Impact of a postgraduate six-month rotation in palliative care on knowledge and attitudes of junior residents.

Abstract:

:Fifty junior residents completed a six-month training period. An anonymous postal questionnaire was sent to collect the residents' opinions on improvements in their knowledge, perception of priorities and usefulness of training. Responses were rated from 5 (a great deal) to 1 (not at all improved). A total of 33 (66%) questionnaires were returned. A mean score of 4.48 was obtained on general improvement of knowledge, 4.91 +/- 0.29 on pain control, 4.17 +/- 0.58 on neurological symptoms, 4.09 +/- 0.77 on psychological symptoms, 4.64 +/- 0.60 on communication skills and 4.4 +/- 0.91 on physician attitudes. Some 58% of residents began the training with apprehension, 85% outlined their priorities and 76% reached these objectives. A total of 70% were fully satisfied with the tuition and support received and 98% recommended such clinical rotation. Data suggest that a six-month rotation in palliative care results in high levels of perception of improvement in knowledge and satisfaction. Exposure to palliative care patients during clinical rotations in specialized centres must be encouraged.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

Duong PH,Zulian GB

doi

10.1191/0269216306pm1158xx

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

551-6

issue

5

eissn

0269-2163

issn

1477-030X

journal_volume

20

pub_type

杂志文章
  • Which patients with terminal cancer are admitted from home care?

    abstract::The factors related to admission of patients with terminal cancer who had been referred to a reputable home care service were examined in 415 patients referred in a two-year period and in a prospective study of a randomized one in three sample of the 232 adults still alive one week after referral, who were able to con...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/026921639400800303

    authors: Hinton J

    更新日期:1994-01-01 00:00:00

  • A qualitative study to explore psychological distress and illness burden associated with opioid-induced constipation in cancer patients with advanced disease.

    abstract:BACKGROUND:Constipation affects many patients receiving long-term opioid therapy for cancer pain. Little is known about the nature of psychological distress and the burden associated with this problem. This information may inform the development of effective treatment strategies and ameliorate distress. AIM:The object...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216312450358

    authors: Dhingra L,Shuk E,Grossman B,Strada A,Wald E,Portenoy A,Knotkova H,Portenoy R

    更新日期:2013-05-01 00:00:00

  • Tuberculosis in the hospice--a cause for concern?

    abstract::Open pulmonary tuberculosis has been increasingly seen in HIV-infected patients in this hospice. Multidrug-resistant tuberculosis is a new and serious threat and two cases have occurred in our hospice in the past two years. This infection poses a health risk to staff, patients, relatives and volunteers. Palliative car...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639701100607

    authors: McKeogh MM

    更新日期:1997-11-01 00:00:00

  • Nasogastric feeding in the management of severe dysphagia in motor neurone disease.

    abstract::This paper reviews the experience of managing 31 patients with severe dysphagia in motor neurone disease. Thirteen patients were fed nasogastrically and the remaining 18 were managed conservatively without a nasogastric tube. The introduction of nasogastric feeding led to the development of new problems in some patien...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639400800108

    authors: Scott AG,Austin HE

    更新日期:1994-01-01 00:00:00

  • A randomized, controlled trial of physician postures when breaking bad news to cancer patients.

    abstract::Medical training teaches physicians to sit when breaking bad news, though there have been no controlled studies to support this advice. We aimed to establish cancer patients' preference for physician posture when physicians break bad news using a randomized controlled crossover trial in a department of palliative care...

    journal_title:Palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269216307081184

    authors: Bruera E,Palmer JL,Pace E,Zhang K,Willey J,Strasser F,Bennett MI

    更新日期:2007-09-01 00:00:00

  • Feeling like a burden to others: a systematic review focusing on the end of life.

    abstract::Research into the burden of illness has focused predominantly on family caregivers, with little consideration of the other side of the caregiving relationship-care recipients' perspectives on having become a 'burden to others'. However, there is now a small but growing body of evidence to suggest that worry about crea...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216307076345

    authors: McPherson CJ,Wilson KG,Murray MA

    更新日期:2007-03-01 00:00:00

  • Factors influencing constipation in advanced cancer patients: a prospective study of opioid dose, dantron dose and physical functioning.

