Palliative Paracentesis in the Home Setting: A Case Series
| Autor: | Nicole A Segaline, Ken S Ota, Nicholas Schultz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Palliative care 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Ascites Paracentesis medicine Humans Intensive care medicine Retrospective Studies medicine.diagnostic_test business.industry Palliative Care General Medicine Home setting Ultrasound guided Hospice Care 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business Home Hospice |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 38:1042-1045 |
| ISSN: | 1938-2715 1049-9091 |
| DOI: | 10.1177/1049909120963075 |
| Popis: | Background: Management of ascites-related symptoms in home hospice and palliative care patients can be challenging. Ultrasound-guided paracentesis is a standard intervention for this indication, but generally requires transfer to a hospital or outpatient interventional-radiology (IR) setting; thus, such interventions are often not practical or attainable for home hospice and palliative care patients. Objective: To describe a mobile, in-home service that provides home-based palliative paracentesis (HBPP) as an interventional palliative option for patients with distressing symptoms related to ascites. Design: Retrospective case series. Setting/Subjects: Thirty patients with ascites, confirmed by portable bedside ultrasound, who underwent HBPP at their residence. Results: Thirty-three patients were referred for HBPP for symptomatic abdominal distention from March 1, 2019 to March 1, 2020. Thirty (91%) patients had ultrasound-confirmed ascites and received HBPP. All 30, verbalized appreciable symptom relief post-intervention. There were no reported post-procedural complications. Conclusion: Home-based palliative paracentesis is a safe, effective, and convenient intervention for hospice and palliative care patients with symptomatic ascites. |
| Databáze: | OpenAIRE |
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