Involvement of palliative care services strongly predicts place of death in Belgium.

abstract：OBJECTIVE:To explore how staff recognize that a resident is dying and to present a typology of comfort measures. DESIGN:Exploratory, descriptive study involving qualitative methods and semistructured in-depth interviews with staff members of one nursing home. SETTING:A 120-bed nursing home that is part of a continuum...

journal_title：Journal of palliative medicine

authors： Waldrop DP,Kirkendall AM

更新日期：2009-08-01 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：:The treatment of suffering is now recognized as an essential component of medical care. By referring to this treatment as "palliative care," however, we diminish its importance. In this essay, we propose a shift in our conception of the treatment of suffering and advocate for the use of a new term: "palliative treatme...

journal_title：Journal of palliative medicine

authors： Kon AA,Ablin AR

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey ...

journal_title：Journal of palliative medicine

authors： Lorenz KA,Rosenfeld KE,Asch SM,Ettner SL

更新日期：2003-08-01 00:00:00

abstract：OBJECTIVE:To determine whether it is possible to predict, at the time of hospice enrollment, which patients will die within 6 months. DESIGN:Electronic health record-based retrospective cohort study. SETTING:Patients admitted to 10 hospices in the CHOICE network (Coalition of Hospices Organized to Investigate Compara...

journal_title：Journal of palliative medicine

authors： Harris PS,Stalam T,Ache KA,Harrold JE,Craig T,Teno J,Smither E,Dougherty M,Casarett D

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Surgical patients most commonly receive palliative care services within 24-48 hours of death, and reasons for this delay are poorly understood. Research with nonsurgeons suggests that physician characteristics and beliefs about death and dying may contribute to late referral. OBJECTIVE:To describe surgeon p...

journal_title：Journal of palliative medicine

authors： Dillon BR,Healy MA,Lee CW,Reichstein AC,Silveira MJ,Morris AM,Suwanabol PA

更新日期：2019-02-01 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: Legacy-making (i.e., a way for patients with terminal illness to create or do something for others as a means of remembrance) is rising in popularity in palliative medicine, although only one study has examined its impact in a pediatric population. ...

journal_title：Journal of palliative medicine

authors： Schaefer MR,Spencer SK,Barnett M,Reynolds NC,Madan-Swain A

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. OBJECTIVE:The objective...

journal_title：Journal of palliative medicine

authors： Bays AM,Engelberg RA,Back AL,Ford DW,Downey L,Shannon SE,Doorenbos AZ,Edlund B,Christianson P,Arnold RW,O'Connor K,Kross EK,Reinke LF,Cecere Feemster L,Fryer-Edwards K,Alexander SC,Tulsky JA,Curtis JR

更新日期：2014-02-01 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:Inpatient Code Status Discussions (CSDs) are commonly facilitated by resident physicians, despite inadequate training. We studied the efficacy of a CSD communication skills training intervention for internal medicine residents. METHODS:This was a prospective, randomized controlled trial of a multimodality c...

journal_title：Journal of palliative medicine

authors： Szmuilowicz E,Neely KJ,Sharma RK,Cohen ER,McGaghie WC,Wayne DB

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:There are no evidence-based recommendations for statin continuation or discontinuation near the end of life. However, some expert opinion recommends continuing statins prescribed for secondary versus primary prevention of cardiovascular disease. OBJECTIVES:Our aim was to explore statin prescribing patterns ...

journal_title：Journal of palliative medicine

authors： Bayliss EA,Bronsert MR,Reifler LM,Ellis JL,Steiner JF,McQuillen DB,Fairclough DL

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Nurses play an integral role in providing care for patients with end of life (EOL) symptoms refractory to conventional treatments and that may necessitate palliative sedation (PS). A paucity of research on nurses' attitudes, knowledge, and experience with PS exists, despite nurses being instrumental in evalu...

journal_title：Journal of palliative medicine

authors： Patel B,Gorawara-Bhat R,Levine S,Shega JW

更新日期：2012-04-01 00:00:00

abstract：:Palliative care consultation has been demonstrated to be useful in many situations in which expert symptom management, communication around sensitive issues, and family support may serve to enhance or improve care. The process of organ donation is an example of this concept, specifically the process of donation after ...

journal_title：Journal of palliative medicine

authors： Kelso CM,Lyckholm LJ,Coyne PJ,Smith TJ

更新日期：2007-02-01 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:Informal caregivers of hospice patients experience multiple stressors that can negatively impact physical, psychological, and emotional health. The goal of this qualitative study was to understand caregivers' needs to inform the feasibility, structure, and content of a telephone-based counseling intervention...

journal_title：Journal of palliative medicine

authors： Kutner J,Kilbourn KM,Costenaro A,Lee CA,Nowels C,Vancura JL,Anderson D,Keech TE

