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Rozprawy doktorskie na temat „Palliative care”

Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 25 lipca 2025

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1

Perun, O., and V. Klimenko. "Palliative care." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27488.

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Perun, O., and V. Klimenko. "Palliative care." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27492.

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Ortenmo, Andreas. "Efter utbildning av palliativa ombud : En utvärdering av möjligheter och hinder i arbetet med palliativa frågor." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192506.

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Syfte: Syftet med denna studie var att utvärdera om de palliativa ombud som utbildats av Palliativt Kompetenscentrum mellan hösten 2008 och våren 2012 anser att de kan arbeta med palliativa frågor på sin arbetsplats. Metod: En icke experimentell empirisk tvärsnittsstudie med mixad metod i form av en enkätundersökning riktad till samtliga som gått utbildningen till palliativt ombud och som lämnat sin e-postadress vid kursregistreringen. Resultat: Både medarbetare och överordnade ger ett bra stöd i arbetet med palliativa frågor och i ambitionen att arbeta enligt ett palliativt för
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Ngowi, Epiphania. "Assessing palliative care policies in Africa: Implication for paediatric palliative care." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32956.

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Around the world, there are millions of children who need palliative care from the moment they are diagnosed with life-threatening and life-limiting illnesses, yet very few children have access to palliative care services. In many African countries, where palliative care is still new, many children with chronic illnesses continue to experience needless pain and suffering. The World Health Assembly Resolution 67.19 made a clear call for governments around the world to implement palliative care policies. Such policies should support the “comprehensive strengthening of health systems to integrate
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Spaar-Huber, Silvia. "Sozialarbeit unterwegs zu Palliative Care?! zur Funktion der Sozialarbeit in Palliative Care." Zunzgen Rubigen Bern Ed. Soziothek, 2006. http://www.soziothek.ch/?978-3-03796-154-4.

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Greaves, Judith M. "Understanding palliative care: An ethnographic study of three Australian palliative care services." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2005. https://ro.ecu.edu.au/theses/1553.

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Palliative care commenced in Australia in the early 1980s. Although the value of palliative care has become more widely recognised by the public and other health care professionals, there is still a lack of understanding about what palliative care is and the depth and scope of this specialty area of health care. The research that I present in this thesis is based on examination of palliative care practice in a selection of Australian services, undertaken with the aim of enhancing understanding of Palliative Care. The significance of the research arises from the notion that members of the Austr
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Täckström, Linda, Annette Johansson, and Lundholm Anne Björkegren. "Relations in palliative care." Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3601.

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<p>Abstract</p><p>Background: Relation means the relationship between two parts. By creating a good relation between nurse and patient you can conduce a better caring. Aim: The aim of the study was to illustrate the relation within palliative care from nurse- patient perspective. Method: The study is a literature review where ten articles were analysed with qualitative content analysis. Results: The findings showed that knowledge, communication, continuity, silence and availability were the most important thing for the nurse in the relationship. Energy, regular contacts, having time and the nu
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Buttry, Nancy Kyle. "Palliative Care: Viewpoints from Nurses." OpenSIUC, 2016. https://opensiuc.lib.siu.edu/dissertations/1300.

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TITLE: Palliative Care: Viewpoints from Nurses Palliative Care has been described as care that includes the physical, intellectual, emotional, social, and spiritual needs of an individual when they are diagnosed with a serious or life-limiting illness. The ultimate goal of palliative care is to promote the best quality of life possible. Palliative care should be implemented across the lifespan and across different health care settings. The purpose of this study was to describe the perceptions, impact, and meaning of palliative care from the viewpoint of nurses who provide basic palliative c
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9

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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Daniels, Alexandra. "Paediatric Palliative Care - describing patient needs and the experiences of caregivers and health care workers in a Cape Town Paediatric Intermediate Care Facility." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33603.

