ESPEN Guidelines on Enteral Nutrition: Cardiology and pulmonology
Humans; Physician's Practice Patterns; Heart Failure; Europe; Pulmonary Disease; Cardiology/standards; Chronic Obstructive/therapy; Congestive/therapy; Enteral Nutrition/standards; Pulmonary Disease (Specialty)/standards
These guidelines are intended to give evidence-based recommendations for the use of enteral nutrition (EN) in patients with chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD). They were developed by an interdisciplinary expert group in accordance with officially accepted standards and are based on all relevant publications since 1985. They have been discussed and accepted in a consensus conference. EN by means of oral nutritional supplements (ONS) or tube feeding (TF) enables nutritional intake to be maintained or increased when normal oral intake is inadequate. No data are yet available concerning the effects of EN on cachexia in CHF patients. However, EN is recommended to stop or reverse weight loss on the basis of physiological plausibility. In COPD patients, EN in combination with exercise and anabolic pharmacotherapy has the potential to improve nutritional status and function. Frequent small amounts of ONS are preferred in order to avoid postprandial dyspnoea and satiety as well as to improve compliance.
2006
Anker SD; John M; Pedersen PU; Raguso C; Cicoira M; Dardai E; Laviano A; Ponikowski P; Schols AM; DGEM(German Society for Nutritional Medicine); Becker HF; Bohm M; Brunkhorst FM; Vogelmeier C; European Society for Parenteral (ESPEN); Enteral Nutrition
Clinical Nutrition (edinburgh, Scotland)
2006
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1016/j.clnu.2006.01.017" target="_blank" rel="noreferrer">10.1016/j.clnu.2006.01.017</a>
Palliative sedation definition, practice, outcomes, and ethics
Humans; United States; Palliative Care; Physician's Practice Patterns; Treatment Outcome; Ethics; Medical; Hypnotics and Sedatives/administration & dosage
2005
Davis MP; Ford PA
Journal Of Palliative Medicine
2005
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1089/jpm.2005.8.699" target="_blank" rel="noreferrer">10.1089/jpm.2005.8.699</a>
Palliative sedation: The author's response
Humans; United States; Palliative Care; Physician's Practice Patterns; Treatment Outcome; Ethics; Medical; Hypnotics and Sedatives/administration & dosage
2005
Rousseau P
Journal Of Palliative Care
2005
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1089/jpm.2005.8.702" target="_blank" rel="noreferrer">10.1089/jpm.2005.8.702</a>
Pediatric hospice palliative care: Guiding principles and norms of practice
Child; Palliative Care; Physician's Practice Patterns; Hospices
2004
Canadian Hospice Palliative Care Association; Network of Palliative Care for Children Canadian
2004
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
Pediatric pain practices: a national survey of health professionals
Child; Humans; United States; Pain Measurement; Physician's Practice Patterns; Questionnaires; Hospitals; Teaching; Pain/therapy
The purpose of this study was to examine how health-care providers in U.S. teaching hospitals assess and manage children's pain. A 59-item questionnaire was sent to institutions with pediatric residency programs listed in the 1992 National Residency Matching Program. Two hundred and twenty-seven questionnaires were sent and 113 were returned. Two-thirds were from nurses, one-third from physicians. Sixty percent of the respondents stated that they had standards of care or protocols for pain in their institutions, but only one-quarter reported that the standards were followed 80% or more of the time. Use of formal pain-assessment tools was reported by 73% of the sample. Respondents reported that the effectiveness of pain assessment and management was lower for infants and younger children. Only 35% of the sample indicated it was "likely" or "very likely" that parents would be involved in planning prior to a painful event. Several obstacles to adequate pain management were identified by the respondents: knowledge deficit, attitudes, and resources.
1996
Broome ME; Richtsmeier A; Maikler V; Alexander M
Journal Of Pain And Symptom Management
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1016/0885-3924(95)00205-7" target="_blank" rel="noreferrer">10.1016/0885-3924(95)00205-7</a>
Treatment of pain in pediatric oncology: a Swedish nationwide survey
Child; Female; infant; Male; Pain Measurement; Education; Questionnaires; Sweden; Combined Modality Therapy; Education; Preschool; Non-U.S. Gov't; infant; Newborn; Human; Nursing; Support; Adolescence; Neoplasms/complications; continuing; Medical; Drug Administration Routes; Physician's Practice Patterns; Antineoplastic Agents/adverse effects; continuing; Hospital Departments; Morphine/adverse effects; Pain/etiology/therapy; Radiotherapy/adverse effects
Pain treatment is a crucial aspect in the care of children with cancer and there are many studies demonstrating inefficient pain treatment. In this study, questionnaires dealing with pain treatment of children with malignant diseases were sent to all (47) pediatric departments in Sweden. The aims of this nationwide survey were to evaluate the extent and causes of pain, the use of methods for pain evaluation (e.g. analysis of type of pain and monitoring of pain intensity), principles of pain management, side effects of pain treatment and the educational needs of physicians and nurses regarding these issues. The response rate was 100%. Answers from physicians and nurses reveal that pain is a common symptom during different periods of cancer treatment. Pain due to treatment and procedures is a greater problem than pain due to the malignant disease itself. Instruments for the measurement of pain intensity and analysis of the type of pain are still rarely used. Most physicians (63%) follow the analgesic 'ladder' principle recommended by World Health Organization (WHO). According to a majority of physicians and nurses (72%), pain could be treated more effectively than it is presently, and 64% state that they need more time for the management of pain. Both physicians and nurses state that they need additional education in different areas of pain evaluation and pain treatment. Swedish treatment practices for the management of pediatric cancer pain roughly follow the published guidelines, but many improvements are still necessary.
1996
Ljungman G; Kreuger A; Gordh T; Berg T; Sorensen S; Rawal N
Pain
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.1016/s0304-3959(96)03193-4" target="_blank" rel="noreferrer">10.1016/s0304-3959(96)03193-4</a>