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Actions in preparation for death and talks about death between advanced cancer patients and their families are considered essential to achieve a good death. However, little is known about the prevalence of such actions compared with talks and their association with bereaved families' psychological morbidity....

journal_title：Journal of palliative medicine

authors： Mori M,Yoshida S,Shiozaki M,Morita T,Baba M,Aoyama M,Kizawa Y,Tsuneto S,Shima Y,Miyashita M

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:Discussions about withdrawal of life-sustaining therapies often include family members of critically ill patients. These conversations should address essential components of the dying process, including expected time to death after withdrawal. OBJECTIVES:The study objective was to aid physician communicatio...

journal_title：Journal of palliative medicine

authors： Long AC,Muni S,Treece PD,Engelberg RA,Nielsen EL,Fitzpatrick AL,Curtis JR

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:As palliative care grows and evolves, robust programs to train and develop the next generation of leaders are needed. Continued integration of palliative care into the fabric of usual health care requires leaders who are prepared to develop novel programs, think creatively about integration into the current ...

journal_title：Journal of palliative medicine

authors： Kamal AH,Anderson WG,Boss RD,Brody AA,Campbell TC,Creutzfeldt CJ,Hurd CJ,Kinderman AL,Lindenberger EC,Reinke LF

更新日期：2016-06-01 00:00:00

abstract：OBJECTIVE:To evaluate the effect of dexmedetomidine infusions in patients with advanced malignancies, advanced heart disease, or after stem cell transplantation (SCT), who during end-of-life care had pain and/or agitation unresponsive to conventional therapies. BACKGROUND:Pediatric patients with intractable advanced m...

journal_title：Journal of palliative medicine

authors： Burns J,Jackson K,Sheehy KA,Finkel JC,Quezado ZM

更新日期：2017-07-01 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：BACKGROUND:Hospice provides intensive end-of-life care to patients and their families delivered by an interdisciplinary team of nurses, aides, chaplains, social workers, and physicians. Significant gaps remain about how team members respond to diverse needs of patients and families, especially in the last week of life....

journal_title：Journal of palliative medicine

authors： Ellington L,Clayton MF,Reblin M,Cloyes K,Beck AC,Harrold JK,Harris P,Casarett D

更新日期：2016-05-01 00:00:00

abstract：: Background: Although community-based serious-illness care (CBSC) is an innovative care model, it is unclear to what extent CBSC addresses palliative care needs, particularly for those patients near death. Objectives: To evaluat...

journal_title：Journal of palliative medicine

authors： Ernecoff NC,Hanson LC,Fox AL,Daaleman TP,Kistler CE

更新日期：2020-05-01 00:00:00

abstract：: Background: Systematic measurement of conversational features in the natural clinical setting is essential to better understand, disseminate, and incentivize high quality serious illness communication. Advances in machine-learning (ML) classification of human speech offer ...

journal_title：Journal of palliative medicine

authors： Durieux BN,Gramling CJ,Manukyan V,Eppstein MJ,Rizzo DM,Ross LM,Ryan AG,Niland MA,Clarfeld LA,Alexander SC,Gramling R

更新日期：2018-12-01 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:Acute hospital readmission of older adults receiving hospice care is not aligned with hospice goals. OBJECTIVE:To identify factors associated with 30-day readmission among older adults newly discharged to hospice. DESIGN/SUBJECTS:Medical record review of 59 patients, 19 readmitted within 30 days and 40 ran...

journal_title：Journal of palliative medicine

authors： Goldenheim A,Oates D,Parker V,Russell M,Winter M,Silliman RA

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Pediatric intensive care units (PICUs) are highly technological settings in which advanced care is used to restore health to critically ill children; however, they are also places where children die. Understanding the needs of parents bereaved in this setting is essential for better family care. OBJECTIVE:T...

journal_title：Journal of palliative medicine

authors： Meert KL,Schim SM,Briller SH

更新日期：2011-08-01 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：:Generalized severe junctional epidermolysis bullosa is a rare mechanobullous skin disorder that is uniformly fatal. We present the case of an infant who received palliative pain management and ultimately proportionate palliative sedation. However, because of the extent of the patient's skin disease, we were unable to ...

journal_title：Journal of palliative medicine

authors： Pasichow KP,Frizzola M,Miller EG

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Outpatient palliative care (PC) has been shown to positively impact quality of life and decrease healthcare utilization, but there are limited data describing what activities render these benefits. OBJECTIVE:Describe the topics addressed by an outpatient PC team during scheduled visits. DESIGN:Longitudinal...

journal_title：Journal of palliative medicine

authors： Bischoff K,Yang E,Kojimoto G,Shepard Lopez N,Holland S,Calton B,Adkins SH,Cheng S,Miller BJ,Rabow MW

更新日期：2018-07-01 00:00:00