Year 2020 / Volume 27 / Number 2

Med Paliat. 2020; 27(2): 69-70 / DOI: 10.20986/medpal.2020.1156/2020
Alberto Meléndez Gracia1, Esther Limón Ramírez1
1Junta de la SECPAL,

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Med Paliat. 2020; 27(2): 71-78 / DOI: 10.20986/medpal.2020.1123/2019
Silvia Allende-Pérez1, Arcelia Alanis-Cho1, Abel Delgado-Fernández2, Adriana Peña-Nieves1, Emma Verástegui-Avilés1
1Departamento de Cuidados Paliativos. Instituto Nacional de Cancerología, Ciudad de México. 2Estudios de Pregrado. Universidad Nacional Autónoma de México, Ciudad de México


Background and objective: The WHO considers that, for a successful integration of PC in society, education of health professionals and the general population is necessary. However, information on the knowledge undergraduate medical students have on PC is scarce. This study explores the level of knowledge and skills of medical undergraduate students to face situations at the end of...

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Med Paliat. 2020; 27(2): 79-87 / DOI: 10.20986/medpal.2020.1127/2019
Alberto Hiciano Guillermo1, Marta Jover Aguilar2, Laura Martínez-Alarcón3
1Hospital General Universitario Reina Sofía. Instituto Murciano de Investigación Biosanitaria, Murcia. 2Instituto Murciano de Investigación Biosanitaria, Murcia. 3Instituto Murciano Investigación Biosanitaria. Hospital Clínico Universitario Virgen de la Arrixaca, Murcia


Introduction: Sometimes nurses do not feel sufficiently prepared to provide quality palliative care. Several studies have confirmed this fact, which implies nurses have a mid or low level of knowledge. The aim of this study was to assess the level of knowledge nurses possess regarding the basic concepts of palliative care, and the variables associated to that level of knowledge.

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Med Paliat. 2020; 27(2): 88-97 / DOI: 10.20986/medpal.2020.1131/2019
Maider Urtaran-Laresgoiti1, Janire Fonseca Peso2
1Deusto Business School Health. Universidad de Deusto, Bilbao. 2Departamento de Pedagogía Social y Diversidad. Universidad de Deusto, Bilbao


Background: The expression of sexuality is an important factor in the quality of life of patients with advanced disease or at the end of life. However, necessities in the area of sexuality are scarcely covered due to lack of consideration, capabilities, and trust of healthcare professionals. This exploratory study analyzes the perception of palliative care professionals on how sexuality...

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Med Paliat. 2020; 27(2): 98-105 / DOI: 10.20986/medpal.2020.1136/2020
Claudio Calvo Espinós1, Beatriz Galañena Jamar2, Marcos Lama Gay3, Estefanía Ruiz de Gaona Lana4
1Servicio de Cuidados Paliativos. Fundación Rioja Salud, Logroño. 2Atención Primaria. Centro de Salud de San Juan, Pamplona. 3Atención Primaria. Centro de Salud de Isaba, Isaba. 4Servicio de Hematología y Hemoterapia. Fundación Hospital Calahorra, Calahorra


Introduction: Delirium is a negative prognostic factor in the geriatric population and in advanced disease. There is no research that focuses on the population attended to by specific palliative care teams.
Objective: To analyze the survival of patients who develop delirium during their stay in a palliative care hospitalization unit.
Methodology: A descriptive retrospective...

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Med Paliat. 2020; 27(2): 106-113 / DOI: 10.20986/medpal.2020.1140/2020
Myriam Oviedo Briones1, Beatriz Perdomo Ramírez2, Jackeline Marttini Abarca3, Leyre Díez Porres4
1Servicio de Geriatría. Hospital Universitario La Paz, Madrid. 2Servicio de Geriatría. Hospital Central de la Cruz Roja San José y Santa Adela, Madrid. 3Servicio de Geriatría. Hospital Clínico San Carlos, Madrid. 4Unidad de Cuidados Paliativos. Hospital Universitario La Paz, Madrid


Introduction: The difficulty of concluding that a patient with advanced dementia is at the end of his or her life means that the adequacy of therapeutic efforts is not always achieved, and patients may be subjected to disproportionate diagnostic and therapeutic techniques. This study aims to analyze palliative management and symptom control in these patients.
Material and methods:...

