Strategies for finding and negotiating a first position in hospice and palliative medicine.

abstract：BACKGROUND:For the better part of 100 years, acetaminophen (or paracetamol as it is known outside of the United States) has been a common first-line analgesic in pediatrics and is typically well tolerated with minimal side effects. Its use as an anti-pyretic is also well-documented and thus it is used broadly for sympt...

journal_title：Journal of palliative medicine

authors： Marks AD,Keefer P,Saul D

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Black and Hispanic older Americans are less likely than white older Americans to possess advance directives. Understanding the reasons for this racial and ethnic difference is necessary to identify targets for future interventions to improve advance care planning in these populations. METHODS:The aim of the...

journal_title：Journal of palliative medicine

authors： Huang IA,Neuhaus JM,Chiong W

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Regardless of the payer and the period studied the prevalence of potentially inappropriate medication use in the elderly ranged from 21% to 40%. OBJECTIVE:To look at potentially inappropriate prescribing in a group of Medicare+Choice beneficiaries in their last year of life (LYOL) in a large national manage...

journal_title：Journal of palliative medicine

authors： Fahlman C,Lynn J,Finch M,Doberman D,Gabel J

更新日期：2007-06-01 00:00:00

abstract：: Background: Cancer pain can remain refractory despite escalating opioids and adjuvants. Systemic Lidocaine is an option, but current approaches are hospital centered. While advantageous in advanced cancer, evidence is lacking for parenteral Lidocaine use in community-based...

journal_title：Journal of palliative medicine

authors： Chong PH,Yeo ZZ

更新日期：2020-12-22 00:00:00

abstract：BACKGROUND:The oral food intake of terminally ill cancer patients is known to gradually decrease, but there are few reports about how oral intake changes around the terminal stage. It is important to clarify changes in oral food intake, as such changes affect the support and care of terminally ill cancer patients. OBJ...

journal_title：Journal of palliative medicine

authors： Ohno T,Tamura F,Kikutani T,Morita T,Sumi Y

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Improving access to palliative care is an important priority for hospitals as they strive to provide the best care and quality of life for their patients. Even in hospitals with longstanding palliative care programs, only a small proportion of patients with life-threatening illnesses receive palliative care ...

journal_title：Journal of palliative medicine

authors： Bernacki RE,Ko DN,Higgins P,Whitlock SN,Cullinan A,Wilson R,Jackson V,Dahlin C,Abrahm J,Mort E,Scheer KN,Block S,Billings JA

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:The role of emergent palliative surgery in the setting of advanced malignancy remains a subject of controversy. OBJECTIVE:The purpose of this study was to identify clinical predictors of outcome in patients with cancer who undergo nonelective abdominal surgery. SETTING/SUBJECTS:Individuals who underwent ur...

journal_title：Journal of palliative medicine

authors： Roses RE,Tzeng CW,Ross MI,Fournier KF,Abbott DE,You YN

更新日期：2014-01-01 00:00:00

abstract：: Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the speciali...

journal_title：Journal of palliative medicine

authors： Paramanandam G,Boohene J,Tran K,Volk-Craft BE

更新日期：2020-12-01 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：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: 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：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：BACKGROUND:Entrustable professional activities (EPAs) are routine tasks considered essential to a professional practice. An EPA can serve as a performance-based outcome that a clinical supervisor would progressively entrust a learner to perform. OBJECTIVE:Our aim was to identify, develop, and validate a set of EPAs fo...

journal_title：Journal of palliative medicine

authors： Myers J,Krueger P,Webster F,Downar J,Herx L,Jeney C,Oneschuk D,Schroder C,Sirianni G,Seccareccia D,Tucker T,Taniguchi A

更新日期：2015-08-01 00:00:00

abstract：:The purpose of this study was to describe the experiences and perceptions of hospice nurses caring for residents in long-term care facilities. The study used a fax-back survey to gather data from 69 hospice nursing and nurse managers in 24 hospices across one Midwestern state. Respondents reported negative experiences...

journal_title：Journal of palliative medicine

authors： Parker-Oliver D

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:Despite the growing use of opioids to treat cancer pain and the probability of opioid aberrancy in the cancer setting, clinical practice guidelines (CPGs) or recommendations for active screening and monitoring of opioid compliance are lacking. OBJECTIVES:To evaluate the current practices and attitudes clini...

