Xavier Busquet-Duran

Catalan Institute of Health | ICS · PADES

The approval of the Spanish Law for the Regulation of Euthanasia in March 2021 entails a profound social change that has direct implications for professional practice at all levels of care. There is no information available about the experiences of the professionals participating in the process of implementing the law in our country, nor any guide...

Resumen Objetivo Examinar las asociaciones entre las dimensiones del modelo de complejidad asistencial HexCom y la ubicación de la muerte. Método Estudio observacional longitudinal multicéntrico en pacientes con enfermedad avanzada tratados por los equipos de soporte a la atención domiciliaria en Cataluña. Se recogieron edad, sexo, estado funcion...

Aim To study the intra-rater reliability and feasibility of the HexCom complexity assessment model by analyzing internal consistency, intra-rater reliability and response time. Design Test–retest study with a selection of 11 clinical situations that cover the full scope of situations assessed by the HexCom model and which are responded to individu...

This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modi...

Objective: The wish to hasten death has been little researched in the area of Mediterranean countries and we are not aware of specific studies on its particularities in home care in our setting. The aim of this work was to investigate the prevalence and evolution of wish to hasten death in home care, analysing its relationship with physical, emoti...

Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred c...

Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centered care a...

Background: Complexity has become a core issue in caring for patients with advanced disease and/or at the end-of-life. The Hexagon of Complexity (HexCom) is a complexity assessment model in the process of validation in health-care settings. Our objective is to use the instrument to describe differences in complexity across disease groups in specif...

Objective To define the complexity in end-of-life care and the criteria of complexity, and depending on their grouping within these levels of complexity, to propose a model of intervention that will allow different levels of care to be established, and the framework within which the professionals of primary health care and the palliative team shoul...

We report an incidental painful ulcers case in a patient with diabetic microangiopaty in legs. There was no response to sistemic analgesia and the patient shows acute pain that lasted more than ninety minutes after de treatment. We decided to administrate topical morphine 0.1% with excellent results. Three months latter we remove the topical morphi...

We report an intestinal suboclusion case in a patient with epididimal mesotelioma in a terminal phase. The patient had been suffering abdominal pain episodes of 48 hours evolution that disappeared when he troughed out. There was no response to oral metoclopramide. The patient refused any medical drugs that could alterate his consciensce level. In f...

En este artículo se encuadran las características fundamentales del enfermo terminal y su entorno domiciliario. Se enmarcan los equipos de soporte y se hace un balance de los 10 años de actividad del PADES-Manresa (asistencia, formación, conexión de recursos e investigación); el objetivo ha sido la promoción de la autonomía del profesional de atenc...

Objective: To describe the utilisation of subcutaneos route in terminally ill patients assisted in their homes gby community health professionals with the of a support team, to know which is the satisfaction of the professionals with the technique and the problems they find in its application. Method: Prospective descriptive multicentric survey in...

The objective was to study attitudes and views of primary care professionals towards terminally ill cancer patients who die at home, using a cross- sectional study based in the health district of Manresa (province of Barcelona, Catalonia, Spain) of the Catalan Health Service, involving 151 primary health care professionals (87 physicians and 64 nur...

To detect problems that terminal cancer patients pose to primary health care (PHC) professionals. Cross-sectional study. PHC professionals of the Manresa (province of Barcelona) health Sector of the National Health System. 151 professionals (87 physicians and 64 nurses). Self-responded anonymous questionnaire. Dates: 10-20 December, 1990; response...

Examined nursing students' attitudes toward death and dying. 368 nursing students (average age 22.6 yrs) enrolled in an optional, palliative care course completed questionnaires concerning experiences with death and death anxiety. Results show the themes of physical deterioration, the last moments, suffering, the anguish of relatives, and remaining...