Pharmacovigilance in Hospice/Palliative Care: De-Prescribing Combination Controlled Release Oxycodone-Naloxone.

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：BACKGROUND:Opioid errors have the potential to cause significant patient harm. These high-risk medications are used in high volumes in palliative care services to manage pain and other symptoms. Palliative patients are at greater risk of harm from opioid errors, as they are generally older and taking numerous medicatio...

journal_title：Journal of palliative medicine

authors： Heneka N,Shaw T,Rowett D,Lapkin S,Phillips JL

更新日期：2018-06-01 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：:The need for palliative care for patients with end-stage renal disease (ESRD) is increasingly recognized. Patients starting renal replacement therapy are now elderly, with a median age of 65 years, and with multiple comorbid conditions. Quality of life is often poor and with advance care planning, patients can be enab...

journal_title：Journal of palliative medicine

authors： Brown EA

更新日期：2007-12-01 00:00:00

abstract：:Purpose of report: Understanding the impact of palliative care interventions on intensive care unit (ICU) costs and utilization is critical for demonstrating the value of palliative care. Performing these economic assessments, however, can be challenging. The purpose of this special report is to highlight and discuss ...

journal_title：Journal of palliative medicine

authors： Khandelwal N,Brumback LC,Halpern SD,Coe NB,Brumback B,Curtis JR

更新日期：2017-12-01 00:00:00

abstract：: Background: Delivery of health services in the province of Ontario is organized into 14 Local Health Integration Networks (LHINs), and further into 76 LHIN subregions, making these a natural unit of comparing the regional differences in palliative care receipt among decede...

journal_title：Journal of palliative medicine

authors： Panarella M,Saarela O,Esensoy AV,Jakda A,Liu ZA

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:Increasing numbers of patients are living with multiple, chronic medical conditions and functional impairments that leave them homebound. Home-based primary and palliative care (HBPC) programs provide access to health care services for this vulnerable population. Homebound patients have high symptom burden u...

journal_title：Journal of palliative medicine

authors： Ornstein K,Wajnberg A,Kaye-Kauderer H,Winkel G,DeCherrie L,Zhang M,Soriano T

更新日期：2013-09-01 00:00:00

abstract：: Objective: This report describes a pilot hospice inpatient unit dedicated to individuals experiencing distressing behaviors from dementia. Background: Patients with dementia who experience distressing symptoms cannot be well ma...

journal_title：Journal of palliative medicine

authors： Hamilton G,Volk-Craft BE

更新日期：2020-11-09 00:00:00

abstract：BACKGROUND:Cancer and its treatment can significantly affect appearance and body integrity. A number of studies have explored the impact of cancer and its treatment on body image, primarily in head and neck and breast cancer. The aim of this pilot study was to examine the construct of body image dissatisfaction and its...

journal_title：Journal of palliative medicine

authors： Rhondali W,Chisholm GB,Filbet M,Kang DH,Hui D,Cororve Fingeret M,Bruera E

更新日期：2015-02-01 00:00:00

abstract：: Background: Bereavement programs provide institutions with an avenue for obtaining feedback from family members about their experiences during a patient's illness and end-of-life (EOL) period that can be used to improve both patient care and the care of bereaved individual...

journal_title：Journal of palliative medicine

authors： Morris SE,Nayak MM,Block SD

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVE:The purpose of the study was to describe the perceptions of community residence (CR) staff who have cared for older adults with developmental disabilities (ADDs) that are at the end of life. DESIGN:This exploratory, descriptive study utilized qualitative methods that involved semistructured interviews with C...

journal_title：Journal of palliative medicine

authors： Kirkendall AM,Waldrop D

更新日期：2013-09-01 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：OBJECTIVE:Palliative care is an essential part of medicine, but most physicians have had no formal opportunity to acquire basic skills in palliative care. In Japan, the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education (PEACE) was launched to provide formal primary p...

journal_title：Journal of palliative medicine

authors： Yamamoto R,Kizawa Y,Nakazawa Y,Ohde S,Tetsumi S,Miyashita M

更新日期：2015-01-01 00:00:00

abstract：: Background: Many older adults with serious illness who depend on others for care have symptoms that are difficult to manage. Supporting caregivers in symptom assessment (SA) may reduce suffering. Objective: Pilot an SA-Toolkit ...

