¿Saben los internistas qué es la limitación del esfuerzo terapéutico?

Caballero, R. García; Asúa, Diego Real de; Olmos, L. García; Herreros, B.

doi:10.1016/j.rce.2020.01.005

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Regarding the care process, the studies related to families [22,26,38,47] as well as patients [37,49] and professionals [20,26,29,41,43,47] include the variable of implementing a personalized care plan from the start of the intervention.…”

Section: Structure and Process Of Carementioning

confidence: 99%

Section: Structure and Process Of Carementioning

confidence: 99%

“…Most studies point to a lack of professional training [20,23,[27][28][29][30][31]33,38,[41][42][43]45]. Among the training topics that professionals consider necessary to implement PPC are the use of opioids and pain management [27], the limitation of therapeutic effort (LTE) [41], emotional management [21,26,29,43], the improvement of communication [23,29,31,43,47], and the improvement of the treatment given to families and patients [23,27,47]. Families, for their part, indicate that professionals would need training on LTE [38] and emotional management [26,38,40], as well as training to improve communication [23,47], and to improve the treatment given to families and patients [23,38,47].…”

Section: Structure and Process Of Carementioning

confidence: 99%

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Quality of Care in Pediatric Palliative Care: A Scoping Review

Ruiz-Gil,

Ródenas-Rigla

2023

Children

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Palliative care (PC) enhances the quality of life for patients and families facing life-threatening conditions. While PC is well-established for adults, not all practices apply to pediatrics. Consequently, specific quality indicators for Pediatric Palliative Care (PPC) must be identified. This scoping review aimed to identify the variables associated with the quality of care of PPC patients in Spain, focusing specifically on three areas: structure and process of care, psychological aspects of care, and care of patients approaching the end of life. The review was conducted following PRISMA-ScR guidelines. Searches were performed in the PubMed, Scopus, Web of Science, Embase, ProQuest, and Dialnet databases covering the period extending from January 2000 to May 2023. Finally, 35 studies were identified for the complete review. A total of 30 studies include variables associated with the structure and process of care, 20 include variables associated with psychological aspects of care, and 23 studies integrate variables related to patient care at the end of life. Analysis suggests that enhancing professional training in aspects such as communication with patients and families, creating intimate spaces with flexible visiting hours, increasing emotional support, promoting frequent contact with healthcare teams, and transparently communicating about illness and imminent death to both families and minors could improve the quality of PPC.

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Section: Structure and Process Of Carementioning

confidence: 99%

Section: Structure and Process Of Carementioning

confidence: 99%

Section: Structure and Process Of Carementioning

confidence: 99%

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Quality of Care in Pediatric Palliative Care: A Scoping Review

Ruiz-Gil,

Ródenas-Rigla

2023

Children

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“…Sin embargo, un reciente estudio del Grupo de Trabajo de Bioética de la SEMI pone de manifiesto que, pese a que la mayoría de los internistas consideran que los conflictos en torno a la LET son frecuentes y relevantes, solo una minoría conoce bien qué es la LET y utiliza ese término, con frecuencia, de modo general e inespecífico 21,22 .…”

Section: -28%)unclassified