Opportunities and challenges to improving end-of-life care for seriously ill elderly patients: a qualitative study of generalist physicians.

abstract：BACKGROUND:Prognostic tools are available to predict if terminally ill cancer patients have days or weeks to live. Tools for predicting the prognosis in ambulatory patients at an earlier stage are lacking. The Number of Risk Factors (NRF) score developed in ambulatory cancer patients receiving palliative radiation ther...

journal_title：Journal of palliative medicine

authors： Glare P,Shariff I,Thaler HT

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Many patients with cancer involving the respiratory system suffer from the frequent recurrence of significant, submassive hemoptysis, which may result in invasive procedures, hospital stays, and a reduction in quality of life. Currently, there are no widely accepted noninvasive therapeutic options. Few case ...

journal_title：Journal of palliative medicine

authors： Hankerson MJ,Raffetto B,Mallon WK,Shoenberger JM

更新日期：2015-12-01 00:00:00

abstract：: Background: Depression is common in the oncology patient population. Little data exist on the impact of depression on health care utilization. Objectives: We evaluated the prevalence of depression and the relationship between d...

journal_title：Journal of palliative medicine

authors： Ye S,Williams CP,Gilbert AD,Huang CH,Salter TL,Rocque GB

更新日期：2021-01-21 00:00:00

abstract：:Continuing the momentum of geriatric palliative medicine research achieved during the past decade requires a focus on research methods priorities that span the continuum of research from small pilot studies testing new interventions to large multisite studies evaluating implementation of proven interventions and model...

journal_title：Journal of palliative medicine

authors： Aldridge Carlson MD

更新日期：2013-08-01 00:00:00

abstract：: Background: Despite positive outcomes associated with specialist palliative care (PC) in diverse medical populations, little research has investigated specialist PC in surgical ones. Although cancer surgery is predominantly safe, operations can be extensive and unpredictab...

journal_title：Journal of palliative medicine

authors： Aslakson RA,Chandrashekaran SV,Rickerson E,Fahy BN,Johnston FM,Miller JA,Conca-Cheng A,Wang S,Morris AM,Lorenz K,Temel JS,Smith TJ

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:There is heightened emphasis on teaching end-of-life (EOL) care in the medical school curriculum, but a relative paucity of tools focused on assessing key attitudinal changes due to curricula. OBJECTIVE:We sought to evaluate the responsiveness of two validated measures of relevant attitudes to changes cause...

journal_title：Journal of palliative medicine

authors： Schwartz CE,Clive DM,Mazor KM,Ma Y,Reed G,Clay M

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:In 1997, the Institute of Medicine called for reform, improved quality and expanded research in end-of-life care. Yet little empirical information about preferences of African Americans has been documented. A community-campus partnership was formed to guide a needs assessment related to end-of-life care in a...

journal_title：Journal of palliative medicine

authors： Jenkins C,Lapelle N,Zapka JG,Kurent JE

更新日期：2005-06-01 00:00:00

abstract：PURPOSE:To identify issues affecting the quality of life (QoL) in women receiving palliative therapy for ovarian cancer. METHODS:Twenty women with advanced recurrent ovarian cancer were interviewed to establish what issues affect QoL. All patients were receiving palliative chemotherapy or other palliative therapy in t...

journal_title：Journal of palliative medicine

authors： Houck K,Avis NE,Gallant JM,Fuller AF Jr,Goodman A

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND/AIM:Palliative care services (PCS) are recommended to enhance quality of care for hospitalized patients. METHODS:We evaluated the attitudes of liver transplant (LT) providers and perceived barriers to PCS for their patients by conducting a web-based survey of intensive care unit nurses, postgraduate year 1 ...

journal_title：Journal of palliative medicine

authors： Beck KR,Pantilat SZ,O'Riordan DL,Peters MG

更新日期：2016-08-01 00:00:00

abstract：:For most families, the preferred location of death for their child is home, yet most children still die in the hospital. Many children with life-threatening and life-limiting illness are medically dependent on technology, and palliative transport can serve as a bridge from the intensive care unit to the family's home ...

journal_title：Journal of palliative medicine

authors： Thorvilson MJ,Manahan AJ,Schiltz BM,Collura CA

更新日期：2019-04-01 00:00:00

abstract：: Background: Delivery of health services in the province of Ontario is organized into 14 Local Health Integration Networks (LHINs), and further into 76 LHIN subregions, making these a natural unit of comparing the regional differences in palliative care receipt among decede...

journal_title：Journal of palliative medicine

authors： Panarella M,Saarela O,Esensoy AV,Jakda A,Liu ZA

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:Cancer pain continues to be undertreated, despite the availability of evidence-based guidelines. The Australian National Pain Strategy identified establishment of systems and guidelines to adequately manage cancer pain as a high priority. OBJECTIVES:This study aimed to identify barriers and facilitators to ...

journal_title：Journal of palliative medicine

authors： Lovell M,Agar M,Luckett T,Davidson PM,Green A,Clayton J

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:The use of complementary and alternative medicines (CAM) in patients with cancer is well recognized. Little is known, however, about the use of CAM in children with cancer during the end-of-life period. METHODS:We interviewed 96 parents of children who had died of cancer in Melbourne, Australia between 1996...

journal_title：Journal of palliative medicine

authors： Heath JA,Oh LJ,Clarke NE,Wolfe J

更新日期：2012-11-01 00:00:00

abstract：:Hypercalcemia of malignancy affects 2%-2.8% of cancer patients and is associated with an increased risk of mortality and other symptom-related complications. Standard treatment consists of fluid resuscitation, intravenous bisphosphonates, and calcitonin. Little is known, however, about the benefits of treatment of mal...

