Artificial hydration therapy for terminally ill cancer patients: a nurse-education intervention.

Abstract:

:The Japanese Society of Palliative Medicine has developed a clinical guideline to minimize the large variation in clinical practice of artificial hydration therapy for terminally ill cancer patients. The primary aim of this preliminary study was to explore the effects of a five-hour interactive workshop based on the guideline of nurses' knowledge, confidence, self-reported practice, and nurse-perceived usefulness. The study was designed as a pre-post anonymous questionnaire survey. The nurses attended a five-hour interactive workshop based on the guideline and were asked to complete a questionnaire before and after the workshop. The outcome measures were: nurses' knowledge (13 items; the total number of correct answers was defined as the Knowledge score), confidence in caring for terminally ill cancer patients with reduced oral intake (a single Likert-type scale from 1="not confident at all" to 7="very confident"), and self-reported practice (nine items assessing the degree to which nurses think they would perform more frequently recommended practices described in the guideline after the workshop). Of the 81 nurses who participated in this workshop, we obtained consent from 76 to complete the questionnaire. The Knowledge score significantly increased after the intervention from 7.7+/-2.3 to 11+/-1.4 (P<0.001), and the Confidence score significantly increased from 3.1+/-1.2 to 3.8+/-1.1 (P<0.001). More than 80% of the nurses reported they would perform six of nine recommended practices after the workshop. The percentages of nurses who evaluated this workshop as "useful" or "very useful" were: 84% (to know the medical indications of artificial hydration therapy), 89% (to know the effects of artificial hydration therapy on patient quality of life and survival), 71% (to know the physiology of appetite loss and cancer cachexia), 83% (to know how to provide nursing care), and 91% (to know ethical principles). Based on these results, it is possible that a five-hour interactive workshop on artificial hydration therapy, based on the clinical guideline of the Japanese Society of Palliative Medicine, improves nurses' knowledge, confidence, and self-reported practices. The workshop was generally perceived as useful for nurses. Nationwide dissemination of the guideline with interactive workshop education for nurses, in combination with physicians, is a promising method for improving the clinical practice of artificial hydration therapy for terminally ill cancer patients.

journal_name

J Pain Symptom Manage

authors

Yamagishi A,Tanaka F,Morita T

doi

10.1016/j.jpainsymman.2008.10.007

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

358-64

issue

3

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(09)00451-5

journal_volume

38

pub_type

杂志文章
  • Postoperative analgesics for children and adolescents: prescription and administration.

    abstract::Pain was measured and analgesic treatment examined in 131 children and adolescents, 8-17 years of age, for 5 days after surgery. Analgesic data were converted to 10 mg intramuscular morphine-equivalent doses (IMMSEQ) and were designated appropriate or inappropriate for body weight. Analgesic onset, peak, and duration ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/0885-3924(94)90161-9

    authors: Tesler MD,Wilkie DJ,Holzemer WL,Savedra MC

    更新日期:1994-02-01 00:00:00

  • Emergencies in patients with advanced cancer followed at home.

    abstract:CONTEXT:Patients with advanced cancer stay at home for most of their time, and acute problems may occur during home care. Caregivers may call medical services for an emergency, which can result in patients being admitted to the hospital. No data exist on emergencies in patients followed by a home care team. OBJECTIVES...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpainsymman.2011.07.016

    authors: Mercadante S,Porzio G,Valle A,Aielli F,Costanzo V,Adile C,Spedale V,Casuccio A,Home Care Italy Group (HOCAI).

    更新日期:2012-08-01 00:00:00

  • Personality, neuroticism, and coping towards the end of life.

    abstract::The influence of personality characteristics on how patients cope with various challenges at the end of life has not been extensively studied. In order to examine the association between end-of-life experience and neuroticism (defined within the personality literature as a trait tendency to experience psychological di...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2006.05.011

    authors: Chochinov HM,Kristjanson LJ,Hack TF,Hassard T,McClement S,Harlos M

    更新日期:2006-10-01 00:00:00

  • Advance Care Planning in Palliative Care for People With Intellectual Disabilities: A Systematic Review.

    abstract:CONTEXT:Advance care planning (ACP) is defined as a person-centered, ongoing process of communication that facilitates patients' understanding, reflection, and discussion of goals, values, and preferences for future care. There is evidence for the general palliative care population that ACP increases compliance with pa...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpainsymman.2017.04.016

    authors: Voss H,Vogel A,Wagemans AMA,Francke AL,Metsemakers JFM,Courtens AM,de Veer AJE

    更新日期:2017-12-01 00:00:00

  • ASCPRO recommendations for the assessment of fatigue as an outcome in clinical trials.

    abstract:CONTEXT:Development of pharmacological and behavioral interventions for cancer-related fatigue (CRF) requires adequate measures of this symptom. A guidance document from the Food and Drug Administration offers criteria for the formulation and evaluation of patient-reported outcome measures used in clinical trials to su...

    journal_title:Journal of pain and symptom management

    pub_type: 指南,杂志文章,评审

    doi:10.1016/j.jpainsymman.2010.02.006

    authors: Barsevick AM,Cleeland CS,Manning DC,O'Mara AM,Reeve BB,Scott JA,Sloan JA,ASCPRO (Assessing Symptoms of Cancer Using Patient-Reported Outcomes).

