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Título : End-of-life transfusions in patients with an oncological diagnosis Otros títulos : Transfusiones al final de la vida en pacientes con diagnóstico oncológico Tipo de documento : documento electrónico Autores : Juan Felipe Vargas Silva, Fecha de publicación : 2021 Títulos uniformes : Revista de la Sociedad Española del Dolor Idioma : Inglés (eng) Palabras clave : Blood transfusion hospice care quality of life cancer pain Resumen : Introduction: Cancer patients in terminal stages present symptoms related to anemia, other cytopenias, and coagulopathies that deteriorate the quality of life. These symptoms can be multicausal and do not improve in most cases. Objective: Describe the use of blood transfusions in the six months before death as an alternative palliative treatment in patients with an oncological diagnosis in the city of Medellin during the period 2013-2018. Methods: Retrospective cohort, in patients with a cancer diagnosis who received transfusions in the last six months of life, a non-probabilistic sampling of consecutive cases was executed. The analysis was carried out in SPSS, estimating absolute and relative frequencies and median with interquartile ranges. Results: Out of 3,254 medical records of cancer patients, 151 were included. The time to oncological diagnosis had a median of 2 years (IQR 1 and 3). The symptoms observed in patients before and after the first transfusion were pain, present in 32.1 % (46) and 16.9 % (25) respectively, besides drowsiness was distinguished in 25 % (36) before transfusion and 14.3 % (21) after. Finally, the clinical outcomes before and after the last transfusion prior to death, were a decrease in pain, asthenia/adynamia, drowsiness, among others. Conclusions: The findings of this research allow us to appreciate the current panorama in the institutions in which palliative care medical services are being provided and consider when to offer the blood products to a patient at the end of life as a therapeutic measure in the context of a human being cared by physicians. Mención de responsabilidad : AP Brome Uribe, LM Martínez Sánchez, L Herrera-Almanza, M Fonseca-Guzmán, C Durango-Sánchez, V Vasquez-Estrada, L Duque-Echeverri, A Morales-Montoya, ME Saavedra-Valencia, JF Vargas-Silva, SM Molina-Giraldo DOI (Digital Object Identifier) : 10.20986/resed.2022.3956/2021 Derechos de uso : CC BY-NC-ND En línea : https://www.resed.es/transfusiones-al-final-de-la-vida-en-pacientes-con-diagnost [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5991 End-of-life transfusions in patients with an oncological diagnosis = Transfusiones al final de la vida en pacientes con diagnóstico oncológico [documento electrónico] / Juan Felipe Vargas Silva, . - 2021.
Obra : Revista de la Sociedad Española del Dolor
Idioma : Inglés (eng)
Palabras clave : Blood transfusion hospice care quality of life cancer pain Resumen : Introduction: Cancer patients in terminal stages present symptoms related to anemia, other cytopenias, and coagulopathies that deteriorate the quality of life. These symptoms can be multicausal and do not improve in most cases. Objective: Describe the use of blood transfusions in the six months before death as an alternative palliative treatment in patients with an oncological diagnosis in the city of Medellin during the period 2013-2018. Methods: Retrospective cohort, in patients with a cancer diagnosis who received transfusions in the last six months of life, a non-probabilistic sampling of consecutive cases was executed. The analysis was carried out in SPSS, estimating absolute and relative frequencies and median with interquartile ranges. Results: Out of 3,254 medical records of cancer patients, 151 were included. The time to oncological diagnosis had a median of 2 years (IQR 1 and 3). The symptoms observed in patients before and after the first transfusion were pain, present in 32.1 % (46) and 16.9 % (25) respectively, besides drowsiness was distinguished in 25 % (36) before transfusion and 14.3 % (21) after. Finally, the clinical outcomes before and after the last transfusion prior to death, were a decrease in pain, asthenia/adynamia, drowsiness, among others. Conclusions: The findings of this research allow us to appreciate the current panorama in the institutions in which palliative care medical services are being provided and consider when to offer the blood products to a patient at the end of life as a therapeutic measure in the context of a human being cared by physicians. Mención de responsabilidad : AP Brome Uribe, LM Martínez Sánchez, L Herrera-Almanza, M Fonseca-Guzmán, C Durango-Sánchez, V Vasquez-Estrada, L Duque-Echeverri, A Morales-Montoya, ME Saavedra-Valencia, JF Vargas-Silva, SM Molina-Giraldo DOI (Digital Object Identifier) : 10.20986/resed.2022.3956/2021 Derechos de uso : CC BY-NC-ND En línea : https://www.resed.es/transfusiones-al-final-de-la-vida-en-pacientes-con-diagnost [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5991 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001961 AC-2021-156 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
