<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2021000100018</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cuidados paliativos en Atención Primaria: abordaje del delirium y manejo de la vía subcutánea]]></article-title>
<article-title xml:lang="en"><![CDATA[Palliative care in Primary Care: tackling of delirium and management of subcutaneous administration]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Cebrián]]></surname>
<given-names><![CDATA[Mª Aránzazu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lázaro Bermejo]]></surname>
<given-names><![CDATA[Concha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Casero Beltrán]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valle Apastegui]]></surname>
<given-names><![CDATA[Ruth del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Callado Pérez]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arriba Méndez]]></surname>
<given-names><![CDATA[José Javier de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Villarrobledo Unidad de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Universitario de Ciudad Real Unidad de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Ciudad Real ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General La Mancha Centro Unidad de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Alcázar de San Juan Ciudad Real]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital de Hellín Unidad de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario N.S. Perpetuo Socorro de Albacete Unidad de Medicina Paliativa ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>14</volume>
<numero>1</numero>
<fpage>18</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2021000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2021000100018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2021000100018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN En este artículo se revisan dos temas clave en cuidados paliativos, como son el delirium y la vía subcutánea. El delirium es un síndrome neurocognitivo producido por una disfunción cerebral difusa aguda, y es muy frecuente en pacientes que reciben cuidados paliativos. La detección del delirium puede mejorarse mediante el uso de herramientas de cribado. El manejo del delirium incluye tratar los factores precipitantes cuando esto sea posible, así como actuar sobre el distrés que provoca mediante intervenciones farmacológicas y no farmacológicas. La vía subcutánea es una herramienta sencilla y efectiva para el control de síntomas, tanto al final de la vida como en otras patologías agudas. Es el ámbito domiciliario donde cobra su mayor importancia, disponiendo de un amplio arsenal terapéutico con escasas complicaciones en su uso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT This paper reviews two essential palliative care topics, delirium and the subcutaneous route. Delirium is a neurocognitive syndrome produced by acute diffuse brain dysfunction and is more common in patients who receive palliative care. Detection of delirium can improve by means of using screening tools. Management of delirium includes treating triggering factors when possible, in addition to acting on the distress caused by means of pharmacological and non-pharmacological interventions. Subcutaneous administration is a simple and effective tool with which to monitor symptoms both at the end of life and in other acute pathologies. It is most important in a domiciliary scope and there is a wide ranging therapeutic arsenal with few complications in regard to its use.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Delirium]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="es"><![CDATA[Vía Subcutánea]]></kwd>
<kwd lng="en"><![CDATA[Delirium]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="en"><![CDATA[Subcutaneous Route]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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