    abstract::The relationship between opioid dose, dantron dose, bowel function and physical functioning (measured with the modified Barthel Index) was determined in a sample of 50 inpatients with advanced cancer. Data were collected prospectively from chart review and patient interviews one week after admission to allow for proto...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216303pm773oa

    authors: Bennett M,Cresswell H

    更新日期:2003-07-01 00:00:00

  • Detection of delirium in palliative care unit patients: a prospective descriptive study of the Delirium Observation Screening Scale administered by bedside nurses.

    abstract:BACKGROUND:The Delirium Observation Screening Scale (DOS) is designed to detect delirium by nurses' observations and has shown good psychometric properties. Its use in palliative care unit patients has not been studied. AIM:To determine diagnostic and concurrent validity, internal consistency, and user-friendliness of...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313492187

    authors: Detroyer E,Clement PM,Baeten N,Pennemans M,Decruyenaere M,Vandenberghe J,Menten J,Joosten E,Milisen K

    更新日期:2014-01-01 00:00:00

  • Home palliative care for terminal cancer patients: a survey on the final week of life.

    abstract::As part of a large multicentre study on palliative care units in Italy, carried out between 1 January and 30 June 1995, we describe the place, circumstances and 'quality of death' of patients admitted to home palliative care. Data presented refer to 401 patients (67% of the 601 patients randomly selected for evaluatio...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1191/026921699669863369

    authors: Peruselli C,Di Giulio P,Toscani F,Gallucci M,Brunelli C,Costantini M,Tamburini M,Paci E,Miccinesi G,Addington-Hall JM,Higginson IJ

    更新日期:1999-05-01 00:00:00

  • Caregiver characteristics and bereavement needs: Findings from a population study.

    abstract:BACKGROUND:Globally, most care for people with life-limiting illnesses is provided by informal caregivers. Identifying characteristics of caregivers that may have unmet needs and negative outcomes can help provide better support to facilitate adjustment. AIM:We compared characteristics, expressed unmet needs and outco...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216316663855

    authors: DiGiacomo M,Hatano Y,Phillips J,Lewis J,Abernethy AP,Currow DC

    更新日期:2017-05-01 00:00:00

  • An extra care sheltered housing complex for frail ambulant cancer patients.

    abstract::The history and development of an extra care sheltered housing complex, specifically designed and built for frail, ambulant, cancer patients is reviewed. Consideration is given to diagnosis, length of stay, place of death, family and social background. Problems are highlighted and the need for future research is discu...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639500900309

    authors: Sherry KL

    更新日期:1995-07-01 00:00:00

  • Repeated subcutaneous esketamine administration for depressive symptoms and pain relief in a terminally ill cancer patient: A case report.

    abstract:BACKGROUND:Depressive disorders are common among cancer patients. Ketamine can quickly relieve depression, and its subcutaneous administration appears to be as effective as and probably safer than its standard intravenous administration. Herein, we report a case verifying the antidepressant effect of a subcutaneous esk...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320910351

    authors: Barbosa MG,Delfino RS,Sarin LM,Jackowski AP

    更新日期:2020-06-01 00:00:00

  • Knowledge and information needs of informal caregivers in palliative care: a qualitative systematic review.

    abstract:OBJECTIVES:To review current understanding of the knowledge and information needs of informal caregivers in palliative settings. DATA SOURCES:Seven electronic databases were searched for the period January 1994--November 2006: Medline, CINAHL, PsychINFO, Embase, Ovid, Zetoc and Pubmed using a meta-search engine (Metal...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216307085343

    authors: Docherty A,Owens A,Asadi-Lari M,Petchey R,Williams J,Carter YH

    更新日期:2008-03-01 00:00:00

  • The misuse/abuse of antihistamine antiemetic medication (cyclizine) by cancer patients.

    abstract::Cyclizine is an antihistamine, which is frequently used to manage nausea and vomiting in cancer patients. Antihistamines can be drugs of misuse/abuse, and the article describes four cancer patients who developed such problems after receiving parenteral cyclizine within the inpatient unit of a cancer centre. The articl...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216308094337

    authors: Bailey F,Davies A

    更新日期:2008-10-01 00:00:00

  • Spinal surgery in the treatment of metastatic back pain: three case reports.

