Improving knowledge and communication through an advance directives objective structured clinical examination.

abstract：BACKGROUND:End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfa...

journal_title：Journal of palliative medicine

authors： Gadoud A,Adcock Y,Jones L,Koon S,Johnson M

更新日期：2013-09-01 00:00:00

abstract：UNLABELLED:Abstract Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., "breaking bad news." The necessary skills for SLAI differ between pediatric and adult medical environment...

journal_title：Journal of palliative medicine

authors： Wolfe AD,Frierdich SA,Wish J,Kilgore-Carlin J,Plotkin JA,Hoover-Regan M

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:African Americans in the United States have worse end-of-life care and cancer outcomes than whites. Palliative care may improve this disparity. Community Health Workers may provide a means to improve palliative care disparities. METHODS:Semistructured in-depth interviews (five) and stakeholder focus groups ...

journal_title：Journal of palliative medicine

authors： Johnston FM,Neiman JH,Parmley LE,Conca-Cheng A,Freund KM,Concannon TW,Smith TJ,Cooper LA

更新日期：2019-03-01 00:00:00

abstract：:This paper provides an evidence-based review of the principles underlying palliative care for heart failure (HF), including its pathogenesis, staging, assessment, prognosis, and treatment. Approaches to advanced care planning, symptom management, hospice eligibility, home inotropic infusions, device management and imp...

journal_title：Journal of palliative medicine

authors： Stuart B

更新日期：2007-02-01 00:00:00

abstract：BACKGROUND AND AIM:Consensus has been reached on the need to integrate palliative care in the follow-up examinations of chronic obstructive pulmonary disease (COPD) patients. We analyzed the survival from the initiation of follow-up by a palliative home care team (PHCT) and described the needs and end-of-life process. ...

journal_title：Journal of palliative medicine

authors： Gainza-Miranda D,Sanz-Peces EM,Alonso-Babarro A,Varela-Cerdeira M,Prados-Sánchez C,Vega-Aleman G,Rodriguez-Barrientos R,Polentinos-Castro E

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Although religions is important to many people with cancer, few studies have explored the relationship between religious coping and well-being in a prospective manner, using validated measures, while controlling for important covariates. METHODS:One hundred ninety-eight women with stage I or II and 86 women...

journal_title：Journal of palliative medicine

authors： Hebert R,Zdaniuk B,Schulz R,Scheier M

更新日期：2009-06-01 00:00:00

abstract：: Background: Legacy-making (i.e., a way for patients with terminal illness to create or do something for others as a means of remembrance) is rising in popularity in palliative medicine, although only one study has examined its impact in a pediatric population. ...

journal_title：Journal of palliative medicine

authors： Schaefer MR,Spencer SK,Barnett M,Reynolds NC,Madan-Swain A

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Prognostication plays a key role in palliative care (PC). It is critical for advance care planning, determining hospice eligibility, and communication. In contrast to subjective clinical prognostication, evidence-based prognostication (EBP) uses existing validated data to quantify prognosis; however, the ext...

journal_title：Journal of palliative medicine

authors： Bruggeman AR,Heavey SF,Ma JD,Revta C,Roeland EJ

更新日期：2015-04-01 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：BACKGROUND:It is commonly written that more patients wish to die at home than currently achieve this. However, the evidence for preferences for place of terminal care and death has not been systematically reviewed. AIM:To carry out a systematic literature review of the preferences for place of care and death among adv...

journal_title：Journal of palliative medicine

authors： Higginson IJ,Sen-Gupta GJ

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:It has been more than two decades since the passage of the Patient Self-Determination Act (PSDA) of 1991, an act that requires many medical points of care, including emergency departments (EDs), to provide information to patients about advance directives (ADs). OBJECTIVE:The study objective was to determine...

journal_title：Journal of palliative medicine

authors： Oulton J,Rhodes SM,Howe C,Fain MJ,Mohler MJ

更新日期：2015-06-01 00:00:00

abstract：: Background: Pharmacovigilance studies in hospice/palliative care provide extra information to improve medication safety. Combination controlled release oxycodone-naloxone offers an alternative opioid with less risk of opioid-induced constipation. O...

journal_title：Journal of palliative medicine

authors： Clark K,Byrne PG,Hunt J,Brown L,Rowett D,Watts G,Lovell M,Currow DC

更新日期：2020-05-01 00:00:00

abstract：:Achieving the best quality of life for patients and their families when a disease becomes progressive and no longer remains responsive to curative therapy is the primary goal of palliative care. A comprehensive care plan focusing on control of physical symptoms as well as psychological, social, and spiritual issues th...

journal_title：Journal of palliative medicine

authors： Dalal S,Del Fabbro E,Bruera E

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:People with serious illness frequently rely on religion/spirituality to cope with their diagnosis, with potentially positive and negative consequences. Clergy are uniquely positioned to help patients consider medical decisions at or near the end of life within a religious/spiritual framework. OBJECTIVE:We a...

journal_title：Journal of palliative medicine

authors： Sanders JJ,Chow V,Enzinger AC,Lam TC,Smith PT,Quiñones R,Baccari A,Philbrick S,White-Hammond G,Peteet J,Balboni TA,Balboni MJ

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Congenital anomalies account for 20% of neonatal and infant deaths in the United States. Perinatal palliative care is a recent addition to palliative care and is meant to meet the needs of families who choose to continue a pregnancy affected by a life-limiting diagnosis. OBJECTIVE:To examine characteristics...

journal_title：Journal of palliative medicine

authors： Wool C,Côté-Arsenault D,Perry Black B,Denney-Koelsch E,Kim S,Kavanaugh K

