Prediction of pediatric death in the year after hospitalization: a population-level retrospective cohort study.

abstract：INTRODUCTION:Most medical schools are remiss in preparing physicians in end-of-life communication skills. As a result, many residents are uncomfortable with approaching the patient, have not developed the skills required to discuss the patients' wishes, and avoid end-of-life conversations. OBJECTIVE:To evaluate an edu...

journal_title：Journal of palliative medicine

authors： Furman CD,Head B,Lazor B,Casper B,Ritchie CS

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Antibiotic administration is frequent in terminal patients with cancer, yet the effects on survival are still under debate. OBJECTIVE:The aim of this study was to examine the status of infection and the benefit/burden of antibiotic administration on the survival of terminal patients with cancer with infecti...

journal_title：Journal of palliative medicine

authors： Chih AH,Lee LT,Cheng SY,Yao CA,Hu WY,Chen CY,Chiu TY

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:Nurses and nursing care providers provide the most direct care to patients at end of life. Yet, evidence indicates that many feel ill-prepared for the complexity of palliative care. OBJECTIVE:To review the resources required to ensure adequate education, training, and mentorship for nurses and nursing care ...

journal_title：Journal of palliative medicine

authors： Pesut B,Greig M

更新日期：2018-01-01 00:00:00

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: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：BACKGROUND:As the United States braces for full implementation of health care reform, the eyes of the nation are on Medicaid. The large number of newly eligible Medicaid beneficiaries may challenge health care resources and ultimately impact quality of care. This is a special concern among current Medicaid beneficiarie...

journal_title：Journal of palliative medicine

authors： Lindley LC,Lyon ME

更新日期：2013-11-01 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：BACKGROUND:Although an interdisciplinary approach is considered best practice for caring for patients at the end of life, or in need of palliative care (PC) services, there is growing tension between healthcare organizations' need to contain costs and the provision of this beneficial, yet resource-intensive service. O...

journal_title：Journal of palliative medicine

authors： Ciemins EL,Brant J,Kersten D,Mullette E,Dickerson D

更新日期：2016-07-01 00:00:00

abstract：INTRODUCTION:The World Health Organization (WHO) explicitly recommends the integration of palliative care (PC) early in the disease trajectory as part of the WHO definition of PC. Our comprehensive cancer center decided: (1) to include this recommendation in the administrative directives for principles of cancer care a...

journal_title：Journal of palliative medicine

authors： Gaertner J,Wolf J,Ostgathe C,Toepelt K,Glossmann JP,Hallek M,Voltz R

更新日期：2010-10-01 00:00:00

abstract：: Background: Diabetes is increasingly prevalent globally, including in palliative care. Guidelines vary as to the ideal glycemic goals for patients near the end of life. The relationship between hyperglycemia and attributable symptoms late in life remains ill defined. ...

journal_title：Journal of palliative medicine

authors： Kleinig PA,Woodman RJ,Currow DC

更新日期：2020-03-01 00:00:00

abstract：INTRODUCTION:Percutaneous stenting is established in the palliation of malignant biliary obstruction. We examined the indications, success rate, complications, and long-term postoperative course of patients undergoing this procedure. METHODS:All patients undergoing percutaneous transhepatic cholangiography (PTC) and m...

journal_title：Journal of palliative medicine

authors： Sut M,Kennedy R,McNamee J,Collins A,Clements B

更新日期：2010-11-01 00:00:00

abstract：:Approximately 21 million noninstitutionalized Americans with physical disabilities will ultimately face end-of-life [EOL] issues. Studies have documented disparate care and poorer outcomes for persons with preexisting disabilities who have life-limiting illnesses, which raises the question of how EOL experiences may d...

journal_title：Journal of palliative medicine

authors： Volker DL,Zolnierek C,Harrison T,Walker J

更新日期：2012-06-01 00:00:00

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

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

abstract：BACKGROUND:Many patients with cancer involving the respiratory system suffer from the frequent recurrence of significant, submassive hemoptysis, which may result in invasive procedures, hospital stays, and a reduction in quality of life. Currently, there are no widely accepted noninvasive therapeutic options. Few case ...

