Download or read book Opioids for Breathlessness in Heart Failure written by and published by . This book was released on 2009 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Effect of Opioids for Breathlessness in Heart Failure a Systematic Review and Meta analysis written by Jan Rupert Gärtner and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background For the treatment of breathlessness in heart failure (HF), most textbooks advocate the use of opioids. Yet, meta-analyses are lacking. Methods A systematic review was performed for randomised controlled trials (RCTs) assessing effects of opioids on breathlessness (primary outcome) in patients with HF. Key secondary outcomes were quality of life (QoL), mortality and adverse effects. Cochrane Central Register of Controlled Trials, MEDLINE and Embase were searched in July 2021. Risk of bias (RoB) and certainty of evidence were assessed by the Cochrane RoB 2 Tool and Grading of Recommendations Assessment, Development and Evaluation criteria, respectively. The random-effects model was used as primary analysis in all meta-analyses. Results After removal of duplicates, 1180 records were screened. We identified eight RCTs with 271 randomised patients. Seven RCTs could be included in the meta-analysis for the primary endpoint breathlessness with a standardised mean difference of 0.03 (95% CI −0.21 to 0.28). No study found statistically significant differences between the intervention and placebo. Several key secondary outcomes favoured placebo: risk ratio of 3.13 (95% CI 0.70 to 14.07) for nausea, 4.29 (95% CI 1.15 to 16.01) for vomiting, 4.77 (95% CI 1.98 to 11.53) for constipation and 4.42 (95% CI 0.79 to 24.87) for study withdrawal. All meta-analyses revealed low heterogeneity (I2 in all these meta-analyses was 8%).brbrConclusion Opioids for treating breathlessness in HF are questionable and may only be the very last option if other options have failed or in case of an emergency.br
Download or read book Palliative Care in Respiratory Disease written by Claudia Bausewein and published by European Respiratory Society. This book was released on 2016-09-01 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dyspnea written by Donald A. Mahler and published by CRC Press. This book was released on 2014-01-20 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the high prevalence of chronic pulmonary diseases, including asthma, COPD, and interstitial lung disease, physicians need to recognize the cause of dyspnea and know how to treat it so that patients can cope effectively with this distressing symptom. Detailing recent developments and treatment methods, this revised and updated third edition of
Download or read book The Palliative Care Handbook written by Rod MacLeod and published by . This book was released on 2013 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first Australian edition of The Palliative Care Handbook provides guidelines for clinical management and symptom control for people receiving end-of-life care.The Palliative Care Handbook has two main sections - the first is a set of guidelines for the alleviation of symptoms commonly encountered in palliative care, including drug therapy and psycho-social and spiritual needs. The second section (the pharmacopoeia) contains detailed drug information.
Download or read book Managing Breathlessness in the Community written by Dr Janelle Yorke and published by M&K Update Ltd. This book was released on 2013 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing breathlessness is an important and often difficult task, especially when dealing with patients in their own homes. The causes of breathlessness may be physiological, pathological, or both; and patients may be suffering from more than one condition at the same time. This makes it a challenge to ensure that the best and most effective form of treatment is provided, according to each patient’s particular needs. Written by experts in the field, Managing Breathlessness in the Community mainly focuses on four conditions (chronic obstructive pulmonary disease, heart failure, interstitial lung disease and pulmonary hypertension) in which breathlessness is a key and often distressing symptom. The authors also discuss common breathlessness management techniques that are relevant to all patients, regardless of their underlying condition. Aimed at community healthcare workers, this book applies the lessons of clinical research and practice to a wide range of breathlessness interventions, from activity and fitness to pharmacological treatments, rehabilitation, oxygen therapy and patient-specific support. It will be useful to the many practitioners who see breathless patients in their day-to-day practice and have a desire to improve the experience and clinical care that they receive. CONTENTS: Introduction to breathlessness and community management Mechanisms of breathlessness Assessment of the breathless patient in the community Breathlessness and chronic obstructive pulmonary disease Breathlessness and heart failure Breathlessness and interstitial lung disease Breathlessness and pulmonary hypertension Non-pharmacological management of breathlessness Pharmacological management of breathlessness End-of-life breathlessness management at home
Download or read book Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence written by World Health Organization. Department of Mental Health and Substance Abuse and published by World Health Organization. This book was released on 2009 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: "These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
Download or read book Oxford Textbook of Heart Failure written by Andrew L. Clark and published by Oxford University Press. This book was released on 2022-05-20 with total page 936 pages. Available in PDF, EPUB and Kindle. Book excerpt: Taking the reader from an understanding of the basic mechanisms of heart failure through to an appreciation of the complexities of heart failure management and the remarkable improvements possible with good treatment, the Oxford Textbook of Heart Failure 2e covers all aspects necessary to manage a patient with heart failure. In full colour throughout, containing over 300 illustrations, and supported by detailed referencing from the huge evidence base that has developed over the last two decades, the textbook also includes extensive chapters on common co-morbidities. The new edition has been completely updated in line with new British and European Guidelines and contains new chapters on; Natriuretic Peptides and Novel Biomarkers in Heart Failure, The Future of Heart Failure, and Regenerative Therapies. Essential reading for consultant cardiologists and those in training, general physicians and those caring of the elderly, cardiothoracic surgeons, primary care doctors, pharmacists, and specialist nurses.
