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Does palliative care doctors kill patients?

Retrospective cohort study

Palliative care

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Open access•Journal Article•DOI Junior doctors' views of how their undergraduate clinical electives in palliative care influenced their current practice of medicine. Gregory B Crawford, Sofia C. Zambrano - Show less +1 more 01 Mar 2015-Academic Medicine 31 Citations	Learning a palliative approach can help them make a difference in treating dying patients, but also in general patient care.
Journal Article•DOI Impact of a palliative care service on in-hospital mortality in a comprehensive cancer center. Ahmed Elsayem, Martin L. Smith, Lee Parmley, J. Lynn Palmer, Rosell Jenkins, Suresh K. Reddy, Eduardo Bruera - Show less +6 more 15 Aug 2006-Journal of Palliative Medicine 64 Citations	Increased involvement by the palliative care service in the care of decedent patients was associated with a decreased MICU mortality and no change in overall hospital mortality rate or inpatient length of hospital stay.
Journal Article•DOI Palliative care in paramedic practice: A retrospective cohort study. Bill Lord, Emily Andrew, Amanda Henderson, David J Anderson, Karen Smith, Karen Smith, Stephen Bernard, Stephen Bernard, Stephen Bernard - Show less +8 more 05 Feb 2019-Palliative Medicine 26 Citations	Paramedics have a significant role in caring for patients receiving palliative care.

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How do terminally ill patients deal with death?5 answersTerminally ill patients cope with death in various ways. Psychodynamic approaches help individuals understand and integrate opposing perceptions of mortality, leading to acceptance and resilience. Some patients come to terms with impending death by accepting their disease, need for assistance, and destiny, highlighting the importance of understanding and accepting a terminal state. Additionally, the attitudes of terminally ill patients toward death and dying are significantly influenced by societal attitudes and cultural beliefs, impacting their personal hope and efforts to maintain life. Nurses play a crucial role in helping patients manage feelings associated with anxiety and depression related to death, emphasizing the need for compassionate end-of-life care. Overall, a combination of psychological support, acceptance, cultural influences, and quality care can aid terminally ill patients in dealing with the reality of death.

How metastatic cancer kills?5 answersMetastatic cancer kills through a complex process involving various biological events. The tumor-stromal interface plays a crucial role in the initiation of metastasis, where tumor cells interact with stromal cells and undergo epithelial-mesenchymal transition (EMT). Circulating tumor cells (CTCs) are formed when tumor cells intravasate into the bloodstream, aided by stromal cross-talk and abnormal vasculature. CTCs can then adhere to secondary organs and form disseminative tumor cells (DTCs), which can either remain dormant or proliferate. The process of metastatic outgrowth is influenced by factors such as macrophage activity, impaired autophagy, and secondary site inflammation. Targeting metastasis can be achieved by repressing pre-metastatic niche formation, suppressing environmental stressors, and targeting signaling pathways and cell types involved in the metastatic process. These strategies can be used in combination with other therapies, such as immunotherapy, to limit the aggressive spread of metastatic cancer.

How euthanasia affect improvement of palliative care?3 answersEuthanasia and palliative care are closely related topics. While euthanasia involves the intentional ending of a patient's life to relieve suffering, palliative care focuses on providing comfort and support to patients with incurable illnesses. The relationship between euthanasia and palliative care is complex and controversial. Some argue that the availability of euthanasia may deter governments from funding research into new treatments, while others express concerns about the potential abuse of euthanasia. However, it is important to note that palliative care plays a crucial role in providing an alternative to euthanasia. Palliative care aims to alleviate pain and improve the quality of life for patients, particularly in the terminal stage of their illness. It involves a multidisciplinary approach, including the collaboration of pulmonologists, physiotherapists, nurses, and psychologists. The integration of euthanasia into palliative care practices is a topic of ongoing discussion, with variations in practices depending on the legal status of euthanasia in different countries. The Belgian model, for example, combines universal access to palliative care with legally regulated euthanasia, and empirical evidence suggests that carefulness in decision-making has improved since its legalization. Additionally, understanding the reasons behind euthanasia requests from the patient's perspective can inform discussions on care practices and promote patient autonomy within the palliative care setting. It is crucial to distinguish between palliative sedation and euthanasia to prevent confusion and ensure appropriate patient management at the end of life.

Does hospice care incorporate palliative care?4 answers

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