Polypharmacy in Palliative Care: Two Deprescribing Tools Compared with a Clinical Review.

abstract：BACKGROUND:Significant gaps exist in the availability of palliative care in rural hospitals and communities, even though rural populations are often disproportionately elderly and chronically ill. Few studies have examined what models of palliative care would be sustainable in a rural community. METHODS:We studied the...

journal_title：Journal of palliative medicine

authors： Ceronsky L,Shearer J,Weng K,Hopkins M,McKinley D

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVE:To determine the timing of palliative care (PC) access, symptoms, and end-of-life (EOL) quality care outcomes of patients with advanced nonsmall cell lung cancer (NSCLC) referred to outpatients embedded palliative care consults (EPC) compared with those of outpatients palliative care consults (OPC). BACKGROU...

journal_title：Journal of palliative medicine

authors： Yennurajalingam S,Prado B,Lu Z,Naqvi S,Williams JL,Lim T,Bruera E

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Empirical research suggests that the quality of patient care at the end of life (EOL) is influenced by the effectiveness of the collaboration between the general practitioners (GPs) and hospital physicians (HPs). AIM:To identify possible difficulties and barriers to effective collaboration at the EOL betwee...

journal_title：Journal of palliative medicine

authors： Otte IC,Jung C,Bally K,Elger BS,Schildmann J

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:Inpatient palliative consultation are generally provided to seriously ill hospitalized patients with the intent to alleviate pain and suffering and develop a plan of care for the patient. Although numerous benefits of this service have been documented, little is known about hospital readmission rates and fac...

journal_title：Journal of palliative medicine

authors： Enguidanos S,Vesper E,Lorenz K

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Constipation is a common and distressing condition in patients with cancer, especially those taking opioid analgesics. Many institutions prevent and treat constipation with titrated laxatives, which is known as a bowel protocol. An effective and well-tolerated bowel protocol is a very important component of ...

journal_title：Journal of palliative medicine

authors： Hawley PH,Byeon JJ

更新日期：2008-05-01 00:00:00

abstract：PURPOSE:The majority of dying patients do not have access to necessary drugs to alleviate their most common symptoms, despite evidence of drug efficacy. Our aim was to explore the degree of consensus about appropriate pharmacological treatment for common symptoms in the last days of life for patients with cancer, among...

journal_title：Journal of palliative medicine

authors： Lindqvist O,Lundquist G,Dickman A,Bükki J,Lunder U,Hagelin CL,Rasmussen BH,Sauter S,Tishelman C,Fürst CJ,OPCARE9.

更新日期：2013-01-01 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：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:The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the palliative care evidence base remain despite the field's rapid growth. OBJECTIVE:To examine current NIH funding of palliative medicine research, changes since our 2013 report, and trends since our 2...

journal_title：Journal of palliative medicine

authors： Brown E,Morrison RS,Gelfman LP

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfa...

journal_title：Journal of palliative medicine

authors： Gadoud A,Adcock Y,Jones L,Koon S,Johnson M

更新日期：2013-09-01 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：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：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

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：: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：BACKGROUND:Current evidence indicates that patients with hematological malignancies are less likely to receive input from specialist palliative care services compared to those with solid tumors. AIM:We aimed to analyze data for referrals to our palliative care service, in order to assess trends in the number and propo...

journal_title：Journal of palliative medicine

authors： Corbett CL,Johnstone M,Trauer JM,Spruyt O

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:The oral food intake of terminally ill cancer patients is known to gradually decrease, but there are few reports about how oral intake changes around the terminal stage. It is important to clarify changes in oral food intake, as such changes affect the support and care of terminally ill cancer patients. OBJ...

journal_title：Journal of palliative medicine

authors： Ohno T,Tamura F,Kikutani T,Morita T,Sumi Y

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:There is heightened emphasis on teaching end-of-life (EOL) care in the medical school curriculum, but a relative paucity of tools focused on assessing key attitudinal changes due to curricula. OBJECTIVE:We sought to evaluate the responsiveness of two validated measures of relevant attitudes to changes cause...

journal_title：Journal of palliative medicine

authors： Schwartz CE,Clive DM,Mazor KM,Ma Y,Reed G,Clay M

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:Critical care nurse communication training has largely been limited to didactic materials, interactive training for nurse supervisors, or brief participatory learning programs within the context of comprehensive end-of-life care educational seminars. Preliminary evidence suggests that an interactive approach...

journal_title：Journal of palliative medicine

authors： Krimshtein NS,Luhrs CA,Puntillo KA,Cortez TB,Livote EE,Penrod JD,Nelson JE

更新日期：2011-12-01 00:00:00

abstract：:Despite widespread efforts to promote advance directives (ADs), completion rates remain low. Making Your Wishes Known: Planning Your Medical Future (MYWK) is an interactive computer program that guides individuals through the process of advance care planning, explaining health conditions and interventions that commonl...

journal_title：Journal of palliative medicine

authors： Schubart JR,Levi BH,Camacho F,Whitehead M,Farace E,Green MJ

更新日期：2012-06-01 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：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: Futile or potentially inappropriate care (futile/PIC) for dying inpatients leads to negative outcomes for patients and clinicians. In the setting of rising end-of-life health care costs and increasing physician burnout, it is important to understand the causes ...

journal_title：Journal of palliative medicine

authors： Chamberlin P,Lambden J,Kozlov E,Maciejewski R,Lief L,Berlin DA,Pelissier L,Yushuvayev E,Pan CX,Prigerson HG

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Many patients with cancer involving the respiratory system suffer from the frequent recurrence of significant, submassive hemoptysis, which may result in invasive procedures, hospital stays, and a reduction in quality of life. Currently, there are no widely accepted noninvasive therapeutic options. Few case ...

journal_title：Journal of palliative medicine

authors： Hankerson MJ,Raffetto B,Mallon WK,Shoenberger JM

更新日期：2015-12-01 00:00:00

abstract：:As part of a Veterans Health Administration (VA) commitment to improve end-of-life care the VA Greater Los Angeles Healthcare System (GLA) implemented Pathways of Caring, a 3-year demonstration project targeting patients with inoperable lung cancer and advanced heart failure and chronic lung disease. The program utili...

journal_title：Journal of palliative medicine

authors： Rosenfeld K,Rasmussen J

更新日期：2003-10-01 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：: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：BACKGROUND:In hospitals, where care is focused on cure and life prolongation, impending death is often recognized too late. Physician awareness of impending death is a prerequisite for communication with patients and relatives about dying in hospital and providing care that adequately addresses patients' needs. OBJECT...

journal_title：Journal of palliative medicine

authors： Houttekier D,Witkamp FE,van Zuylen L,van der Rijt CC,van der Heide A

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Pediatric intensive care units (PICUs) are highly technological settings in which advanced care is used to restore health to critically ill children; however, they are also places where children die. Understanding the needs of parents bereaved in this setting is essential for better family care. OBJECTIVE:T...

journal_title：Journal of palliative medicine

authors： Meert KL,Schim SM,Briller SH

更新日期：2011-08-01 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