journal_title：Journal of palliative medicine

authors： Hankerson MJ,Raffetto B,Mallon WK,Shoenberger JM

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:People with serious illness frequently rely on religion/spirituality to cope with their diagnosis, with potentially positive and negative consequences. Clergy are uniquely positioned to help patients consider medical decisions at or near the end of life within a religious/spiritual framework. OBJECTIVE:We a...

journal_title：Journal of palliative medicine

authors： Sanders JJ,Chow V,Enzinger AC,Lam TC,Smith PT,Quiñones R,Baccari A,Philbrick S,White-Hammond G,Peteet J,Balboni TA,Balboni MJ

更新日期：2017-10-01 00:00:00

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

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

abstract：BACKGROUND:Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA). METHODS:A ...

journal_title：Journal of palliative medicine

authors： Duffy SA,Copeland LA,Hopp FP,Zalenski RJ

更新日期：2007-10-01 00:00:00

abstract：:Palliative care is an evolving field with extensive studies demonstrating its benefits to patients, families, and the health care system. Many health systems have developed or are developing palliative care programs. The Canadian Society of Palliative Care Physicians (CSPCP) is often asked to recommend how many pallia...

journal_title：Journal of palliative medicine

authors： Henderson JD,Boyle A,Herx L,Alexiadis A,Barwich D,Connidis S,Lysecki D,Sinnarajah A

更新日期：2019-11-01 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: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：INTRODUCTION:Place of death is considered a quality indicator of end-of-life care and enabling people to die where they choose is an important aspiration of palliative care. This study aims to examine the association between involvement of palliative care services and place of death. METHODS:Data about patient charact...

journal_title：Journal of palliative medicine

authors： Houttekier D,Cohen J,Van den Block L,Bossuyt N,Deliens L

更新日期：2010-12-01 00:00:00

abstract：OBJECTIVE:To compare residents in hospice care at admission to the nursing facility to end stage residents not in hospice at admission. DESIGN AND METHODS:We analyzed 18,211 admission assessments recorded in the Minimum Data Set (MDS) during the year 2000 throughout the United States for residents classified as having...

journal_title：Journal of palliative medicine

authors： Buchanan RJ,Choi M,Wang S,Ju H

更新日期：2004-04-01 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：BACKGROUND:Relief of distressful symptoms in terminally ill patients with cancer is of prime importance. Use of sedation to accomplish this has been the focus of recent medical studies in countries other than Japan. We investigated the influence on consciousness of sedative drugs in a Japanese hospice. DESIGN AND SUBJ...

journal_title：Journal of palliative medicine

authors： Kohara H,Ueoka H,Takeyama H,Murakami T,Morita T

更新日期：2005-02-01 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

abstract：PURPOSE:Rash is the most common side effect of epidermal growth factor receptor (EGFR) inhibitors and negatively impacts quality of life. This single-institution study sought to explore how rash is currently managed outside a clinical trial setting and to further characterize general clinical aspects of this rash. MET...

journal_title：Journal of palliative medicine

authors： Solomon BM,Jatoi A

更新日期：2011-02-01 00:00:00

abstract：OBJECTIVES:To continuously assess overall quality of life (QOL) and disease progression in patients with amyotrophic lateral sclerosis (ALS) at different stages of the disease and compare the results between these two variables. DESIGN/SUBJECTS:Twenty-six patients with ALS were interviewed with a questionnaire to asse...

journal_title：Journal of palliative medicine

authors： Nygren I,Askmark H

更新日期：2006-04-01 00:00:00

abstract：UNLABELLED:Abstract Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., "breaking bad news." The necessary skills for SLAI differ between pediatric and adult medical environment...

journal_title：Journal of palliative medicine

authors： Wolfe AD,Frierdich SA,Wish J,Kilgore-Carlin J,Plotkin JA,Hoover-Regan M

更新日期：2014-09-01 00:00:00

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

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

更新日期：2016-10-01 00:00:00

abstract：:Good communication is a fundamental skill for all palliative care clinicians. Patients present with varied desires, beliefs, and cultural practices, and navigating these issues presents clinicians with unique challenges. This article provides an overview of the evidence for communication strategies in delivering bad n...

journal_title：Journal of palliative medicine

authors： Barclay JS,Blackhall LJ,Tulsky JA

更新日期：2007-08-01 00:00:00