    abstract::Back pain resulting from spinal instability in metastatic bone disease can be difficult to alleviate by pharmacological methods and surgical intervention is frequently required. This paper discusses the treatment options with three illustrative case reports. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639300700311

    authors: Fallon MT,O'Neill WM

    更新日期:1993-01-01 00:00:00

  • Do patients, families, and healthcare teams benefit from the integration of palliative care in burn intensive care units? Results from a systematic review with narrative synthesis.

    abstract:BACKGROUND:Burn units are intensive care facilities specialized in the treatment of patients with severe burns. As burn injuries have a major impact in physical, psychosocial, and spiritual health, palliative care can be a strengthening component of integrated care. AIM:To review and appraise the existing evidence abo...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319862160

    authors: Ribeiro AF,Martins Pereira S,Gomes B,Nunes R

    更新日期:2019-12-01 00:00:00

  • A comparison of patient and proxy symptom assessments in advanced cancer patients.

    abstract::The purpose of this study was to compare patient and proxy (physician and nurse) assessments of symptoms in advanced cancer patients. The sample consisted of 49 patients with advanced cancer admitted to an acute palliative care unit. Three independent assessments were completed for each patient on two occasions within...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921699675854885

    authors: Nekolaichuk CL,Bruera E,Spachynski K,MacEachern T,Hanson J,Maguire TO

    更新日期:1999-07-01 00:00:00

  • A study comparing hyoscine hydrobromide and glycopyrrolate in the treatment of death rattle.

    abstract::This study looked at the efficacy of drug treatment in managing death rattle in a 30-bedded specialist palliative care unit. The study was conducted in two phases. In the first, patients received hyoscine hydrobromide as the antimuscarinic; glycopyrrolate was used in the second phase. The patients in the two phases we...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章

    doi:10.1191/026921601678320313

    authors: Back IN,Jenkins K,Blower A,Beckhelling J

    更新日期:2001-07-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus: Prevalence, incidence, risk factors, and effects on survival of patients in a specialist palliative care unit: A prospective observational study.

    abstract:BACKGROUND:Little is known about the impact of methicillin-resistant Staphylococcus aureus in palliative care settings. To date, the clinical impact of methicillin-resistant Staphylococcus aureus in palliative care is unknown. AIM:To determine prevalence and incidence of methicillin-resistant Staphylococcus aureus col...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315595158

    authors: Gleeson A,Larkin P,Walsh C,O'Sullivan N

    更新日期:2016-04-01 00:00:00

  • Attitudes toward euthanasia among Swedish medical students.

    abstract::Attitudes toward euthanasia differ between individuals and populations, and in many studies the medical profession is more reluctant than the general public. Our goal was to explore medical students' attitude toward euthanasia. A questionnaire containing open-ended questions was answered anonymously by 165 first- and ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216307081940

    authors: Karlsson M,Strang P,Milberg A

    更新日期:2007-10-01 00:00:00

  • The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review.

    abstract:BACKGROUND:Terminal illness not only causes physical suffering but also spiritual distress. Spiritual care has been widely implemented by healthcare professionals to assist patients coping with spiritual distress. However, the effects of spiritual care need to be clear. AIM:To evaluate the effects of spiritual care on...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318772267

    authors: Chen J,Lin Y,Yan J,Wu Y,Hu R

    更新日期:2018-07-01 00:00:00

  • Chronically homeless persons' participation in an advance directive intervention: A cohort study.

    abstract:BACKGROUND:Chronically homeless individuals have high rates of hospitalization and death, and they may benefit from the completion of advance directives. AIM:To determine the rate of advance directive completion using a counselor-guided intervention, identify characteristics associated with advance directive completio...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315575679

    authors: Leung AK,Nayyar D,Sachdeva M,Song J,Hwang SW

    更新日期:2015-09-01 00:00:00

  • Comparison of preferences for end-of-life care among patients with advanced cancer and their caregivers: A discrete choice experiment.

