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These data were in accord with Bar-Joseph, who observed that ketamine reduced ICP in 88% of cases during a potentially distressing intervention such as respiratory physiotherapy, endotracheal suctioning or bed linen change [ 22].
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"When family members understood the clinical course of dementia and the poor prognosis, the patients were far less likely to undergo these distressing interventions," said the study's lead author, Dr. Susan L. Mitchell, senior scientist at the Institute for Aging Research of Hebrew SeniorLife in Boston.
Some older people are subject to futile and distressing treatment at the end of their lives [ 3]; others are denied potentially beneficial interventions on the basis of their chronological age alone [ 4].
The most distressing treatment was chemotherapy.
Families can find some interventions distressing to witness – explaining to families what interventions involve, what they can expect to see (and hear) may be helpful.
Combinations of therapy such as radio-chemotherapy are not necessarily more distressing than single intervention alone.
"It's a good thing that the patient can realize that we provided care in a sensitive way and that we worried, because sometimes the interventions were distressing" (Nursing assistant 3).
Some found the intervention both informative and distressing.
Given the high proportion of participants who rated Kelly's problem as either 'very' or 'extremely' distressing, it is possible that the intervention was unable to produce any further increase.
(Rose, relative) Families often found the look and sound of a relative struggling to breathe profoundly distressing and were also grateful for interventions such as suctioning when the patient had pneumonia for example (as is common in this patient group).
In view of the size and importance of our mental health interventions, we planned an effectiveness study with the primary objective of determining if our intervention improves functioning and reduces distressing symptoms.
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CEO of Professional Science Editing for Scientists @ prosciediting.com