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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Sedatives and Hypnotics: Overview01:23

Sedatives and Hypnotics: Overview

Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Related Experiment Videos

Palliative sedation at home.

Ora S Rosengarten1, Yonat Lamed, Timna Zisling

  • 1Jerusalem Home Hospital Unit, Institute of Geriatric Medicine, Clalit Health Services, Jerusalem, Israel.

Journal of Palliative Care
|May 19, 2009
PubMed
Summary
This summary is machine-generated.

Palliative sedation (PS) at home is feasible for terminally ill patients. This study found home PS effectively controlled symptoms like pain and agitation, allowing most patients to die comfortably at home.

Related Experiment Videos

Area of Science:

  • Palliative Care
  • End-of-Life Care
  • Symptom Management

Background:

  • Home-based palliative care is common for dying patients.
  • Literature on palliative sedation (PS) in home settings is limited.
  • PS may be indicated for refractory symptoms in terminal illness.

Purpose of the Study:

  • To describe the use and outcomes of palliative sedation (PS) for terminally ill patients receiving home care.
  • To evaluate the feasibility and success of home-based PS in managing intractable symptoms.

Main Methods:

  • Retrospective chart review of 36 patients who received home PS between December 2000 and March 2006.
  • Analysis of patient demographics, diagnoses, symptoms, drugs used, duration of sedation, and symptom control.
  • Documented outcomes including symptom control and place of death.

Main Results:

  • 36 patients (median age 65) received home PS, predominantly for cancer (35 patients).
  • Commonly treated symptoms included intractable pain, agitation, and existential suffering.
  • Good symptom control was achieved in 28 patients; 34 died at home. Median sedation duration was 3 days, with symptom control in 24 hours.

Conclusions:

  • Palliative sedation (PS) is a feasible and successful option for managing refractory symptoms in terminally ill patients at home.
  • Home-based PS can improve end-of-life care for patients preferring to die at home.
  • This approach supports patient preference and enhances comfort during the dying process.