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61 | Guidelines for the Medical Management of Malignant Bowel Obstruction Malignant bowel obstruction is a recognized complication of advanced pelvic or abdominal malignancy. Common symptoms associated with malignant bowel obstruction include abdominal pain, abdominal colic, nausea and vomiting. The evidence base for the management of malignant bowel obstruction is weak. An individualised approach to management is recommended for each patient and specialist palliative care advice should be sought. |
62 | Guidelines on Management of Pain in Cancer and/or Palliative Care The Program in Evidence-Based Care (PEBC) is an initiative of the Ontario provincial cancer system, Cancer Care Ontario (CCO). The PEBC mandate is to improve the lives of Ontarians affected by cancer through the development, dissemination, and evaluation of evidence-based products designed to facilitate clinical, planning, and policy decisions about cancer control. |
63 | Guidelines on Pain Management & Palliative Care The new European Association of Urology (EAU) Guidelines expert panel for Pain Management and Palliative Care have prepared this guidelines document to assist medical professionals in appraising the evidence-based management of pain and palliation in urological practice. These guidelines include general advice on pain assessment and palliation, with a focus on treatment strategies relating to common medical conditions and painful procedures. |
64 | Guidelines on Supportive Care, Symptom Control and End of Life Care for Renal Patients with Chronic Kidney Disease (CKD) Many patients with chronic kidney disease (CKD) have a high symptom burden. Symptom control is complicated by delayed drug clearance, dialysis effects and care is needed with some drugs that have high renal toxicity eg NSAIDs. Whilst some patients are offered and accept renal replacement therapy (dialysis or transplant), other patients will decide not to undergo treatment and will instead opt for conservative management. In these guidelines we aim to provide information on CKD and the management of common symptoms associated with it. The final section provides guidance on end of life care. |
65 | Guidelines on the management of bleeding for palliative care patients with cancer Haemorrhage can be a highly distressing symptom for patients, carers and health professionals. It can present in a variety of ways, from occult bleeds causing anaemia over weeks to months, to overt external bleeding from particular anatomical sites, e.g. haemoptysis, haematuria etc. |
66 | Health Care Guideline Palliative Care for Adults By defining appropriate evaluations and outcomes, this guideline attempts to assist the clinician with the appropriate discussions, clinical interventions, and utilization of palliative care and hospice expertise when necessary. As illness progresses and the need for interdisciplinary approaches to the relief of suffering increases, the intensity of palliative interventions will also increase. |
67 | Hospice Care What Is Hospice Care? How and Where Is Hospice Care Provided and How Is It Paid For? Finding a Hospice Program. Questions to Ask Your Doctor About Hospice Care. |
68 | Identifying needs and improving palliative care of chronically ill patients: a community-oriented, population-based, public-health approach The article summarizes the changes in needs and demands of patients receiving palliative care, the conceptual progress within the concept of Public Health Palliative Care, and the bases for a rational planning. The community-oriented and population-oriented approach should be employed to identify all types of patients in all settings using appropriate tools at the same time as implementing measures to improve the quality of care in all services from a District perspective. Palliative care needs to be inserted into Chronic Care Programmes |
69 | Improving colorectal cancer care using a pathway approach Opportunities identified in the Colorectal Cancer The systematic 'pathway' approach to improvement helps to broaden our thinking and prioritize our efforts as health system leaders. For clinician leaders who are trained, as I was, to focus on a narrow excellence in patient care, taking system-level accountability for outcomes and value in care can be challenging. However, these health systems and this effort have shown the utility of looking at the whole pathway and the potential to find important 'value pools' where system-level improvements can and should be made. |
70 | Improving Supportive and Palliative Care for Adults with Cancer This Guidance defines service models likely to ensure that patients with cancer, with their families and carers, receive support and care to help them cope with cancer and its treatment at all stages. |