当前位置： SCI文献检索 > JOURNAL OF PAIN AND SYMPTOM MANAGEMENT期刊下所有文献 > Hospice and palliative care development in Africa: a multi-method review of services and experiences.

Hospice and palliative care development in Africa: a multi-method review of services and experiences.

Abstract：

:There is a paucity of information on hospice and palliative care provision in Africa and only a weak evidence base upon which to build policy and practice development. We set out to assess the current state of provision across the continent, mapping the existence of services country by country and exploring the perspectives and experiences of those involved. A multi-method review was conducted involving a synthesis of evidence from published and gray literature, ethnographic field visits to seven countries, qualitative interviews with 94 individuals from 14 countries, and the collation of existing public health data. Forty-seven African countries were reviewed, involving the assistance of numerous hospice and palliative care activists, including clinicians, managers, volunteers, policy makers, and staff of donor organizations. The 47 countries of Africa could be grouped into four categories: no identified hospice or palliative care activity (21 countries); capacity building activity is underway to promote hospice and palliative care delivery (11 countries); localized provision of hospice and palliative care is in place, often heavily supported by external donors (11 countries); and hospice and palliative care services are approaching some measure of integration with mainstream service providers and gaining wider policy recognition (four countries). Overall, services remain scattered and piecemeal in most African countries, and coverage is poor. Nongovernmental organizations are the predominant source of provision. Major difficulties relate to opioid availability, workforce development, and achieving sustainable critical mass. Models exist in Uganda, Kenya, South Africa, and Zimbabwe for the development of affordable, sustainable community-based hospice and palliative care services, but sensitivity is required in adopting Western models of hospice and palliative care for implementation in the African cultural context. Overall, interest in the development of hospice and palliative care in Africa has never been greater.

journal_name

J Pain Symptom Manage

journal_title

Journal of pain and symptom management

authors

Clark D,Wright M,Hunt J,Lynch T

doi

10.1016/j.jpainsymman.2006.09.033

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

698-710

issue

6

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(07)00177-7

journal_volume

33

pub_type

杂志文章,评审

相关文献

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT文献大全
  • A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients.

    abstract：:Visual analogue scales (VAS) and verbal rating scales (VRS) are widely used to assess pain. This paper presents a secondary analysis of a subsection of data collected as part of an evaluation of an intervention to improve nighttime pain. The aims were to describe the relationship between the VAS and VRS; to compare ch...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(99)00092-5

    authors： Briggs M,Closs JS

    更新日期：1999-12-01 00:00:00

  • Living with the dying: an early AIDS experience.

    abstract：:The HIV/AIDS epidemic in boys and men with hemophilia began in the early 1980s with the puzzling occurrence of systemic illness and fatal opportunistic infections in patients who had received plasma-derived clotting factor concentrates. This brief narrative describes one physician's experience in caring for patients w...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2013.02.017

    authors： Ballard JO

    更新日期：2013-07-01 00:00:00

  • The complexity of nurses' attitudes and practice of sedation at the end of life: a systematic literature review.

    abstract：CONTEXT:Sedation is administered to some palliative care patients at the end of their life. Nurses play an important role in this practice. OBJECTIVES:To systematically review the evidence on nurses' attitudes and practice of end-of-life sedation. METHODS:We searched eight electronic databases, four key palliative ca...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpainsymman.2013.06.011

    authors： Abarshi EA,Papavasiliou ES,Preston N,Brown J,Payne S,EURO IMPACT.

    更新日期：2014-05-01 00:00:00

  • Psychometric properties of instruments used to measure fatigue in children and adolescents with cancer: a systematic review.

    abstract：CONTEXT:Despite the recognized distressing symptom of fatigue in children with cancer, little information is available to assist in the selection of an instrument to be used to measure fatigue. OBJECTIVES:The objectives of this study were to 1) describe the instruments that have been used to measure cancer-related fat...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpainsymman.2012.02.010

    authors： Tomlinson D,Hinds PS,Ethier MC,Ness KK,Zupanec S,Sung L

    更新日期：2013-01-01 00:00:00

  • Underprescription of Step III Opioids in French Cancer Survivors With Chronic Pain: A Call for Integrated Early Palliative Care in Oncology.

    abstract：CONTEXT:Chronic pain (CP) is a major concern in cancer survivors. Often under-reported by patients, it is both underassessed and undertreated by care providers. OBJECTIVES:To assess CP prevalence and related treatment in cancer survivors five years after diagnosis and to identify factors associated with prescribing op...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2019.10.027

    authors： Janah A,Bouhnik AD,Touzani R,Bendiane MK,Peretti-Watel P

    更新日期：2020-04-01 00:00:00

  • Towards a new clinical tool for needs assessment in the palliative care of cancer patients: the PNPC instrument.

