Homepage | BMJ Supportive & Palliative Care
WEBBMJ 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 ...
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.
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 ...
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.
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 ...
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 ...
Parental death: a systematic review of support experiences and …
WEBNov 15, 2022 · Background Bereaved people need a supportive response from those around them. Knowing children’s and surviving parents' needs following parental death is the first step to ensuring a supportive response. However, no systematic review has reported on this phenomenon. Aim To systematically identify and synthesise qualitative literature exploring support experiences of parentally bereaved ...
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 ...
Table of contents | BMJ Supportive & Palliative Care
WEBQualitative & mixed methods. Supportive relationships between patients and family caregivers in specialist palliative care: a qualitative study of barriers and facilitators (29 November, 2023) Rachel McCauley, Karen Ryan, Regina McQuillan, Lucy E Selman, Geraldine Foley.
Improving care for patients whose recovery is uncertain. The …
WEBWhat is the AMBER care bundle? A care bundle is a set of evidence-based, or self-evident good-practice-based interventions for a defined patient population and care setting.10 It will typically consist of a small number of interventions (normally 4–5), which when implemented together, are associated with improvements in clinical outcomes11, 12 as well as reliability, consistency and ...
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