Publication Language: English
Prevalence and management of symptoms during the last month of life
Background: The prevalence and severity of the “most troublesome” symptoms in terminally ill patients are well known and have been studied in many settings. However, these symptoms change during the course of advanced disease. Objectives: To evaluate the range and trajectory of symptoms in the final stage of life as measured a month prior to death. Methods: Patients …
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Secondary traumatization/trauma among employees in palliative care units–the products of prolonged repeated exposure to suffering and death
The palliative care philosophy accepts the dying process as a natural phase in the life cycle and provides quality end of life care for terminal patients and their family members. Prolonged exposure to the physical symptoms and pain, as well as the psychological, spiritual, and existential suffering of the dying patient, may be fertile ground …
Palliative care among second-generation Holocaust survivors: communication barriers
Palliative care at the end of life emphasizes quality of life until death, rather than actively pursuing curative treatment. Truth telling at different stages and open dialogue with both the patient and family are key components in palliative care. Children of Holocaust survivors, born after the end of the Second World War, are often referred to …
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Patterns of opioids consumption in cancer patients
Background: Opioids are considered a cornerstone in the treatment of cancer pain. Objectives: To assess opioid use during a 6 year period (2001-2006) among cancer patients served by Clalit Health Services, the largest health management organization in Israel. Methods: Purchasing data of opioids authorized for use in Israel were obtained from the computerized databases of Clalit for the …
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Contradictions and Dialectics in the Palliative Dialogue: Enhancing the Palliative Dialogue by Dialectical Principles
The application of required communication skills in the palliative dialogue necessitates a significant transition from the paternalistic medical approach to the holistic psychosocial approach that focuses on the patient and views the individual as a whole entity. Understanding the evolution of a therapeutic relationship in terms of entrance into the relationship, development, maintenance, and leave …
Ten Years of Opioid Consumption by Children (2001-2010)
Background: Opioids are considered a cornerstone in the treatment of pain. They are rarely used in almost half of the countries of the world, especially in children. Objective: The aim of this study was to assess opioid use over a ten-year study period from 2001-2010, among children 0-18 years old who are members of Clalit Health Services …
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Canine Scent Detection of Volatile Elements, Characteristic of Malignant Cells, in Cell Cultures
Background: In recent years several reports have been published describing dogs’ ability to detect, by scent, patients with cancer. This ability is based on the sniffing of volatile organic elements that are secreted by malignant cells or react to them. Objectives: To evaluate the ability of trained dogs to detect breast cancer cell cultures (MCF7) compared to …
