OBJECTIVE To evaluate the clinical outcome (180-day mortality) of very elderly critically ill patients (age ≥80 years) and compare with those aged 60 to 79 years. DESIGN Historical cohort study. SETTING Regional hospital, Hong Kong. PATIENTS Patients aged ≥60 years admitted between 1 January 2009 and 31 December 2013 to the Intensive Care Unit of the hospital. RESULTS Over 5 years, 4226...

Resuscitation plans (RP) are an important clinical indicator relating to care at the end of life in paediatrics. A retrospective review of the medical records of children who had been referred to the Royal Children's Hospital, Brisbane, Australia who died in the calendar year 2011 was performed. Of 62 records available, 40 patients (65%) had a life limiting condition and 43 medical records (69%...

AIM To determine whether short-term intensive group-based therapy combining modified constraint-induced movement therapy and bimanual therapy (hybrid-CIMT) is more effective than an equal total dose of distributed individualized occupational therapy (standard care) on upper limb motor and individualized outcomes. METHOD Fifty-three children with unilateral cerebral palsy (69% males; mean age ...

transfer of patients from the cardiac intensive care unit to the general ward, is one of the main reasons for anxiety. given that the transfer anxiety may be due to receive at least, inconsistent or do not receive enough information before the patients leaving the intensive care unit, therefore, this study aimed to determine the effect of information provision on anxiety levels in patients tran...

Idiopathic pulmonary fibrosis (IPF) is the most common idiopathic interstitial pneumonia characterized by progressive fibrosis. Chronic refractory breathlessness is the clinical hallmark and the most debilitating symptom of IPF; it is strongly associated with poor quality of life and mortality. Dyspnea in IPF remains grossly undertreated. The current IPF treatment guidelines recommend palliativ...

abstract background: clinical guidelines are important instruments for increasing the quality of clinical practice in the treatment team. compilation of clinical guidelines is important due to special condition of the neonates and the nurses facing critical conditions in the neonatal intensive care unit (nicu). with 98% of neonatal deaths occurring in nicus in the hospitals, it is important to ...

abstract background: a newborn is highly fragile whose death can be caused by embryonic, intra partum, and postpartum factors. identifying the causes of death is the first step to be taken in order to decrease the death rate. the present study was aimed at finding out how neonatal factors and therapeutic actions affect death of newborn babies. materials and methods: this is a case-control study...

conclusions according to the results, parents need accurate information about the health and the death of their neonates in the nicu. they also need to communicate with healthcare professionals and their babies. communication is regarded as a channel for obtaining information. therefore, the healthcare team needs to address these families’ needs and attempt to fulfill their requirements in neon...

The Joint Commission recently announced its new Community-Based Palliative Care (CBPC) Certification option for accredited home care organizations. This specialty certification, which recognizes home health and hospice organizations that provide community-based palliative care to patients and their families at home, will be effective July 1, 2016. Using the results of a market research study of...