journal_title：Journal of palliative medicine

authors： Liebling D,Mehta N,Gulati A

更新日期：2019-01-01 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: 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：BACKGROUND:Little is currently known about physicians': (1) level of involvement in and comfort delivering palliative care in the inpatient setting, (2) perceived barriers to referring patients to an inpatient Palliative Care Consult Service (PCCS), and (3) attitudes regarding palliative care. METHODS:Eligible partici...

journal_title：Journal of palliative medicine

authors： Snow CE,Varela BR,Pardi DA,Adelman RD,Said S,Reid MC

更新日期：2009-03-01 00:00:00

abstract：BACKGROUND:Antiemetics are being used both for the treatment and prophylaxis of opioid-induced nausea and vomiting (OINV) in clinical practice, despite the lack of evidence for the prophylactic benefit. Data regarding the actual status of prophylactic antiemetic use for OINV remain to be elucidated. OBJECTIVE:The obje...

journal_title：Journal of palliative medicine

authors： Tsukuura H,Ando Y,Gyawali B,Matsumoto M,Sugishita M,Honda K,Urakawa H,Maeda O,Hasegawa Y

更新日期：2015-11-01 00:00:00

abstract：: Background: Dyspnea is common in interstitial lung disease (ILD) patients and often refractory to conventional treatment. Little is known regarding the safety of systemic morphine in ILD patients. Objective: The objective of th...

journal_title：Journal of palliative medicine

authors： Matsuda Y,Morita T,Miyaji T,Ogawa T,Kato K,Kawaguchi T,Tokoro A,Iwase S,Yamaguchi T,Inoue Y

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Identifying people who are at risk of deteriorating and dying is essential to inform goals of care, appropriate treatment decisions, patient autonomy, and effective end-of-life care. Limited literature exists on predicting survival near the end of life for people with a hematological malignancy. OBJECTIVE:T...

journal_title：Journal of palliative medicine

authors： Button E,Gavin NC,Chan RJ,Chambers S,Butler J,Yates P

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:It is commonly written that more patients wish to die at home than currently achieve this. However, the evidence for preferences for place of terminal care and death has not been systematically reviewed. AIM:To carry out a systematic literature review of the preferences for place of care and death among adv...

journal_title：Journal of palliative medicine

authors： Higginson IJ,Sen-Gupta GJ

更新日期：2000-10-01 00:00:00

abstract：: Background: Mobile health (mHealth) is a promising tool for improving health outcomes. However, the benefits of using mHealth in palliative care are under studied. Objective: As a first step to designing meaningful palliative c...

journal_title：Journal of palliative medicine

authors： Dickman Portz J,Ford K,Bekelman DB,Boxer RS,Kutner JS,Czaja S,Elsbernd K,Bull S

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Pain, not responsive to opioid analgesics, remains a problem for patients with chronic and cancer pain as well as their families, and clinicians. Opioid antagonists have various uses in pain and palliative care. Their use in the reversal of tolerance and hyperalgesia remains at the basic science level and ha...

journal_title：Journal of palliative medicine

authors： Loitman JE

更新日期：2006-12-01 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：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: Despite positive outcomes associated with specialist palliative care (PC) in diverse medical populations, little research has investigated specialist PC in surgical ones. Although cancer surgery is predominantly safe, operations can be extensive and unpredictab...

journal_title：Journal of palliative medicine

authors： Aslakson RA,Chandrashekaran SV,Rickerson E,Fahy BN,Johnston FM,Miller JA,Conca-Cheng A,Wang S,Morris AM,Lorenz K,Temel JS,Smith TJ

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Comprehensive information on end-of-life care in specialized palliative care settings is needed to assess the quality of care. OBJECTIVE:This study aimed to investigate medical treatments in the last two weeks of life in a national sample of palliative care units in Japan. DESIGN:Retrospective cohort study...

journal_title：Journal of palliative medicine

authors： Sato K,Miyashita M,Morita T,Tsuneto S,Shima Y

更新日期：2016-11-01 00:00:00

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：PURPOSE:The majority of dying patients do not have access to necessary drugs to alleviate their most common symptoms, despite evidence of drug efficacy. Our aim was to explore the degree of consensus about appropriate pharmacological treatment for common symptoms in the last days of life for patients with cancer, among...

journal_title：Journal of palliative medicine

authors： Lindqvist O,Lundquist G,Dickman A,Bükki J,Lunder U,Hagelin CL,Rasmussen BH,Sauter S,Tishelman C,Fürst CJ,OPCARE9.

更新日期：2013-01-01 00:00:00