Palliative treatment: redefining interventions to treat suffering near the end of life.

abstract：BACKGROUND:The Palliative Performance Scale (PPS) is a tool that is widely used to predict end of life. In Ontario, Canada, the PPS is used to mark the terminal phase of life and eligibility for terminal care. OBJECTIVE:The aim of this retrospective study was to confirm that a PPS level of 40% can be used as a marker ...

journal_title：Journal of palliative medicine

authors： Jansen WJ,Buma S,Gootjes JR,Zuurmond WW,Perez RS,Loer SA

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Increasing numbers of patients are living with multiple, chronic medical conditions and functional impairments that leave them homebound. Home-based primary and palliative care (HBPC) programs provide access to health care services for this vulnerable population. Homebound patients have high symptom burden u...

journal_title：Journal of palliative medicine

authors： Ornstein K,Wajnberg A,Kaye-Kauderer H,Winkel G,DeCherrie L,Zhang M,Soriano T

更新日期：2013-09-01 00:00:00

abstract：: Background: Patients with pulmonary hypertension (PH) experience distressing symptoms that can undermine quality of life (QoL) and treatment adherence. Complementary health approaches are known to help manage symptoms of chronic conditions and may have therapeutic benefits...

journal_title：Journal of palliative medicine

authors： Von Visger TT,Thrane SE,Klatt MD,Dabbs AD,Chlan LL,Tan A,Happ MB

更新日期：2020-05-01 00:00:00

abstract：: Background: Insufficient knowledge of palliative radiotherapy (PRT) among hospice and palliative medicine (HPM) physicians is thought to be a barrier to the provision of high-quality palliative care. Objective: To assess the ne...

journal_title：Journal of palliative medicine

authors： Martin EJ,Jones JA

更新日期：2020-02-01 00:00:00

abstract：OBJECTIVE:To describe the growth and outcomes of the Palliative Care Research Cooperative Group (PCRC). BACKGROUND:Despite advances, significant gaps remain in the evidence base to inform care for people with serious illness. To generate this needed evidence and bolster research capacity, the Palliative Care Research ...

journal_title：Journal of palliative medicine

authors： Ritchie CL,Pollak KI,Kehl KA,Miller JL,Kutner JS

更新日期：2017-06-01 00:00:00

abstract：OBJECTIVE:The purpose of the study was to describe the perceptions of community residence (CR) staff who have cared for older adults with developmental disabilities (ADDs) that are at the end of life. DESIGN:This exploratory, descriptive study utilized qualitative methods that involved semistructured interviews with C...

journal_title：Journal of palliative medicine

authors： Kirkendall AM,Waldrop D

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Although strong evidence supports early palliative care (PC) and consistent advance care planning (ACP) for patients with poor-prognosis Stage IV solid tumors, best practice standards have not been established for hematologic malignancies. Our primary objective was to describe current access to specialty PC ...

journal_title：Journal of palliative medicine

authors： Freeman AT,Wood WA,Fox A,Hanson LC

更新日期：2018-02-01 00:00:00

abstract：OBJECTIVE:To determine the timing of palliative care (PC) access, symptoms, and end-of-life (EOL) quality care outcomes of patients with advanced nonsmall cell lung cancer (NSCLC) referred to outpatients embedded palliative care consults (EPC) compared with those of outpatients palliative care consults (OPC). BACKGROU...

journal_title：Journal of palliative medicine

authors： Yennurajalingam S,Prado B,Lu Z,Naqvi S,Williams JL,Lim T,Bruera E

更新日期：2018-08-01 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:Standardized approaches for assessing and classifying cancer pain are required to improve treatment of patients with complex pain profiles. The Edmonton Classification System for Cancer Pain (ECS-CP) offers a starting point for the evolution of a standardized international classification system for cancer pa...

journal_title：Journal of palliative medicine

authors： Nekolaichuk CL,Fainsinger RL,Aass N,Hjermstad MJ,Knudsen AK,Klepstad P,Currow DC,Kaasa S,European Palliative Care Research Collaborative (EPCRC).

