Enhanced analgesia with opioid antagonist administration.

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: 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：:Family members of intensive care unit (ICU) patients want to be involved in decision making, but they may not be best served by being placed in the position of having to solve problems for which they lack knowledge and skills. This case report presents an exemplar family meeting in the ICU led by a palliative care spe...

journal_title：Journal of palliative medicine

authors： Adams J,Bailey DE Jr,Anderson RA,Galanos AN

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Actions in preparation for death and talks about death between advanced cancer patients and their families are considered essential to achieve a good death. However, little is known about the prevalence of such actions compared with talks and their association with bereaved families' psychological morbidity....

journal_title：Journal of palliative medicine

authors： Mori M,Yoshida S,Shiozaki M,Morita T,Baba M,Aoyama M,Kizawa Y,Tsuneto S,Shima Y,Miyashita M

更新日期：2018-03-01 00:00:00

abstract：:Generalized severe junctional epidermolysis bullosa is a rare mechanobullous skin disorder that is uniformly fatal. We present the case of an infant who received palliative pain management and ultimately proportionate palliative sedation. However, because of the extent of the patient's skin disease, we were unable to ...

journal_title：Journal of palliative medicine

authors： Pasichow KP,Frizzola M,Miller EG

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Acupressure is a widely used adjunct for various symptoms in patients with nonchronic kidney disease. However, its role for symptom management in end-stage renal disease (ESRD) populations is not clear. OBJECTIVE:To summarize and critically evaluate the evidence available from randomized clinical trials (RC...

journal_title：Journal of palliative medicine

authors： Kim KH,Lee MS,Kang KW,Choi SM

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Discussions about withdrawal of life-sustaining therapies often include family members of critically ill patients. These conversations should address essential components of the dying process, including expected time to death after withdrawal. OBJECTIVES:The study objective was to aid physician communicatio...

journal_title：Journal of palliative medicine

authors： Long AC,Muni S,Treece PD,Engelberg RA,Nielsen EL,Fitzpatrick AL,Curtis JR

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Striking changes occurred in health care in the United States between 2000 and 2013, including growth of hospice and hospital-based palliative care teams, and changes in Medicare payment policies. OBJECTIVE:The aim of this study was to compare informants' reports and ratings of the quality of end-of-life ca...

journal_title：Journal of palliative medicine

authors： Teno JM,Freedman VA,Kasper JD,Gozalo P,Mor V

更新日期：2015-08-01 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：:The need for palliative care for patients with end-stage renal disease (ESRD) is increasingly recognized. Patients starting renal replacement therapy are now elderly, with a median age of 65 years, and with multiple comorbid conditions. Quality of life is often poor and with advance care planning, patients can be enab...

journal_title：Journal of palliative medicine

authors： Brown EA

更新日期：2007-12-01 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：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：: Background: Cancer pain can remain refractory despite escalating opioids and adjuvants. Systemic Lidocaine is an option, but current approaches are hospital centered. While advantageous in advanced cancer, evidence is lacking for parenteral Lidocaine use in community-based...

journal_title：Journal of palliative medicine

authors： Chong PH,Yeo ZZ

更新日期：2020-12-22 00:00:00

abstract：: Background: Published reports of continuous palliative sedation therapy (CPST) suggest heterogeneity in practice. There is a paucity of reports that compare practice with clinical guidelines. Objectives: To assess adherence of ...

journal_title：Journal of palliative medicine

authors： Abdul-Razzak A,Lemieux L,Snyman M,Perez G,Sinnarajah A

更新日期：2019-09-01 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：:The emerging role of the advanced practice nurse (APN) as a palliative care provider is gaining increased recognition in the United States. The APN's ability to perform comprehensive physical evaluations, order and interpret diagnostics, and prescribe appropriate medications while receiving reimbursement allow this pr...

journal_title：Journal of palliative medicine

authors： Kuebler KK

更新日期：2003-10-01 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: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：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: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：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:In 2011 the Palliative Care Funding Review highlighted concerns about the funding, provision, and quality of care at the end of life. Two years on, an independent review of the Liverpool Care Pathway--prompted by a storm of negative media coverage--has raised concerns around a lack of funding, availability o...

journal_title：Journal of palliative medicine

authors： Kinghorn P,Coast J

更新日期：2013-12-01 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: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:The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the palliative care evidence base remain despite the field's rapid growth. OBJECTIVE:To examine current NIH funding of palliative medicine research, changes since our 2013 report, and trends since our 2...

journal_title：Journal of palliative medicine

authors： Brown E,Morrison RS,Gelfman LP

更新日期：2018-02-01 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: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: The COVID-19 pandemic has created an environment in which existence is more fragile and existential fears or terror rises in people. Objective: Managing existential terror calls for being mature about mortality, som...

journal_title：Journal of palliative medicine

authors： Emanuel L,Solomon S,Fitchett G,Chochinov H,Handzo G,Schoppee T,Wilkie D

更新日期：2020-06-17 00:00:00

abstract：: Background: A broad consensus on the optimal structure, intensity, and timing of early specialist palliative care (SPC) intervention is lacking. Objective: To evaluate the benefit of an early and systematic palliative intervent...

journal_title：Journal of palliative medicine

authors： Slama O,Pochop L,Sedo J,Svancara J,Sedova P,Svetlakova L,Demlova R,Vyzula R

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Opioid dose escalation may cause hyperalgesia, mediated by the N-methyl-D-aspartate (NMDA) pathway. Methadone is an atypical opioid that inhibits hyperalgesia through NMDA-blockade, especially at low doses. OBJECTIVE:To evaluate the efficacy of using very-low-dose methadone as the sole long-acting opioid ag...

journal_title：Journal of palliative medicine

authors： Salpeter SR,Buckley JS,Bruera E

更新日期：2013-06-01 00:00:00