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Aim: The study describes the population (and care needs) of children admitted to the facility, the experiences of their primary caregivers and the health care workers caring for them. Methodology: This was a descriptive study that utilised elements of both prospective and crosssectional design. The health records of 25 patients were reviewed and matched caregivers partook in a three-part questionnaire. Focus group discussions were conducted with 15 health care workers at a single point during the study. Results: The majority (48%) of patients were referred to the facility for transitional care
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Haynes, Liana Iris, and Liana Iris Haynes. "Palliative Care: Attitudes and Practices of Trauma Care Providers." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624549.

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Background: Palliative care focuses on improving quality of life for patients and their families by providing relief from the stress, pain, and other symptoms of a serious disease or injury. Trauma care has a heavy focus on improving resuscitation efforts, which has left little room in the literature for studies on utilization of palliative care in this population. Objective: The purpose of this DNP project was to better understand the use of palliative care for trauma patients at a Level 1 trauma center in southern Arizona to inform a future quality improvement (QI) project. Project Desig
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12

Bradley, Sarah Elizabeth. "Specialist palliative day care : patients' perspectives." Thesis, University of Hull, 2009. http://hydra.hull.ac.uk/resources/hull:3970.

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This portfolio has three parts. Part one is a systematic literature review entitled ‘Patients' Psychosocial Experiences of Attending Specialist Palliative Day Care: A Systematic Literature Review’. Recent reviews conclude that the benefits of attending Specialist Palliative Day Care are likely to be in the social, psychological and spiritual domains. However these areas are not easily identified, leaving researchers and practitioners unclear as to what aspects of these domains patients most need and desire. The objective of this review was to systematically evaluate literature on patient perce
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Westerberg, Susan. "Palliative Care : The role of Counsellors." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2237.

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The following article is a study about counsellors working with terminally ill patients receiving Palliative care. In an effort to understand their role in the Palliative team and how they participate in the care of dying individuals, four counsellors working in four different Palliative hospices in Stockholm were interviewed by using structured interviews. The key questions concern the methods and interventions counsellors use, the risk factors that the job entails, the support they receive and finally their reflections about life and death The literature on the topic was accessed via Ersta S
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Kennedy, Owen. "Valuing caregiver burden in palliative care." Thesis, City University London, 2014. https://kclpure.kcl.ac.uk/portal/en/theses/valuing-caregiver-burden-in-palliative-care(582190ea-6bbd-4ebf-8e0a-98eee7832753).html.

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There is a clear need to account for caregiver burden in economic evaluations of healthcare interventions, since omitting it has the potential to produce skewed cost-effectiveness estimates. This is particularly important in palliative care, as interventions in this field are often explicitly intended to help patients’ families and informal caregivers as well as the patients themselves. However, caregiver burden is a complex concept with a number of different dimensions, so valuation can be a challenging task. This paper describes the different dimensions of caregiver burden and provides sugge
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Shekera, N., and M. Kobylchenko. "Provision of servies in palliative care." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/25975.

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Oruč, Mirza. "Comparative Analysis in Palliative Care Competencies." Doctoral thesis, Universidad de Alicante, 2020. http://hdl.handle.net/10045/110519.

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According to the WHO cancer is one of the leading causes of morbidity and mortality in the world. In 2012 there was 14 million of new cases worldwide. A number of new cases is expected to rise in future. An increasing number of cases demanding a new approach from health care systems regarding the staff education, hospital equipment and interprofessional cooperation in order to give full service to the customers (patients). For several years palliative care education is a top priority in the education of nurses due to the fact that there are serious deficiencies in that area (Komaromy et al. 20
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Parrington, Diane J. "Responsible nutrition therapy in palliative care." Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/298731.

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The purpose of this study was to begin to fill the void regarding nutriologic status in patients with Congestive Heart Failure (CHF) and or Chronic Obstructive Pulmonary Disease (COPD) receiving palliative care, and to bring the quality of palliative care to a more appropriate level as related to nutritional injury. Objectives: The objectives were: 1) to determine the prevalence of patients with a stage of nutritional injury at or above the clinical horizon; 2) to determine the response, specifically changes in biochemical parameters and physical manifestations of nutrient based lesions, after
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18

Maarschalk, Therese. "Palliative care : needs and expectations in a HIV Care Centre." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/12135.

