Is Care for the Dying Improving in the United States?

abstract：: Background: Community-dwelling adults with serious illness benefit from conversations about their goals for care. Objective: We undertook a project to increase the number of serious illness conversations occurring in an account...

journal_title：Journal of palliative medicine

authors： Lally K,Tuya Fulton A,Ducharme C,Scott R,Filpo J

更新日期：2020-01-01 00:00:00

abstract：:We faced a challenge in providing a consistent high-quality learning experience in hospice care, especially because our community-based medical school has students rotating in hospices in six separated communities and the number of faculty with expertise in palliative care is limited. To address these concerns, a Web-...

journal_title：Journal of palliative medicine

authors： Ogle K,Thompson ME,Noel MM

更新日期：2002-10-01 00:00:00

abstract：: Background: Young adults represent a minority in research; they are often considered too young or too old for participation. There is sparse information, especially in bereavement research, regarding how this age group perceives research participation and what they conside...

journal_title：Journal of palliative medicine

authors： Udo C,Lövgren M,Sveen J,Bylund-Grenklo T,Alvariza A,Kreicbergs U

更新日期：2019-10-01 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：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: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:There is increasing recognition of the value of advance care planning for children with life-limiting conditions. It is important that we acknowledge and reflect on the challenges that this work presents in order to optimize practice. OBJECTIVE:Our aim was to review advance care planning for children with l...

journal_title：Journal of palliative medicine

authors： Heckford E,Beringer AJ

更新日期：2014-09-01 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：: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：BACKGROUND:In 1997, the Institute of Medicine called for reform, improved quality and expanded research in end-of-life care. Yet little empirical information about preferences of African Americans has been documented. A community-campus partnership was formed to guide a needs assessment related to end-of-life care in a...

journal_title：Journal of palliative medicine

authors： Jenkins C,Lapelle N,Zapka JG,Kurent JE

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Regardless of the payer and the period studied the prevalence of potentially inappropriate medication use in the elderly ranged from 21% to 40%. OBJECTIVE:To look at potentially inappropriate prescribing in a group of Medicare+Choice beneficiaries in their last year of life (LYOL) in a large national manage...

journal_title：Journal of palliative medicine

authors： Fahlman C,Lynn J,Finch M,Doberman D,Gabel J

更新日期：2007-06-01 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：INTRODUCTION:Place of death is considered a quality indicator of end-of-life care and enabling people to die where they choose is an important aspiration of palliative care. This study aims to examine the association between involvement of palliative care services and place of death. METHODS:Data about patient charact...

journal_title：Journal of palliative medicine

authors： Houttekier D,Cohen J,Van den Block L,Bossuyt N,Deliens L

更新日期：2010-12-01 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：: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：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：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:Transfusion is not an exceptional circumstance in palliative cancer patients (PCPs). This makes it necessary to confront not only medical aspects but also those of infrastructure and ethical issues. On some occasions, literature needs to be consulted to work out the best approach in a patient's particular ca...

journal_title：Journal of palliative medicine

authors： Uceda Torres ME,Rodríguez Rodríguez JN,Sánchez Ramos JL,Alvarado Gómez F

更新日期：2014-01-01 00:00:00

abstract：:Achieving the best quality of life for patients and their families when a disease becomes progressive and no longer remains responsive to curative therapy is the primary goal of palliative care. A comprehensive care plan focusing on control of physical symptoms as well as psychological, social, and spiritual issues th...

journal_title：Journal of palliative medicine

authors： Dalal S,Del Fabbro E,Bruera E

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Employment-related issues have been largely overlooked in cancer patients needing palliative care. These issues may become more relevant as cancer evolves into more of a chronic illness and palliative care is provided independent of stage or prognosis. OBJECTIVE:To characterize the employment situations of ...

journal_title：Journal of palliative medicine

authors： Glare PA,Nikolova T,Alickaj A,Patil S,Blinder V

更新日期：2017-07-01 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: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：INTRODUCTION:The concept of hope in palliative care is an important and neglected area of research. Amyotrophic lateral sclerosis (ALS), a progressive degenerative motor neuron disease, offers an excellent opportunity to study this construct as the illness is virtually always fatal. Our research explored the meaning of...

journal_title：Journal of palliative medicine

authors： Fanos JH,Gelinas DF,Foster RS,Postone N,Miller RG

更新日期：2008-04-01 00:00:00

abstract：:Generalized severe junctional epidermolysis bullosa is a rare mechanobullous skin disorder that is uniformly fatal. We present the case of an infant who received palliative pain management and ultimately proportionate palliative sedation. However, because of the extent of the patient's skin disease, we were unable to ...

journal_title：Journal of palliative medicine

authors： Pasichow KP,Frizzola M,Miller EG

更新日期：2018-07-01 00:00:00

abstract：: Background: The number of hospital-based palliative care consultation teams (PCCTs) has increased in Japan, and quality improvement (QI) of PCCTs is an issue. The Japanese Society for Palliative Medicine is building a framework for continuous QI of PCCT activities. ...

journal_title：Journal of palliative medicine

authors： Nakazawa Y,Sakashita A,Kaizu M,Abo H,Ise Y,Shinada Y,Sugano K,Yamashiro A,Akizuki N,Kato M

更新日期：2020-03-01 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：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：:Palliative care is an evolving field with extensive studies demonstrating its benefits to patients, families, and the health care system. Many health systems have developed or are developing palliative care programs. The Canadian Society of Palliative Care Physicians (CSPCP) is often asked to recommend how many pallia...

journal_title：Journal of palliative medicine

authors： Henderson JD,Boyle A,Herx L,Alexiadis A,Barwich D,Connidis S,Lysecki D,Sinnarajah A

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey ...

journal_title：Journal of palliative medicine

authors： Lorenz KA,Rosenfeld KE,Asch SM,Ettner SL

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Research on the effectiveness of evidence-based practices in the treatment of depression and anxiety with palliative care populations is primarily limited to individuals having specific conditions such as cancer. OBJECTIVE:This meta-analysis examined the effect of psychotherapy on depression and anxiety amo...

journal_title：Journal of palliative medicine

authors： Fulton JJ,Newins AR,Porter LS,Ramos K

更新日期：2018-07-01 00:00:00