更新日期：2016-03-01 00:00:00

abstract：: Objective: To systematically capture patient- and family-centered data to understand variability and opportunities in end-of-life care delivery across settings in an integrated health care delivery system. Background: Improving...

journal_title：Journal of palliative medicine

authors： Wang MC,Johnson D,Glass D,Martel H,Mularski RA,Bellows J

更新日期：2020-06-01 00:00:00

abstract：: Background: Providers often use birth plans to document parents' wishes for their fetus with a life-limiting condition. Objective: The objective of the study was to (1) discover important components of a birth plan for parents ...

journal_title：Journal of palliative medicine

authors： Cortezzo DE,Bowers K,Cameron Meyer M

更新日期：2019-11-01 00:00:00

abstract：:Fentanyl is a lipophilic, short-acting, synthetic opioid with a piperidine chemical structure. Fentanyl is an effective analgesic for cancer pain, and newer formulations such as the transmucosal and buccal forms have shown efficacy for the management of cancer-related breakthrough pain. This article reviews the pharma...

journal_title：Journal of palliative medicine

authors： Prommer E

更新日期：2009-10-01 00:00:00

abstract：INTRODUCTION:Percutaneous stenting is established in the palliation of malignant biliary obstruction. We examined the indications, success rate, complications, and long-term postoperative course of patients undergoing this procedure. METHODS:All patients undergoing percutaneous transhepatic cholangiography (PTC) and m...

journal_title：Journal of palliative medicine

authors： Sut M,Kennedy R,McNamee J,Collins A,Clements B

更新日期：2010-11-01 00:00:00

abstract：INTRODUCTION:Methadone (ME) is a highly effective opioid agonist used for difficult pain syndromes. However, in the management of cancer pain with strong opioids, rotation to a different opioid (opioid rotation) may be required because of side effects or poor pain control. Rotation from methadone to another opioid has ...

journal_title：Journal of palliative medicine

authors： Walker PW,Palla S,Pei BL,Kaur G,Zhang K,Hanohano J,Munsell M,Bruera E

更新日期：2008-10-01 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:Palliative cancer patients suffer from high levels of distress. There are physiological changes in relation to the level of perceived distress. OBJECTIVE:To study the efficacy of 5 minutes of mindful breathing (MB) for rapid reduction of distress in a palliative setting. Its effect to the physiological chan...

journal_title：Journal of palliative medicine

authors： Ng CG,Lai KT,Tan SB,Sulaiman AH,Zainal NZ

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:For patients confronting a life-threatening illness such as advanced cancer, religious coping can be an important factor influencing their quality of life (QOL). OBJECTIVE:The study's main purpose was to examine the association between religious coping and QOL among 170 patients with advanced cancer. Both p...

journal_title：Journal of palliative medicine

authors： Tarakeshwar N,Vanderwerker LC,Paulk E,Pearce MJ,Kasl SV,Prigerson HG

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:This case report describes a patient whose persistent hiccups significantly improved with the use of vinegar. CASE PRESENTATION:A patient with an adenocarcinoma of the colon and hepatic metastases developed hiccups the day following chemotherapy with FOL-FOX (folinic acid (leucovorin), 5-fluorouracil, oxali...

journal_title：Journal of palliative medicine

authors： Gonella S,Gonella F

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:In 2017, the Ohio Pediatric Palliative Care and End-of-Life Network (OPPEN) published nine domains of high-quality care for pediatric home-based hospice and palliative care (HBHPC). Eight domains established by the National Consensus Project (NCP) were validated for pediatric HBHPC, and a ninth domain of "Co...

journal_title：Journal of palliative medicine

authors： Thienprayoon R,Alessandrini E,Frimpong-Manso M,Grossoehme D

更新日期：2018-10-01 00:00:00

abstract：:We faced a challenge in providing a consistent high-quality learning experience in hospice care, especially because our community-based medical school has students rotating in hospices in six separated communities and the number of faculty with expertise in palliative care is limited. To address these concerns, a Web-...

journal_title：Journal of palliative medicine

authors： Ogle K,Thompson ME,Noel MM

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:The study of how the quality of pediatric end-of-life care varies across systems of health care delivery and financing is hampered by lack of methods to adjust for the probability of death in populations of ill children. OBJECTIVE:To develop a prognostication models using administratively available data to ...

journal_title：Journal of palliative medicine

authors： Feudtner C,Hexem KR,Shabbout M,Feinstein JA,Sochalski J,Silber JH

更新日期：2009-02-01 00:00:00

abstract：OBJECTIVE:To describe the growth and outcomes of the Palliative Care Research Cooperative Group (PCRC). BACKGROUND:Despite advances, significant gaps remain in the evidence base to inform care for people with serious illness. To generate this needed evidence and bolster research capacity, the Palliative Care Research ...

journal_title：Journal of palliative medicine

authors： Ritchie CL,Pollak KI,Kehl KA,Miller JL,Kutner JS

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA). METHODS:A ...

journal_title：Journal of palliative medicine

authors： Duffy SA,Copeland LA,Hopp FP,Zalenski RJ

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:The provision of complementary therapy in palliative care is rare in Canadian hospitals. An Ontario hospital's palliative care unit developed a complementary therapy pilot project within the interdisciplinary team to explore potential benefits. Massage, aromatherapy, Reiki, and Therapeutic Touch™ were provid...

journal_title：Journal of palliative medicine

authors： Berger L,Tavares M,Berger B

更新日期：2013-10-01 00:00:00