Implementation of human figures made with plasticine/modeling clay as a clinical tool to address difficult-to-manage pain in patients with advanced cervical cancer. Report of 5 cases
Georgina Dominguez Ocadio1, Silvia Rosa Allende Perez2, Andrea Paulina Flores Gonzalez3, David Reyes Chiquete2, Emma Verategui Aviles2
1Cuidados paliativos. Instituto Nacional de Cancerología, Tlalpan. 2Cuidados Paliativos. Instituto Nacional de Cancerología, Ciudad de México, México, Ciudad de México. 3Cuidados Paliativos. Benemérito Hospital General Juan María de Salvatierra, La Paz
Managing difficult-to-control pain in patients with cervical cancer represents a major challenge for the palliative care team, combined with limited social factors and suffering; having a clinical tool such as plasticine human figures favors expression and an appropriate therapeutic approach.
DOI: 10.20986/medpal.2025.1493/2024
Advanced heart failure as a reason for admission to a medium-stay palliative care unit in the Community of Madrid: beyond oncological pathology
Gemma Cuesta Castellón1, Concepción Jiménez Rojas2, Saleta Goñi Rosón3, Lucía Gómez González4, Javier Gómez Pavón5
1Geriatría . Hospital Universitari de Vic, Vic. 2Unidad de Cuidados Paliativos. Hospital Universitario Central de la Cruz Roja, . 3Geriatria. Hospital Universitario Infanta Sofía, Madrid. 4Geriatría. Hospital Universitario de Ginebra, . 5Jefe de Servicio de Geriatria. Hospital Universitario Central de la Cruz Roja,
Patients with Advanced Congestive Heart Failure (ACHF) depending on their complexity may be eligible for specialized Palliative Care (PC) treatment. The profile of cardiology patients admitted to a Medium Stay Palliative Care Unit (MSPCU) is described in comparison to patients with other non-oncological and oncological pathologies.
DOI: 10.20986/medpal.2024.1502/2024
Enteral Ketamine for the control of super refractory status epilepticus in the pediatric population: A case report
Catalina Martínez Vásquez1, Laura Jimena Prada Martínez2, Mussatyé Elorza Parra3, Juliana Lopera Solano3, Juliana Diaz Giraldo4, Pareja Betancur Isabel Cristina5
1Dolor y Cuidado Paliativo. Universidad de La Sabana, Unidad de Tratamiento del Dolor, Bogotá. 2Dolor y Cuidado Paliativo. Universidad de La Sabana, Clinica Somer, Rionergro. 3Dolor y Cuidado Paliativo. Hospital Pablo Tobón Uribe, Medellin. 4Servicio farmacéutico. Hospital Pablo Tobón Uribe, Medellin. 5Neurología pediátrica. Hospital Pablo Tobón Uribe, Medellin
Super refractory status epilepticus (SRSE) is a life-threatening clinical entity that impacts the quality of life of patients and their families. The available evidence for the treatment of SRSE in pediatric palliative care is scarce, especially in the end-of-life patient. As palliative therapy, Midazolam may be an insufficient pharmacological management for the control of ESRD, generating barriers in resolving symptom control, generating discomfort in patients and their families. Thus, alternative pharmacological therapies that do not require intravenous administration routes are proposed, which allow the control of SRSE, associated symptoms and out-of-hospital treatment options.
The aim of this article is to report the use of Ketamine by enteral route for the control of SRSE in a pediatric patient under palliative management, in this patient seizure control and hospital discharge was achieved.
DOI: 10.20986/medpal.2024.1471/2024