto, apesar da evolução e melhoria destes cuidados, ainda existem muitas discrepâncias e assimetrias no território Nacional, quer em relação à capacidade das respostas atuais nesta área quer à falta de equipas ou unidades especializadas em cuidados paliativos. Com a elaboração desta dissertação procurou-se aprofundar o conhecimento e evidenciar as necessidades de

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Cardoso, Maria Goreti Amaral Ferreira. "Motivos que estão na base da escolha do local onde gostariam de serem cuidados os doentes paliativos." Master's thesis, 2018. http://hdl.handle.net/10400.14/28217.

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Introdução: A busca da qualidade dos cuidados que prestamos aos doentes é um processo de procura permanente. Devemos certificarmo-nos do que os utentes querem, conhecer os motivos das suas escolhas e deste modo, devemos ir ao encontro de soluções que promovam o seu bem-estar. Este estudo tem como objetivo descrever os motivos que estão na base da escolha do local, onde gostariam de serem cuidados, os doentes que se encontram internados em Unidades de Cuidados Paliativos. Metodologia: Estudo descritivo simples, observacional e transversal com metodologia quantitativa. Aplicado um questio

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Costa, Ana Maria Pereira Mota da. "Enfermagem médico-cirúrgica em contexto de unidade de cuidados intensivos." Master's thesis, 2020. http://hdl.handle.net/10400.14/30890.

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No âmbito da unidade curricular “Estágio Final e Relatório” lecionado no Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica da Universidade Católica Portuguesa – Porto, surge o presente trabalho como um instrumento de avaliação que comporta uma reflexão crítica sobre diversos aspetos, como o processo de pensamento e tomada de decisão que esteve na base das opções realizadas aquando o planeamento e implementação das intervenções durante o estágio. Os estágios foram realizados numa Unidade de Cuidados Intensivos Polivalente e numa Unidade de Cuidados Intensivos de Cardiolog

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Matos, Ana Leonor Vasconcelos Vilar Cadete de. "Internship in palliative care : in the palliative care, pain therapy and rehabilitaion unit : Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy : final report." Master's thesis, 2019. http://hdl.handle.net/10400.14/28759.

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The possibility to work for three months in Istituto Nazionale dei Tumori in Milan gave me the opportunity to develop practical skills in Palliative Care, which I felt I lacked. It also provided me the chance to work in a renowned institution, side by side with specialists with a vast experience in providing advanced holistic care to cancer patients. The opportunity was both appealing and challenging. My main goals were: to develop skills in the comprehensive assessment of pain and other symptoms from cancer and its treatment; to monitor patients for adequacy of symptom relief; to improv

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CHEN, HSIU-CHEN, and 陳秀珍. "The Relationships of Cognition, Attitude and Needs in Family Members of Intensive Care Unit Patientswith Palliative Care." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/aw43d3.

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碩士<br>輔仁大學<br>跨專業長期照護碩士學位學程在職專班<br>107<br>The purpose of this study was to explore the relationship of cognition, attitude and needs toward palliative care on family members with patients at the adult Intensive Care Unit (ICU). The study was a cross-sectional descriptive research. There were 90 family members, with patients at the adult ICU in a medical center in northern Taiwan, selected by using purposive sampling method. The data were analyzed by SPSS 20.0. The results showed that: (1) Fifty percent of the DNR (Do Not Resuscitate) consents were signed by adult children. (2) Twenty percent o

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Adams, Judith Ann. "Family Perspectives of Nursing Strategies to Facilitate Transition from Curative to Palliative Care in the Intensive Care Unit." Diss., 2013. http://hdl.handle.net/10161/8055.

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<p>Problem: Family members of patients dying in the ICU are faced with agonizing dilemmas, the consequences of which might haunt them for a lifetime. Providing these family members with meaningful support and information is imperative. Nurses, by virtue of the time spent at the bedside and knowledge of patient and family needs, are in a unique position to support family members. The literature provides ample studies of how nurses perceive they are involved in EOL decision-making and several studies describing what family members perceive that they need from health care professionals in genera

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Yeh, Fang-Chen, and 葉芳辰. "Nurses’ Knowledge of Hospice Palliative Care Act and Attitude Toward Do Not Resuscitate in the Neonatal Intensive Care Unit." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/66890231526676604455.

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碩士<br>國立臺灣大學<br>護理學研究所<br>104<br>Background and objective: Nurses’ knowledge of Hospice Palliative Care Act and attitude toward “Do Not Resuscitation (DNR)” will affect patients and their families in decision-making and hospice care. As most of the studies focued on adults, few studies explored the issues of neonatal do not resuscitation. The purpose of this study was: (1) to investigate nurses’ knowledge of Hospice Palliative Care Act in the neonatal intensive care unit (NICU), (2) to investigate nurses’ attitude toward caring DNR infants in the NICU, (3) to analysis related factors that affe

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Andrews-Hall, S. ""Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit." Thesis, 2010. https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf.