    abstract：:This study describes a new clinical tool for needs assessment in palliative care: the Problems and Needs in Palliative Care questionnaire (PNPC). It was developed to support the provision of care tailored to the specific demands of patients, which only can be provided when their needs are clearly identified. To test v...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jpainsymman.2004.01.010

    authors： Osse BH,Vernooij MJ,Schadé E,Grol RP

    更新日期：2004-10-01 00:00:00

  • A framework for assessing quality indicators for cancer care at the end of life.

    abstract：:Patients with advanced cancer often do not receive high-quality pain and symptom management or support with coordination of care, communication, and decision making. Implementing quality indicators that are reflective of the scope of care, feasible to implement, and supported by evidence might help to identify areas a...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpainsymman.2009.04.024

    authors： Seow H,Snyder CF,Mularski RA,Shugarman LR,Kutner JS,Lorenz KA,Wu AW,Dy SM

    更新日期：2009-12-01 00:00:00

  • Prostate cancer in African Americans: relationship of patient and partner self-efficacy to quality of life.

    abstract：:This study examined the relationship between patient and partner ratings of self-efficacy for symptom control and quality of life (QOL) among 40 African American prostate cancer survivors and their intimate partners. Data analyses revealed that cancer survivors who had rated their self-efficacy for symptom control hig...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2004.02.020

    authors： Campbell LC,Keefe FJ,McKee DC,Edwards CL,Herman SH,Johnson LE,Colvin OM,McBride CM,Donattuci CF

    更新日期：2004-11-01 00:00:00

  • Improving Advance Care Planning in Outpatients With Decompensated Cirrhosis: A Pilot Study.

    abstract：BACKGROUND:Despite significant morbidity and mortality among patients with decompensated cirrhosis, reported rates of advance directive (AD) completion and goals of care discussions (GCDs) between patients and providers are very low. We aimed to improve these rates by implementing a hepatologist-led advance care planni...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2019.12.355

    authors： Patel A,Kogekar N,Agarwal R,Cohen C,Esteban JP,Pourmand K,Tsai E,Harty A,Pelham-Braithwaite A,Perumalswami P,Dieterich D,Schiano T

    更新日期：2020-04-01 00:00:00

  • Web-Based Tailored Psychoeducation for Breast Cancer Patients at the Onset of the Survivorship Phase: A Multicenter Randomized Controlled Trial.

    abstract：CONTEXT:Many breast cancer patients have unmet informational and psychosocial needs after treatment completion. A psychoeducational intervention may be well suited to support these patients. OBJECTIVES:The purpose of this multicenter randomized controlled trial was to examine the effectiveness of a web-based tailored ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jpainsymman.2017.07.009

    authors： Admiraal JM,van der Velden AWG,Geerling JI,Burgerhof JGM,Bouma G,Walenkamp AME,de Vries EGE,Schröder CP,Reyners AKL

    更新日期：2017-10-01 00:00:00

  • A phase II trial of Reiki for the management of pain in advanced cancer patients.

    abstract：:This trial compared pain, quality of life, and analgesic use in a sample of patients with cancer pain (n=24) who received either standard opioid management plus rest (Arm A) or standard opioid management plus Reiki (Arm B). Participants either rested for 1.5 hr on Days 1 and 4 or received two Reiki treatments (Days 1 ...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(03)00334-8

    authors： Olson K,Hanson J,Michaud M

    更新日期：2003-11-01 00:00:00

  • Simultaneous care: a model approach to the perceived conflict between investigational therapy and palliative care.

    abstract：:Clinical trials of investigational therapy in patients with advanced cancer may not pay sufficient attention to quality of life (QOL) and supportive care issues, resulting in an adverse impact on the quality of care (QOC). We hypothesized that the simultaneous delivery of investigational therapy and a structured progr...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jpainsymman.2004.03.002

    authors： Meyers FJ,Linder J,Beckett L,Christensen S,Blais J,Gandara DR

    更新日期：2004-12-01 00:00:00

  • Dronabinol as a treatment for anorexia associated with weight loss in patients with AIDS.

    abstract：:The effects of dronabinol on appetite and weight were evaluated in 139 patients with AIDS-related anorexia and > or = 2.3 kg weight loss in a multi-institutional study. Patients were randomized to receive 2.5 mg dronabinol twice daily or placebo. Patients rated appetite, mood, and nausea by using a 100-mm visual analo...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/0885-3924(94)00117-4

    authors： Beal JE,Olson R,Laubenstein L,Morales JO,Bellman P,Yangco B,Lefkowitz L,Plasse TF,Shepard KV

