Improving access to palliative care through an innovative quality improvement initiative: an opportunity for pay-for-performance.

abstract：BACKGROUND:Millions of older adults require Medicaid-funded home care, referred to as In-Home Supportive Services (IHSS). Many of these individuals experience serious illness, disability, and common symptoms such as pain and shortness of breath. OBJECTIVE:To explore whether and how to integrate symptom assessment into...

journal_title：Journal of palliative medicine

authors： Odierna DH,Katen MT,Feuz MA,McMahan RD,Ritchie CS,McSpadden S,Burns M,Volow AM,Sudore RL

更新日期：2018-10-01 00:00:00

abstract：:For most families, the preferred location of death for their child is home, yet most children still die in the hospital. Many children with life-threatening and life-limiting illness are medically dependent on technology, and palliative transport can serve as a bridge from the intensive care unit to the family's home ...

journal_title：Journal of palliative medicine

authors： Thorvilson MJ,Manahan AJ,Schiltz BM,Collura CA

更新日期：2019-04-01 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/AIM:Palliative care services (PCS) are recommended to enhance quality of care for hospitalized patients. METHODS:We evaluated the attitudes of liver transplant (LT) providers and perceived barriers to PCS for their patients by conducting a web-based survey of intensive care unit nurses, postgraduate year 1 ...

journal_title：Journal of palliative medicine

authors： Beck KR,Pantilat SZ,O'Riordan DL,Peters MG

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Opioid dose escalation may cause hyperalgesia, mediated by the N-methyl-D-aspartate (NMDA) pathway. Methadone is an atypical opioid that inhibits hyperalgesia through NMDA-blockade, especially at low doses. OBJECTIVE:To evaluate the efficacy of using very-low-dose methadone as the sole long-acting opioid ag...

journal_title：Journal of palliative medicine

authors： Salpeter SR,Buckley JS,Bruera E

更新日期：2013-06-01 00:00:00

abstract：PURPOSE:In February 2002, the palliative care team was established in Ikeda Municipal Hospital to improve palliative care. We investigated changes in the incidences of side effects related to opioids, and evaluated palliative care team activities. METHODS:Regarding inpatients for whom narcotics were prescribed in our ...

journal_title：Journal of palliative medicine

authors： Myotoku M,Nakanishi A,Kanematsu M,Sakaguchi N,Hashimoto N,Koyama F,Yamaguchi S,Ikeda K,Konishi H,Hirotani Y

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Although the role of volunteers is at the heart of hospice care, little is known about hospice volunteer training and volunteer activity. METHOD:A survey was used to assess current training programs for hospice volunteers. Hospices were invited to participate in the study from a link on the website for the ...

journal_title：Journal of palliative medicine

authors： Wittenberg-Lyles E,Schneider G,Oliver DP

更新日期：2010-03-01 00:00:00

abstract：: Background: Bereavement programs provide institutions with an avenue for obtaining feedback from family members about their experiences during a patient's illness and end-of-life (EOL) period that can be used to improve both patient care and the care of bereaved individual...

journal_title：Journal of palliative medicine

authors： Morris SE,Nayak MM,Block SD

更新日期：2020-08-01 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：:Although the widespread implementation of hospice in the United States has led to tremendous advances in the care of the dying, there has been no widely accepted psychological theory to drive needs assessment and intervention design for the patient and family. The humanistic psychology of Abraham Maslow, especially hi...

journal_title：Journal of palliative medicine

authors： Zalenski RJ,Raspa R

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Research on the effectiveness of evidence-based practices in the treatment of depression and anxiety with palliative care populations is primarily limited to individuals having specific conditions such as cancer. OBJECTIVE:This meta-analysis examined the effect of psychotherapy on depression and anxiety amo...

journal_title：Journal of palliative medicine

authors： Fulton JJ,Newins AR,Porter LS,Ramos K

更新日期：2018-07-01 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：PURPOSE:To identify issues affecting the quality of life (QoL) in women receiving palliative therapy for ovarian cancer. METHODS:Twenty women with advanced recurrent ovarian cancer were interviewed to establish what issues affect QoL. All patients were receiving palliative chemotherapy or other palliative therapy in t...

journal_title：Journal of palliative medicine

authors： Houck K,Avis NE,Gallant JM,Fuller AF Jr,Goodman A

更新日期：1999-01-01 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：OBJECTIVES:To review studies that used direct observation (i.e., videotaping or audiotaping) methods in palliative/end-of-life care communication research. DESIGN:Descriptive thematic analysis. SETTING:Multinational studies were conducted in both the outpatient and inpatient setting. MEASUREMENTS:Extensive bibliogra...

journal_title：Journal of palliative medicine

authors： Fine E,Reid MC,Shengelia R,Adelman RD

更新日期：2010-05-01 00:00:00

abstract：: Background: Palliative care (PC) teams increasingly care for patients with cancer into survivorship. Cancer survivorship transcends distinctions between acute, chronic, malignant, and nonmalignant pain. Partnering with oncologists, PC teams manage pain that persists after ...

