Sharing life-altering information: development of pediatric hospital guidelines and team training.

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: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：BACKGROUND:Antibiotic administration is frequent in terminal patients with cancer, yet the effects on survival are still under debate. OBJECTIVE:The aim of this study was to examine the status of infection and the benefit/burden of antibiotic administration on the survival of terminal patients with cancer with infecti...

journal_title：Journal of palliative medicine

authors： Chih AH,Lee LT,Cheng SY,Yao CA,Hu WY,Chen CY,Chiu TY

更新日期：2013-11-01 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：BACKGROUND:This case report describes a patient whose persistent hiccups significantly improved with the use of vinegar. CASE PRESENTATION:A patient with an adenocarcinoma of the colon and hepatic metastases developed hiccups the day following chemotherapy with FOL-FOX (folinic acid (leucovorin), 5-fluorouracil, oxali...

journal_title：Journal of palliative medicine

authors： Gonella S,Gonella F

更新日期：2015-05-01 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：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：PURPOSE:This study evaluated a cancer case management pilot program focusing on palliative care, the Omega Life Program (OLP), by assessing whether the program was associated with reduced hospital utilization. METHODS:A retrospective observational study of patients with cancer who enrolled in the OLP (intervention) co...

journal_title：Journal of palliative medicine

authors： Seow H,Piet L,Kenworthy CM,Jones S,Fagan PJ,Dy SM

更新日期：2008-12-01 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：: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: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：CONTEXT:In 2008, the Centers for Medicare & Medicaid Services (CMS) required U.S. hospices to implement comprehensive quality improvement programs. CMS contracted with the Quality Improvement Organization in North and South Carolina to develop quality measures and instruments to assess hospice and palliative care quali...

journal_title：Journal of palliative medicine

authors： Schenck AP,Rokoske FS,Durham DD,Cagle JG,Hanson LC

更新日期：2010-12-01 00:00:00

abstract：OBJECTIVE:To describe caregivers' reasons for transfer from home hospice to inpatient facilities, preferences for site of care and death, and their experiences during these transfers. DESIGN:Retrospective qualitative analysis of interviews with caregivers of deceased hospice patients who had undergone transfer. SETTI...

journal_title：Journal of palliative medicine

authors： Evans WG,Cutson TM,Steinhauser KE,Tulsky JA

更新日期：2006-02-01 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:Cancer pain continues to be undertreated, despite the availability of evidence-based guidelines. The Australian National Pain Strategy identified establishment of systems and guidelines to adequately manage cancer pain as a high priority. OBJECTIVES:This study aimed to identify barriers and facilitators to ...

journal_title：Journal of palliative medicine

authors： Lovell M,Agar M,Luckett T,Davidson PM,Green A,Clayton J

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVE:It is not known how often physicians use metaphors and analogies, or whether they improve patients' perceptions of their physicians' ability to communicate effectively. Therefore, the objective of this study was to determine whether the use of metaphors and analogies in difficult conversations is associated w...

journal_title：Journal of palliative medicine

authors： Casarett D,Pickard A,Fishman JM,Alexander SC,Arnold RM,Pollak KI,Tulsky JA

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Surrogates and clinicians often make treatment decisions for decisionally incapacitated patients with limited knowledge of their preferences. This study examined patients' life-sustaining treatment preferences to facilitate advance care planning discussions and surrogate decision making. METHODS:We intervie...

journal_title：Journal of palliative medicine

authors： Pearlman RA,Cain KC,Starks H,Cole WG,Uhlmann RF,Patrick DL

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Patients with severe acute brain injury (SABI) raise important palliative care considerations associated with sudden devastating injury and uncertain prognosis. OBJECTIVE:The goal of this study was to explore how family members, nurses, and physicians experience the palliative and supportive care needs of p...

journal_title：Journal of palliative medicine

authors： Schutz RE,Coats HL,Engelberg RA,Curtis JR,Creutzfeldt CJ

更新日期：2017-02-01 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：: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:Heart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF. OBJECTIVE:We conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling...

journal_title：Journal of palliative medicine

authors： Dionne-Odom JN,Kono A,Frost J,Jackson L,Ellis D,Ahmed A,Azuero A,Bakitas M

更新日期：2014-09-01 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：: 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：:As new accreditation standards for health professions education increasingly require end-of-life (EOL) curriculum and performance-based assessment, health professions educators struggle to shift through the educational literature to find core principles, practical strategies, emerging trends, and on-line resources to ...

journal_title：Journal of palliative medicine

authors： Simpson DE,Biernat K

更新日期：2001-07-01 00:00:00

abstract：INTRODUCTION:Spiritual needs play an important role in palliative care as both a clinical dimension and a therapeutic strategy. However, recent studies have shown that the management of this dimension still remains a challenge at the clinical level of palliative care. GOALS:Our goal was to evaluate the spiritual needs...

journal_title：Journal of palliative medicine

authors： Vilalta A,Valls J,Porta J,Viñas J

更新日期：2014-05-01 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：: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：: Objectives: To identify patient perceptions of how and when palliative care (PC) could complement usual heart failure (HF) management. Background: Despite guidelines calling for the integration of PC into the management of HF, ...

journal_title：Journal of palliative medicine

authors： Hadler RA,Curtis BR,Ikejiani DZ,Bekelman DB,Harinstein M,Bakitas MA,Hess R,Arnold RM,Kavalieratos D

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Hospice provides intensive end-of-life care to patients and their families delivered by an interdisciplinary team of nurses, aides, chaplains, social workers, and physicians. Significant gaps remain about how team members respond to diverse needs of patients and families, especially in the last week of life....

journal_title：Journal of palliative medicine

authors： Ellington L,Clayton MF,Reblin M,Cloyes K,Beck AC,Harrold JK,Harris P,Casarett D

更新日期：2016-05-01 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