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Includes abstract.<br>Includes bibliographical references (leaves 62-68).<br>To determine the demographics and the physical, psychosocial and spiritual needs and expectations for the palliative care of a homeless community in an HIV Care Centre, located in the inner city of Johannesburg.
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Bark, Malin, and Annelie Kilersjö. "Närståendes upplevelse av inskrivningssamtal till palliativt team." Thesis, Sophiahemmet Högskola, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2725.

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Inom palliativ vård är stödet till närstående en av fyra hörnstenar som möjliggör god livskvalitet för patient och närstående. Förutom att stödja patienten behöver närstående även hantera sin egen sorg vilket gör att närstående både ger och behöver stöd. Familjefokuserad omvårdnad är ett förhållningssätt som utgår ifrån familjens betydelse för patientens upplevelse av sjukdom och ohälsa. Vid palliativa teams första möte, inskrivningssamtal, kartläggs patientens och närståendes situation och behov samt, är tänkt att skapa förutsättning för en trygg och tillitsfull vårdrelation. Syftet med studi
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Beynon, Teresa Anne. "Developing education in palliative care for primary health care professionals." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408772.

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Krause, S. R. "An evaluation to asses [i.e. assess] the holistic care of tuberculosis patients with palliative care needs in the Western Cape, South Africa." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/13441.

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Ardegård, Anna. "Sjuksköterskors upplevelser av att vårda personer i behov av palliativ vård på två medicinska vårdavdelningar : en kvalitativ intervjustudie." Thesis, Sophiahemmet Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1895.

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SAMMANFATTNING Många av de som avlider i Sverige idag, avlider på sjukhus, eller tillbringar dagar på sjukhus sitt sista år i livet. På en medicinavdelning vårdas personer med många olika diagnoser och multisjuka äldre. Sjuksköterskor som arbetar på medicinavdelning möter därför många personer som är i behov av palliativ vård. Vården på en medicinavdelning är oftast kurativt och akut inriktad, och den palliativa vården kan därför lätt hamna i skymundan. Värdegrunden i den palliativa vården innefattar närhet, helhet, kunskap och empati. Allmän palliativ vård ska kunna ges till alla patienter so
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Mondejar, Pont Meritxell. "An Integrated Palliative Care System in Osona." Doctoral thesis, Universitat de Vic - Universitat Central de Catalunya, 2020. http://hdl.handle.net/10803/670065.

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L’envellida població del segle XXI pateix malalties cròniques, malalties terminals i multimorbiditat. Les cures pal·liatives han estat tradicionalment la resposta a aquestes afeccions i han evolucionat al que anomenem cures pal·liatives integrades. L’objectiu d’aquest estudi és descriure el sistema de cures pal·liatives d’Osona i identificar els elements que inclou i els que li falten com a sistema integrat en relació als elements essencials descrits a la bibliografia. Aquesta investigació ha seguit una metodologia qualitativa amb una tècnica d’estudis de cas. En conclusió els principals el
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Westergren, Maja, and Oscar Södergren. "Spiritual and Existential needs in palliative care." Thesis, Kristianstad University College, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3677.

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<p>Background: Previous research has shown that the understanding and knowledge about the spiritual needs is not given high priority among nursing staff. During the latest years the body and its functions has controlled the healthcare and the spiritual needs has been placed in the background. All humans have spiritual needs that must be satisfied irrespective of religious background. Aim: The aim of this study was to in a caring perspective illustrate patients’ spiritual and existential needs in palliative care. Method: The study is a literature review where 12 articles has been analyzed and
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Bashir, Kifah, and Yvonne Bengtsson. "Palliative care for pancreatic cancer - patients´ experiences." Thesis, Kristianstad University College, Department of Teacher Education, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-4609.

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<p>To receive a diagnosis of pancreatic cancer can lead to a tremendous change in a person’s life. Thoughts regarding death may cause a personal crisis which can have negative influences on the patient’s social, mental and spiritual state. Most people with pancreatic cancer are diagnosed in a late stage of the disease. Therefore, palliative care is often one of the options that are offered to patients. Moreover, to be able to provide patients with nursing care and tend to their needs, it is very important to see them as unique individuals. The purpose with the literature review was to illustra
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Milberg, Anna. "Family members' experience of palliative home care /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med821s.pdf.