    更新日期：1995-02-01 00:00:00

  • Narrative Approach to Goals of Care Discussions: Assessing the Use of the 3-Act Model in the Clinical Setting.

    abstract：CONTEXT:The 3-Act Model is an innovative narrative approach to goals of care (GOC) discussions centered on patients' unique stories. Previous studies have demonstrated the effectiveness of the 3-Act Model training in enhancing trainees' skills objectively in role-plays with standardized patients. This study moves beyon...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2020.06.017

    authors： Roberts B,Wright SM,Dy SM,Wu DS

    更新日期：2020-10-01 00:00:00

  • Transdermal buprenorphine for the treatment of chronic noncancer pain in the oldest old.

    abstract：CONTEXT:Chronic pain increases with age, and in the elderly, comorbidities and polypharmacotherapy make the choice of treatment for pharmacological pain control a complex matter. OBJECTIVES:We conducted a multicenter, prospective, observational study to evaluate the efficacy and safety of the buprenorphine transdermal...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.jpainsymman.2010.06.015

    authors： Gianni W,Madaio AR,Ceci M,Benincasa E,Conati G,Franchi F,Galetti G,Nieddu A,Salani B,Zuccaro SM

    更新日期：2011-04-01 00:00:00

  • The successful use of parenteral methadone in a patient with a prolonged QTc interval.

    abstract：:Recent case reports have raised concerns about the potential for methadone to prolong the QTc interval (QT corrected for heart rate) and predispose patients to torsade de pointes (TdP), a life-threatening arrhythmia. We present a case report that describes the successful use of parenteral and oral methadone in a patie...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2007.05.001

    authors： Sekine R,Obbens EA,Coyle N,Inturrisi CE

    更新日期：2007-11-01 00:00:00

  • Anxiety in terminally ill cancer patients.

    abstract：CONTEXT:Anxiety in terminal cancer is linked to diminished quality of life, yet overall it is poorly understood with regard to prevalence and relationship to other aspects of psychological distress. OBJECTIVES:This study examines anxiety in terminally ill cancer patients, including the prevalence of anxiety symptoms, ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2011.01.013

    authors： Kolva E,Rosenfeld B,Pessin H,Breitbart W,Brescia R

    更新日期：2011-11-01 00:00:00

  • Palliative sedation: reliability and validity of sedation scales.

    abstract：CONTEXT:Observer-based sedation scales have been used to provide a measurable estimate of the comfort of nonalert patients in palliative sedation. However, their usefulness and appropriateness in this setting has not been demonstrated. OBJECTIVES:To study the reliability and validity of observer-based sedation scales ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2011.11.010

    authors： Arevalo JJ,Brinkkemper T,van der Heide A,Rietjens JA,Ribbe M,Deliens L,Loer SA,Zuurmond WW,Perez RS,AMROSE Site Study Group.

    更新日期：2012-11-01 00:00:00

  • Efficacy of analgesics in chronic pain: a series of N-of-1 studies.

    abstract：:Rational drug treatment of chronic musculoskeletal pain remains a challenge. Although commonly prescribed, the true efficacy of opioid analgesics or of nonsteroidal antiinflammatory drugs remains to be established. Using an N-of 1 design, eight patients with regional cervicobrachial pain received ibuprofen 800 mg/day,...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(98)00369-8

    authors： Sheather-Reid RB,Cohen M

    更新日期：1998-04-01 00:00:00

  • Disparities in the contribution of low- and middle-income countries to palliative care research.

    abstract：CONTEXT:Important aspects of the palliative care needs of patients from low- and middle-income countries (LMIC) are largely unexplored. About 44 million of the 56 million annual deaths worldwide occur in developing countries, and it is estimated that more than 33 million of those concerned would benefit from palliative...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2009.05.023

    authors： Pastrana T,Vallath N,Mastrojohn J,Namukwaya E,Kumar S,Radbruch L,Clark D

    更新日期：2010-01-01 00:00:00

  • Palliative Care for Tuberculosis.

    abstract：:In 2014, 1.5 million people died of tuberculosis (TB) worldwide including 400,000 co-infected with HIV. TB remains a major cause of death and suffering globally, in spite of the fact that it is supposed to be a curable disease. Drug resistant forms of TB have developed as a result of poor treatment compliance includin...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2017.03.019

    authors： Connor SR

    更新日期：2018-02-01 00:00:00

  • PC-FACS.

