Advance care planning: challenges and approaches for pediatricians.

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: Specialized home-based palliative care (HPC) services aim at reducing the number of visits to emergency departments (EDs) and hospitalizations at end of life. In addition, it offers patients the possibility to die at home. Objective: ...

journal_title：Journal of palliative medicine

authors： Bergqvist J,Ljunggren G

更新日期：2020-01-01 00:00:00

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：:Celiac plexus block (CPB) has been widely used as a treatment option for chronic intractable abdominal pain resulting from intra-abdominal malignancies as well as benign conditions. Complications resulting from CPB have been long reported and include diarrhea, back pain, paraplegia, postural hypotension, pneumothorax,...

journal_title：Journal of palliative medicine

authors： Gupta R,Madanat L,Jindal V,Gaikazian S

更新日期：2021-01-04 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：: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: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：: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：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: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：: Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the speciali...

journal_title：Journal of palliative medicine

authors： Paramanandam G,Boohene J,Tran K,Volk-Craft BE

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：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: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：:The purpose of this study was to describe the experiences and perceptions of hospice nurses caring for residents in long-term care facilities. The study used a fax-back survey to gather data from 69 hospice nursing and nurse managers in 24 hospices across one Midwestern state. Respondents reported negative experiences...

journal_title：Journal of palliative medicine

authors： Parker-Oliver D

更新日期：2002-10-01 00:00:00

abstract：:Sociodrama is a powerful teaching strategy that combines a case study approach with traditional role-play methodology to illustrate critical issues in end-of-life care. Building on principles of adult learning and communication skills, the sociodrama method enables the skilled facilitator to draw on the learner's past...

journal_title：Journal of palliative medicine

authors： Jones C

更新日期：2001-10-01 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:Antiemetics are being used both for the treatment and prophylaxis of opioid-induced nausea and vomiting (OINV) in clinical practice, despite the lack of evidence for the prophylactic benefit. Data regarding the actual status of prophylactic antiemetic use for OINV remain to be elucidated. OBJECTIVE:The obje...

journal_title：Journal of palliative medicine

authors： Tsukuura H,Ando Y,Gyawali B,Matsumoto M,Sugishita M,Honda K,Urakawa H,Maeda O,Hasegawa Y

更新日期：2015-11-01 00:00:00

abstract：: Background: Life review, a narrative-based intervention, helps individuals organize memories into a meaningful whole, providing a balanced view of the past, present, and future. Examining how the content of memories contributes to life's meaning improves some clinical outc...

journal_title：Journal of palliative medicine

authors： Dang M,Noreika D,Ryu S,Sima A,Ashton H,Ondris B,Coley F,Nestler J,Fabbro ED

更新日期：2020-09-03 00:00:00

abstract：:Hypercalcemia of malignancy affects 2%-2.8% of cancer patients and is associated with an increased risk of mortality and other symptom-related complications. Standard treatment consists of fluid resuscitation, intravenous bisphosphonates, and calcitonin. Little is known, however, about the benefits of treatment of mal...

journal_title：Journal of palliative medicine

authors： Ferraro K,Sanchez-Reilly S

更新日期：2020-06-01 00:00:00

abstract：:Fentanyl is a lipophilic, short-acting, synthetic opioid with a piperidine chemical structure. Fentanyl is an effective analgesic for cancer pain, and newer formulations such as the transmucosal and buccal forms have shown efficacy for the management of cancer-related breakthrough pain. This article reviews the pharma...

journal_title：Journal of palliative medicine

authors： Prommer E

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:Nurses and nursing care providers provide the most direct care to patients at end of life. Yet, evidence indicates that many feel ill-prepared for the complexity of palliative care. OBJECTIVE:To review the resources required to ensure adequate education, training, and mentorship for nurses and nursing care ...

journal_title：Journal of palliative medicine

authors： Pesut B,Greig M

更新日期：2018-01-01 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: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:The study of how the quality of pediatric end-of-life care varies across systems of health care delivery and financing is hampered by lack of methods to adjust for the probability of death in populations of ill children. OBJECTIVE:To develop a prognostication models using administratively available data to ...

journal_title：Journal of palliative medicine

authors： Feudtner C,Hexem KR,Shabbout M,Feinstein JA,Sochalski J,Silber JH

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Patients with chronic obstructive pulmonary disease (COPD) have well-documented symptoms that affect quality of life. Professional societies recommend palliative care for such patients, but the optimal way of delivering this care is unknown. OBJECTIVE:To describe an outpatient palliative medicine program fo...

journal_title：Journal of palliative medicine

authors： Schroedl C,Yount S,Szmuilowicz E,Rosenberg SR,Kalhan R

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:When identifying patients for palliative care, medical specialists find it necessary to disclose "hidden" patients: the patient's relatives. The issue has been discussed sporadically in Bulgaria; the present study was part of a larger investigation that examined the opinion of medical specialists, patients, ...

journal_title：Journal of palliative medicine

authors： Foreva G,Assenova R

更新日期：2014-01-01 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：: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: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