The use of very-low-dose methadone for palliative pain control and the prevention of opioid hyperalgesia.

abstract：:Central pain syndromes are a complex, diverse group of clinical conditions that are poorly understood. We present a patient with progressive, debilitating central pain and co-existing mood disorders that was refractory to multimodal pharmacologic and nonpharmacologic therapies, but that ultimately responded to electro...

journal_title：Journal of palliative medicine

authors： Strand JJ,Warner LL,Kamdar MM,Flaherty AW,Jackson VA

更新日期：2018-02-01 00:00:00

abstract：: Background: Lack of guidance is highlighted as a barrier to deprescribing in palliative care. Two deprescribing tools exist, but with inclusion and exclusion criteria that limit utility. The tools have not previously been compared directly or used in an unselected palliati...

journal_title：Journal of palliative medicine

authors： McNeill R,Hanger HC,Chieng J,Chin P

更新日期：2020-09-29 00:00:00

abstract：:Continuing the momentum of geriatric palliative medicine research achieved during the past decade requires a focus on research methods priorities that span the continuum of research from small pilot studies testing new interventions to large multisite studies evaluating implementation of proven interventions and model...

journal_title：Journal of palliative medicine

authors： Aldridge Carlson MD

更新日期：2013-08-01 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: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:Residents struggle with advance care planning (ACP) discussions in the inpatient setting, and may not be aware of newer models for ACP that stress the importance of giving prognostic information and making a recommendation about cardiopulmonary resuscitation to patients and families. METHODS:A controlled st...

journal_title：Journal of palliative medicine

authors： Jacobsen J,Robinson E,Jackson VA,Meigs JB,Billings JA

更新日期：2011-03-01 00:00:00

abstract：INTRODUCTION:Most medical schools are remiss in preparing physicians in end-of-life communication skills. As a result, many residents are uncomfortable with approaching the patient, have not developed the skills required to discuss the patients' wishes, and avoid end-of-life conversations. OBJECTIVE:To evaluate an edu...

journal_title：Journal of palliative medicine

authors： Furman CD,Head B,Lazor B,Casper B,Ritchie CS

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Our objective was to provide a contemporary analysis of the prevalence, types, and impact of advance health care directives in critically ill cancer patients. METHODS:We retrospectively reviewed all intensive care unit (ICU) admissions (January 1, 2006 to April 25, 2008) at an oncologic center and identifie...

journal_title：Journal of palliative medicine

authors： Halpern NA,Pastores SM,Chou JF,Chawla S,Thaler HT

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Although strong evidence supports early palliative care (PC) and consistent advance care planning (ACP) for patients with poor-prognosis Stage IV solid tumors, best practice standards have not been established for hematologic malignancies. Our primary objective was to describe current access to specialty PC ...

journal_title：Journal of palliative medicine

authors： Freeman AT,Wood WA,Fox A,Hanson LC

更新日期：2018-02-01 00:00:00

abstract：INTRODUCTION:The World Health Organization (WHO) explicitly recommends the integration of palliative care (PC) early in the disease trajectory as part of the WHO definition of PC. Our comprehensive cancer center decided: (1) to include this recommendation in the administrative directives for principles of cancer care a...

journal_title：Journal of palliative medicine

authors： Gaertner J,Wolf J,Ostgathe C,Toepelt K,Glossmann JP,Hallek M,Voltz R

更新日期：2010-10-01 00:00:00

abstract：: Background: Depression is common in the oncology patient population. Little data exist on the impact of depression on health care utilization. Objectives: We evaluated the prevalence of depression and the relationship between d...

journal_title：Journal of palliative medicine

authors： Ye S,Williams CP,Gilbert AD,Huang CH,Salter TL,Rocque GB

更新日期：2021-01-21 00:00:00

abstract：BACKGROUND:Response bias in end of life research is important though not well understood. OBJECTIVES:To compare consenting advanced cancer patient participants and refusers in observational end of life research. We hypothesized that, compared with refusers, consenters would: 1) have a stronger belief in personal gain ...

journal_title：Journal of palliative medicine

authors： Phipps E,Harris D,Braitman LE,Tester W,Madison-Thompson N,True G

更新日期：2005-02-01 00:00:00

abstract：: Background: The lack of consumer knowledge and misconception of services could impede requests for and acceptance of palliative care. YouTube has been widely used for health information dissemination. Objective: To explore the ...

journal_title：Journal of palliative medicine

authors： Liu M,Cardenas V,Zhu Y,Enguidanos S

更新日期：2019-12-01 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：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: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：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：OBJECTIVE:Describe the establishment of the palliative care quality network (PCQN) with guidance on how teams can develop similar collaborations. BACKGROUND:In the current healthcare environment, palliative care (PC) teams must be able to demonstrate value and provide efficient care while supporting the clinicians who...

journal_title：Journal of palliative medicine

authors： Pantilat SZ,Marks AK,Bischoff KE,Bragg AR,O'Riordan DL

更新日期：2017-08-01 00:00:00

abstract：:An advance directive, a description of one's future preferences for medical treatment, must be easily available to care providers to ensure that one's treatment preferences are honored. The transition of our health care system to an electronic medical record complicated the availability of a patient's written advance ...

journal_title：Journal of palliative medicine

authors： Bricker LJ,Lambing A,Markey C

更新日期：2003-06-01 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：OBJECTIVE:We sought to develop and validate a novel palliative medicine needs assessment tool for patients with cancer in the emergency department. METHODS:An expert panel trained in palliative medicine and emergency medicine reviewed and adapted a general palliative medicine symptom assessment tool, the Needs at the ...

journal_title：Journal of palliative medicine

authors： Richards CT,Gisondi MA,Chang CH,Courtney DM,Engel KG,Emanuel L,Quest T

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:There is a dearth of international research on hospice physiotherapy. This study aims to profile hospice physiotherapy in an Irish setting in order to inform practice internationally. DESIGN:The study design consisted of a retrospective chart audit over 6 months. SETTING:The study took place at a specialist...

journal_title：Journal of palliative medicine

authors： Cobbe S,Kennedy N

更新日期：2012-07-01 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: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：: 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：: 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：:While Judaism espouses the infinite value of human life, Judaism recognizes that all life is finite and, as such, its teachings are compatible with the principles of palliative medicine and end-of-life care as they are currently practiced. Jewish medical ethics as derived from Jewish law, has definitions for the four ...

journal_title：Journal of palliative medicine

authors： Kinzbrunner BM

更新日期：2004-08-01 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

abstract：: Background: Despite the association between chronic pain and post-traumatic stress disorder (PTSD), little is known about the longitudinal course of pain and PTSD during cancer treatment. Objectives: We examined the prevalence ...

journal_title：Journal of palliative medicine

authors： Sager ZS,Wachen JS,Naik AD,Moye J

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:The objective was to explore the utility of a new three-item depression screening tool concerning time and life perception (TLP-3), compared with the DSM-IV criteria. METHODS:This was a cross-sectional study of 63 Portuguese terminally ill patients, from May 2010 to November 2012. Patients were eligible if t...

journal_title：Journal of palliative medicine

authors： Julião M,Oliveira F,Nunes B,Barbosa A

更新日期：2013-11-01 00:00:00