Year 2019 / Volume 26 / Number 4

Editorial

Med Paliat. 2019; 26(4): 263-264 / DOI: 10.20986/medpal.2019.1121/2019

Miguel Ángel Cuervo1, María Nabal Vicuña2, Josep Porta Sales3
1Hospital Universitario Infanta Cristina. Exdirector de Medicina Paliativa, Badajoz. 2Responsable del equipo de Cuidados Paliativos. Hospital Universitario Arnau de Vilanova. Exdirectora de Medicina Paliativa, Lleida. 3Instituto Catalán de Oncología. Exdirector de Medicina Paliativa, Barcelona

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Original

Med Paliat. 2019; 26(4): 265-271 / DOI: 10.20986/medpal.2019.1021/2018

Mauricio Arias Rojas1, Sonia Carreño Moreno2, Juan Rafael López3
1Facultad de Enfermería . Universidad de Antioquía, Medellín. 2Facultad de Enfermería . Universidad Nacional Colombia, Sede Bogotá, Grupo Investigación Cuidado Enfermería Paciente Crónico, Bogotá . 3Especialista en Cuidados Paliativos. Hospital Universitario Nacional , Bogotá

ABSTRACT

Introduction: The Uncertainty in Illness Scale is a tool available to nursing professionals to measure the uncertainty people experience in relation to their disease. Family caregivers of patients in palliative care experience high levels of uncertainty due to their relative’s condition. Currently there are no validated tools in the Spanish language to measure uncertainty in caregivers...

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Med Paliat. 2019; 26(4): 272-279 / DOI: 10.20986/medpal.2019.1087/2019

Denisse Parra-Giordano1, Pilar Cornejo Rivas1, María Inés Ferrada Carrasco1, Rocío Gómez García1, Cristina Muñoz del Pino1
1Departamento de Enfermería, Escuela de Enfermería. Universidad de Chile, Santiago

ABSTRACT

Objective: To describe the sociodemographic and clinical characteristics of the patients receiving palliative care in the primary health care (PHC) setting during home visits in the ‘commune’ of Cerro Navia through a quantitative research using secondary sources from July 2017 to June 2018.
Methods: A quantitative research using a non-experimental, cross-sectional, descriptive...

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Med Paliat. 2019; 26(4): 280-289 / DOI: 10.20986/medpal.2019.1070/2019

Eduardo García Romo1, Beatriz Valle Borrego2, Victoria Galindo Vázquez1, Blanca Prieto Ríos1, Ana de Santiago Ruiz3, María Herrera Abián4, Álvaro Gándara del Castillo1
1Unidad de Cuidados Paliativos. Hospital Universitario Fundación Jiménez Díaz, Madrid. 2Urgencias. Hospital Universitario Severo Ochoa, Leganés. 3Unidad de Cuidados Paliativos. Hospital Centro de Cuidados Laguna, Madrid. 4Unidad de Cuidados Paliativos. Hospital Universitario Infanta Elena, Valdemoro

ABSTRACT

Background and Objectives: The more patients cared for in palliative care, the more complicated situations arise – for example, palliative sedation due to a refractory symptom. Many factors may complicate a difficult sedation because of drug tolerance or interactions and psychological assessment. Resistance to usual sedative medications is frequent in these situations, and other pharmaceuticals...

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Med Paliat. 2019; 26(4): 290-299 / DOI: 10.20986/medpal.2019.1071/2019

Eduardo García Romo1, Beatriz Valle Borrego2, Victoria Galindo Vázquez1, Pablo Sánchez Chica1, Esther Martín Molpeceres1, Bernadette Pfang3, Álvaro Gándara del Castillo1
1Unidad Cuidados Paliativos. Hospital Universitario Fundación Jiménez Díaz, Madrid. 2Urgencias. Hospital Universitario Severo Ochoa, Leganés. 3Medicina Interna. Hospital Universitario Fundación Jiménez Díaz, Madrid

ABSTRACT

Background and objectives: Nowadays palliative care treatments are well recognized, and many patients are referred with intractable symptoms. Patients in agony with refractory symptoms require sedation. The use of sedation for purely emotional or existential suffering is controversial. The objectives of this study are: a) to report the frequency of sedation in agony in a Palliative...