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The adoption of a palliative approach to the care within Australian Residential Aged Care Facilities (RACFs) has been supported by a range of policy and best-practice initiatives. There is a considerable body of evidence demonstrating that most people who live in RACFs are highly dependent, are likely to have dementia and will die in these locations. Dementia is recognised to be a terminal condition, further underscoring the need for appropriate and timely care. However, issues of equity and quality of palliative care for people with dementia have raised concerns about the capacity of R

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Yao, Chien-An, and 姚建安. "The Pilot Study of Care Needs and Satisfaction of Family Caregivers of Terminal Cancer Patients in a Palliative Care Unit." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/76393193824377707514.

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碩士<br>國立臺灣大學<br>預防醫學研究所<br>90<br>This pilot study is to establish the questionnaire concerning about the care needs and satisfaction of family caregivers of terminal cancer patients who received inpatient palliative care. We revised the preliminary questinnaires from interviews with family caregivers by semi-constructive interview guide in a 17-bed palliative care unit. There are 38 items which contain care needs and needs satisfaction which both scored the priority by Likert-type scale (0~ 4). Sixty family caregivers were enrolled in our study after getting written informed con

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Mayat, Yasmin Mohamed Saleem. "The profile of chronic pain patients attending the Helen Joseph Hospital Pain Management Unit." Thesis, 2014. http://hdl.handle.net/10539/17384.

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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Science in Medicine in the branch of Anaesthesiology Johannesburg, 2014<br>BACKGROUND: Chronic pain is a biopsychosocial phenomenon that can have a profound impact on people’s lives. Internationally, chronic pain is being recognised as a health priority. South Africa is a developing country with limited resources that are directed at catering for a growi

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Hildebrandt, Tracy L. "Evaluation of the bereavement program of the palliative care unit at St. Boniface General Hospital : a pilot study." 2009. http://hdl.handle.net/1993/3536.

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The period of bereavement has been linked with changes in physical and mental functioning of the individual, with the precipitation of illness or death, with the increase of health threatening behaviors such as drinking, smoking and drug use, and with the increased used of health services. The strain on the health status of the individual has implications for society and the health care system. Different types of interventions have been postulated to ameliorate the effects of bereavement such as mutual support groups, hospice programs, and psychotherapy. It is unclear which intervention is mos

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Men-Jim, Chen, and 陳孟君. "Exploration of Nurses’ Experience on Telephone Caring of Bereaved Families - A Study for Central Taiwan Palliative Care Unit." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/61822985425544043291.

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碩士<br>國立臺北護理健康大學<br>生死教育與輔導研究所<br>101<br>Grief is a unique response to loss. Even though people recognize that death can cause the intense grief, it is often overlooked. Grief counseling is one of the important nursing concept in palliative care, thus the palliative teams would take the initiative to provide support for the bereaved family. Providing “telephone caring” for the bereaved is the first step of aftercare service in palliative care. The focus of this research is to investigate nurses’ experience, feeling and needs while they are working on the telephone therap caring , in order to i

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Wang, Tse-Ya, and 王則雅. "The Action Research of Grief Counseling through Telephone with Solution-Focused Brief Therapy – A study for Bereavement Service in the Palliative Care Unit." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/qr4d67.

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碩士<br>國立臺北教育大學<br>心理與諮商學系碩士班<br>106<br>The purpose of this study was to improve the bereavement service from a palliative care unit in a hospital. This study adopted solution-focused brief therapy to telephone care (SFBTT), followed an action research. The participants include one care provider and 7 bereaved people. The author presented the conclusions: SFBTT may develop appropriate intervention strategies for bereavement services in a hospital. SFBTT and SFBTT-record sheets is a tool to orient the conversation and evaluate the grief reactions, therefore, it reinforces the sense of self- effi

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Dias, Ana Sofia Silva. "Referenciação para unidades de internamento de cuidados paliativos portuguesas : quando?, quem? e porquê?" Master's thesis, 2012. http://hdl.handle.net/10400.14/10518.

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Os cuidados paliativos estão em desenvolvimento no nosso país e no mundo, fornecendo resposta humanizada e interdisciplinar aos doentes/famílias, tanto nas unidades de internamento, como pela acção das equipas intra-hospitalares e de apoio domiciliário. A referenciação para estes cuidados deve preferencialmente ocorrer no momento do diagnóstico de uma doença prolongada, incurável e progressiva, para que se possam detectar precoce e sistematicamente as necessidades não satisfeitas, favorecer a prevenção dos sintomas e fortalecer relações emocionais entre o doente e família, promovendo a

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