A 46-year-old woman was admitted to the hospital several weeks ago with sepsis. She has squamous cell carcinoma of the tongue, which was diagnosed one year ago. Her cancer has been previously treated with multiple resections and chemotherapy, and is thought to be terminal. She also has chronic graft-versus-host disease from a stem cell transplantation for treatment of multiple myeloma several y...

In October, 1995 the author (NR) was completing a clinical rotation with a physician in a rural comunity as part of his Physician Assistant Training. His responsibilities included covering the Emergency Room in the hospital and helping the town physician at his three clinics. Emergency Room call was shared with a medical student and the hospital and clinic rotation was for five weeks. A week in...

Correspondence JOURNAL can the patient be given a sense of continuity. in the process of treatment. By such means it is also possible to avoid the sudden last-minute urgent admission of a dying patient to a totally strange hospital for the final few hours of a prolonged illness; this is not terminal care but terminal mismanagement. If patients are to be transferred for terminal care in geriatri...

maintaining dignity and respect is among patients’ most fundamental rights. the importance of patient dignity, the status quo, patients’ needs, and a shortage of survey studies in this area were the underlying incentives for conducting this study. this was a cross-sectional descriptive study in which data were collected through patient dignity inventory (pdi). the questionnaire was completed by...

Palliative care involves an approach in the field of care for terminal patients and their families that seeks to assure them better quality of life by establishing good communication. The scope of this study was to verify how nurses use communication in the field of palliative care when assisting patients in the terminal phase. This is exploratory research of a qualitative nature in which 28 nu...

OBJECTIVE To determine satisfaction of relatives and general practitioners with care of patients during terminal illness and make recommendations on improving terminal care in general practice. DESIGN Interviews with available relatives of patients who had had terminal illnesses and died in 1987, supplemented by questionnaires; questionnaire survey of general practitioners after review of cas...

BACKGROUND Respiratory therapists (RTs) routinely care for patients with life-limiting illnesses and in some hospitals are responsible for terminal extubations. Data on how such experiences affect RTs are scarce. The objective of this work was to survey RTs at 2 academic medical centers about their experiences caring for patients with terminal extubations. METHODS An online survey was distrib...

Whereas there is an exact linear relation between the Wiener indices of kenograms and plerograms of isomeric alkanes, the respective terminal Wiener indices exhibit a completely different behavior: Correlation between terminal Wiener indices of kenograms and plerograms is absent, but other regularities can be envisaged. In this article, we analyze the basic properties of terminal Wiener indices...

The authors report a rare association of superior mesenteric artery aneurysm and cardio-renal syndrome is complex clinical therapeutic entity cardiovascular renal pathology whose prognosis depends on the precocity management. We case in 36-year-old hypertensive patient, suffering from terminal failure complicating with stage 2 cardiorenal who underwent hemodialysis session literature review.

In order to study the effects of terminal heat stress and nitrogen on morphophysiological characteristics, ANUE (Agronomical Nitrogen Use Efficiency) and yield of canola, an experiment was conducted at research farm of Ramin Agricultural Sciences and Natural Resources university. The experiment was arranged in split plots based on randomized complete block design with four replications. Main pl...