    更新日期:2010-06-01 00:00:00

  • Barriers to effective cancer pain management: a review of the literature.

    abstract::As many as 90% of patients with cancer-related pain can attain satisfactory relief through available pharmacological and medical means. However, as many as 45% of patients in the earlier stages of cancer and 75% of patients in the advanced stages experience at least some pain. Although published guidelines are availab...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,评审

    doi:10.1016/s0885-3924(99)00097-4

    authors: Pargeon KL,Hailey BJ

    更新日期:1999-11-01 00:00:00

  • An assessment of methods used to evaluate the adequacy of cancer pain management.

    abstract::This paper assesses different methods of evaluating pain management. We used the established methods of pain prevalence measurement and the Pain Management Index (PMI) to compare pain management between two groups who might be expected to have different outcomes. We also developed and used a method to assess how quick...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2006.05.024

    authors: Russell PB,Aveyard SC,Oxenham DR

    更新日期:2006-12-01 00:00:00

  • Validation of the Pediatric Functional Assessment of Cancer Therapy Questionnaire (Version 2.0) in brain tumor survivors aged 13 years and older.

    abstract::We evaluated the reliability and validity of the Pediatric Functional Assessment of Cancer Therapy-Childhood Brain Tumor Survivor Questionnaire (pedsFACT-BrS, Version 2). This was specifically directed to patients aged 13 years and older (adolescents). The pedsFACT-BrS was translated and cross-culturally adapted into ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2010.01.024

    authors: Yoo H,Kim DS,Shin HY,Lai JS,Cella D,Park HJ,Ra YS,Kim WC,Shin YS

    更新日期:2010-10-01 00:00:00

  • The Relationship Between Fatigue and Depression in Adults With End-Stage Renal Disease on Chronic In-Hospital Hemodialysis: A Scoping Review.

    abstract:CONTEXT:Fatigue and depression are two prominent concerns in patients on in-hospital hemodialysis (IHHD) that have recently been identified as research priorities in the nephrology community. Although they are often reported to co-exist, no synthesis of the literature examining their relationship is available. OBJECTI...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpainsymman.2016.10.365

    authors: Farragher JF,Polatajko HJ,Jassal SV

    更新日期:2017-04-01 00:00:00

  • A comparison of the pharmacokinetics, clinical efficacy, and tolerability of once-daily tramadol tablets with normal release tramadol capsules.

    abstract::This report describes a pharmacokinetic study and a clinical study of three different formulations of oral tramadol: once-daily tramadol tablets 150 and 200 mg, and normal release tramadol capsules 50 mg 8-hourly. The randomized, open-label, crossover pharmacokinetic study included 22 subjects. The three treatments sh...

    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/s0885-3924(02)00642-5

    authors: Bodalia B,McDonald CJ,Smith KJ,O'Brien C,Cousens L

    更新日期:2003-02-01 00:00:00

  • Cost trajectories at the end of life: the Canadian experience.

    abstract::A significant proportion of health care resources are consumed at end of life. As a result, decision and policy makers seek cost savings to enhance program planning. Most literature, however, combines the cost of all dying patients and, subsequently, fails to recognize the variation between trajectories of functional ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2009.04.007

    authors: Fassbender K,Fainsinger RL,Carson M,Finegan BA

    更新日期:2009-07-01 00:00:00

  • A comparison of pain and its treatment in advanced dementia and cognitively intact patients with hip fracture.

    abstract::Advanced dementia patients may be at substantial risk for undetected or undertreated pain. To examine the treatment of pain following hip fracture, a prospective cohort study was conducted in an academic teaching hospital. Fifty-nine cognitively intact elderly patients with hip fracture and 38 patients with hip fractu...