    abstract：:PC-FACS(FastArticleCriticalSummaries for Clinicians inPalliativeCare) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PC-FACS, please encourage them to join ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2017.11.002

    authors： Davis MP

    更新日期：2018-01-01 00:00:00

  • Meaninglessness in terminally ill cancer patients: a validation study and nurse education intervention trial.

    abstract：:Recent empirical studies revealed that fostering patients' perception of meaning in their life is an essential task for palliative care clinicians. However, few studies have reported the effects of training programs for nurses specifically aimed at improving skills to relieve the meaninglessness of terminally ill canc...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2006.10.021

    authors： Morita T,Murata H,Hirai K,Tamura K,Kataoka J,Ohnishi H,Akizuki N,Kurihara Y,Akechi T,Uchitomi Y,Japanese Spiritual Care Task Force.

    更新日期：2007-08-01 00:00:00

  • Prevalence of symptoms among patients with advanced cancer: an international collaborative study. Symptom Prevalence Group.

    abstract：:The aims of this study were (a) to estimate the prevalence of pain and eight other common symptoms in a large population of patients with advanced cancer from different palliative care centers, and (b) to assess the differences in prevalence of the symptoms by primary site. In 1990-1991, the prevalence of eight major ...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/0885-3924(96)00042-5

    authors： Vainio A,Auvinen A

    更新日期：1996-07-01 00:00:00

  • Factors influencing agreement in symptom ratings by lung cancer patients and their significant others.

    abstract：:Comparisons of symptom ratings and health-related quality of life between significant others and patients have been the focus of numerous studies during the past decades. Additional studies are needed to assess the discrepancies identified in this work. In the present cross-sectional exploratory study, focus has been ...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2006.07.019

    authors： Wennman-Larsen A,Tishelman C,Wengström Y,Gustavsson P

    更新日期：2007-02-01 00:00:00

  • Can just-in-time, evidence-based "reminders" improve pain management among home health care nurses and their patients?

    abstract：:The purpose of this randomized, controlled, home care intervention was to test the effectiveness of two nurse-targeted, e-mail-based interventions to increase home care nurses' adherence to pain assessment and management guidelines, and to improve patient outcomes. Nurses from a large urban non-profit home care organi...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.jpainsymman.2004.08.018

    authors： McDonald MV,Pezzin LE,Feldman PH,Murtaugh CM,Peng TR

    更新日期：2005-05-01 00:00:00

  • Hearing Loss in Hospice and Palliative Care: A National Survey of Providers.

    abstract：CONTEXT:Age-related hearing loss can impair patient-provider communication about symptom management, goals of care, and end-of-life decision-making. OBJECTIVES:To determine whether hospice and palliative care providers screen for or received training about hearing loss, believe it impacts patient care, and use strateg...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2016.02.007

    authors： Smith AK,Ritchie CS,Wallhagen ML

    更新日期：2016-08-01 00:00:00

  • The use of intravenous opioids to provide analgesia in critically ill, premature neonates: a research critique.

    abstract：:The intravenous (i.v.) administration of opioids to neonates is a common method of providing analgesia in the intensive care setting. This paper reviews and critiques the studies that have investigated this intervention. The studies are grouped into four major areas: pharmacokinetic studies; i.v. opioids for anesthesi...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章,评审

    doi：10.1016/S0885-3924(97)00272-8

    authors： Franck LS,Miaskowski C

    更新日期：1998-01-01 00:00:00

  • Re-ACT: Remote Advanced Communication Training in a Time of Crisis.

    abstract：BACKGROUND:We used a quality improvement framework to transform two-day and in-person advanced communication training (ACT) course into a remote ACT (Re-ACT) format to help clinicians improve serious illness conversation (SIC) skills. MEASURES:We assessed the reach, impact, and costs of Re-ACT and compared these measu...

    journal_title：Journal of pain and symptom management

    pub_type： 杂志文章

    doi：10.1016/j.jpainsymman.2020.08.013

    authors： Carroll T,Mooney C,Horowitz R

    更新日期：2021-02-01 00:00:00

  • Screening for addiction in patients with chronic pain and "problematic" substance use: evaluation of a pilot assessment tool.

    abstract：:Assessing for the presence of addiction in the chronic pain patient receiving chronic opioid analgesia is a challenging clinical task. This paper presents a recently developed screening tool for addictive disease in chronic pain patients, and pilot efficacy data describing its ability to do so. In a small sample of pa...

    journal_title：Journal of pain and symptom management

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0885-3924(98)00110-9

    authors： Compton P,Darakjian J,Miotto K

    更新日期：1998-12-01 00:00:00