BAOJ Palliative Medicine

Bioaccent Online Publishing

Published Articles

When I'm in Pain, I feel God is Testing Me: Differences in Middle Eastern and US Cancer Pain Experiences

Background: Cancer pain is prevalent and a huge source of patient suffering, yet, little is known about how this experience varies in different cultures with markedly different religious affiliations. ...

Randomised Controlled Trial of Fish Oil Supplement to Treat Cancer Cachexia

Patients with advanced cancer often suffer from cachexia, a debilitating and complex extreme weight loss syndrome which is also associated with shorter survival times. A pragmatic randomised controlled trial was conducted to determine whether an oral nutritional supplement containing ...

Latissimus Dorsi Myocutaneous Flap Approach for Treatment of Radiation-Induced Ulcer in Breast Cancer

In this paper we describe our clinical approach to the treatment of a radiation-induced ulcer resistant to conservative management, which represents an uncommon complication secondary to adjuvant radiation therapy for breast cancer. ...

Cancer Pain: Still a Relevant Issue

Pain is a common symptom in cancer patients: in the systematic review of Van der Beuken- van Everdingen and Coll. its prevalence ranged from 25% in newly diagnosed patients to 64% in patients with advanced cancer ...

Clinical Trials at the End-of-life

Although clinical trials are the basis where daily clinical practice should be based on, such evidence is scarce at the end-of life of cancer patients. Research in this patients population is hampered by the lack of clear definition of the study population, the study design, the definition of meaningful endpoints and ethical consideration. ...

Interventional Management of Intercostal Neuritis Secondary to Metastatic Sinus Cancer by Radio Frequency Ablation

Intercostal neuritis is a well-known pain disorder with multiple etiologies that can lead to chronic and severe pain characterized by irradiating pain that follows a segmental pattern of an intercostal nerve. Several different interventional or surgical techniques have been described to help manage or ameliorate this condition. ...

From Do No Resuscitation to Advance Care Planning

As a result of the "heroic fight" by physicians, many people suffered from painful death in hospitals, inserted with variable tubes and surrounded by different medical devices. In order to improve our quality of death and quality of hospice palliative care, Taiwan passed a Hospice Palliative ...

The Social Work Competencies in Palliative Care: A Case-Study

Multidisciplinary knowledge 'and training is required to handle the particular needs of patients and families, and to improve quality in complex/advanced clinical situations. It is undoubtedly recognized that an interdisciplinary team values social workers' skills; however, their competencies are being misunderstood. ...

Optimizing Cancer Pain Care in the Palliative Setting

"Freedom from pain" has been ranked the most important matter by patients at the end of life [1]. Pain in cancer patients is highly prevalent among various primary diagnoses. It may be as high as 64% in patient with advanced, metastatic or terminal phase cancer [2]. Efforts on maintaining quality of life in patients ...

Administering Cardiopulmonary Resuscitation (CPR) to Cancer Patients in the Palliative Phase

The paper discusses when it is suitable to administer Cardiopulmonary Resuscitation (CPR) to cancer patients in the palliative phase. ...

A Review on How Prayer Could Comfort Terminally Ill Patients

The objective of this article was to review how prayer could be used to comfort terminally ill patients. ...

Providing Patients with Dementia and Neurological Diseases a Dignified Peaceful Demise

Taiwan enacted the Patient Self-Determination Act in January 6, 2016. It allows patient at 1. Terminal stage disease, 2. Irreversible comatous state, 3. Persistent vegetative state, 4. Severe dementic state, 5. Intolerable pain, incurable disease without adequate solution under the current medical ...

Therapy Preferences in Melanoma Treatment

Within a focus group stakeholders (a melanoma patient, a melanoma patient's relative, a palliative care specialist, an oncologist, a dermatologist, a medical ethics specialist, a surgeon experienced in oncological care and two representatives of the Department of quality management dealing with patient affairs)discussed following a briefing on different ...

Hospice Care and Consultation Services Improve the Rate of Do-Not-Resuscitate Order Signing and Reduce the Use of Chemotherapy at the End of Life

We evaluate the percentage of terminal cancer patients willing to sign do-not-resuscitate (DNR) orders and avoid unnecessary chemotherapy.From 2005 to 2009, atotal of 3,024 terminal cancer patients were enrolled. The DNR rate significantly improved from 45% to 75% and the unnecessary ...

The Health Economics of Palliative Care: an Indian Perspective

Only a few studies have assessed the economic outcomes of palliative therapy. The major areas of interest include hospice care, the process and structure of care, symptom management, and palliative chemotherapy compared to best supportive care. At present, there is no definite healthcare system followed in India. Medical bankruptcy is a common phenomenon ...

Bioethics and the Need for Activities Programs in Holistically Caring For the Enduring Spirit / Personhood in Dementia

Activities professionals are vital team members in nursing homes for providing holistic care for individuals with dementia. Their work is important for caring for the enduring spirit / personhood in dementia and providing quality of life. ...