    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/s0885-3924(00)00113-5

    authors: Morrison RS,Siu AL

    更新日期:2000-04-01 00:00:00

  • A randomized, double-blind, placebo-controlled study of intrathecal ziconotide in adults with severe chronic pain.

    abstract::Safety and efficacy data from a study of slow intrathecal (IT) ziconotide titration for the management of severe chronic pain are presented. Patients randomized to ziconotide (n = 112) or placebo (n = 108) started IT infusion at 0.1 microg/hour (2.4 microg/day), increasing gradually (0.05-0.1 microg/hour increments) o...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jpainsymman.2005.10.003

    authors: Rauck RL,Wallace MS,Leong MS,Minehart M,Webster LR,Charapata SG,Abraham JE,Buffington DE,Ellis D,Kartzinel R,Ziconotide 301 Study Group.

    更新日期:2006-05-01 00:00:00

  • Unfinished Business in Families of Terminally Ill With Cancer Patients.

    abstract:CONTEXT:Unfinished business often causes psychological issues after bereavement. Providing care for families of terminally ill patients with cancer to prevent unfinished business is important. OBJECTIVES:To clarify the prevalence and types of unfinished business in families of end-of-life patients with cancer admitted...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2017.04.013

    authors: Yamashita R,Arao H,Takao A,Masutani E,Morita T,Shima Y,Kizawa Y,Tsuneto S,Aoyama M,Miyashita M

    更新日期:2017-12-01 00:00:00

  • Systematic review of the primary research on minority ethnic groups and end-of-life care from the United Kingdom.

    abstract:CONTEXT:Patients from minority ethnic groups experience lower rates of referrals to end-of-life (EoL) care services, higher levels of dissatisfaction with services, and perceive some services as culturally inappropriate. OBJECTIVES:To systematically review original studies of minority ethnic groups and EoL care in the...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpainsymman.2011.04.012

    authors: Evans N,Meñaca A,Andrew EV,Koffman J,Harding R,Higginson IJ,Pool R,Gysels M,PRISMA.

    更新日期:2012-02-01 00:00:00

  • Independent validation of the modified prognosis palliative care study predictor models in three palliative care settings.

    abstract:CONTEXT:Accurate prognostic information in palliative care settings is needed for patients to make decisions and set goals and priorities. The Prognosis Palliative Care Study (PiPS) predictor models were presented in 2011, but have not yet been fully validated by other research teams. OBJECTIVES:The primary aim of thi...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpainsymman.2014.10.010

    authors: Baba M,Maeda I,Morita T,Hisanaga T,Ishihara T,Iwashita T,Kaneishi K,Kawagoe S,Kuriyama T,Maeda T,Mori I,Nakajima N,Nishi T,Sakurai H,Shimoyama S,Shinjo T,Shirayama H,Yamada T,Ono S,Ozawa T,Yamamoto R,Tsuneto S

    更新日期:2015-05-01 00:00:00

  • How COVID-19 Changed Advance Care Planning: Insights From the West Virginia Center for End-of-Life Care.

    abstract:CONTEXT:Coronavirus disease 2019 (COVID-19) led to increased attention nationally on advance care planning. OBJECTIVES:To describe the impact COVID-19 had on advance care planning based on changes in the calls to the West Virginia Center for End-of-Life Care (center) and in the volume and types of documents requested ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2020.09.021

    authors: Funk DC,Moss AH,Speis A

    更新日期:2020-12-01 00:00:00

  • Methadone response in advanced cancer patients with pain followed at home.

    abstract::Concerns about the safety of therapy with methadone, which may arise because of its pharmacokinetic characteristics and inappropriate dosing, may deter clinicians from using this drug, especially in elderly patients. Experience is accumulating that the drug may be used safely and successfully if low doses are given in...

    journal_title:Journal of pain and symptom management

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0885-3924(99)00048-2

    authors: Mercadante S,Casuccio A,Agnello A,Barresi L

    更新日期:1999-09-01 00:00:00

  • Optimizing opioid treatment of postoperative pain.

    abstract::The problem of undertreatment of acute postoperative pain has been documented in many studies. This article reviews this evidence and defines the problem of undertreatment as a group of attitudes about pain treatment that originate with deficiencies in knowledge and skills and lead to the development of inappropriate ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:

    authors: Edwards WT

    更新日期:1990-02-01 00:00:00

  • A cochrane systematic review of transcutaneous electrical nerve stimulation for cancer pain.

    abstract::Cancer-related pain is complex and multi-dimensional; yet, the mainstay of cancer pain management has been the biomedical approach. There is a need for nonpharmacological and innovative pain management strategies. Transcutaneous electrical nerve stimulation (TENS) may have a role. The aim of this systematic review was...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jpainsymman.2008.03.022

    authors: Robb K,Oxberry SG,Bennett MI,Johnson MI,Simpson KH,Searle RD

    更新日期:2009-04-01 00:00:00

  • Diuretics Combined With Compression in Resistant Limb Edema of Advanced Disease-A Case Series Report.

