A demographic and prognostic approach to defining the end of life.

Abstract:

:Studies examining individuals' preferences reflect a broad consensus that the end of life is a period during which medical care should be different from that in other periods in patients' lives. More specifically, patients, families, and health care providers believe that medical care during this unique period should be home-based and focused on ameliorating patient symptoms through minimally invasive means rather than hospital-based acute care, and focused on extending life through invasive approaches. Of great concern is that other, empirical research shows that there is a large disparity between these preferred types of medical care at the end of life and the actual patterns of medical care that is observed before death, with most patients dying in acute-care hospitals while receiving invasive therapies. Without prospective recognition of this period, medical care cannot be appropriately changed. Existing research suggests that there are few clinical tools available to health care providers to aid in making prognostic estimates. Opportunities for future research include efforts to improve the prospective identification of the end of life and communication about the end of life. Specifically, development of valid and reliable predictive algorithms to help patients, families, and health care providers to identify the beginning of the end of life would be welcomed and should ideally be focused at the population level to ensure wide applicability. Similarly, research that works to improve communication between patients and health care providers on the matter of prognosis is also needed.

journal_name

J Palliat Med

authors

Lamont EB

doi

10.1089/jpm.2005.8.s-12

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

S12-21

eissn

1096-6218

issn

1557-7740

journal_volume

8 Suppl 1

pub_type

杂志文章,评审
  • Palliative care consultation and hospital length of stay.

    abstract::It has frequently been claimed that palliative care (PC) consultation services reduce hospital length of stay (LOS). We review 12 published studies comparing patients receiving PC or similar intervention and patients receiving usual care with regard to average total hospital LOS. None of the six observational studies ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2009.0379

    authors: Cassel JB,Kerr K,Pantilat S,Smith TJ

    更新日期:2010-06-01 00:00:00

  • What is the best term in Spanish to express the concept of cancer-related fatigue?

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2008.0244

    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

  • Psychotherapy Targeting Depression and Anxiety for Use in Palliative Care: A Meta-Analysis.

    abstract:BACKGROUND:Research on the effectiveness of evidence-based practices in the treatment of depression and anxiety with palliative care populations is primarily limited to individuals having specific conditions such as cancer. OBJECTIVE:This meta-analysis examined the effect of psychotherapy on depression and anxiety amo...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1089/jpm.2017.0576

    authors: Fulton JJ,Newins AR,Porter LS,Ramos K

    更新日期:2018-07-01 00:00:00

  • A Multicenter, Randomized Controlled Trial of Perioperative Palliative Care Surrounding Cancer Surgery for Patients and Their Family Members (PERIOP-PC).

    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

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/jpm.2019.0130

    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

  • Improving residents' code status discussion skills: a randomized trial.

    abstract:BACKGROUND:Inpatient Code Status Discussions (CSDs) are commonly facilitated by resident physicians, despite inadequate training. We studied the efficacy of a CSD communication skills training intervention for internal medicine residents. METHODS:This was a prospective, randomized controlled trial of a multimodality c...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/jpm.2011.0446

    authors: Szmuilowicz E,Neely KJ,Sharma RK,Cohen ER,McGaghie WC,Wayne DB

    更新日期:2012-07-01 00:00:00

  • Surgeon Perspectives Regarding Death and Dying.

    abstract:BACKGROUND:Surgical patients most commonly receive palliative care services within 24-48 hours of death, and reasons for this delay are poorly understood. Research with nonsurgeons suggests that physician characteristics and beliefs about death and dying may contribute to late referral. OBJECTIVE:To describe surgeon p...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0197

    authors: Dillon BR,Healy MA,Lee CW,Reichstein AC,Silveira MJ,Morris AM,Suwanabol PA

    更新日期:2019-02-01 00:00:00

  • Factors Associated with Family Reports of Pain, Dyspnea, and Depression in the Last Year of Life.

    abstract:BACKGROUND:Pain, dyspnea, and depression are highly troubling near the end of life. OBJECTIVE:To characterize factors associated with clinically significant pain and the presence of dyspnea and depression during the last year of life in a nationally representative sample. DESIGN:Retrospective cohort study. SETTING:H...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2015.0391

    authors: Singer AE,Meeker D,Teno JM,Lynn J,Lunney JR,Lorenz KA

    更新日期:2016-10-01 00:00:00

  • Pediatric advance care planning.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2005.8.766