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Med Paliat. 2020; 27(2): 114-120 / DOI: 10.20986/medpal.2020.1148/2020
Elena Ávila1, Helena Carretero2, Pablo Sastre1, José Carlos Bermejo3, Marta Villacieros2
1Unidad de Cuidados Paliativos. Centro San Camilo, Tres Cantos . 2Investigación. Centro San Camilo, Tres Cantos. 3Dirección. Centro San Camilo, Tres Cantos


Aim: To evaluate concordance between the clinical prediction of survival (CPS) at the time of admission in a palliative care (PC) unit and actual survival time (ST), as well as the influence of illness type (cancer or otherwise), unit of provenance (home care [ESAPD and AECC] and hospital [with or without a PCU]).
Methods: A retrospective study of patients admitted over one year...

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Med Paliat. 2020; 27(2): 121-135 / DOI: 10.20986/medpal.2020.1143/2019
Silvia Benito Costey1, Nuria Martín Ruiz1, Roberto Alijarde Lorente1, José Miguel Martínez de Zabarte Fernández1, Silvia Beatriz Sánchez Marco1, Víctor Adán Lanceta1, Álvaro Navarro Mingorance2, Jesús Martín-Calama Valero1
1Unidad de Pediatría. Hospital Obispo Polanco, Teruel . 2Unidad de Cuidados Paliativos Pediátricos. Hospital Niño Jesús, Madrid


Background: The diagnosis of a life-limiting pathology in a child causes a great impact for the entire family and especially for siblings.
Objective: This text aims to explore several aspects in the siblings of pediatric patients in palliative care.
Method: Elaboration of a meta-synthesis of literature texts related to aspects of the siblings of children with a life-limiting...

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Special Article
Med Paliat. 2020; 27(2): 136-137 / DOI: 10.20986/medpal.2019.1065/2019
Pilar Munuera Gómez1, Anna Novellas Aguirre de Cárcer2
1Facultad de Trabajo Social. Universidad Complutense de Madrid, Madrid. 2Asesoría en Intervención Psicosocial . Observatorio Qualy. Instituto Catalán de Oncología,


The possibilities of mediation are presented in response to the management of the individual, family and social conflicts that patients in a terminal or advanced situation may have. The use of conflict resolution techniques is necessary in advanced diseases to implement communication between family members and professionals in order to reach agreements in decision making at the end...

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Clinical Notes
Med Paliat. 2020; 27(2): 141-145 / DOI: 10.20986/medpal.2020.1130/2019
Juana Pinar Sánchez1, Manuel Gerónimo-Pardo2
1Unidad de Cuidados Paliativos / Medicina Interna. Hospital de Hellín, Hellín. 2Anestesiología, Reanimación, Terapéutica del Dolor. Complejo Hospitalario Universitario de Albacete, Albacete


A frail patient was suffering from chronic leg ulcers superinfected by methicillin-resistant Staphylococcus aureus and sensitive Pseudomonas aeruginosa, and causing severe somatic and neuropathic pain, which was refractory to conventional systemic analgesics. The patient accepted to be treated with topical sevoflurane as off-label treatment. Pain completely disappeared after the first...

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Letters to Director
Med Paliat. 2020; 27(2): 146-147 / DOI: 10.20986/medpal.2020.1103/2019
Gabriela Picco1, Marta Errasti1, Isabel Erquiaga1, Rocío Ríos Cabrera1
1Unidad de Cuidados Paliativos. Hospital San Juan de Dios, Pamplona

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Med Paliat. 2020; 27(2): 148-149 / DOI: 10.20986/medpal.2020.1114/2019
Gabriela Picco1, Rocío Ríos Cabrera2, Isabel Erquiaga1, Wilfredo Bendezú Romero3
1Unidad de Cuidados Paliativos. Hospital San Juan de Dios, Pamplona. 2Equipo de Soporte Domiciliario. Hospital San Juan de Dios, Pamplona. 3Centro de Salud Mental de Burlada, Pamplona

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Med Paliat. 2020; 27(2): 150-151 / DOI: 10.20986/medpal.2020.1126/2019
Iago Villamil Cajoto1, Lucía Balea Vázquez1, Alicia Álvarez Pérez1, Carmen Martínez Lamas1
1Hospitalización a Domicilio, Cuidados Paliativos. Hospital da Costa Burela, Burela

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