Reduction of opioid side effects by prophylactic measures of palliative care team may result in improved quality of life.

abstract：INTRODUCTION:The concept of hope in palliative care is an important and neglected area of research. Amyotrophic lateral sclerosis (ALS), a progressive degenerative motor neuron disease, offers an excellent opportunity to study this construct as the illness is virtually always fatal. Our research explored the meaning of...

journal_title：Journal of palliative medicine

authors： Fanos JH,Gelinas DF,Foster RS,Postone N,Miller RG

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND:Palliative chemotherapy is often administered to terminally ill cancer patients to relieve symptoms. Yet, unnecessary use of chemotherapy can worsen patients' quality of life due to treatment-related toxicities. Thus, accurate prediction of survival in terminally ill patients can help clinicians decide on th...

journal_title：Journal of palliative medicine

authors： Ng T,Chew L,Yap CW

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Persons with cystic fibrosis (CF) experience high morbidity and mortality, yet little is known about their palliative care needs and how clinicians may address these needs. OBJECTIVES:(1) To identify palliative care and advance care planning needs of patients with CF and their families; and (2) to identify ...

journal_title：Journal of palliative medicine

authors： Hobler MR,Engelberg RA,Curtis JR,Ramos KJ,Zander MI,Howard SS,Goss CH,Aitken ML

更新日期：2018-04-01 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：OBJECTIVE:In advanced dementia, many difficult decisions may arise as the disease progresses, including whether to use feeding by tube. Several recent articles question the benefit of percutaneous endoscopic gastrostomy (PEG) tube placement in persons with advanced dementia. However, patients with advanced dementia are...

journal_title：Journal of palliative medicine

authors： Shega JW,Hougham GW,Stocking CB,Cox-Hayley D,Sachs GA

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Surrogates and clinicians often make treatment decisions for decisionally incapacitated patients with limited knowledge of their preferences. This study examined patients' life-sustaining treatment preferences to facilitate advance care planning discussions and surrogate decision making. METHODS:We intervie...

journal_title：Journal of palliative medicine

authors： Pearlman RA,Cain KC,Starks H,Cole WG,Uhlmann RF,Patrick DL

更新日期：2000-04-01 00:00:00

abstract：:It has frequently been claimed that palliative care (PC) consultation services reduce hospital length of stay (LOS). We review 12 published studies comparing patients receiving PC or similar intervention and patients receiving usual care with regard to average total hospital LOS. None of the six observational studies ...

journal_title：Journal of palliative medicine

authors： Cassel JB,Kerr K,Pantilat S,Smith TJ

更新日期：2010-06-01 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：:Constipation is common in advanced cancer. Despite this, clinicians' understanding of the underlying changes affecting the colon and the rest of the gastrointestinal tract are limited. Two case histories are used to illustrate the problems encountered when the current approaches to diagnosing and managing altered bowe...

journal_title：Journal of palliative medicine

authors： Clark K,Urban K,Currow DC

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Our objective was to provide a contemporary analysis of the prevalence, types, and impact of advance health care directives in critically ill cancer patients. METHODS:We retrospectively reviewed all intensive care unit (ICU) admissions (January 1, 2006 to April 25, 2008) at an oncologic center and identifie...

journal_title：Journal of palliative medicine

authors： Halpern NA,Pastores SM,Chou JF,Chawla S,Thaler HT

更新日期：2011-04-01 00:00:00

abstract：:While Judaism espouses the infinite value of human life, Judaism recognizes that all life is finite and, as such, its teachings are compatible with the principles of palliative medicine and end-of-life care as they are currently practiced. Jewish medical ethics as derived from Jewish law, has definitions for the four ...

journal_title：Journal of palliative medicine

authors： Kinzbrunner BM

更新日期：2004-08-01 00:00:00

abstract：: Background: Young adults represent a minority in research; they are often considered too young or too old for participation. There is sparse information, especially in bereavement research, regarding how this age group perceives research participation and what they conside...

journal_title：Journal of palliative medicine

authors： Udo C,Lövgren M,Sveen J,Bylund-Grenklo T,Alvariza A,Kreicbergs U

更新日期：2019-10-01 00:00:00

abstract：: Introduction: The concept of total suffering is well known to palliative care, and it indicates that there are several complex and correlated factors, which contribute to a dynamic and unique experience of one's illness trajectory. Research on terminally ill patients' will...

journal_title：Journal of palliative medicine

authors： Julião M,Antunes B,Nunes B,Sobral MA,Chaves P,Runa D,Bruera E

更新日期：2020-05-01 00:00:00

abstract：:Central pain syndromes are a complex, diverse group of clinical conditions that are poorly understood. We present a patient with progressive, debilitating central pain and co-existing mood disorders that was refractory to multimodal pharmacologic and nonpharmacologic therapies, but that ultimately responded to electro...

