{"id":15208,"date":"2018-03-09T09:02:16","date_gmt":"2018-03-09T09:02:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracteristicas-del-anciano-con-enfermedad-oncologica-terminal-en-el-medio-hospitalario-sociosanitario\/"},"modified":"2018-03-09T09:02:16","modified_gmt":"2018-03-09T09:02:16","slug":"caracteristicas-del-anciano-con-enfermedad-oncologica-terminal-en-el-medio-hospitalario-sociosanitario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/caracteristicas-del-anciano-con-enfermedad-oncologica-terminal-en-el-medio-hospitalario-sociosanitario\/","title":{"rendered":"Caracteristicas del anciano con enfermedad oncologica terminal en el medio hospitalario sociosanitario"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gomez Pavon Francisco Javier <\/strong><\/h2>\n<p>Objetivo: valorar caracteristicas cl\u00ednicas, psicosociales, terapeuticas y consumo de recursos del anciano oncol\u00f3gico terminal en un hospital sociosanitario.  material y metodos: estudio observacional descriptivo. Incluidos pacientes ingresados unidad cuidados paliativos h. Virgen de la poveda del 1-2-97 al 1-1-2000, con enfermedad oncol\u00f3gica. N:213 (90 mujeres, x: 69,35+\/-12,15 a\u00f1os). 161 variables, recogidas al ingeso y al alta. Grupos a estudio: adultos no ancianos: &lt;-65 a\u00f1os y ancianos: &gt;65 a\u00f1os. Analisis estadistico bivariante: x2 variables categoricas, t de student cuantitativas, con regresi\u00f3n lineal multiple. An\u00e1lisis multivariante con regresi\u00f3n logisticia. 95% de ic, p &lt;0,05.  resultados: anciano: 142(65 mujeres, x: 76,49+\/-6,34 a\u00f1os). Adulto no anciano: 71(25 mujeres, x:55,07+\/-7,49). El anciano present\u00f3 mas patolog\u00edas (3,57+\/-1,61 vs 1,70+\/-1,09, p&lt;0,001),peor katz (1,25+\/-1,76 vs 2,48+\/-2,34, p:0,03). no diferencias en n\u00famero y frecuencia de sintomas, excepto m\u00e1s sdr. Confusional, estre\u00f1emiento, y menos angustia ante la muerte (19,01% vs 8,45%, 53,52% vs 25,35% y 5,63% vs 16,90%, p: 0,01&lt;0,001 y 0,03). No diferencias en: a)opioides, tanto en uso (90% vs 95% n.S.), Como en indicaci\u00f3n y tipo (morfina 75% vs 75% fentanilo 7% vs 14%, s.S.), B) uso v\u00edas subcut\u00e1neas (69,71% vs 76,05%, n.S.. El anciano presenta menor necesidad de sedaci\u00f3n terminal (21% vs 9%, p:0,006), mayor conspiraci\u00f3n de silencio, no conoce el diagnostico ni el pronostico (50,70% vs 8,45%, 65,49% vs 18,3%, 80% vs 18,46%, p&lt;0,001). mas consumo el recurso por el anciano: 3177 estancias vs 1305.  conclusiones: el anciano oncol\u00f3gico terminal en el medio hospitalario sociosanitario presenta con respecto al adulto no anciano: a) mayor n\u00famero de patolog\u00edas acompa\u00f1antes, mayor dependencia funcional, b) similar n\u00famero de sintomas, y de uso de opioides, c)menor necesidad de sedaci\u00f3n terminal con frecuente conspiraci\u00f3n de silencio, n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracteristicas del anciano con enfermedad oncologica terminal en el medio hospitalario sociosanitario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracteristicas del anciano con enfermedad oncologica terminal en el medio hospitalario sociosanitario <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gomez Pavon Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/01\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Manuel Ribera Casado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo D\u00edaz-rubio Garc\u00eda <\/li>\n<li> Gonzalez gonzalez Juan  Antonio (vocal)<\/li>\n<li>Manuel G\u00f3nzalez bar\u00f3n (vocal)<\/li>\n<li>Carlos Martinez manzanares (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gomez Pavon Francisco Javier Objetivo: valorar caracteristicas cl\u00ednicas, psicosociales, terapeuticas y consumo de recursos del anciano oncol\u00f3gico [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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