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23/08/05 Dr Joanne DoranPalliative Care Australia (PCA, the peak body for palliative care) has released three documents to guide service development more... |
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14/05/04 Dr Joanne DoranMarch heralded the 13th Annual Symposium of the Sydney Institute of Palliative Medicine. This is an annual meeting for pallia more... |
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17/10/03 Dr Joanne DoranThe following is a brief overview of some of the presentations at the recent 7th Australian Palliative Care Conference in Ade more... |
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19/02/03 Dr Joanne DoranPart 2
Patients with end stage cancer have always been the ‘core business’ for specialist palliative care services. Howeve more... |
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16/10/02 Dr Joanne Doran"Imagine running in a blind panic for your life and then someone puts a 70kg weight on your chest whilst you are trying to c more... |
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20/08/02 Dr Joanne DoranJoanne Doran is the NRAHS director of palliative care, based at St Vincent’s Hospital, Lismore, NSW. more... |
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20/08/02 Dr Joanne DoranJoanne Doran is the NRAHS director of palliative care, based at St Vincent’s Hospital, Lismore, NSW. more... |
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19/04/02 Dr Joanne DoranPalliative care emergencies are not common but can often be an anticipated event. They will usually be very distressing and t more... |
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23/03/02 An advance directive (a living will) is a witnessed document that sets out the wishes of a patient in relation to treatment d more... |
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23/03/02 The incidence of malignant bowel obstruction in the general population is not known. The commonest causes are cancer of the o more... |
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23/03/02 Contents
What is pain
Some useful statistics
Causes of pain in cancer patients
Step 1. Reduce the noxious stimulus
Cas more... |
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23/03/02 Contents
Conversions
Relative costs
Fentanyl patches (Duragesic) will be available on the PBS from this August. They a more... |
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23/03/02 To add to the choice of opioid analgesics used in palliative care we now have in Australia fentanyl patches. Each patch is wo more... |
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23/03/02 An interview with Sr Barbara Fischer, palliative care nurse and stomal therapist with a special interest in wound management. more... |
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23/03/02 This article is based on a lecture given by Dr William Brietbart, Department of Psychiatry and Behavioural Sciences, Memorial more... |
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An old drug with a new role
Clinical implications
Side-effects
Ketamine and opioids
Dosage
Summary
A more... |
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23/03/02 Contents
Introduction
Normal calcium metabolism
Incidence of hypercalcaemia
Symptoms and management
Introduction
Hype more... |
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23/03/02 Over the last 10 years GPs have become increasingly confident in using morphine for pain control in patients in the palliatve more... |
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23/03/02 Contents
Quality of life
Complex Physical Therapy
Massage
Compression bandages
Special exercises
Patient education
Sum more... |
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23/03/02 Contents
Morphine to relieve dyspnoea
Morphine as a sedative
Morphine for arthritic pain
Morphine for ischaemic pain
Mor more... |
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23/03/02 The following article has been reprinted from the newsletter
of the NSW Society of Palliative Medicine, with the kind permis more... |
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23/03/02 Nausea and vomiting occurs in about 50% of patients with advanced cancer at some time. Patients rate nausea as a more unpleas more... |
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23/03/02 Table of Contents
Natural history
Prognostic factors
Management
Cure possible
Effective palliation
Hormonal treatment more... |
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23/03/02 The physiology of pain has been well understood for many years now. However, in the last decade, there has been greater under more... |
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23/03/02 We are seeing a lot more metastatic bone disease today and dealing with the associated pain can be a major challenge in palli more... |
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23/03/02
Strontium in Prostate Cancer
Table of Contents
Introduction
Mechanism of action
Mechanism of administration
Potenti more... |
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23/03/02
Table of Contents
Terminal Restlessness
Causes
1. Uncontrolled pain and other symptoms
2. Drugs
3. Metabolic
4. more... |
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Table of Contents
Complete bowel obstruction in the terminally ill patient
Can the obstruction be relieved medically?
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23/03/02 Constipation is an extremely common encounter in the palliative care patient. It is defined as difficulty in passing stools o more... |
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23/03/02 The World Health Organisation in 1990 developed the following definition of palliative care in relation to cancer:
The tot more... |
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23/03/02 Hypercalcaemia is a common problem in advanced malignancy affecting 10% of patients to varying degrees. Despite its frequency more... |
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23/03/02 The palliative care article "An approach to pain management in palliative care" dealt with the four step approach to pain m more... |
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23/03/02 The route for administration of medications in a terminally ill patient is a vitally important topic. Questions are often ask more... |
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23/03/02 Getting called out at 2am because of a blocked urinary catheter can be annoying, particularly if it is a preventable problem. more... |
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23/03/02 Controlled release oxycodone (Oxycontin)
Oxycontin is now PBS listed for use in severe pain not responding to non-narcotic a more... |
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20/02/02 Dr Joanne DoranBad news can be defined as any information that drastically alters a patient’s view of the future for the worse.
A patien more... |
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18/12/01 Dr Joanne DoranDirector of Palliative Care, NRAHS more... |