Publications by authors named "Allyn Yin Mei Hum"
Article Synopsis
- - Patients with severe COVID-19 often experience rapid worsening of symptoms, particularly dyspnea, necessitating early involvement of specialist palliative care (SPC) for effective symptom management and end-of-life care.
- - A study at the National Centre for Infectious Diseases in Singapore analyzed nonventilated COVID-19 patients between January 2021 and July 2022 to identify risk factors for high use of opioids and benzodiazepines in managing dyspnea.
- - Findings revealed that patients with higher dyspnea scores and lower ISARIC-4C mortality scores were more likely to be high users of these medications, indicating they have increased oxygen needs and higher mortality rates, thus highlighting the need for timely
Objectives: There is a lack of prognostic information to guide the prediction of short-term all-cause mortality in patients with end-stage renal disease (ESRD). The aim was to review the risk factors that influenced the risk of short-term all-cause mortality in patients with ESRD.
Methods: MEDLINE, Embase, PubMed, CINAHL, the Cochrane Library and Web of Science databases were searched for articles published between 2000 and 2020.
Objectives: The complex care needs and high mortality of critically ill patients in intensive care unit (ICU) warrants a team approach. While studies have affirmed the integral role of palliative care teams in ICU, little is known about the ICU healthcare professional's perception on how this integration affects the care of the critically ill.This study examines their perception of how integration of palliative care into ICU practice affects interprofessional collaborative practices and relationships in the delivery of care.
View Article and Find Full Text PDFUse of Phenobarbitone for Palliative Sedation in Dyspneic Crises Due to COVID-19 Pneumonia - A Case Series.
J Pain Palliat Care Pharmacother
December 2022
Patients who suffer from dyspnea while dying from COVID-19 are treated with opioids and benzodiazepines. In some instances, patients may experience refractory dyspnea at the end of life. Palliative sedation can be prescribed to alleviate such patients' suffering.
View Article and Find Full Text PDFImpact of Palliative Care in End-of-Life of Fibrotic Interstitial Lung Disease Patients.
Am J Hosp Palliat Care
December 2022
Interstitial lung disease (ILD) is associated with poor quality of life (QoL) and high symptom burden. Studies evaluating the benefits of palliative care examined mainly idiopathic pulmonary fibrosis (IPF) patients. We aim to examine the impact of palliative care on a broader group of fibrotic ILD patients.
View Article and Find Full Text PDFBackground: Many older adults with severe dementia receive potentially life-extending treatments even when caregivers do not wish to prolong their life inappropriately.
Objective: Explore factors that influence caregiver preferences for potentially life-extending treatments for older adults with severe dementia, and reasons for discordance between overall end-of-life care goal and treatment preferences.
Design: Semi-structured in-depth interviews asking caregivers their overall end-of-life care goal for older adults and preferences for intravenous (IV) antibiotics, tube feeding and cardiopulmonary resuscitation (CPR).
Background: The prevalence of burnout, psychological morbidity and the use of coping mechanisms among palliative care practitioners in Singapore have not been studied.
Aim: We aimed to study the prevalence of burnout and psychological morbidity among palliative care practitioners in Singapore and its associations with demographic and workplace factors as well as the use of coping mechanisms.
Design: This was a multi-centre, cross-sectional study of all the palliative care providers within the public healthcare sector in Singapore.