Search Results for: Le cure palliative, fascicolo dedicato con linee guida

Coinvolto cardiochirurgo del Sant’Orsola, ‘sfida è prevenzione’

To the Editor We commend Paralkar et al for their study using data from the American College of Physicians (ACP) Internal Medicine in-Training Examination (IM-ITE) resident survey to demonstrate the declining interest of medical residents in the field of general internal medicine. The IM-ITE resident survey is an important source of data for internal medicine workforce trends. As such, we were surprised and disappointed at the omission of hospice and palliative medicine (HPM) as a subspecialty choice in the survey by the ACP.

In the Letter in Reply titled “Omitting the Fifth Largest Subspecialty from the Medical Residents Survey?—Reply,” published online first on January 8, 2024, a clarification was needed that the American College of Physicians IM-ITE resident survey has included hospice and palliative care medicine as a career choice response option and to add a reference. The Letter in Reply has been corrected.

Messaggio del presidente della Repubblica nella Giornata Mondiale delle Malattie Rare

Iniziativa dei primari oncologi di Cimopo, ora poca formazione

Objectives
This study aimed to explore the experiences of multidisciplinary medical teams in implementing humanistic palliative care within the oncology ward.

Design
Purposive and snowball sampling methods were used in this qualitative study, which involved conducting semistructured interviews to gather personal experiences from members of multidisciplinary medical teams providing humanistic palliative care in the oncology ward.

Setting
The research was conducted in the oncology ward of a tertiary hospital located in Foshan, China.

Participants
Participants included 4 doctors, 12 nurses and 2 medical social workers who form the multidisciplinary medical team responsible for delivering humanistic palliative care to patients with cancer in oncology wards.

Results
Phenomenological qualitative analysis yielded 3 main themes and 9 subthemes. The identified themes were as follows: (1) conceptual change, (2) concrete actions and (3) facilitators and barriers to the implementation of humanistic palliative care.

Conclusion
The findings suggest a need for strengthening humanistic consciousness among multidisciplinary palliative care teams working in oncology wards, although there has been a gradual improvement in humanistic care behaviours. Furthermore, facilitators and barriers coexist in the implementation of humanistic palliative care. Efforts should be directed towards refining mechanisms that promote humanistic palliative care, fostering the enthusiasm of healthcare professionals, conducting systematic training to enhance their humanistic care abilities and striving for improvements in the quality of medical services for the benefit of both patients and their families.

Curata da Arrigoni, Malafarina e Sani e promossa dalla Cpo

Violenze ai medici oramai quotidiane, riorganizzare le cure

Un nuovo polo in Veneto. I giovani pazienti aumentano del 5% l’anno

Il ricordo di Filippo Anelli, presidente della Fnomceo. Tre milioni italiani rinunciano a cure a causa del Ssn che arranca

La situazione che emerge dal monitoraggio del ministero della Salute sembra segnare un peggioramento rispetto all’anno precedente

Introduction
Emerging evidence suggests improved quality of life, reduced symptom burden and lower health services costs when integrated palliative care and cancer care are implemented. Integrated palliative care aims to achieve care continuity by integrating organisational, administrative and clinical services involved in patient care networks. However, integrated palliative care for cancer is not common practice. This project, therefore, aims to understand how integrated palliative care and cancer care works in different healthcare settings (inpatient/outpatient), and for which groups of people (at what stage of the cancer journey), so we can develop guidance for optimal delivery.

Methods and analysis
We will conduct a realist synthesis to develop a programme theory of how integrated palliative care in cancer works, for whom and in what contexts to achieve improved symptom management and quality of life for patients and their families.
This realist synthesis will follow the five stages outlined by Pawson: (1) locating existing theories, (2) searching for evidence, (3) article selection, (4) extracting and organising data and (5) synthesising the evidence and drawing conclusions. We will work closely with our expert stakeholder group, which includes health and social care professionals providing palliative care and oncology; management and policy groups and members of the public and patients. We will adhere to RAMESES quality standards for undertaking a realist synthesis.

Ethics and dissemination
Ethics approval for this project is not required.
The realist synthesis will develop a programme theory that provides clarity on the optimal delivery of palliative care for adults with cancer. We will use the programme theory to coproduce guidance and user-friendly outputs, working with stakeholders to inform delivery of best practice. Findings will inform further research in integrated palliative care and cancer. Stakeholder engagement will assist in the dissemination of our findings.

PROSPERO registration number
CRD42023389791.

Ora si punti alla diagnosi precoce e all’accesso alle cure