Prognostication in hospice care: can the palliative performance scale help?

abstract：: Background: Mobile health (mHealth) is a promising tool for improving health outcomes. However, the benefits of using mHealth in palliative care are under studied. Objective: As a first step to designing meaningful palliative c...

journal_title：Journal of palliative medicine

authors： Dickman Portz J,Ford K,Bekelman DB,Boxer RS,Kutner JS,Czaja S,Elsbernd K,Bull S

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Seriously ill older adults in the emergency department (ED) may benefit from palliative care referral, yet little is known about how to identify these patients. OBJECTIVES:To assess the performance and determine the acceptability of a content-validated palliative care screening tool. DESIGN:We surveyed Eme...

journal_title：Journal of palliative medicine

authors： Ouchi K,Block SD,Schonberg MA,Jamieson ES,Aaronson EL,Pallin DJ,Tulsky JA,Schuur JD

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:For the better part of 100 years, acetaminophen (or paracetamol as it is known outside of the United States) has been a common first-line analgesic in pediatrics and is typically well tolerated with minimal side effects. Its use as an anti-pyretic is also well-documented and thus it is used broadly for sympt...

journal_title：Journal of palliative medicine

authors： Marks AD,Keefer P,Saul D

更新日期：2013-12-01 00:00:00

abstract：: Background: Failure to initiate discussions about patients' values and goals in serious illness remains a common problem. Many clinicians are inadequately trained for these discussions. Objective: Evaluate whether a novel train...

journal_title：Journal of palliative medicine

authors： Paladino J,Kilpatrick L,O'Connor N,Prabhakar R,Kennedy A,Neal BJ,Kavanagh J,Sanders J,Block S,Fromme E

更新日期：2020-03-01 00:00:00

abstract：:This is a retrospective study of the length of survival (LOS) in hospice of patients with cancer treated at a major cancer center compared to other treatment sites. Of 670 patients, the 185 (28%) treated at a major cancer center had unique characteristics, including higher median Palliative Performance Score (PPS) at ...

journal_title：Journal of palliative medicine

authors： Younis T,Milch R,Abul-Khoudoud N,Lawrence D,Mirand A,Levine EG

更新日期：2007-04-01 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:Patients and families can make informed decisions at the end-of-life if they have had discussions regarding their wishes, but this is not regularly done due to poor understanding of advance directives (AD). OBJECTIVE:The objective was to evaluate the effectiveness of an AD video to educate patients in both ...

journal_title：Journal of palliative medicine

authors： Toraya C

更新日期：2014-08-01 00:00:00

abstract：:Despite widespread efforts to promote advance directives (ADs), completion rates remain low. Making Your Wishes Known: Planning Your Medical Future (MYWK) is an interactive computer program that guides individuals through the process of advance care planning, explaining health conditions and interventions that commonl...

journal_title：Journal of palliative medicine

authors： Schubart JR,Levi BH,Camacho F,Whitehead M,Farace E,Green MJ

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:This study describes the process and population involved in pediatric advance care planning at one Midwest medical center. The outcomes and the parents' perceptions of this planning are also discussed. METHODS:Pediatric patients with advance directives were identified from ethics consultations records. Infor...

journal_title：Journal of palliative medicine

authors： Hammes BJ,Klevan J,Kempf M,Williams MS

更新日期：2005-08-01 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:Substantial agreement has been achieved on research priorities in palliative care over the past 15 years, as evidenced by consensus conferences and systematic reviews. Despite the presence of a widely endorsed research agenda, however, addressing the gaps in scientific knowledge has progressed slowly, sugges...

journal_title：Journal of palliative medicine

authors： Chen EK,Riffin C,Reid MC,Adelman R,Warmington M,Mehta SS,Pillemer K

更新日期：2014-07-01 00:00:00

abstract：INTRODUCTION:Performing death pronouncement and communicating effectively with gathered family is an important skill relevant to end-of-life care. Often it is a responsibility of first-year residents who lack proper training or emotional preparation for the task. Residents' tension about this task presents an opportuni...

journal_title：Journal of palliative medicine

authors： Marchand L,Kushner K

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. OBJECTIVE:The objective...

journal_title：Journal of palliative medicine

authors： Bays AM,Engelberg RA,Back AL,Ford DW,Downey L,Shannon SE,Doorenbos AZ,Edlund B,Christianson P,Arnold RW,O'Connor K,Kross EK,Reinke LF,Cecere Feemster L,Fryer-Edwards K,Alexander SC,Tulsky JA,Curtis JR

更新日期：2014-02-01 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: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：: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：BACKGROUND:Hospice provides intensive end-of-life care to patients and their families delivered by an interdisciplinary team of nurses, aides, chaplains, social workers, and physicians. Significant gaps remain about how team members respond to diverse needs of patients and families, especially in the last week of life....

