在生命末期 (EOL) 儿科瘤学患者中利用息性辐射
Andrea Cuviello1, Angélica F Figueroa Guzmán2, Emily Zeng3
1Phoenix Children's (A.C.), Phoenix, Arizona, USA.
Journal of pain and symptom management
|August 16, 2024
概括
息性辐射疗法 (pXRT) 在儿科癌症终身护理中未得到充分利用,尽管可以减少疼痛并改善生活质量. 标准化的指导方针和早期的息护理整合可以增加它的使用.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 辐射瘤学 辐射瘤学
背景情况:
- 生命末期的痛苦影响了患有癌症的儿童及其家人.
- 息性辐射 (pXRT) 可以缓解疼痛并改善生活质量.
研究的目的:
- 评估息性辐射 (pXRT) 在终身儿科瘤患者 (EOL) 的利用和结果.
主要方法:
- 对11年内死亡的儿科瘤病人的医疗记录的回顾性审查.
- 用描述性分析和非参数测试来分析数据.
主要成果:
- 息性辐射疗法 (pXRT) 用于7.6%的儿童癌症死亡.
- pXRT主要治疗固体瘤,中枢神经系统瘤和白血病患者的疼痛.
- 58%的患者经历了疼痛减轻,87%的患者接受了儿科息治疗 (PPC) 咨询.
结论:
- 息性辐射疗法 (pXRT) 在儿科生命终端护理中未得到充分利用和不一致地应用.
- 障碍包括医生的看法,患者/家庭偏好和后勤问题.
- 建议采用标准化指导方针,及早整合儿科息护理 (PPC),以提高pXRT的利用率.
相关概念视频
Nursing Ethical Principles II
936
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
936
Continuing Care
1.4K
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,...
1.4K
Radiological Investigation III: Pulmonary Angiogram and PET Scan
89
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
89
Ethical Issues
879
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
879
Cancer Survival Analysis
334
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
334