journal_title：Journal of palliative medicine

authors： Nouri S,Ritchie C,Chen P,Volow A,Li B,Tellez I,Sudore RL

更新日期：2020-12-01 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：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：PURPOSE:Little is known about young caregivers of people with advanced life-limiting illness. Better understanding of the needs and characteristics of these young caregivers can inform development of palliative care and other support services. METHODS:A population-based analysis of caregivers was performed from pilote...

journal_title：Journal of palliative medicine

authors： Burns CM,LeBlanc TW,Abernethy A,Currow D

更新日期：2010-10-01 00:00:00

abstract：PURPOSE:In February 2002, the palliative care team was established in Ikeda Municipal Hospital to improve palliative care. We investigated changes in the incidences of side effects related to opioids, and evaluated palliative care team activities. METHODS:Regarding inpatients for whom narcotics were prescribed in our ...

journal_title：Journal of palliative medicine

authors： Myotoku M,Nakanishi A,Kanematsu M,Sakaguchi N,Hashimoto N,Koyama F,Yamaguchi S,Ikeda K,Konishi H,Hirotani Y

更新日期：2010-04-01 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: A broad consensus on the optimal structure, intensity, and timing of early specialist palliative care (SPC) intervention is lacking. Objective: To evaluate the benefit of an early and systematic palliative intervent...

journal_title：Journal of palliative medicine

authors： Slama O,Pochop L,Sedo J,Svancara J,Sedova P,Svetlakova L,Demlova R,Vyzula R

更新日期：2020-12-01 00:00:00

abstract：:Louisiana State Penitentiary (Angola) has a large population of aging men serving long sentences with little hope of reprieve. Eighty-five percent of the 5108 inmates currently incarcerated at Angola are expected to die there. The prison, in partnership with University Hospital Community Hospice in New Orleans, has cr...

journal_title：Journal of palliative medicine

authors： Evans C,Herzog R,Tillman T

更新日期：2002-08-01 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：OBJECTIVE:To describe the growth and outcomes of the Palliative Care Research Cooperative Group (PCRC). BACKGROUND:Despite advances, significant gaps remain in the evidence base to inform care for people with serious illness. To generate this needed evidence and bolster research capacity, the Palliative Care Research ...

journal_title：Journal of palliative medicine

authors： Ritchie CL,Pollak KI,Kehl KA,Miller JL,Kutner JS

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:Few studies have focused on men as caregivers at the end-of-life. The objective of this secondary data analysis was to examine the experiences of men involved in end-of-life caregiving, focusing on caregiver strain. METHODS:We used a random sample of Oregon death certificates to telephone survey family care...

journal_title：Journal of palliative medicine

authors： Fromme EK,Drach LL,Tolle SW,Ebert P,Miller P,Perrin N,Tilden VP

更新日期：2005-12-01 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：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:Identifying people who are at risk of deteriorating and dying is essential to inform goals of care, appropriate treatment decisions, patient autonomy, and effective end-of-life care. Limited literature exists on predicting survival near the end of life for people with a hematological malignancy. OBJECTIVE:T...

journal_title：Journal of palliative medicine

authors： Button E,Gavin NC,Chan RJ,Chambers S,Butler J,Yates P

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:Although postmortem examination has been reported in a variety of settings and diseases, the medical literature only makes sparse mention of postmortem findings regarding the manner of death in terminally ill patients receiving palliative care. We sought to identify causes of death in an inpatient hospice pr...

journal_title：Journal of palliative medicine

authors： Abdel-Karim IA,Sammel RB,Prange MA

更新日期：2007-08-01 00:00:00

abstract：:A patient with advanced pancreatic cancer is presented to demonstrate the clinical challenge of diagnosing depression in palliative care. The conundrum related to the relative roles of somatic and psychological symptoms in screening or diagnosing depression in these patients is illustrated and discussed. There is no c...

journal_title：Journal of palliative medicine

authors： Pereira J,Bruera E

更新日期：2001-04-01 00:00:00