journal_title：Journal of palliative medicine

authors： Strand JJ,Warner LL,Kamdar MM,Flaherty AW,Jackson VA

更新日期：2018-02-01 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：:As part of a Veterans Health Administration (VA) commitment to improve end-of-life care the VA Greater Los Angeles Healthcare System (GLA) implemented Pathways of Caring, a 3-year demonstration project targeting patients with inoperable lung cancer and advanced heart failure and chronic lung disease. The program utili...

journal_title：Journal of palliative medicine

authors： Rosenfeld K,Rasmussen J

更新日期：2003-10-01 00:00:00

abstract：:Fentanyl is a lipophilic, short-acting, synthetic opioid with a piperidine chemical structure. Fentanyl is an effective analgesic for cancer pain, and newer formulations such as the transmucosal and buccal forms have shown efficacy for the management of cancer-related breakthrough pain. This article reviews the pharma...

journal_title：Journal of palliative medicine

authors： Prommer E

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:It has been more than two decades since the passage of the Patient Self-Determination Act (PSDA) of 1991, an act that requires many medical points of care, including emergency departments (EDs), to provide information to patients about advance directives (ADs). OBJECTIVE:The study objective was to determine...

journal_title：Journal of palliative medicine

authors： Oulton J,Rhodes SM,Howe C,Fain MJ,Mohler MJ

更新日期：2015-06-01 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：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：:Physicians constantly confront to death and respond in a variety of ways to the many deaths that they witness and to their own sense of mortality. Student-doctors should be exposed, prior to and during their clinical training, to these different types of responses, so that they can prepare for their encounters with th...

journal_title：Journal of palliative medicine

authors： Donohoe M

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:Heart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF. OBJECTIVE:We conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling...

journal_title：Journal of palliative medicine

authors： Dionne-Odom JN,Kono A,Frost J,Jackson L,Ellis D,Ahmed A,Azuero A,Bakitas M

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:This case report describes a patient whose persistent hiccups significantly improved with the use of vinegar. CASE PRESENTATION:A patient with an adenocarcinoma of the colon and hepatic metastases developed hiccups the day following chemotherapy with FOL-FOX (folinic acid (leucovorin), 5-fluorouracil, oxali...

journal_title：Journal of palliative medicine

authors： Gonella S,Gonella F

更新日期：2015-05-01 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：BACKGROUND:Critical care nurse communication training has largely been limited to didactic materials, interactive training for nurse supervisors, or brief participatory learning programs within the context of comprehensive end-of-life care educational seminars. Preliminary evidence suggests that an interactive approach...

journal_title：Journal of palliative medicine

authors： Krimshtein NS,Luhrs CA,Puntillo KA,Cortez TB,Livote EE,Penrod JD,Nelson JE

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Palliative cancer patients suffer from high levels of distress. There are physiological changes in relation to the level of perceived distress. OBJECTIVE:To study the efficacy of 5 minutes of mindful breathing (MB) for rapid reduction of distress in a palliative setting. Its effect to the physiological chan...

journal_title：Journal of palliative medicine

authors： Ng CG,Lai KT,Tan SB,Sulaiman AH,Zainal NZ

更新日期：2016-09-01 00:00:00

abstract：:Alzheimer's dementia and related dementias are incurable illnesses for which curative treatment currently does not exist, and the efficacy of remittive treatment is extremely limited. Persons with advanced dementia commonly develop fever and are at high risk for death. We preformed a systematic review of outcome follo...

journal_title：Journal of palliative medicine

authors： Pinderhughes ST,Morrison RS

更新日期：2003-06-01 00:00:00

abstract：OBJECTIVE:Palliative care is an essential part of medicine, but most physicians have had no formal opportunity to acquire basic skills in palliative care. In Japan, the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education (PEACE) was launched to provide formal primary p...

journal_title：Journal of palliative medicine

authors： Yamamoto R,Kizawa Y,Nakazawa Y,Ohde S,Tetsumi S,Miyashita M

更新日期：2015-01-01 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:Care team members may have different views on end-of-life care, which may influence perceptions of that care. METHODS:Twenty-seven consecutive deaths at a long-term care facility were identified. A structured interview of primary care team members (physician, nurse, and aide) was administered. The interview...

journal_title：Journal of palliative medicine

authors： Flacker JM,Won A,Kiely DK,Iloputaife I

更新日期：2001-04-01 00:00:00