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Aarons, Derrick. "Palliative care, ethics, and the Jamaican paradigm." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23764.

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Palliative care provides symptom control, social, psychological and spiritual care for terminally ill patients, and psycho-social support and bereavement care for their families. Ethics is the study of rational processes for determining the best course of action between conflicting values and choices. All medicine is practiced within a defined cultural setting and local beliefs about health and illness may determine particular solutions to ethical problems.<br>Culturo-religious beliefs and practices in Jamaica are linked historically to its people's African ancestry and to the syncretism of Eu
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Burge, Frederick. "Dehydration symptoms of palliative care cancer patients." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=60446.

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Controversy exists among clinicians and caregivers as to whether reduced fluid intake contributes to the suffering of those dying of advanced cancer. This study explored the distribution of proposed "dehydration state" symptoms among inpatient palliative care cancer patients. Fifty-two subjects responded to a seven item self-report questionnaire using visual analogue scales. Associations were determined between the symptom self-reports and the possible predictor variables fluid intake, serum sodium, urea and osmolality. Confounding variables considered were age, oral disease and mouth care reg
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Dixon, Elizabeth May. "Examining clinical supervison with palliative care nurses." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3029.

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This study focuses on the current issues regarding the provision of clinical supervision for palliative care nurses. NICE (2004) recommendations stated that the task of supervision should be undertaken by „Level 4‟ practitioners such as clinical psychologists or psychiatrists. Palliative care nurses are recognised to experience high levels of stress due to the emotionality of their role. However there appears to be little understanding of how they cope with this aspect of their role. Self care is promoted as a useful strategy; however this is thought to have limitations due to the questionable
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Randall, Fiona Maria. "The philosophy of palliative care : a critique." Thesis, University of Glasgow, 2000. http://theses.gla.ac.uk/3481/.

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Palliative care is unusual as a specialty within health care in that it has its own philosophy, which is summarised in the WHO definition of palliative care. This philosophy has influenced clinical practice so that specialist palliative care differs significantly from other aspects of health care. The thesis is a critique of that philosophy. It examines the moral problems inherent in implementing the philosophy in clinical practice. It concludes with suggestions for improvements which could be made to the philosophy statement so as to influence clinical care for the better. Thesis 1 is that de
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Perone, Jennifer A., Taylor S. Riall, and Kelly Olino. "Palliative Care for Pancreatic and Periampullary Cancer." W B SAUNDERS CO-ELSEVIER INC, 2016. http://hdl.handle.net/10150/622658.

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Most patients with pancreatic cancer will present with metastatic or locally advanced disease. Unfortunately, most patients with localized disease will experience recurrence even after multimodality therapy. As such, pancreatic cancer patients arrive at a common endpoint where decisions pertaining to palliative care come to the forefront. This article summarizes surgical, endoscopic, and other palliative techniques for relief of obstructive jaundice, relief of duodenal or gastric outlet obstruction, and relief of pain due to invasion of the celiac plexus. It also introduces the utility of the
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Mwangi, Samuel M. "Development of Palliative Care around the World." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1312041936.

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Slusher, Kimberlee B. "Early Palliative Care in Advanced Gastrointestinal Cancer." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1588952929366227.

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Iannacone, Stephen Mark. "Systemic and Racial Barriers to Palliative Care." Master's thesis, Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/433062.

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Urban Bioethics<br>M.A.<br>Those who have known an individual with a chronic medical condition or someone that has been diagnosed with a terminal illness have experienced the physical and emotional toll these diagnoses have on both patients and their loved ones. Medical providers encounter these situations daily and are often responsible for assisting the patient and their family in the decision-making process. The specialty of Hospice and Palliative Medicine was created specifically with these difficult, but very common, situations in mind. Even though the concept of palliative care has becom
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Dearing, Kristen R. "A Model for Developing an Outpatient Palliative Care Clinic within an Accountable Care Organization." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/299123.