Download or read book Symptom Control in Palliative Care written by Roger Cole and published by . This book was released on 1997 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dyspnoea in Advanced Disease written by Sara Booth and published by OUP Oxford. This book was released on 2005-11-24 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dyspnoea (breathlessness) is an uncomfortable awareness of breathing that occurs in approximately 30-75% of terminal cancer patients. It is one of the most distressing symptoms for both patients and family members and can seriously impact on quality of life. Typically, dyspnoea is associated with congestive heart failure, end-stage chronic obstructive pulmonary disease, or lung cancer. This book provides palliative care doctors and specialist nurses with practical guidelines to help manage and treat patients with breathlessness. It includes the science behind the symptom in an attempt to explain the pathology and physiology of this complex condition. The book has been organized to address generalized aspects of breathlessness in advanced illness and more specific aetiologies and managements relevant to particular underlying diseases. It summarizes the epidemiology and the pathophysiology of breathlessness, measurement, research approaches, rehabilitation and exercise, clinical approaches that can be taken at the bedside, pharmacological and non-pharmacological approaches, and surgical interventions. The care of patients with dyspnoea requires input from a variety of disciplines such as palliative care, physiotherapy, respiratory medicine and nursing, and this is reflected in the multidisciplinary list of contributors.
Download or read book Heart Failure written by Miriam Johnson and published by OUP Oxford. This book was released on 2012-04-05 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excellent end of life care for people with heart failure is challenging but possible. Failure to address this aspect of care has serious consequences for patients, their families, clinicians and the use of health resources. Heart Failure: From Advanced Disease to Bereavement illustrates the complexity and importance of end of life care for patients with advanced heart failure. This book is a pocket reference for everyday use in the clinic, ward or home visit for all doctors, nurses and AHPs caring for people with advanced heart failure. It outlines the underlying pathophysiology of heart failure, summarises standard pharmacological and device therapy, and sets the context of the challenges resulting from an unpredictable course of disease. In easily digestible summaries, this book presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management, how to communicate honestly in the face of uncertainty, the rationalisation of medication and device therapies at the end of life, symptom control, care for the dying, and care after death.
Download or read book Textbook of Pulmonary Rehabilitation written by Enrico Clini and published by Springer. This book was released on 2017-12-21 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.
Download or read book Handbook of Palliative Care written by Christina Faull and published by John Wiley & Sons. This book was released on 2012-10-16 with total page 623 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook offers a practical, thorough approach to the clinical practice of palliative care. Adding North American authors to its roster of UK contributors, the third edition of this award-winning book addresses important changes in the evidence base of palliative care, as well as an emphasis on end-of-life community-based care. It features new chapters on dementia and advance care planning, a simplified lymphoedema discussion, and an ongoing commitment to providing essential guidance for physicians, nurses, and all primary care providers involved in palliative care in hospital, hospice, and community settings.
Download or read book Cancer Associated Thrombosis written by Alok A. Khorana and published by CRC Press. This book was released on 2007-09-26 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Showcasing the expertise of top-tier specialists who contributed to the newly released guidelines for the care of thrombosis in cancer patients, this exciting guide was written and edited by members of the American Society of Clinical Oncology panel, (ASCO), on the prevention and treatment of cancer-associated thrombosis, among others, and provides
Download or read book Opioids written by Pilar Almela Rojo and published by BoD – Books on Demand. This book was released on 2020-06-10 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Morphine and other opioids are potent analgesic drugs, but their use can lead to complications. Being familiar with the use of this kind of drug can make the difference between obtaining the expected benefit of applied therapy or magnifying the risks to intolerable levels for the patient. Therefore, it is essential for practitioners to achieve adequate training in the management of these drugs based on criteria endorsed by scientific evidence that allows the proper use of these drugs and guarantees the best professional practice every time. Written by expert authors in the field, the purpose of this book is to offer an overview of opioid drugs, from their therapeutic use to the consequences associated.
Download or read book Oxford Textbook of Palliative Medicine written by Nathan I. Cherny and published by Oxford University Press, USA. This book was released on 2015 with total page 1281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Download or read book Textbook of Palliative Care written by Roderick Duncan MacLeod and published by Springer. This book was released on 2025-05-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition provides the most up-to-date information on all aspects of palliative care including recent developments (including COVID-19), global policies, service provision, symptom management, professional aspects, organization of services, palliative care for specific populations, palliative care emergencies, ethical issues in palliative care, research in palliative care, public health approaches and financial aspects of care. This new Textbook of Palliative Care remains a unique, comprehensive, clinically relevant and state-of-the art book, aimed at advancing palliative care as a science, a clinical practice and as an art. Palliative care has been part of healthcare for over fifty years but we still needs to be explained. Healthcare education and training has been slow to recognize the vital importance of ensuring that all practitioners have a good understanding of what is involved in the care of people with serious or advanced illnesses and theirfamilies. However, the science of palliative care is advancing and this new edition will contribute to a better understanding of this specialty. This new edition offers 20 new chapters out of over 120, written by experts in their given fields provide up-to-date information on a wide range of topics of relevance to those providing care towards the end of life no matter what the disease may be. We present a global perspective on contemporary and classic issues in palliative care with authors from a wide range of disciplines involved in this essential aspect of care. The Textbook includes sections addressing aspects such as symptom management and care provision, organization of care in different settings, care in specific disease groups, palliative care emergencies, ethics, public health approaches and research in palliative care. This new Textbook will be of value to practitioners in all disciplines and professions where the care of people approaching death is important, specialists as well as non-specialists, in any setting where people with serious advanced illnesses are residing. It is also an important resource for researchers, policy-and decision-makers at national or regional levels. Neither the science nor the art of palliative care will stand still so the Editors and contributors from all over the world aim to keep this Textbook updated so that the reader can find new evidence and approaches to care.
