Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Chiang,Ling-Ling
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------>journal_name=Annunal metting of 10th Asia Pacific Association of Respiratory Care(APARC)
------>paper_name=Clinical pathway to pulmonary rehabilitation
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------>fullAbstract=AIMS: To improve the understanding of specific clinical problems at the end of life, including the role of advancing age, physical function and cognitive function. METHODS: The study is part of an explorative survey of data relevant to end-of-life healthcare services during the last 3 months of life of a randomly selected sample of the population of a Swedish county. Data were selected through retrospective reviews of death certificates and medical records, and comprise information from 12 municipalities and 229 individuals. RESULTS: A range of prevalent concerns was found. Overall deterioration, urinary incontinence, constipation, impaired skin integrity, anxiety and sleep disturbances were significantly associated with dependency on others for activities of daily living; pulmonary rattles and swallowing disturbances were associated with cognitive disorientation; excepting cough, advancing age did not have significant impacts on these prevalent clinical concerns. CONCLUSIONS: A range of distressing conditions constitute a common pathway for many individuals at or near the end of life. The incorporation of health promotion as a principle of palliative care will probably benefit individuals at the end of life, and includes a proactive focus and emphasis on enhanced well-being at the time of diagnosis of a life-threatening illness. For individuals with physical and cognitive limitations imparting a state of dependency, it is reasonable to provide assurance of care for individuals~ specific needs by professionals with both training for and competence in this special and sometimes unique clinical environment.
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------>authors=Chiang,Ling-Ling
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------>updateTitle=Clinical problems at the end of life in a Swedish population, including the role of advancing age and physical and cognitive function.
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------>publish_year=2001
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z