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The purpose of this practice inquiry project is to create a model for implementing an outpatient palliative care clinic within an organization of healthcare providers who participate in shared savings for Medicare patients, also known as, an accountable care organization (ACO). The goal of this project is that it can be used by future health care administrators to successfully create and implement an outpatient palliative care clinic. The philosophical nursing foundation for palliative care is discussed to set the groundwork for the model proposed. The benefits of palliative care nursing for p
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Crockett, Lisa. "Palliative care needs of pediatric patients & their families : a phenomenological study of multidisciplinary pediatric palliative care team experiences." Thesis, University of Liverpool, 2015. http://livrepository.liverpool.ac.uk/2008831/.

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In the United States, more than 1 million children may be suffering from a life-limiting condition (Ruston and Catlin, 2002, p. 57) for which there is no reasonable hope for cure or long-term survival (Fraser et al, 2012, p. 923). However, less than one percent of these children and their families benefit from the provision of pediatric palliative care (Stayer, 2012, p. 350), which is an innovative health care model designed to address their physical, emotional, psychosocial and spiritual needs from diagnosis through end-of-life. During the last decade, pediatric palliative care has begun to s
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Sargeant, Anita R. "Exploring the complex and dynamic construction of care within palliative care : an ethnographic study of care within and across a specialist palliative care service in England." Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.415243.

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Edström, Malin, and Charlotte Forsgren. "Närståendes upplevelser av stöd vid palliativ vård i hemmet : En litteraturöversikt." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5138.

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Bakgrund: Närstående har en viktig roll i den palliativa vården då många svårt sjuka personer i livets slutskede har en önskan om att vårdas och dö i hemmet. I och med att de närstående får ett stort ansvar kan deras hälsa påverkas och det är därför viktigt att de får stöd i den situation som de befinner sig i. Den palliativa vården består av fyra hörnstenar där närståendestöd är en av dem. Syfte: Syftet var att beskriva vad närstående upplever som stöd när de vårdar en person i livets slutskede. Metod: Metoden var en litteraturöversikt. 14 artiklar hämtades i databaserna Cinahl Complete, MEDL
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Narto, Linda, and Therese Persson. "Upplevelser av palliativ vård i hemmet under livets slutskede – ur ett anhörigperspektiv : En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:du-20934.

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Bakgrund: Palliativ vård handlar om att ge stöd till patienten och anhöriga under och efter vårdtiden. De ”6 s:n” är en arbetsmodell inom palliativ vård där patienten har rätt till självbestämmande och att upprätthålla sina sociala relationer, även stöd till anhöriga ingår. Anhöriga har en betydelsefull roll i den palliativa vården, deras närvaro skapar möjlighet för den döende att vara hemma i livets slutskede. Syfte: Syftet var att beskriva anhörigas upplevelse av palliativ vård i hemmet under livets slutskede. Metod: Litteraturöversikt baserad på 15 vetenskapliga artiklar från fem olika län
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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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Li, Sarah. "Symbiotic niceness : a study of psychosocial care in palliative care settings." Thesis, Goldsmiths College (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275638.

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Almobarak, Fhaied Khalaf. "Exploring the perspectives of nurses, physicians, and healthcare administrators in Saudi Arabian hospitals on palliative care and palliative care nursing." Thesis, Manchester Metropolitan University, 2016. http://e-space.mmu.ac.uk/621247/.

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This thesis presents a qualitative research study, which identifies issues regarding the development of palliative care in the Kingdom of Saudi Arabia (KSA) hospital setting, from the perceptions of healthcare professionals working in Saudi Arabian hospitals. The literature suggests that challenges to palliative care in KSA exist on various levels. At the professional level, they exist where healthcare practitioners may neither be sufficiently equipped nor sufficiently oriented to deal with palliative care concerns. Saudi practitioners may have misconceptions that lead them to recommend or car
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Stewart, Tiffany Nicole, and Tiffany Nicole Stewart. "Palliative Care Education to Increase Outpatient Provider Knowledge and Palliative Care Referral Intent Within Veterans Healthcare System of the Ozarks." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624300.