    abstract:INTRODUCTION:The extremity edema of advanced disease is a common, multifactorial feature, which impairs patients' activities and quality of life. The most frequently chosen management is based on combined decongestive physiotherapy or pharmacotherapy (with diuretics or steroids). Subcutaneous lymphatic drainage in refr...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2017.12.481

    authors: Gradalski T

    更新日期:2018-04-01 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

  • Oral methadone for managing chronic nonmalignant pain.

    abstract::Five patients with chronic nonmalignant pain were transferred from other analgesics to oral methadone. The method of transferring to oral methadone is described and issues of cost effectiveness, convenience, improved analgesia, and adverse effects are discussed. Oral methadone may provide a cost-effective alternative ...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/0885-3924(95)00191-3

    authors: Gardner-Nix JS

    更新日期:1996-05-01 00:00:00

  • Pain intensity, quality of life, quality of palliative care, and satisfaction in outpatients with metastatic or recurrent cancer: a Japanese, nationwide, region-based, multicenter survey.

    abstract:CONTEXT:Increasing numbers of patients with advanced cancer are receiving anticancer and/or palliative treatment in outpatient settings, and palliative care for outpatients with advanced cancer is being recognized as one of the most important areas for comprehensive cancer treatment. OBJECTIVES:The aim of this study w...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpainsymman.2011.04.025

    authors: Yamagishi A,Morita T,Miyashita M,Igarashi A,Akiyama M,Akizuki N,Shirahige Y,Eguchi K

    更新日期:2012-03-01 00:00:00

  • Treatment-related fatigue and serum interleukin-1 levels in patients during external beam irradiation for prostate cancer.

    abstract::To define changes in sleep and subjective fatigue associated with localized radiation treatment, and to determine their relationship to interleukin-1B (IL-1), we prospectively followed 15 men, none of whom were depressed during 8 wk of radiation treatment for localized prostate cancer. Each patient rated fatigue daily...

    journal_title:Journal of pain and symptom management

    pub_type: 临床试验,杂志文章

    doi:10.1016/0885-3924(93)90127-h

    authors: Greenberg DB,Gray JL,Mannix CM,Eisenthal S,Carey M

    更新日期:1993-05-01 00:00:00

  • Level of cancer pain knowledge among baccalaureate student nurses.

    abstract::Inadequate nursing education is a major impediment to effective pain relief for cancer patients throughout the world. This study was conducted to identify the level of cancer pain knowledge among baccalaureate student nurses and to determine whether specific activities affect this level of knowledge. Two questionnaire...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/0885-3924(92)90134-4

    authors: Sheehan DK,Webb A,Bower D,Einsporn R

    更新日期:1992-11-01 00:00:00

  • Organization position statements and the stance of "studied neutrality" on euthanasia in palliative care.

    abstract::In recent years, palliative care and related organizations have increasingly adopted a stance of "studied neutrality" on the question of whether euthanasia should be legalized as a bona fide medical regimen in palliative care contexts. This stance, however, has attracted criticism from both opponents and proponents of...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2011.12.276

    authors: Johnstone MJ

    更新日期:2012-12-01 00:00:00

  • Validation of a measure of family experience of patients with serious illness: the QUAL-E (Fam).

    abstract:CONTEXT:Family members of seriously ill patients experience significant burden as they advocate with providers and participate in key decisions for loved ones. Most assessments focus on patient experience, yet family members' own quality of experience is central to comprehensive care. OBJECTIVES:This study validated a...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpainsymman.2014.04.006

    authors: Steinhauser KE,Voils CI,Bosworth HB,Tulsky JA

    更新日期:2014-12-01 00:00:00

  • Integrating Supportive Care Principles Into Dialysis Decision Making: A Primer for Palliative Medicine Providers.

    abstract::Despite advances in predialysis care and dialysis technology, patients with advanced chronic kidney disease and end-stage renal disease continue to experience multiple comorbidities, a high symptom burden, a shortened life expectancy, and substantial physical, emotional, and spiritual suffering. Patients with acute ki...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/j.jpainsymman.2016.10.371

    authors: Moss AH

    更新日期:2017-03-01 00:00:00

  • A survey of practice in management of malignant ascites.

    abstract::The purpose of this study was to determine physicians' attitudes toward and preferences for palliative management of malignant ascites. A random sample of eighty physicians practicing in Canada was selected from the memberships of the Canadian Association of Medical Oncologists, the Canadian Association of Gastroenter...

    journal_title:Journal of pain and symptom management

    pub_type: 杂志文章

    doi:10.1016/s0885-3924(98)00037-2

    authors: Lee CW,Bociek G,Faught W

    更新日期:1998-08-01 00:00:00