更新日期：2013-05-01 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：: Background: Failure to initiate discussions about patients' values and goals in serious illness remains a common problem. Many clinicians are inadequately trained for these discussions. Objective: Evaluate whether a novel train...

journal_title：Journal of palliative medicine

authors： Paladino J,Kilpatrick L,O'Connor N,Prabhakar R,Kennedy A,Neal BJ,Kavanagh J,Sanders J,Block S,Fromme E

更新日期：2020-03-01 00:00:00

abstract：: Background: Lack of guidance is highlighted as a barrier to deprescribing in palliative care. Two deprescribing tools exist, but with inclusion and exclusion criteria that limit utility. The tools have not previously been compared directly or used in an unselected palliati...

journal_title：Journal of palliative medicine

authors： McNeill R,Hanger HC,Chieng J,Chin P

更新日期：2020-09-29 00:00:00

abstract：:This is a retrospective study of the length of survival (LOS) in hospice of patients with cancer treated at a major cancer center compared to other treatment sites. Of 670 patients, the 185 (28%) treated at a major cancer center had unique characteristics, including higher median Palliative Performance Score (PPS) at ...

journal_title：Journal of palliative medicine

authors： Younis T,Milch R,Abul-Khoudoud N,Lawrence D,Mirand A,Levine EG

更新日期：2007-04-01 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: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：:Sociodrama is a powerful teaching strategy that combines a case study approach with traditional role-play methodology to illustrate critical issues in end-of-life care. Building on principles of adult learning and communication skills, the sociodrama method enables the skilled facilitator to draw on the learner's past...

journal_title：Journal of palliative medicine

authors： Jones C

更新日期：2001-10-01 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:Respiratory signs and symptoms are commonly encountered by physicians who care for cancer patients. Supplemental oxygen (SOx) has long been used for treatment of hypoxic respiratory insufficiency, but data reveal mixed efficacy results. The use and outcome patterns of technologically advanced oxygen delivery...

journal_title：Journal of palliative medicine

authors： Epstein AS,Hartridge-Lambert SK,Ramaker JS,Voigt LP,Portlock CS

更新日期：2011-07-01 00:00:00

abstract：: Background: Despite the association between chronic pain and post-traumatic stress disorder (PTSD), little is known about the longitudinal course of pain and PTSD during cancer treatment. Objectives: We examined the prevalence ...

journal_title：Journal of palliative medicine

authors： Sager ZS,Wachen JS,Naik AD,Moye J

更新日期：2020-09-01 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：: Objective: Characterize hospice staff practices and perspectives on discussing end-of-life care preferences with patients/families, including those desiring intensive treatment and/or full code. Background: Patients in the Unit...

journal_title：Journal of palliative medicine

authors： Dressler G,Garrett SB,Hunt LJ,Thompson N,Mahoney K,Sudore RL,Ritchie CS,Harrison KL

更新日期：2020-11-25 00:00:00

abstract：:In this review we discuss the history of Hospice and Palliative Medicine (HPM) physician education in the United States over the last 20 years, as there has been dramatic growth in our specialty during this time. A Medline literature search was completed and we surveyed leaders in the field of HPM education regarding ...

journal_title：Journal of palliative medicine

authors： Case AA,Orrange SM,Weissman DE

更新日期：2013-03-01 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

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：BACKGROUND:Few studies have focused on men as caregivers at the end-of-life. The objective of this secondary data analysis was to examine the experiences of men involved in end-of-life caregiving, focusing on caregiver strain. METHODS:We used a random sample of Oregon death certificates to telephone survey family care...

journal_title：Journal of palliative medicine

authors： Fromme EK,Drach LL,Tolle SW,Ebert P,Miller P,Perrin N,Tilden VP

更新日期：2005-12-01 00:00:00

abstract：BACKGROUND:Depression and pain often coexist in terminally ill patients, but few studies have examined their relationship among larger samples. Other psychosocial factors experienced by patients may become barriers to pain management and affect the relationship between depression and pain. OBJECTIVE:This study aims to...

journal_title：Journal of palliative medicine

authors： Chan WC,Kwan CW,Chi I,Chong AM

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:There is heightened emphasis on teaching end-of-life (EOL) care in the medical school curriculum, but a relative paucity of tools focused on assessing key attitudinal changes due to curricula. OBJECTIVE:We sought to evaluate the responsiveness of two validated measures of relevant attitudes to changes cause...

journal_title：Journal of palliative medicine

authors： Schwartz CE,Clive DM,Mazor KM,Ma Y,Reed G,Clay M

更新日期：2005-10-01 00:00:00

abstract：OBJECTIVE:There is a dearth of international research on hospice physiotherapy. This study aims to profile hospice physiotherapy in an Irish setting in order to inform practice internationally. DESIGN:The study design consisted of a retrospective chart audit over 6 months. SETTING:The study took place at a specialist...

journal_title：Journal of palliative medicine

authors： Cobbe S,Kennedy N

更新日期：2012-07-01 00:00:00

abstract：:As new accreditation standards for health professions education increasingly require end-of-life (EOL) curriculum and performance-based assessment, health professions educators struggle to shift through the educational literature to find core principles, practical strategies, emerging trends, and on-line resources to ...

journal_title：Journal of palliative medicine

authors： Simpson DE,Biernat K

更新日期：2001-07-01 00:00:00