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

    更新日期:2005-08-01 00:00:00

  • A Comparative Study of Opioid Switching to Methadone for Cancer Pain Control in Successful and Unsuccessful Cases.

    abstract:: Background: Methadone may play a role in the control of refractory cancer pain in opioid switching, although some cases fail to switch to methadone. Objective: To evaluate the differences in the clinical aspects in switching to...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0490

    authors: Okayama S,Matsuda Y,Yoshikawa Y

    更新日期:2019-07-01 00:00:00

  • Reduction in symptoms for homebound patients receiving home-based primary and palliative care.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0546

    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

  • Measuring Total Suffering and Will to Live in an Advanced Cancer Patient Using a Patient-Centered Outcome Measure: A Follow-Up Case Study.

    abstract:: Introduction: The concept of total suffering is well known to palliative care, and it indicates that there are several complex and correlated factors, which contribute to a dynamic and unique experience of one's illness trajectory. Research on terminally ill patients' will...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0137

    authors: Julião M,Antunes B,Nunes B,Sobral MA,Chaves P,Runa D,Bruera E

    更新日期:2020-05-01 00:00:00

  • Charity for the dying: who receives unreimbursed hospice care?

    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

    pub_type: 杂志文章

    doi:10.1089/109662103768253696

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

    更新日期:2003-08-01 00:00:00

  • Physician- and nurse-reported effects of intravenous hydration therapy on symptoms of terminally ill patients with cancer.

    abstract:PURPOSE:To clarify physician- and nurse-reported effects of intravenous hydration therapy on symptoms of terminally ill patients with cancer. METHODS:A cross-sectional questionnaire survey of Japanese physicians and nurses. The respondents were requested to report their clinical observations about improvement or deter...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2004.7.683

    authors: Morita T,Shima Y,Miyashita M,Kimura R,Adachi I,Japan Palliative Oncology Study Group.

    更新日期:2004-10-01 00:00:00

  • Place of care in advanced cancer: a qualitative systematic literature review of patient preferences.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2000.3.287

    authors: Higginson IJ,Sen-Gupta GJ

    更新日期:2000-10-01 00:00:00

  • 30-day readmissions among seriously ill older adults.

    abstract:BACKGROUND:Inpatient palliative consultation are generally provided to seriously ill hospitalized patients with the intent to alleviate pain and suffering and develop a plan of care for the patient. Although numerous benefits of this service have been documented, little is known about hospital readmission rates and fac...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0259

    authors: Enguidanos S,Vesper E,Lorenz K

    更新日期:2012-12-01 00:00:00

  • Dying young, dying poor: a sociological examination of existential suffering among low-socioeconomic status patients.

    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

    pub_type: 杂志文章

    doi:10.1089/109662104322737223

    authors: Williams BR

    更新日期:2004-02-01 00:00:00

  • Jewish medical ethics and end-of-life care.

    abstract::While Judaism espouses the infinite value of human life, Judaism recognizes that all life is finite and, as such, its teachings are compatible with the principles of palliative medicine and end-of-life care as they are currently practiced. Jewish medical ethics as derived from Jewish law, has definitions for the four ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2004.7.558

    authors: Kinzbrunner BM

    更新日期:2004-08-01 00:00:00

  • Bedside ultrasound-guided celiac plexus neurolysis with bilateral paramedian needle entry technique can be an effective pain control technique in advanced upper abdominal cancer pain.

    abstract::The celiac plexus block is an approved method for the relief of upper abdominal cancer pain. Classically, fluoroscopy-guided posterior approach to the celiac plexus block has been used. Computed tomography-guided anterior approach and endoscopic ultrasound-guided approach have also been utilized. An ultrasound-guided ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2008.0082

    authors: Bhatnagar S,Gupta D,Mishra S,Thulkar S,Chauhan H

    更新日期:2008-11-01 00:00:00

  • Advance directives in an oncologic intensive care unit: a contemporary analysis of their frequency, type, and impact.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2010.0397

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

    更新日期:2011-04-01 00:00:00

  • Developing a Palliative Care Competency Framework for Health Professionals and Volunteers: The Nova Scotian Experience.

    abstract:BACKGROUND AND OBJECTIVES:In 2014, Nova Scotia released a provincial palliative care strategy and implementation working groups were established. The Capacity Building and Practice Change Working Group, comprised of health professionals, public advisors, academics, educators, and a volunteer supervisor, was asked to se...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2017.0655

    authors: McCallum M,Carver J,Dupere D,Ganong S,Henderson JD,McKim A,McNeil-Campbell L,Richardson H,Simpson J,Tschupruk C,Jewers H