journal_title：Journal of palliative medicine

authors： Ferraro K,Sanchez-Reilly S

更新日期：2020-06-01 00:00:00

abstract：: Introduction: Ventricular-assist devices (VADs) offer end-stage heart failure patients a chance to live longer and better. VAD patient numbers are growing, as is the need for their hospice care, whether they die from cardiac or noncardiac causes. But many hospices do not a...

journal_title：Journal of palliative medicine

authors： Kossman DA,Wolfrom SD,Haines S,Bagga M,Denno M,Ljubic L,O'Connor N

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Surrogates and clinicians often make treatment decisions for decisionally incapacitated patients with limited knowledge of their preferences. This study examined patients' life-sustaining treatment preferences to facilitate advance care planning discussions and surrogate decision making. METHODS:We intervie...

journal_title：Journal of palliative medicine

authors： Pearlman RA,Cain KC,Starks H,Cole WG,Uhlmann RF,Patrick DL

更新日期：2000-04-01 00:00:00

abstract：OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey ...

journal_title：Journal of palliative medicine

authors： Lorenz KA,Rosenfeld KE,Asch SM,Ettner SL

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Psychiatric research in the 1950s and 1960s showed potential for psychedelic medications to markedly alleviate depression and suffering associated with terminal illness. More recent published studies have demonstrated the safety and efficacy of psilocybin, MDMA, and ketamine when administered in a medically ...

journal_title：Journal of palliative medicine

authors： Byock I

更新日期：2018-04-01 00:00:00

abstract：INTRODUCTION:Fatigue is one of the most frequent symptoms in patients with cancer. No adequate term in Spanish has been defined to describe the English concept of fatigue. AIM:To identify the most suitable Spanish words that define the concept of fatigue and to check psychometric characteristics. METHOD:Consensus wit...

journal_title：Journal of palliative medicine

authors： Centeno C,Portela Tejedor MA,Carvajal A,San Miguel MT,Urdiroz J,Ramos L,De Santiago A

更新日期：2009-05-01 00:00:00

abstract：: Background: Involvement of the palliative care service has potential for patient and family benefit in critically ill patients, regardless of etiology. Anecdotally, there is a lack of involvement of the palliative care (PC) service in the neuro-intensive care unit (neuro-I...

journal_title：Journal of palliative medicine

authors： Tabibian BE,Salehani AA,Kuhn EN,Davis MC,Shank CD,Fisher Iii WS

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Additional evidence is needed regarding the impact of inpatient palliative care (IPC) on the quality of end-of-life care and downstream utilization. AIM:Examine the effects of IPC on quality of end-of-life care and acute and postacute care use in a large integrated system. DESIGN:Retrospective cohort desig...

journal_title：Journal of palliative medicine

authors： Khang PS,Wang SE,Liu IA,Watson HL,Koyama SY,Huynh DN,Lee JS,Nguyen HQ

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Patients with chronic obstructive pulmonary disease (COPD) have well-documented symptoms that affect quality of life. Professional societies recommend palliative care for such patients, but the optimal way of delivering this care is unknown. OBJECTIVE:To describe an outpatient palliative medicine program fo...

journal_title：Journal of palliative medicine

authors： Schroedl C,Yount S,Szmuilowicz E,Rosenberg SR,Kalhan R

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Patients with severe acute brain injury (SABI) raise important palliative care considerations associated with sudden devastating injury and uncertain prognosis. OBJECTIVE:The goal of this study was to explore how family members, nurses, and physicians experience the palliative and supportive care needs of p...

journal_title：Journal of palliative medicine

authors： Schutz RE,Coats HL,Engelberg RA,Curtis JR,Creutzfeldt CJ

更新日期：2017-02-01 00:00:00

abstract：BACKGROUND:The Palliative Performance Scale (PPS) is a tool that is widely used to predict end of life. In Ontario, Canada, the PPS is used to mark the terminal phase of life and eligibility for terminal care. OBJECTIVE:The aim of this retrospective study was to confirm that a PPS level of 40% can be used as a marker ...

journal_title：Journal of palliative medicine

authors： Jansen WJ,Buma S,Gootjes JR,Zuurmond WW,Perez RS,Loer SA

更新日期：2015-01-01 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:Increasing numbers of patients are living with multiple, chronic medical conditions and functional impairments that leave them homebound. Home-based primary and palliative care (HBPC) programs provide access to health care services for this vulnerable population. Homebound patients have high symptom burden u...

journal_title：Journal of palliative medicine

authors： Ornstein K,Wajnberg A,Kaye-Kauderer H,Winkel G,DeCherrie L,Zhang M,Soriano T

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Numerous studies have focused on the treatment of non-small cell lung cancer patients with brain metastases. However, to our knowledge, few have sought to examine outcomes in patients who required whole brain radiation and developed radiation-refractory disease. METHODS:This study examined the medical recor...

journal_title：Journal of palliative medicine

authors： Spiceland CM,Olivier KR,Jatoi A

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Heart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF. OBJECTIVE:We conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling...

journal_title：Journal of palliative medicine

authors： Dionne-Odom JN,Kono A,Frost J,Jackson L,Ellis D,Ahmed A,Azuero A,Bakitas M

更新日期：2014-09-01 00:00:00

abstract：: Background: This study examines communication profiles and associated attitudes toward health care professionals in interviews with family caregivers of hospitalized patients with confirmed multidrug-resistant organisms (e.g., methicillin-resistant Staphylococcus aureus or...

journal_title：Journal of palliative medicine

authors： Peters J,Dykes N,Heckel M,Ostgathe C

更新日期：2019-12-01 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