journal_title：Journal of palliative medicine

authors： Ellington L,Clayton MF,Reblin M,Cloyes K,Beck AC,Harrold JK,Harris P,Casarett D

更新日期：2016-05-01 00:00:00

abstract：:Constipation is common in advanced cancer. Despite this, clinicians' understanding of the underlying changes affecting the colon and the rest of the gastrointestinal tract are limited. Two case histories are used to illustrate the problems encountered when the current approaches to diagnosing and managing altered bowe...

journal_title：Journal of palliative medicine

authors： Clark K,Urban K,Currow DC

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:After prenatal diagnosis of lethal fetal abnormality (LFA), some couples choose to continue the pregnancy rather than opt for termination of the pregnancy. This may result in the requirement for neonatal palliative care, which in France is prescribed by the Leonetti Law. These rare situations raise various q...

journal_title：Journal of palliative medicine

authors： Tosello B,Dany L,Gire C,Bétrémieux P,Vriet-Ndour ME,Le Coz P,D'Ercole C,Siméoni U,Einaudi MA

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:To date, there are no known published studies that prospectively followed hospice patients receiving hydromorphone to evaluate the development of hydromorphone-induced neuroexcitation (HINE). The first objective of this study was to determine the incidence of HINE. The second objective was to i...

journal_title：Journal of palliative medicine

authors： Kullgren J,Le V,Wheeler W

更新日期：2013-10-01 00:00:00

abstract：: Objective: This report describes a pilot hospice inpatient unit dedicated to individuals experiencing distressing behaviors from dementia. Background: Patients with dementia who experience distressing symptoms cannot be well ma...

journal_title：Journal of palliative medicine

authors： Hamilton G,Volk-Craft BE

更新日期：2020-11-09 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：:Hospice Uganda was established in Kampala, September 27, 1993. Since then the hospice has served over 3,000 patients with cancer, and referrals of patients with HIV/AIDS are increasing steadily. The concepts of hospice and palliative care are well accepted in Uganda, but the delivery of services has been severely cons...

journal_title：Journal of palliative medicine

authors： Jagwe JG,Barnard D

更新日期：2002-02-01 00:00:00

abstract：:In palliative care, steroids are often used to alleviate symptoms such as pain, fatigue, anorexia, nausea, and vomiting. Steroids occasionally induce psychiatric adverse effects. It has been reported that treatment of the steroid-induced psychiatric symptoms involves dosage reduction or discontinuation of steroid, and...

journal_title：Journal of palliative medicine

authors： Okishiro N,Tanimukai H,Tsuneto S,Ito N

更新日期：2009-05-01 00:00:00

abstract：PURPOSE:There have been no studies to date that examine physicians' decisions to withdraw life-sustaining treatment for patients based on their surrogates' financial gain. The authors' objective was to ascertain physician attitudes about withdrawing life-sustaining treatment when financial considerations are involved. ...

journal_title：Journal of palliative medicine

authors： Wastila LJ,Farber NJ

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Our objective was to provide a contemporary analysis of the prevalence, types, and impact of advance health care directives in critically ill cancer patients. METHODS:We retrospectively reviewed all intensive care unit (ICU) admissions (January 1, 2006 to April 25, 2008) at an oncologic center and identifie...

journal_title：Journal of palliative medicine

authors： Halpern NA,Pastores SM,Chou JF,Chawla S,Thaler HT

更新日期：2011-04-01 00:00:00

abstract：: Background: Systematic measurement of conversational features in the natural clinical setting is essential to better understand, disseminate, and incentivize high quality serious illness communication. Advances in machine-learning (ML) classification of human speech offer ...

journal_title：Journal of palliative medicine

authors： Durieux BN,Gramling CJ,Manukyan V,Eppstein MJ,Rizzo DM,Ross LM,Ryan AG,Niland MA,Clarfeld LA,Alexander SC,Gramling R

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVES:To examine the effect of patient-directed electronic messages on health care proxy (HCP) use. DESIGN:Randomized control trial using an electronic message intervention to encourage patients to complete an HCP document. SETTING:General medical practice at a large tertiary care teaching institution. PARTICIP...

journal_title：Journal of palliative medicine

authors： Cintron A,Phillips R,Hamel MB

更新日期：2006-12-01 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：BACKGROUND:Living at home is an important factor for maintaining high quality of life among patients. Many studies have discussed parameters associated with place of death, but no studies have yet clarified which factors influence the length of stay at home during the end of life. OBJECTIVE:The aim of this study was t...

journal_title：Journal of palliative medicine

authors： Otsuka M

更新日期：2017-08-01 00:00:00