PURPOSE/OBJECTIVES To identify symptoms of greatest parental concern on the last day and during the last week of their children's lives, the five most common symptoms of parental concern, and symptom-management strategies used during the last week of the children's lives. RESEARCH APPROACH Descriptive, exploratory, and retrospective. SETTING A pediatric hospice program in St. Louis, MO. P...

This paper aims to propose a conceptual model to analyse the influence of lean, resilient and green supply chain management practices on supply chain sustainability. A deductive research approach was used to develop a conceptual model from the literature review. The SCM practices focused in this study are: waste elimination, Total Quality Management, just-in-time; supply chain risk management, ...

BACKGROUND Major depressive disorder (MDD) is associated with significant impairment in quality of life and psychosocial functioning, including social and occupational/role functioning. Evaluation of clinical effectiveness of treatments for depression must include improvement in these important functional outcomes. However, clinical trials for depression have primarily focused on reduction in s...

the main purpose of this study was to investigate the relationship between organizational culture and knowledge management in hamedan's jihad- agriculture applied-scientific higher education center (hjaas). denison's organizational culture model and the building blocks of knowledge management model were used for finding this relationship. a descriptive correlative methodology was used. the stat...

Introduction: Diagnosis lies at the heart of general practice.Every day general practitioners (GPs) visit patients with awide variety of complaints and concerns, with often minor butsometimes serious symptoms. General practice has many featureswhich differentiate it from specialty care setting, but during thelast four decades little attention was paid to clinical reasoningin general practice. T...

Although concurrent symptoms are frequently reported in clinical practice, symptom management research has not reflected this reality. Concurrent, related symptoms, i.e., symptom clusters, are possibly the next generation of work to be done in the area of symptom management. It has been suggested that certain clusters of symptoms may have a synergistic effect on future patient outcomes, and may...

2.13.2. In patients with lung cancer who experience chronic pain, the use of the World Health Background: Many patients with lung cancer will develop symptoms related to their disease process or the treatment they are receiving. These symptoms can be as debilitating as the disease progression itself. To many physicians these problems can be the most diffi cult to manage. Methods: A detailed rev...

BACKGROUND: Pain, dyspnea, and anorexia are common symptoms experienced by patients with cancer and often are poorly managed. METHODS: The incidence and causes of these symptoms are described, as well as factors that exacerbate or ameliorate their impact. RESULTS: Pharmacologic management of cancer pain is based on the use of a sequential "ladder" that incorporates nonopioid, opioid, and adjuva...