Physicians and hospice care: attitudes, knowledge, and referrals.

abstract：: Background: Futile or potentially inappropriate care (futile/PIC) for dying inpatients leads to negative outcomes for patients and clinicians. In the setting of rising end-of-life health care costs and increasing physician burnout, it is important to understand the causes ...

journal_title：Journal of palliative medicine

authors： Chamberlin P,Lambden J,Kozlov E,Maciejewski R,Lief L,Berlin DA,Pelissier L,Yushuvayev E,Pan CX,Prigerson HG

更新日期：2019-09-01 00:00:00

abstract：:Central pain syndromes are a complex, diverse group of clinical conditions that are poorly understood. We present a patient with progressive, debilitating central pain and co-existing mood disorders that was refractory to multimodal pharmacologic and nonpharmacologic therapies, but that ultimately responded to electro...

journal_title：Journal of palliative medicine

authors： Strand JJ,Warner LL,Kamdar MM,Flaherty AW,Jackson VA

更新日期：2018-02-01 00:00:00

abstract：:Good communication is a fundamental skill for all palliative care clinicians. Patients present with varied desires, beliefs, and cultural practices, and navigating these issues presents clinicians with unique challenges. This article provides an overview of the evidence for communication strategies in delivering bad n...

journal_title：Journal of palliative medicine

authors： Barclay JS,Blackhall LJ,Tulsky JA

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:Patients with neurological disorders are the second most common patient population to receive inpatient palliative care services after cancer; however, there have been few reports describing the characteristics and needs of this population. OBJECTIVE:To understand which patients with neurological diagnoses ...

journal_title：Journal of palliative medicine

authors： Liu Y,Kline D,Aerts S,Youngwerth JM,Kutner JS,Sillau S,Kluger BM

更新日期：2017-01-01 00:00:00

abstract：INTRODUCTION:Many proponents of hospice care believe that this service is underutilized. OBJECTIVE:To determine physicians' perceptions of hospice utilization and of their own hospice referral pattern; their perceived and actual knowledge of appropriate hospice referral diagnoses; and perceived barriers to hospice ref...

journal_title：Journal of palliative medicine

authors： Brickner L,Scannell K,Marquet S,Ackerson L

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Subcutaneous hydration has potential advantages over intravenous. Despite studies supporting the efficacy and safety of subcutaneous hydration it has not been studied extensively to date either with or without hyaluronidase. OBJECTIVES:To compare flow rate, tolerability, and safety of gravity-driven subcuta...

journal_title：Journal of palliative medicine

authors： Thomas JR,Yocum RC,Haller MF,von Gunten CF

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:As palliative care grows and evolves, robust programs to train and develop the next generation of leaders are needed. Continued integration of palliative care into the fabric of usual health care requires leaders who are prepared to develop novel programs, think creatively about integration into the current ...

journal_title：Journal of palliative medicine

authors： Kamal AH,Anderson WG,Boss RD,Brody AA,Campbell TC,Creutzfeldt CJ,Hurd CJ,Kinderman AL,Lindenberger EC,Reinke LF

更新日期：2016-06-01 00:00:00

abstract：: Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the speciali...

journal_title：Journal of palliative medicine

authors： Paramanandam G,Boohene J,Tran K,Volk-Craft BE

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:The longer-term effects of opioids for breathlessness are not known in people with chronic heart failure (CHF). OBJECTIVE:Our aim was to assess the longer-term effect of oral opioids on breathlessness due to CHF. METHODS:We conducted a 3-month open-label extension to a crossover randomized controlled trial...

journal_title：Journal of palliative medicine

authors： Oxberry SG,Bland JM,Clark AL,Cleland JG,Johnson MJ

更新日期：2013-03-01 00:00:00

abstract：INTRODUCTION:The World Health Organization (WHO) explicitly recommends the integration of palliative care (PC) early in the disease trajectory as part of the WHO definition of PC. Our comprehensive cancer center decided: (1) to include this recommendation in the administrative directives for principles of cancer care a...