    abstract:BACKGROUND:Patients with advanced cancer often have to make difficult decisions, such as how much to spend on moderately life-extending treatments. This and other end-of-life decisions are also influenced by their informal caregivers. Understanding the relative value that patients and their caregivers place on various ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315578803

    authors: Malhotra C,Farooqui MA,Kanesvaran R,Bilger M,Finkelstein E

    更新日期:2015-10-01 00:00:00

  • Adaptation and psychometric evaluation of the Preparedness for Caregiving Scale, Caregiver Competence Scale and Rewards of Caregiving Scale in a sample of Swedish family members of patients with life-threatening illness.

    abstract:BACKGROUND:Family members often take on many caring responsibilities, with complex issues and challenges to consider. Feelings of preparedness, competence and reward are identified as concepts that may protect caregiver wellbeing and decrease negative outcomes related to caregiving. AIM:This study aimed to translate, ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216311419987

    authors: Henriksson A,Andershed B,Benzein E,Arestedt K

    更新日期:2012-10-01 00:00:00

  • Good end-of-life care in nursing home according to the family carers' perspective: A systematic review of qualitative findings.

    abstract:BACKGROUND:Nursing homes are becoming a common site where delivering end-of-life care for older adults. They often represent the junction between the curative and the palliative phase. AIM:To identify the elements that nursing home residents' family carers perceive as good end-of-life care and develop a conceptual mod...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319840275

    authors: Gonella S,Basso I,De Marinis MG,Campagna S,Di Giulio P

    更新日期:2019-06-01 00:00:00

  • What is stable pain control? A prospective longitudinal study to assess the clinical value of a personalized pain goal.

    abstract:BACKGROUND:A universal consensus regarding standardized pain outcomes does not exist. The personalized pain goal has been suggested as a clinically relevant outcome measure. AIM:To assess the feasibility of obtaining a personalized pain goal and to compare a clinically based personalized pain goal definition versus a ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216317701891

    authors: Fainsinger R,Nekolaichuk C,Fainsinger L,Muller V,Fainsinger L,Amigo P,Brisebois A,Burton-Macleod S,Ghosh S,Gilbert R,Tarumi Y,Thai V,Wolch G

    更新日期:2017-12-01 00:00:00

  • Home or hospital as the place of end-of-life care and death: A grounded theory study of parents' decision-making.

    abstract:BACKGROUND:While several studies have examined 'what' families want with regard to the place of a child's end-of-life care and death, few have explored 'how' parents reach a decision. AIMS:(1) to develop a model explaining how parents of a child with a life-threatening illness in Greece decide about the place of end-o...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320967547

    authors: Papadatou D,Kalliani V,Karakosta E,Liakopoulou P,Bluebond-Langner M

    更新日期:2021-01-01 00:00:00

  • A study into the educational needs of children's hospice doctors: a descriptive quantitative and qualitative survey.

    abstract:OBJECTIVES:To identify and explore the educational needs of children's hospice doctors in England. DESIGN:A descriptive quantitative and qualitative survey. SETTING:Children's hospices in England. PARTICIPANTS:All children's hospice doctors (n =55) in England were approached, and 35 (65%) consented. INTERVENTIONS:A...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216304pm902oa

    authors: Amery J,Lapwood S

    更新日期:2004-12-01 00:00:00

  • Legalisation of euthanasia or physician-assisted suicide: survey of doctors' attitudes.

    abstract::This study reports UK doctors' opinions about legalisation of medically assisted dying (euthanasia and physician-assisted suicide), comparing this with the UK general public. A postal survey of 3733 UK medical practitioners was done. The majority of UK doctors are opposed to legalisation, contrasting with the UK gener...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308102041

    authors: Seale C

    更新日期:2009-04-01 00:00:00

  • The challenges of uncertainty and interprofessional collaboration in palliative care for non-cancer patients in the community: a systematic review of views from patients, carers and health-care professionals.

    abstract:BACKGROUND:Primary care has the potential to play significant roles in providing effective palliative care for non-cancer patients. AIM:To identify, critically appraise and synthesise the existing evidence on views on the provision of palliative care for non-cancer patients by primary care providers and reveal any gap...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216314531999

    authors: Oishi A,Murtagh FE

    更新日期:2014-10-01 00:00:00