Reliability of an interactive computer program for advance care planning.

abstract：BACKGROUND:Patients and families can make informed decisions at the end-of-life if they have had discussions regarding their wishes, but this is not regularly done due to poor understanding of advance directives (AD). OBJECTIVE:The objective was to evaluate the effectiveness of an AD video to educate patients in both ...

journal_title：Journal of palliative medicine

authors： Toraya C

更新日期：2014-08-01 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：:Underutilization of hospice care continues to be a public health issue in the United States. Physician barriers related to incorrect knowledge and unfavorable attitudes have been hypothesized as part of the explanation. We conducted a mail survey of 264 area physicians, obtaining a response rate of 72% (n = 190). The ...

journal_title：Journal of palliative medicine

authors： Ogle KS,Mavis B,Wyatt GK

更新日期：2002-02-01 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:Accurate prognostication of the trajectory of an illness provides multiple benefits in end-of-life care. Prognostic information facilitates more realistic decision making regarding ongoing treatment, fosters risk-benefit considerations of specific interventions, and contributes to appropriate utilization of ...

journal_title：Journal of palliative medicine

authors： Head B,Ritchie CS,Smoot TM

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:For patients confronting a life-threatening illness such as advanced cancer, religious coping can be an important factor influencing their quality of life (QOL). OBJECTIVE:The study's main purpose was to examine the association between religious coping and QOL among 170 patients with advanced cancer. Both p...

journal_title：Journal of palliative medicine

authors： Tarakeshwar N,Vanderwerker LC,Paulk E,Pearce MJ,Kasl SV,Prigerson HG

更新日期：2006-06-01 00:00:00

abstract：:The emerging role of the advanced practice nurse (APN) as a palliative care provider is gaining increased recognition in the United States. The APN's ability to perform comprehensive physical evaluations, order and interpret diagnostics, and prescribe appropriate medications while receiving reimbursement allow this pr...

journal_title：Journal of palliative medicine

authors： Kuebler KK

更新日期：2003-10-01 00:00:00

abstract：UNLABELLED:Abstract Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., "breaking bad news." The necessary skills for SLAI differ between pediatric and adult medical environment...

journal_title：Journal of palliative medicine

authors： Wolfe AD,Frierdich SA,Wish J,Kilgore-Carlin J,Plotkin JA,Hoover-Regan M

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Palliative care unit (PCU) beds are a limited resource in Canada, so PCU admission is restricted to patients with a short prognosis. Anecdotally, PCUs further restrict admission of patients with noncancer diagnoses out of fear that they will "oversurvive" and reduce bed availability. This raises concerns tha...

journal_title：Journal of palliative medicine

authors： Downar J,Chou YC,Ouellet D,La Delfa I,Blacker S,Bennett M,Petch C,Cheng SM

更新日期：2012-06-01 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: A broad consensus on the optimal structure, intensity, and timing of early specialist palliative care (SPC) intervention is lacking. Objective: To evaluate the benefit of an early and systematic palliative intervent...

journal_title：Journal of palliative medicine

authors： Slama O,Pochop L,Sedo J,Svancara J,Sedova P,Svetlakova L,Demlova R,Vyzula R

更新日期：2020-12-01 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：: Objective: This report describes a pilot hospice inpatient unit dedicated to individuals experiencing distressing behaviors from dementia. Background: Patients with dementia who experience distressing symptoms cannot be well ma...

journal_title：Journal of palliative medicine

authors： Hamilton G,Volk-Craft BE

更新日期：2020-11-09 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:African Americans in the United States have worse end-of-life care and cancer outcomes than whites. Palliative care may improve this disparity. Community Health Workers may provide a means to improve palliative care disparities. METHODS:Semistructured in-depth interviews (five) and stakeholder focus groups ...

journal_title：Journal of palliative medicine

authors： Johnston FM,Neiman JH,Parmley LE,Conca-Cheng A,Freund KM,Concannon TW,Smith TJ,Cooper LA

更新日期：2019-03-01 00:00:00

abstract：: Background: Although there is growing evidence that close reading of literature and reflective writing can improve providers' appreciation of the patient experience, foster physician development, and combat burnout, there has been less work on the experience of reading lit...

journal_title：Journal of palliative medicine

authors： Segar N,Sullivan J,Litwin K,Hauser J

更新日期：2020-08-19 00:00:00

abstract：: Background: Physical activity in palliative care patients is closely linked to independence, function, carer burden, prognosis, and quality of life. Changes in physical activity can also be related to service provision needs, including requirements for support and prognosi...

journal_title：Journal of palliative medicine

authors： To THM,Currow DC,Swetenham K,Morgan DD,Tieman J

更新日期：2019-07-01 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: 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: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

abstract：BACKGROUND:Constipation is a common and distressing condition in patients with cancer, especially those taking opioid analgesics. Many institutions prevent and treat constipation with titrated laxatives, which is known as a bowel protocol. An effective and well-tolerated bowel protocol is a very important component of ...

journal_title：Journal of palliative medicine

authors： Hawley PH,Byeon JJ

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND:Substantial agreement has been achieved on research priorities in palliative care over the past 15 years, as evidenced by consensus conferences and systematic reviews. Despite the presence of a widely endorsed research agenda, however, addressing the gaps in scientific knowledge has progressed slowly, sugges...

journal_title：Journal of palliative medicine

authors： Chen EK,Riffin C,Reid MC,Adelman R,Warmington M,Mehta SS,Pillemer K

更新日期：2014-07-01 00:00:00

abstract：:In palliative care, steroids are often used to alleviate symptoms such as pain, fatigue, anorexia, nausea, and vomiting. Steroids occasionally induce psychiatric adverse effects. It has been reported that treatment of the steroid-induced psychiatric symptoms involves dosage reduction or discontinuation of steroid, and...

journal_title：Journal of palliative medicine

authors： Okishiro N,Tanimukai H,Tsuneto S,Ito N

更新日期：2009-05-01 00:00:00

abstract：: Background : Tumor fever and infection are common febrile etiologies among advanced cancer patients. To date, only few studies have been conducted to differentiate between tumor fever and infections. Objective: This study aimed ...

journal_title：Journal of palliative medicine

authors： Odagiri T,Morita T,Sakurai H,Yamada H,Matsuo N,Matsumoto Y,Matsuda Y,Yoshioka A,Watanabe H,Shimoyama S,Kohara H

更新日期：2019-11-01 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：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：INTRODUCTION:Percutaneous stenting is established in the palliation of malignant biliary obstruction. We examined the indications, success rate, complications, and long-term postoperative course of patients undergoing this procedure. METHODS:All patients undergoing percutaneous transhepatic cholangiography (PTC) and m...

journal_title：Journal of palliative medicine

authors： Sut M,Kennedy R,McNamee J,Collins A,Clements B

更新日期：2010-11-01 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:Previous research has reported improved pain after adding methadone to another opioid, but did not quantify this benefit using a validated outcome measure. OBJECTIVE:To assess quantitatively the effectiveness of adding methadone to another opioid for moderate to severe cancer-related pain. DESIGN:All outpa...

journal_title：Journal of palliative medicine

authors： Wallace E,Ridley J,Bryson J,Mak E,Zimmermann C

更新日期：2013-03-01 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