A systematic review of the use of opioid medication for those with moderate to severe cancer pain and renal impairment
Opioid use in patients with renal impairment can lead to increased adverse effects. Opioids differ in their effect in renal impairment in both efficacy and tolerability. This systematic literature review forms the basis of guidelines for opioid use in renal impairment and cancer pain as part of the European Palliative Care Research Collaborative's opioid guidelines project. The objective of this study was to identify and assess the quality of evidence for the safe and effective use of opioids for the relief of cancer pain in patients with renal impairment and to produce guidelines.
An Indian Primer of Palliative Care For medical students and doctors
It is all about the right combination of science with compassion. There is no situation when nothing more can be done. When we learn to treat pain and symptoms and to offer psycho-socio- spiritual support, and when we learn to work as a team with fellow professionals and volunteers, we gain strength to relieve much of the suffering that we turn away from today, and to walk with the patient and family in their struggles. Then frustration begins to give way to satisfaction from our work. And we get closer to being the healer and not just a medical technologist - that a doctor can be.
Building Integrated Palliative Care Programs and Services
This manual developed by an international team of experts offering guidance on development and establishment of all aspects of palliative care services can serve as a useful resource to policy makers all over the world. The additional section on clinical palliative care makes the book useful to clinical practitioners also. I am sure that the knowledge and information compiled will be widely disseminated and used for the benefit of millions of people all over the world.
Certificate Course in Essentials of Palliative care Handbook
This handbook will be a useful companion to all those who have taken their first steps in the long but exciting journey of understanding palliative care.
Clinical Decision Support Tool for the interpretation of and response to Palliative care Outcome Scale (POS
The Palliative (or Patient) care Outcome Scale (POS) is a multidimensional outcome measure which can be used in clinical care to assess patients' symptoms and concerns and monitor changes in these over time. It assesses physical symptoms, emotional, psychological and spiritual concerns, and needs for information and support.This Clinical Decision Support Tool (CDST) was produced after carefully considering the available evidence and evaluating the opinion of experts (clinicians, researchers and patient representatives.
Clinical Guidelines for the use of Palliative Care Drugs in Renal Failure
This booklet is to provide a compact form of advice for prescribing palliative care drugs in patients with renal failure and to suggest which drugs from a given class eg opioids - might be most appropriate for a patient with renal failure.
Clinical Practice Guidelines for Quality Palliative Care 4 edn
Seventeen years ago, leaders from across the country gathered to discuss the development of consensus guidelines for quality palliative care so that patients with serious illness who were not hospice-eligible could access palliative care. Representatives of hospice and palliative care organizations collaborated in the development of the first edition of the National Consensus Project's Clinical Practice Guidelines for Quality Palliative Care (NCP Guidelines), which described core concepts and structures and processes necessary for quality palliative care, including eight domains of practice.
ESPEN guidelines on nutrition in cancer patients
These evidence-based guidelines were developed to translate current best evidence and expert opinion into recommendations for multi-disciplinary teams responsible for identification, prevention, and treatment of reversible elements of malnutrition in adult cancer patients.
Facts about morphine and other opioids
Opioid medicines are pain relievers. They include medicines such as codeine, morphine and oxycodone. This brochure will help you, your family and your carers learn about using morphine and other opioid medicines for relieving pain. Knowing the facts will help you manage your pain and get on with life.
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.