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Palliative Care

Quality end of life care for all Australians
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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Palliative care updates
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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Palliative Care – time to reflect
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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Palliative care and chronic heart failure
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...
Dyspnoea and palliative care
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...
Euthanasia – the morning tea version
20/08/02  Dr Joanne DoranJoanne Doran is the NRAHS director of palliative care, based at St Vincent’s Hospital, Lismore, NSW. more...
Euthanasia – the morning tea version
20/08/02  Dr Joanne DoranJoanne Doran is the NRAHS director of palliative care, based at St Vincent’s Hospital, Lismore, NSW. more...
PC emergencies at a glance
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...
Palliative care and advanced directives
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...
Malignant bowel obstruction in palliative care
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...
An approach to pain management in palliative care
23/03/02  Contents What is pain Some useful statistics Causes of pain in cancer patients Step 1. Reduce the noxious stimulus Cas more...
Fentanyl patches - update
23/03/02  Contents Conversions Relative costs Fentanyl patches (Duragesic) will be available on the PBS from this August. They a more...
Fentanyl patches
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...
Dressings for malignant wounds
23/03/02  An interview with Sr Barbara Fischer, palliative care nurse and stomal therapist with a special interest in wound management. more...
Delirium in palliative medicine
23/03/02  This article is based on a lecture given by Dr William Brietbart, Department of Psychiatry and Behavioural Sciences, Memorial more...
Ketamine in palliative care
23/03/02  Contents An old drug with a new role Clinical implications Side-effects Ketamine and opioids Dosage Summary A more...
Update on hypercalcaemia in malignancy
23/03/02  Contents Introduction Normal calcium metabolism Incidence of hypercalcaemia Symptoms and management Introduction Hype more...
Common problems with morphine use
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...
Lymphoedema - palliative physiotherapy
23/03/02  Contents Quality of life Complex Physical Therapy Massage Compression bandages Special exercises Patient education Sum more...
The use of morphine in nursing homes
23/03/02  Contents Morphine to relieve dyspnoea Morphine as a sedative Morphine for arthritic pain Morphine for ischaemic pain Mor more...
Antidepressants in palliative care
23/03/02  The following article has been reprinted from the newsletter of the NSW Society of Palliative Medicine, with the kind permis more...
Nausea and vomiting in palliative care
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...
Secondary malignancy from an unknown primary site
23/03/02  Table of Contents Natural history Prognostic factors Management Cure possible Effective palliation Hormonal treatment more...
Recent developments in management of pain
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...
Update on Strontium 89
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...
Strontium in Prostate Cancer
23/03/02   Strontium in Prostate Cancer Table of Contents Introduction Mechanism of action Mechanism of administration Potenti more...
Terminal restlessness
23/03/02   Table of Contents Terminal Restlessness Causes 1. Uncontrolled pain and other symptoms 2. Drugs 3. Metabolic 4. more...
Bowel obstruction in palliative care
23/03/02   Table of Contents Complete bowel obstruction in the terminally ill patient Can the obstruction be relieved medically? more...
Constipation in palliative care
23/03/02  Constipation is an extremely common encounter in the palliative care patient. It is defined as difficulty in passing stools o more...
Palliative care in nursing homes
23/03/02  The World Health Organisation in 1990 developed the following definition of palliative care in relation to cancer: The tot more...
Hypercalcaemia of malignancy
23/03/02  Hypercalcaemia is a common problem in advanced malignancy affecting 10% of patients to varying degrees. Despite its frequency more...
Opioids and palliative care
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...
Administration of PC medications
23/03/02  The route for administration of medications in a terminally ill patient is a vitally important topic. Questions are often ask more...
Catheter rules
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...
What's new in analgesics
23/03/02  Controlled release oxycodone (Oxycontin) Oxycontin is now PBS listed for use in severe pain not responding to non-narcotic a more...
Breaking bad news - Part 2
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...
Truth telling and palliative care - Part 1
18/12/01  Dr Joanne DoranDirector of Palliative Care, NRAHS more...
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