Repeat dose opioids may be effective for breathlessness in chronic heart failure if given for long enough.

abstract：: Background: The COVID-19 pandemic has created an environment in which existence is more fragile and existential fears or terror rises in people. Objective: Managing existential terror calls for being mature about mortality, som...

journal_title：Journal of palliative medicine

authors： Emanuel L,Solomon S,Fitchett G,Chochinov H,Handzo G,Schoppee T,Wilkie D

更新日期：2020-06-17 00:00:00

abstract：: Background: Diabetes is increasingly prevalent globally, including in palliative care. Guidelines vary as to the ideal glycemic goals for patients near the end of life. The relationship between hyperglycemia and attributable symptoms late in life remains ill defined. ...

journal_title：Journal of palliative medicine

authors： Kleinig PA,Woodman RJ,Currow DC

更新日期：2020-03-01 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:Seriously ill older adults in the emergency department (ED) may benefit from palliative care referral, yet little is known about how to identify these patients. OBJECTIVES:To assess the performance and determine the acceptability of a content-validated palliative care screening tool. DESIGN:We surveyed Eme...

journal_title：Journal of palliative medicine

authors： Ouchi K,Block SD,Schonberg MA,Jamieson ES,Aaronson EL,Pallin DJ,Tulsky JA,Schuur JD

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:In 2017, the Ohio Pediatric Palliative Care and End-of-Life Network (OPPEN) published nine domains of high-quality care for pediatric home-based hospice and palliative care (HBHPC). Eight domains established by the National Consensus Project (NCP) were validated for pediatric HBHPC, and a ninth domain of "Co...

journal_title：Journal of palliative medicine

authors： Thienprayoon R,Alessandrini E,Frimpong-Manso M,Grossoehme D

更新日期：2018-10-01 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: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：BACKGROUND:End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfa...

journal_title：Journal of palliative medicine

authors： Gadoud A,Adcock Y,Jones L,Koon S,Johnson M

更新日期：2013-09-01 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：: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: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：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: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:Key to high-quality care of dying hospice patients at home is whether the hospice provides adequate training so the caregiver can safely care for the patient. OBJECTIVE:The study objective was to develop and validate a survey of hospice training for caregivers to ensure safe, high-quality care in the home s...

journal_title：Journal of palliative medicine

authors： DiBiasio EL,Teno JM,Clark MA,Spence C,Casarett D

更新日期：2016-06-01 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: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: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：:It has frequently been claimed that palliative care (PC) consultation services reduce hospital length of stay (LOS). We review 12 published studies comparing patients receiving PC or similar intervention and patients receiving usual care with regard to average total hospital LOS. None of the six observational studies ...

journal_title：Journal of palliative medicine

authors： Cassel JB,Kerr K,Pantilat S,Smith TJ

更新日期：2010-06-01 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

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:The optimal treatment of malignant ascites (MA) and feasibility of the management with free drainage remain unclear. OBJECTIVE:To study the success of drainage, complications, and survival after paracentesis or insertion of an indwelling tunneled catheter (TC) for the MA performed on a day-case basis. DESI...

journal_title：Journal of palliative medicine

authors： Korpi S,Salminen VV,Piili RP,Paunu N,Luukkaala T,Lehto JT

更新日期：2018-06-01 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: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：CONTEXT:Family members often lack the knowledge of patients' values and preferences needed to function well as surrogate decision-makers. OBJECTIVE:To determine whether differences in values and preferences for the advance care planning process may be reasons family members are inadequately informed to act as surrogat...

journal_title：Journal of palliative medicine

authors： Hines SC,Glover JJ,Babrow AS,Holley JL,Badzek LA,Moss AH

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:Although an interdisciplinary approach is considered best practice for caring for patients at the end of life, or in need of palliative care (PC) services, there is growing tension between healthcare organizations' need to contain costs and the provision of this beneficial, yet resource-intensive service. O...

journal_title：Journal of palliative medicine

authors： Ciemins EL,Brant J,Kersten D,Mullette E,Dickerson D

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVES:To examine the effect of patient-directed electronic messages on health care proxy (HCP) use. DESIGN:Randomized control trial using an electronic message intervention to encourage patients to complete an HCP document. SETTING:General medical practice at a large tertiary care teaching institution. PARTICIP...

journal_title：Journal of palliative medicine

authors： Cintron A,Phillips R,Hamel MB

更新日期：2006-12-01 00:00:00

abstract：: Introduction: The concept of total suffering is well known to palliative care, and it indicates that there are several complex and correlated factors, which contribute to a dynamic and unique experience of one's illness trajectory. Research on terminally ill patients' will...

journal_title：Journal of palliative medicine

authors： Julião M,Antunes B,Nunes B,Sobral MA,Chaves P,Runa D,Bruera E

更新日期：2020-05-01 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:Clinical experience and a limited number of studies suggest that a cancer diagnosis confers a high risk of accidental falls. The negative sequelae of falls in older persons are well documented; risk factors for falls in this population have been extensively investigated and evidence for the efficacy of inter...

journal_title：Journal of palliative medicine

authors： Stone CA,Lawlor PG,Kenny RA

更新日期：2011-02-01 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