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Biomedical subjects

R Sander

Publications and source records attributed to R Sander.

65 records · Page 4Linked to original sources
PubMedDate not supplied

Laser versus laser plus afterloading with iridium-192 in the palliative treatment of malignant stenosis of the esophagus: a prospective, randomized, and controlled study.

Thirty-nine patients with malignant stenoses of the esophagus (22 adenocarcinomas, 17 squamous cell carcinomas) were treated either with Nd:YAG laser recanalization alone (N = 20) or with laser recanalization and subsequent endoluminal afterloading irradiation with iridium-192 at a dose of 3 x 7 Gy (6 x 7 Gy). Squamous cell carcinoma patients in the afterloading group showed a prolonged dysphagia-free first interval (65 vs. 30 days, p less than 0.03), while patients with an adenocarcinoma did not share this benefit, and had a need for more frequent endoscopic procedures (p less than 0.05). The complication of esophagitis was only seen following afterloading treatment (21%, N = 4). Re-stenosis occurred in all patients. Neither the duration of relative dysphagia nor survival time was prolonged after endoluminal irradiation in adenocarcinoma or squamous cell carcinoma patients. After prior laser recanalization, palliative afterloading treatment with iridium-192 would seem helpful only in cases of squamous cell carcinoma with a high performance status with the aim of prolonging the first dysphagia-free interval.

Adenocarcinoma↗
PubMedDate not supplied

Palliative care: promoting the concept of a healthy death.

The thought of having a life-limiting disease and/or dying can be a fearful prospect. However, a positive approach to palliative care can help the individual and his/her family to approach the last stages of life with hope and, for some people, fulfilment. This article explores a positive health promotion approach to palliative care. This approach is underpinned by the principles of the Ottawa Charter (World Health Organization (WHO), 1986) which specifies advocacy, enabling, and mediacy as the three central elements of health promotion. The nurse as patient advocate can help to ensure that the wishes of the dying person are met. The principles of enabling can help the dying person and his/her family to remain involved in key decisions while mediacy between caregivers can ensure that death occurs in the most appropriate setting for the individual. Through this approach nurses can play a pivotal role in the multidisciplinary team both as agents of change and as providers of care and support to the dying person and his/her family.

Attitude to Health↗
PubMedDate not supplied

Lifting.

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Health Knowledge, Attitudes, Practice↗