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Med Paliat. 2019; 26(4): 300-308 / DOI: 10.20986/medpal.2019.1076/2019

Carmen Santiago Trapero1, Enrique Arrieta Antón1, Leandro Maroto Gómez2
1Equipo de Atención Primaria. Centro de Salud Segovia Rural, Segovia. 2Equipo de Soporte de Cuidados Paliativos. Área de Salud de Segovia, Segovia

ABSTRACT

Introduction: Morbidity data related to chronic disease in the Segovia Health Area do not allow an understanding of the palliative care needs of patients and their families. The NECPAL CCOMSICO © project may represent an appropriate tool for the identification of patients with advanced chronic conditions who require palliative care in any of the health system resources.
Objective:...

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Special Article

Med Paliat. 2019; 26(4): 309-317 / DOI: 10.20986/medpal.2019.1099/2019

María Lucía Samudio1, Alicia Krikorian2, María Clara Vélez3, Silvia Librada Flores4, Verónica Agudelo5, Mercedes Franco6, Constanza González Giraldo7, Sandra Milena Cortés García8
1Facultad de Medicina, Dpto. de Medicina Interna. Universidad de La Sabana, Bogotá, Chía. 2Grupo de Dolor y Cuidado Paliativo, . Escuela de Ciencias de la Salud. Universidad Pontificia Bolivariana, Medellín. 3Grupo de Dolor y CP. Escuela de Ciencias de Salud. Universidad Pontificia Bolivariana. Clínica Universitaria Bolivariana, Medellín. 4Fundación New Health. Programa Todos Contigo, Sevilla. 5Facultad de Psicología. Universidad Pontificia Bolivariana, Medellín. 6Fundación Cuidados Paliativos. Programa Unidos por la Compasión, Cali. 7Fundación Keralty. Directora Programa Comunitario, Bogotá. 8Ami Pallium Colombia. Fundación Pallium Colombia, Bogotá, Fusagasugá

ABSTRACT

Many middle-income countries are facing an advanced demographic change towards ageing. Caring for this heterogeneous population represents a challenge for health systems and requires a growing participation of the community, considering the high prevalence of chronic diseases in the elderly, and their frequent functional dependence and fragility, which altogether impacts their quality...

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Clinical Notes

Med Paliat. 2019; 26(4): 318-321 / DOI: 10.20986/medpal.2019.1075/2019

Mariela Rocío Rodríguez Rico1, Deborah Moreno-Alonso2, Maria Labori Trias2, Montserrat Olmo-Plaza2
1Unidad de Cuidados Paliativos. Hospital Enrique Tornú, Buenos Aires. 2Servicio de Cuidados Paliativos . Institut Català d’Oncologia , L’Hospitalet de Llobregat

ABSTRACT

We report the case of a woman with a history of chronic paranoid schizophrenia on treatment with various antipsychotic drugs and with signifi cant family fragility who presented at the emergency room with paraplegia for the past few days. She was finally diagnosed with spinal cord compression due to advanced lung cancer. In this case report we want to highlight the importance of early...

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Letters to Director

Med Paliat. 2019; 26(4): 322-323 / DOI: 10.20986/medpal.2019.1025/2019

María Jesús Mañas García1, Christian Villavicencio-Chávez2
1Oncóloga Radioterapeuta y Paliativista. Hospital de Barcelona, Barcelona. 2Equipo Investigación Fundación Privada Caredoctors. Facultad de Medicina, Universitat Internacional de Catalunya, Barcelona

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Med Paliat. 2019; 26(4): 323-324 / DOI: 10.20986/medpal.2019.1041/2019

Gabriela Picco1, Rocío Ríos1, Isabel Erquiaga1, Helena Escalada1
1Unidad de Cuidados Paliativos . Hospital San Juan de Dios , Pamplona

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Otros

Med Paliat. 2019; 26(4): 325-325

Comité Editorial1
1Revista Medicina Paliativa,

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