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Physiotherapeutic performance in palliative care in the ICU is essential to ensure an integrated and effective approach in the care of terminally ill patients. As a general objective of this research, we sought to analyze the performance of physiotherapy in palliative care in Intensive Care Units, considering its importance in the prevention, treatment of physical complications and relief of patient suffering. This research was carried out through a bibliographic review of works published between 2014 and 2022. The research results were bibliographic and descriptive, addressing works published in the last 10 years. The result of that research pointed out that the performance of physiotherapy in palliative care in intensive care units is of great importance to promote mobility and functionality of patients, improve quality of life and reduce morbidity and mortality. For this, it is necessary that the physiotherapy approach be individualized and humanized, considering the needs and limitations of each patient. [ABSTRACT FROM AUTHOR]

Background: Hospice care (HC) is specialized medical care for terminal patients who are nearing the end of life. Interdisciplinary collaborative hospice care (ICHC) is where experts from different disciplines and patients/caregivers form a treatment team to establish shared patient care goals. However, the ICHC efficacy has not been frequently studied in the terminal geriatric cancer patient (TGCP) population. This study aimed to gain insight into ICHC provided to TGCPs by an ICHC team and identify factors to ameliorate multidimensional HC. Methods: 166 TGCPs were randomized by a computer-generated random number table using an allocation ratio of 1:1. The patients were divided into the ICHC group and life-sustaining treatment (LST) group. The scores of these questionnaires, such as EORTC, QLQ-C30, Hamilton anxiety scale, the median survival time (MST), symptoms improvement, the median average daily cost of drugs (MADDC), the median total cost of drugs (MTDC) in the last 2 days, and medical care satisfaction were observed in both groups. Results: After treatment, the improvement of emotional function and symptoms in the ICHC group were statistically higher than those in the LST group (P < 0.05). The MADDC and the MTDC in the last 2 days were statistically lower in the ICHC group than those in the LSTs group (P < 0.01). In addition, the overall satisfaction situation and the cooperation ability in the ICHC group were statistically higher than those in the LST group (P < 0.01). Conclusion: The ICHC could provide TGCPs with coordinated, comfortable, high-quality, and humanistic care. [ABSTRACT FROM AUTHOR]

Music therapy (MT) for terminally ill patients (PT) has been used as a complementary and multidisciplinary palliative treatment, and numerous repercussions may be present in the management of patient treatment. TM aims to relieve physical and emotional symptoms, including reducing pain and improving quality of life. In addition, it can bring support and help in communicating with family members in coping with grief. Being of great importance to individuals to be more comfortable at the end of life. to analyze the evidence in the literature of studies related to the use of music therapy in the management of terminally ill patients. to analyze the evidence in the literature of studies related to the use of music therapy in the management of terminally ill patients. A systematic review was carried out under the PRISMA guidelines, through the databases: PubMed, Cinahl and Cochrane Library CENTRAL and the descriptors found in the Medical Subject Headings (MeSH) and, in the Health Sciences Descriptors (DeCS). Studies containing the descriptors "Palliative care", "Music Therapy" and "Terminal patients" and their cognates were selected, with no restriction regarding languages. A total of 5,836 studies were identified, 12 of which were selected for the review, and only those that described the effects of TM on PT were recruited. In 6 studies it was demonstrated that TM was able to reduce pain, in 5 articles it was identified an increase in well-being. 5 studies identified improvement in QoL through the application of a questionnaire. One study used spirituality as a relevant factor in the effectiveness of TM. Four publications analyzed the effect of TM on pre- and post-intervention discomfort, showing a reduction in discomfort after the intervention. TM proves to be an intervention capable of generating positive responses that correspond to an increase in QoL, with effects on the clinical, physiological and psychological outcomes of individuals in the terminal phase. The use of TM in PT is a cheap and accessible approach, which can bring many benefits to individuals who are in the final stages of life, bringing greater comfort and general well-being. [ABSTRACT FROM AUTHOR]

Objective To gain an in-depth understanding of the motivations,patterns,and related factors in family decision-making regarding the referral of terminal patients in tertiary hospitals. Methods Using purposive sampling,terminal patients and their family members from three tertiary hospitals in Beijing were selected as subjects.Semi-structured interviews were conducted,and the interview data were subjected to thematic analysis. Results Following the saturation principle,a total of 11 patients and 15 family members were included.The interview data were organized and analyzed,yielding six major themes:decision premises,decision patterns,family support,support from the referring hospital's medical team,referral channel conditions,and involvement of volunteer teams and social support.Based on these findings,a flowchart illustrating the family decision-making process for the referral of terminal patients was constructed. Conclusions The study provides a comprehensive analysis of various factors influencing family decision-making in the referral of terminal patients in tertiary hospitals.The results underscore the significance of internal and external factors,emphasizing the integrated impact of decision patterns,family support,medical team support,referral channel conditions,and the involvement of volunteer teams and social support.The research offers profound insights into improving the referral process for terminal patients and enhancing the quality of family decision-making.It provides valuable recommendations for future improvements in medical services and decision support.