RESUMO
Treatment decision making in cancer patients is dependent on tumour variables, patient variables, and physician bias. Patient age and socio-economic status were examined as independent variables in treatment decision making. Bias towards offering treatment options to younger, more socially active patients was found.
Assuntos
Envelhecimento , Tomada de Decisões , Neoplasias/terapia , Classe Social , HumanosAssuntos
Negação em Psicologia , Eutanásia , Cuidados Paliativos , Papel do Médico , Papel (figurativo) , HumanosAssuntos
Uretra/lesões , Disfunção Erétil/etiologia , Fraturas Ósseas/complicações , Humanos , Masculino , Ossos Pélvicos/lesões , Complicações Pós-Operatórias , Radiografia , Estudos Retrospectivos , Ruptura , Uretra/diagnóstico por imagem , Uretra/cirurgia , Estreitamento Uretral/etiologia , Bexiga Urinária/cirurgiaAssuntos
Complexo Antígeno-Anticorpo , Cistite/etiologia , Lúpus Eritematoso Sistêmico/imunologia , Anticorpos Antinucleares/análise , Doença Crônica , Cistite/imunologia , Cistite/patologia , Humanos , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/patologia , Bexiga Urinária/patologiaRESUMO
The Brompton mixture is a highly effective, flexible, safe and convenient means to control chronic pain of malignant disease. The mixture is a solution containing morphine, the dose of narcotic varying with the need for analgesia, and is given regularly, usually every 4 hours, with a phenothiazine. The main aims of therapy are prevention of pain rather than treatment, an unclouded sensorium and a normal effect. Terminally ill cancer patients were given the Brompton mixture and a phenothiazine in an attempt to control their pain. The mixture was administered to patients in 3 hospital environments: 1) a palliative care unit, 2) general wards and 3) private rooms. Pain was measured in 92 patients with the McGill-Melzack pain questionnaire. The Brompton mixture controlled pain in 90 per cent of patients in the palliative care unit and in 75 to 80 per cent of patients in the wards or private rooms. The differences in pain scores between patients in the palliative care unit and the other groups were significant. The mixture produced substantial decreases in the 3 major dimensions of pain: 1) sensory, 2) affective and 3) evaluative. Comparison of these results with data obtained in an outpatient pain clinic showed that the Brompton mixture was strikingly more effective than the traditional methods of managing cancer pain.
Assuntos
Analgésicos Opioides/uso terapêutico , Neoplasias/complicações , Dor Intratável/tratamento farmacológico , Cuidados Paliativos , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Morfina/administração & dosagem , Dor Intratável/etiologia , Dor Intratável/fisiopatologiaAssuntos
Uretra/lesões , Humanos , Masculino , Complicações Pós-Operatórias , Bexiga Urinária/cirurgiaRESUMO
The Brompton mixture is a highly effective, flexible, safe and convenient means to control chronic pain of malignant disease. The mixture is a solution containing morphine, the dose of narcotic varying with the need for analgesia, and is given regularly, usually every 4 hours, with a phenothiazine. The main aims of therapy are prevention of pain rather than treatment, an unclouded sensorium and a normal effect. Terminally ill cancer patients were given the Brompton mixture and a phenothiazine in an attempt to control their pain. The mixture was administered to patients in 3 hospital environments: 1) a palliative care unit, 2) general wards and 3) private rooms. Pain was measured in 92 patients with the McGill-Melzack pain questionnaire. The Brompton mixture controlled pain in 90 per cent of patients in the palliative care unit and in 75 to 80 per cent of patients in the wards or private rooms. The differences in pain scores between patients in the palliative care unit and the other groups were significant. The mixture produced substantial decreases in the 3 major dimensions of pain: 1) sensory, 2) affective and 3) evaluative. Comparison of these results with data obtained in an outpatient pain clinic showed that the Brompton mixture was strikingly more effective than the traditional methods of managing cancer pain.
Assuntos
Morfina/uso terapêutico , Dor Intratável/prevenção & controle , Cuidados Paliativos/métodos , Idoso , Esquema de Medicação , Feminino , Unidades Hospitalares , Humanos , Masculino , Pessoa de Meia-Idade , Derivados da Morfina/uso terapêutico , Neoplasias/tratamento farmacológico , Dor Intratável/tratamento farmacológico , Fenotiazinas/uso terapêutico , Inquéritos e Questionários , Assistência Terminal/normasRESUMO
12 patients who had previously undergone trans-sphincteric urethral reconstruction were studied with regard to their sphincter mechanisms. The method of study was by urethral pressure profile and urethral voluntary sphincteric pressure increment. This study showed that patients may undergo trans-sphincteric urethral reconstruction with preservation of normal profiles and voluntary pressure increases indicating preservation of the "external" sphincter mechanism.
