@misc{10481/61987,
year = {2020},
month = {3},
url = {http://hdl.handle.net/10481/61987},
abstract = {The aim of the study is to evaluate the intensity of symptoms, and any treatment and
therapeutic procedures received by advanced chronic patients in nursing homes. A multi-centre
prospective study was conducted in six nursing homes for five months. A nurse trainer selected
palliative care patients from whom the sample was randomly selected for inclusion. The Edmonton
Symptoms Assessment Scale, therapeutic procedures, and treatment were evaluated. Parametric and
non-parametric tests were used to evaluate month-to-month differences and differences between
those who died and those who did not. A total of 107 residents were evaluated. At the end of the
follow-up, 39 had (34.6%) died. All symptoms (p < 0.050) increased in intensity in the last week of life.
Symptoms were more intense in those who had died at follow-up (p < 0.05). The use of aerosol sprays
(p = 0.008), oxygen therapy (p < 0.001), opioids (p < 0.001), antibiotics (p = 0.004), and bronchodilators
(p = 0.003) increased in the last week of life. Peripheral venous catheters (p = 0.022), corticoids
(p = 0.007), antiemetics (p < 0.001), and antidepressants (p < 0.05) were used more in the patients
who died. In conclusion, the use of therapeutic procedures (such as urinary catheters, peripheral
venous catheter placement, and enteral feeding) and drugs (such as antibiotics, anxiolytics, and new
antidepressant prescriptions) should be carefully considered in this clinical setting.},
organization = {This paper has been partially supported by the Junta de Andalucía, by project FQM-235 and the
Andalusian CICYE project AP-0105-2016},
publisher = {MDPI},
keywords = {Palliative care},
keywords = {Nursing homes},
keywords = {Symptom assessment},
keywords = {Drug therapy},
keywords = {Therapeutics},
keywords = {Longitudinal studies},
title = {Prospective Evaluation of Intensity of Symptoms, Therapeutic Procedures and Treatment in Palliative Care Patients in Nursing Homes},
doi = {10.3390/jcm9030750},
author = {Puente Fernández, Daniel and Roldán López Del Hierro, Concepción Beatriz and Campos Calderón, Concepción P. and Hueso Montoro, César and García Caro, María Paz and Montoya Juárez, Rafael},
}