journal_title：Journal of palliative medicine

authors： Goodlev ER,Discala S,Darnall BD,Hanson M,Petok A,Silverman M

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:The provision of complementary therapy in palliative care is rare in Canadian hospitals. An Ontario hospital's palliative care unit developed a complementary therapy pilot project within the interdisciplinary team to explore potential benefits. Massage, aromatherapy, Reiki, and Therapeutic Touch™ were provid...

journal_title：Journal of palliative medicine

authors： Berger L,Tavares M,Berger B

更新日期：2013-10-01 00:00:00

abstract：:This paper provides an evidence-based review of the principles underlying palliative care for heart failure (HF), including its pathogenesis, staging, assessment, prognosis, and treatment. Approaches to advanced care planning, symptom management, hospice eligibility, home inotropic infusions, device management and imp...

journal_title：Journal of palliative medicine

authors： Stuart B

更新日期：2007-02-01 00:00:00

abstract：BACKGROUND:End-stage renal disease (ESRD) affects nearly 1400 new children each year in the United States. Morbidity and mortality rates remain high for pediatric patients with ESRD, including those that have received a renal transplant. OBJECTIVE:To better understand ESRD patients referred to palliative care, includi...

journal_title：Journal of palliative medicine

authors： Keefer P,Lehmann K,Shanley M,Woloszyk T,Khang E,Luckritz K,Saul D

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Recent studies suggest that surrogate decision makers may be too optimistic about their end-of-life decision making abilities for loved ones. We examined surrogates' decision making confidence with an emphasis on its linkages to their understandings of patients' values and goals for end-of-life care. METHOD...

journal_title：Journal of palliative medicine

authors： Song MK,Ward SE,Lin FC

更新日期：2012-04-01 00:00:00

abstract：: Background: This study examines communication profiles and associated attitudes toward health care professionals in interviews with family caregivers of hospitalized patients with confirmed multidrug-resistant organisms (e.g., methicillin-resistant Staphylococcus aureus or...

journal_title：Journal of palliative medicine

authors： Peters J,Dykes N,Heckel M,Ostgathe C

更新日期：2019-12-01 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:Subcutaneous hydration has potential advantages over intravenous. Despite studies supporting the efficacy and safety of subcutaneous hydration it has not been studied extensively to date either with or without hyaluronidase. OBJECTIVES:To compare flow rate, tolerability, and safety of gravity-driven subcuta...

journal_title：Journal of palliative medicine

authors： Thomas JR,Yocum RC,Haller MF,von Gunten CF

更新日期：2007-12-01 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：BACKGROUND:The use of complementary and alternative medicines (CAM) in patients with cancer is well recognized. Little is known, however, about the use of CAM in children with cancer during the end-of-life period. METHODS:We interviewed 96 parents of children who had died of cancer in Melbourne, Australia between 1996...

journal_title：Journal of palliative medicine

authors： Heath JA,Oh LJ,Clarke NE,Wolfe J

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:In geriatrics, most risk factors associated with falls have been identified and management strategies developed accordingly. This is not the case in palliative care. The incidence rate of falls, the consequences related to falls, and other related factors were determined in elderly cancer patients hospital...

journal_title：Journal of palliative medicine

authors： Pautex S,Herrmann FR,Zulian GB

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Acupressure is a widely used adjunct for various symptoms in patients with nonchronic kidney disease. However, its role for symptom management in end-stage renal disease (ESRD) populations is not clear. OBJECTIVE:To summarize and critically evaluate the evidence available from randomized clinical trials (RC...

journal_title：Journal of palliative medicine

authors： Kim KH,Lee MS,Kang KW,Choi SM

更新日期：2010-07-01 00:00:00

abstract：PURPOSE:To summarize evidence on conservative, nondialytic management of end-stage renal disease regarding 1) prognosis and 2) symptom burden and quality of life (QOL). METHODS:Medline, Cinahl, and Cochrane were searched for records indexed prior to March 1, 2011. Bibliographies of articles and abstracts from recent m...

journal_title：Journal of palliative medicine

authors： O'Connor NR,Kumar P

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Patients with neurological disorders are the second most common patient population to receive inpatient palliative care services after cancer; however, there have been few reports describing the characteristics and needs of this population. OBJECTIVE:To understand which patients with neurological diagnoses ...

journal_title：Journal of palliative medicine

authors： Liu Y,Kline D,Aerts S,Youngwerth JM,Kutner JS,Sillau S,Kluger BM

更新日期：2017-01-01 00:00:00

abstract：: Background: End-of-life (EOL) care in neonatal intensive care units (NICUs) can vary depending on religious beliefs of health care providers and families as well as the sociocultural environment. Although guidelines exist for EOL care in NICUs, most are based on Western st...

journal_title：Journal of palliative medicine

authors： Kim S,Savage TA,Hershberger PE,Kavanaugh K

更新日期：2019-07-01 00:00:00