journal_title：Journal of palliative medicine

authors： Gaertner J,Wolf J,Ostgathe C,Toepelt K,Glossmann JP,Hallek M,Voltz R

更新日期：2010-10-01 00:00:00

abstract：:Sociodrama is a powerful teaching strategy that combines a case study approach with traditional role-play methodology to illustrate critical issues in end-of-life care. Building on principles of adult learning and communication skills, the sociodrama method enables the skilled facilitator to draw on the learner's past...

journal_title：Journal of palliative medicine

authors： Jones C

更新日期：2001-10-01 00:00:00

abstract：:Approximately 21 million noninstitutionalized Americans with physical disabilities will ultimately face end-of-life [EOL] issues. Studies have documented disparate care and poorer outcomes for persons with preexisting disabilities who have life-limiting illnesses, which raises the question of how EOL experiences may d...

journal_title：Journal of palliative medicine

authors： Volker DL,Zolnierek C,Harrison T,Walker J

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:To explore how staff recognize that a resident is dying and to present a typology of comfort measures. DESIGN:Exploratory, descriptive study involving qualitative methods and semistructured in-depth interviews with staff members of one nursing home. SETTING:A 120-bed nursing home that is part of a continuum...

journal_title：Journal of palliative medicine

authors： Waldrop DP,Kirkendall AM

更新日期：2009-08-01 00:00:00

abstract：BACKGROUND:Recent studies suggest that surrogate decision makers may be too optimistic about their end-of-life decision making abilities for loved ones. We examined surrogates' decision making confidence with an emphasis on its linkages to their understandings of patients' values and goals for end-of-life care. METHOD...

journal_title：Journal of palliative medicine

authors： Song MK,Ward SE,Lin FC

更新日期：2012-04-01 00:00:00

abstract：: Background: There are substantial disparities in distribution of palliative care (PC) services within Latin America, with Bolivia historically lagging behind neighboring countries in PC metrics. Comprehensive data on PC in Bolivia were last collected in 2012 through the La...

journal_title：Journal of palliative medicine

authors： Judkins J,Alhalel J,Hauser J,Pastrana T

更新日期：2020-09-21 00:00:00

abstract：BACKGROUND:Significant gaps exist in the availability of palliative care in rural hospitals and communities, even though rural populations are often disproportionately elderly and chronically ill. Few studies have examined what models of palliative care would be sustainable in a rural community. METHODS:We studied the...

journal_title：Journal of palliative medicine

authors： Ceronsky L,Shearer J,Weng K,Hopkins M,McKinley D

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVES:To determine the effects of thalidomide and placebo on anorexia-cachexia and its related symptoms, body composition, resting metabolic rate, and serum cytokines and their receptors in patients with advanced cancer. METHODS:Included in the study were patients with advanced cancer with weight loss greater tha...

journal_title：Journal of palliative medicine

authors： Yennurajalingam S,Willey JS,Palmer JL,Allo J,Del Fabbro E,Cohen EN,Tin S,Reuben JM,Bruera E

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Although an interdisciplinary approach is considered best practice for caring for patients at the end of life, or in need of palliative care (PC) services, there is growing tension between healthcare organizations' need to contain costs and the provision of this beneficial, yet resource-intensive service. O...

journal_title：Journal of palliative medicine

authors： Ciemins EL,Brant J,Kersten D,Mullette E,Dickerson D

更新日期：2016-07-01 00:00:00

abstract：:Palliating the whole person requires that medicine attend more fully to the phenomenon of existential suffering. The role of social factors, in particular, is often overlooked in attempts to understand why end-of-life suffering does not always respond to physiologic, psychological, and spiritual interventions. Using q...

journal_title：Journal of palliative medicine

authors： Williams BR

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Patients receiving hospice or palliative care often receive antimicrobial therapy; however the effectiveness of antimicrobial therapy for symptom management in these patients is unknown. OBJECTIVE:The study's objective was to systematically review and summarize existing data on the prevalence and effectiven...

journal_title：Journal of palliative medicine

authors： Rosenberg JH,Albrecht JS,Fromme EK,Noble BN,McGregor JC,Comer AC,Furuno JP