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Purpose: Examine outpatient providers' perceptions of palliative care education in increasing their understanding, knowledge of resources, and intent to refer. Research questions/goals: 1) Increase provider understanding about palliative care and the benefits that patients can receive as a result of early referral; 2) Increase provider knowledge of palliative care facilities and resources within VHSO; 3) Increase provider intent to use the referral process for patients in need of palliative care. Setting: Veterans Healthcare System of the Ozarks, Fayetteville, Arkansas. Participants: 14 o
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Denton, Anne Paton. "Corticosteroid Prescribing in New Zealand Palliative Care Settings." Thesis, University of Auckland, 2012. http://hdl.handle.net/2292/18013.

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Background Modern palliative care developed in the 1960s in response to the perceived overmedicalisation and lack of recognition of the plight of the terminally ill patient. The development of evidence-based practice for palliative care has been slow and not without its difficulties because clinical trials involving vulnerable dying patients have been problematic. Prescribing in palliative care does appear to be different from other medical specialities; an example of this is the prescribing of corticosteroids. Corticosteroids are a potent group of medicines, with many adverse effects,
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Nasrullah, Ghany. "Caregivers’ experiences of unmet needs during palliative care." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38616.

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Caregivers while, the biggest providers of palliative care for terminally sick patients, are often neglected in the process of providing care, which inadvertently affects their overall health and well-being. This study aims to explore the experiences of the unmet needs of the caregivers in palliative care. The literature review is based on seven quantitative, four qualitative and one mixed methodology approach studies. Results show a shortage of information given to caregivers regarding disease progression, symptomatology, support services and financial services. Furthermore the themes of unme
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Belchamber, Caroline Anne. "Physiotherapy palliative cancer care : a case study approach." Thesis, Bournemouth University, 2016. http://eprints.bournemouth.ac.uk/24774/.

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There is evidence to suggest that the role of the allied health professional continues to evolve in the delivery of palliative cancer care services. Whilst it appears that there is an increasing need for physiotherapists, there is a lack of understanding about the nature of their role, their educational needs and their place within the rehabilitation team. The aim of my work was to explore a local palliative cancer care physiotherapy service provision in the light of best practice recommendations, using both my own practice development and a research study. For my research a qualitative approa
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Jacknicke-Prochnau, Catherine A. "Personal-professional connections in palliative care occupational therapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0001/MQ34378.pdf.

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Cameron, Barbara. "Palliative Care Services Utilization and Location of Death." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/22907.

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In this study, the utilization of palliative care services, acute care services, and location of death for clients who were palliative and receiving services from Champlain Community Care Access Centre (CCAC) in Ontario during their last month of life were investigated. An adaptation of Andersen?s Behavioral Model of Health Services Utilization provided context and structure to this study. This is an historical, quantitative descriptive study using chart audits for data collection. The data on CCAC clients who were palliative and who died during the month of July 2009 were tracked during their
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White, Nicola Gayle. "Clinician estimates of survival in palliative care patients." Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/10022703/.

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Doctors need to identify when palliative care patients are imminently dying so they can adjust their goals of care and treatment accordingly. The systematic review of the literature, completed as part of this thesis, showed that these decisions are very inaccurate. The aim of this thesis was to determine the judgement policies of expert prognosticators (i.e. those clinicians with a proven ability to identify patients in the last 72 hours of life). This information is needed to help the development of training programmes for less expert clinicians. In order to understand decision-making judgeme
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Maree, JE, and SCD Wright. "Palliative care: A positive outcome for cancer patients?" Curationis, 2008. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1000680.

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The development of palliative care in terms of recognizing the needs of the dying, palliative care becoming a nursing and medical speciality, the involvement of the World Health Organization in palliative care and the continuous development of treatment modalities available to cancer patients creates the expectation that the outcomes for the patient should also be positively influenced. The purpose of the study was to determine the most common symptoms of advanced cancer patients treated in a public and private hospital in Tshwane, and whether advances in palliative care improved the outcomes
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