    更新日期:2018-07-01 00:00:00

  • Polypharmacy in Palliative Care: Two Deprescribing Tools Compared with a Clinical Review.

    abstract:: Background: Lack of guidance is highlighted as a barrier to deprescribing in palliative care. Two deprescribing tools exist, but with inclusion and exclusion criteria that limit utility. The tools have not previously been compared directly or used in an unselected palliati...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2020.0225

    authors: McNeill R,Hanger HC,Chieng J,Chin P

    更新日期:2020-09-29 00:00:00

  • Differences in Advance Care Planning and Circumstances of Death for Pediatric Patients Who Do and Do Not Receive Palliative Care Consults: A Single-Center Retrospective Review of All Pediatric Deaths from 2012 to 2016.

    abstract:: Background: Growing evidence suggests that pediatric palliative care (PPC) teams influence the care received by children and young adults with chronic, life-limiting illnesses. Little is known about how PPC involvement affects advance care planning (ACP) and circumstances ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2019.0111

    authors: Harmoney K,Mobley EM,Gilbertson-White S,Brogden NK,Benson RJ

    更新日期:2019-12-01 00:00:00

  • The Palliative Care Quality Network: Improving the Quality of Caring.

    abstract:OBJECTIVE:Describe the establishment of the palliative care quality network (PCQN) with guidance on how teams can develop similar collaborations. BACKGROUND:In the current healthcare environment, palliative care (PC) teams must be able to demonstrate value and provide efficient care while supporting the clinicians who...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2016.0514

    authors: Pantilat SZ,Marks AK,Bischoff KE,Bragg AR,O'Riordan DL

    更新日期:2017-08-01 00:00:00

  • Is physician awareness of impending death in hospital related to better communication and medical care?

    abstract:BACKGROUND:In hospitals, where care is focused on cure and life prolongation, impending death is often recognized too late. Physician awareness of impending death is a prerequisite for communication with patients and relatives about dying in hospital and providing care that adequately addresses patients' needs. OBJECT...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2014.0203

    authors: Houttekier D,Witkamp FE,van Zuylen L,van der Rijt CC,van der Heide A

    更新日期:2014-11-01 00:00:00

  • Symptom control in palliative care--Part I: oncology as a paradigmatic example.

    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

    pub_type: 杂志文章,评审

    doi:10.1089/jpm.2006.9.391

    authors: Dalal S,Del Fabbro E,Bruera E

    更新日期:2006-04-01 00:00:00

  • Barriers to hospice care and referrals: survey of physicians' knowledge, attitudes, and perceptions in a health maintenance organization.

    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

    pub_type: 杂志文章

    doi:10.1089/1096621041349518

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

    更新日期:2004-06-01 00:00:00

  • Interprofessional communication skills training for serious illness: evaluation of a small-group, simulated patient intervention.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2013.0318

    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

  • Feasibility Testing of an Emergency Department Screening Tool To Identify Older Adults Appropriate for Palliative Care Consultation.

    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

    pub_type: 杂志文章

    doi:10.1089/jpm.2016.0213

    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

  • Staff perspectives on the provision of end-of-life care in a community residence for older adults with developmental disabilities.

    abstract:OBJECTIVE:The purpose of the study was to describe the perceptions of community residence (CR) staff who have cared for older adults with developmental disabilities (ADDs) that are at the end of life. DESIGN:This exploratory, descriptive study utilized qualitative methods that involved semistructured interviews with C...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2012.0408

    authors: Kirkendall AM,Waldrop D

    更新日期:2013-09-01 00:00:00

  • A Multicenter Cohort Study to Explore Differentiating Factors between Tumor Fever and Infection among Advanced Cancer Patients.

    abstract:: Background : Tumor fever and infection are common febrile etiologies among advanced cancer patients. To date, only few studies have been conducted to differentiate between tumor fever and infections. Objective: This study aimed ...

    journal_title:Journal of palliative medicine

    pub_type: 杂志文章

    doi:10.1089/jpm.2018.0594

    authors: Odagiri T,Morita T,Sakurai H,Yamada H,Matsuo N,Matsumoto Y,Matsuda Y,Yoshioka A,Watanabe H,Shimoyama S,Kohara H

    更新日期:2019-11-01 00:00:00