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:End-stage renal disease (ESRD) affects nearly 1400 new children each year in the United States. Morbidity and mortality rates remain high for pediatric patients with ESRD, including those that have received a renal transplant. OBJECTIVE:To better understand ESRD patients referred to palliative care, includi...

journal_title：Journal of palliative medicine

authors： Keefer P,Lehmann K,Shanley M,Woloszyk T,Khang E,Luckritz K,Saul D

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Although postmortem examination has been reported in a variety of settings and diseases, the medical literature only makes sparse mention of postmortem findings regarding the manner of death in terminally ill patients receiving palliative care. We sought to identify causes of death in an inpatient hospice pr...

journal_title：Journal of palliative medicine

authors： Abdel-Karim IA,Sammel RB,Prange MA

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:Patients' and families' evaluations of health care, including palliative care, are widely used as performance measures. Survey scores may be affected by nonresponse bias, resulting in inaccurate performance evaluation. OBJECTIVES:Our aim was to examine nonresponse bias for the mailed version of the Departme...

journal_title：Journal of palliative medicine

authors： Smith D,Kuzla N,Thorpe J,Scott L,Ersek M

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Little is known about the composition, availability, integration, communication, perceived barriers, and work load of pediatric palliative care (PPC) providers serving children and adolescents with cancer. OBJECTIVE:To summarize the structure and services of programs to better understand successes and gaps ...

journal_title：Journal of palliative medicine

authors： Weaver MS,Rosenberg AR,Tager J,Wichman CS,Wiener L

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Approximately 20% of deaths in the United States occur in the intensive care unit (ICU). Physician trainees lack the practical communication skills required for end-of-life care, including establishing patient preferences, participating in shared decision making, discussing prognosis, and delivering bad news...

journal_title：Journal of palliative medicine

authors： Smith L,O'Sullivan P,Lo B,Chen H

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Response bias in end of life research is important though not well understood. OBJECTIVES:To compare consenting advanced cancer patient participants and refusers in observational end of life research. We hypothesized that, compared with refusers, consenters would: 1) have a stronger belief in personal gain ...

journal_title：Journal of palliative medicine

authors： Phipps E,Harris D,Braitman LE,Tester W,Madison-Thompson N,True G

更新日期：2005-02-01 00:00:00

abstract：:The emerging role of the advanced practice nurse (APN) as a palliative care provider is gaining increased recognition in the United States. The APN's ability to perform comprehensive physical evaluations, order and interpret diagnostics, and prescribe appropriate medications while receiving reimbursement allow this pr...

journal_title：Journal of palliative medicine

authors： Kuebler KK

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Standardized approaches for assessing and classifying cancer pain are required to improve treatment of patients with complex pain profiles. The Edmonton Classification System for Cancer Pain (ECS-CP) offers a starting point for the evolution of a standardized international classification system for cancer pa...

journal_title：Journal of palliative medicine

authors： Nekolaichuk CL,Fainsinger RL,Aass N,Hjermstad MJ,Knudsen AK,Klepstad P,Currow DC,Kaasa S,European Palliative Care Research Collaborative (EPCRC).

更新日期：2013-05-01 00:00:00

abstract：OBJECTIVE:To determine whether it is possible to predict, at the time of hospice enrollment, which patients will die within 6 months. DESIGN:Electronic health record-based retrospective cohort study. SETTING:Patients admitted to 10 hospices in the CHOICE network (Coalition of Hospices Organized to Investigate Compara...

journal_title：Journal of palliative medicine

authors： Harris PS,Stalam T,Ache KA,Harrold JE,Craig T,Teno J,Smither E,Dougherty M,Casarett D

更新日期：2014-08-01 00:00:00

abstract：: Background: Many patients with serious kidney disease have an elevated symptom burden, high mortality, and poor quality of life. Palliative care has the potential to address these problems, yet nephrology patients frequently lack access to this specialty. ...

journal_title：Journal of palliative medicine

authors： Scherer JS,Harwood K,Frydman JL,Moriyama D,Brody AA,Modersitzki F,Blaum CS,Chodosh J

更新日期：2020-02-01 00:00:00