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Continuing Care01:25

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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,...
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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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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:
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Physiotherapy applied to palliative care patients: a descriptive practice-based study.

A Navarro-Meléndez1,2,3, M J Gimenez4, Y Robledo-Donascimento4,5

  • 1Rehabilitation area, Hospital Fundación Instituto San José, Avenida de la Hospitalidad s/n, Madrid, 28054, Spain. ana.navarrom@sjd.es.

BMC Palliative Care
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Summary

Physiotherapy in Palliative Care Units (PCU) significantly improved patient functionality and independence, particularly for males with advanced cancer. This study highlights the added value of non-pharmacological interventions in palliative care.

Keywords:
BarthelBradenFunctional ambulation categories scaleMeSH/ DeCS terms: palliative carePalliative Performance ScalePhysical therapyQuality of lifeRehabilitation

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Area of Science:

  • Palliative Care Medicine
  • Rehabilitation
  • Geriatrics

Background:

  • Growing evidence supports physiotherapy in Palliative Care Units (PCU) for non-pharmacological symptom management.
  • Further data are needed to establish the precise added value of physiotherapy in PCU.
  • This study investigates patient characteristics and functional outcomes of physiotherapy in a PCU setting.

Purpose of the Study:

  • To describe the profile of patients receiving physiotherapy in a PCU.
  • To evaluate the functional benefits of physiotherapy in relation to patient dependence.
  • To assess the impact of physiotherapy on daily living activities in PCU patients.

Main Methods:

  • Observational, prospective, descriptive study in a Palliative Care Unit (PCU).
  • Inclusion of patients meeting physiotherapy intervention criteria.
  • Assessment using Barthel Index, Functional Ambulation Categories (FAC), Palliative Performance Scale, and Braden scale before and after treatment.

Main Results:

  • 63 patients included (mean age 71.98 ± 12.72, 61.9% males), predominantly with oncological processes (92.1%).
  • Pre-treatment: 44.4% total dependence (Barthel Index), 58.7% non-functional ambulator (FAC scale).
  • Post-treatment: Total dependence reduced to 23.8%, non-functional ambulators to 19.0%.

Conclusions:

  • Physiotherapy in PCU benefited predominantly male oncological patients, particularly those with lung cancer.
  • Palliative care incorporating physiotherapy enhanced patient functionality, independence, and daily living skills.
  • Physiotherapy is a valuable component of palliative care, improving quality of life.