AC-2021-156Adobe Acrobat PDFEn búsqueda de la atención: necesidades en salud, itinerarios y experiencias / Carlos Enrique Yepes Delgado
Título : En búsqueda de la atención: necesidades en salud, itinerarios y experiencias Otros títulos : In search for health care: needs in health, itineraries and experiences Tipo de documento : documento electrónico Autores : Carlos Enrique Yepes Delgado, Fecha de publicación : 2018 Títulos uniformes : Hacia la Promoción de la Salud Idioma : Español (spa) Palabras clave : Health services needs and demand pain disease perception delivery of health care Resumen : Objective: This article analyzes the process of a person who becomes ill to solve his/her condition of illness, the emergence of the sensation of need and how this leads him/her through different paths (itineraries) each with its processes and particularities, to search for attention. The study focuses on the search of subjects for institutional allopathic medical care, represented by the Hospital. Methodology: The methodology used was qualitative, from the grounded theory, through the application of 21 semi-structured interviews to patients from two hospitals in the department of Antioquia, Colombia. There were 1520 codes and 42 descriptive categories, which led to a higher category: feeling the need to consult generates expectations. Results: The results showed that the needs set up complex processes of search for health care, involving various subjects and institutions, in which strategies and resources are mobilized in order to receive attention. They also show that the need for health care is a product of the subjective conception of the disease based on life histories which are framed in culture, allowing the construction of the symptom and the disease, and leads the subject to a series of bureaucratic and therapeutic itineraries. Conclusions: It was concluded that the disease condition traversed by the subject’s history builds a need that leads him/her to some itineraries in which he/she elaborates multiple expectations in search of a solution that brings into play the hegemonic medical institution and the version of the subject on his/her body and suffering. Mención de responsabilidad : Carlos Enrique Yepes Delgado, Álvaro de Jesús Giraldo Pineda, Natalia Botero Jaramillo, Jairo Camilo Guevara Farías Referencia : Hacia promoc. salud ; 23(1): [88]-[105], 28 de diciembre de 2018. DOI (Digital Object Identifier) : 10.17151/hpsal.2018.23.1.7 Derechos de uso : CC BY En línea : http://190.15.17.25/promocionsalud/downloads/Revista23(1)_7.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4736 En búsqueda de la atención: necesidades en salud, itinerarios y experiencias = In search for health care: needs in health, itineraries and experiences [documento electrónico] / Carlos Enrique Yepes Delgado, . - 2018.
Obra : Hacia la Promoción de la Salud
Idioma : Español (spa)
Palabras clave : Health services needs and demand pain disease perception delivery of health care Resumen : Objective: This article analyzes the process of a person who becomes ill to solve his/her condition of illness, the emergence of the sensation of need and how this leads him/her through different paths (itineraries) each with its processes and particularities, to search for attention. The study focuses on the search of subjects for institutional allopathic medical care, represented by the Hospital. Methodology: The methodology used was qualitative, from the grounded theory, through the application of 21 semi-structured interviews to patients from two hospitals in the department of Antioquia, Colombia. There were 1520 codes and 42 descriptive categories, which led to a higher category: feeling the need to consult generates expectations. Results: The results showed that the needs set up complex processes of search for health care, involving various subjects and institutions, in which strategies and resources are mobilized in order to receive attention. They also show that the need for health care is a product of the subjective conception of the disease based on life histories which are framed in culture, allowing the construction of the symptom and the disease, and leads the subject to a series of bureaucratic and therapeutic itineraries. Conclusions: It was concluded that the disease condition traversed by the subject’s history builds a need that leads him/her to some itineraries in which he/she elaborates multiple expectations in search of a solution that brings into play the hegemonic medical institution and the version of the subject on his/her body and suffering. Mención de responsabilidad : Carlos Enrique Yepes Delgado, Álvaro de Jesús Giraldo Pineda, Natalia Botero Jaramillo, Jairo Camilo Guevara Farías Referencia : Hacia promoc. salud ; 23(1): [88]-[105], 28 de diciembre de 2018. DOI (Digital Object Identifier) : 10.17151/hpsal.2018.23.1.7 Derechos de uso : CC BY En línea : http://190.15.17.25/promocionsalud/downloads/Revista23(1)_7.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4736 Reserva
Reservar este documentoEjemplares(1)
Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001210 AC-2018-154 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2018-154.pdfAdobe Acrobat PDF
