abstract：:Professional caregivers for cancer patients are at high risk for work-related stress, but it is not clear how this relates to exposure to death and dying, and to professional satisfaction. This study compares work-related stress and staff satisfaction on an academic acute palliative care unit (PCU) with that on a medi...

journal_title：Journal of palliative care

authors： Pierce B,Dougherty E,Panzarella T,Le LW,Rodin G,Zimmermann C

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Health professionals are expected to support family caregivers of patients requiring palliative care. However, there is a dearth of empirical evidence to help clinicians identify caregivers who might be at risk of poor psychosocial functioning. PURPOSE:This secondary analysis of baseline data from a larger ...

journal_title：Journal of palliative care

authors： Hudson PL,Hayman-White K,Aranda S,Kristjanson LJ

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Although religiousness is a strong predictor of attitudes towards physician-assisted suicide (PAS), Oregon hospice chaplains express wide variation in their opposition to or support for legalized PAS. We explored factors associated with chaplains' views on PAS. METHODS:A mailed survey to chaplains from 51 O...

journal_title：Journal of palliative care

authors： Goy ER,Carlson B,Simopoulos N,Jackson A,Ganzini L

更新日期：2006-07-01 00:00:00

abstract：:This study measures the proportion of cancer patients in Ontario, Canada, with intensive care unit (ICU) admissions, emergency room (ER) visits, or chemotherapy in the last two weeks of life. We used the Ontario Cancer Registry to identify a cohort of cancer patients who died in 2001. These cases were then linked to a...

journal_title：Journal of palliative care

authors： Barbera L,Paszat L,Chartier C

更新日期：2006-04-01 00:00:00

abstract：:Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality and disability worldwide. For many patients, maximal therapy for COPD produces only modest relief of disabling symptoms and these symptoms result in a significantly reduced quality of life. Despite the high morbidity and mortality, patients w...

journal_title：Journal of palliative care

authors： Curtis JR,Engelberg RA,Wenrich MD,Au DH

更新日期：2005-10-01 00:00:00

abstract：:This study used a randomized controlled trial design to investigate the impact of hospice at home (HAH) on caregiver bereavement outcome. Secondary analyses considered the association between bereavement, place of death, and carers' assessment of support. Ninety-six informal carers of patients referred to HAH were sur...

journal_title：Journal of palliative care

authors： Grande GE,Farquhar MC,Barclay SI,Todd CJ

更新日期：2004-07-01 00:00:00

abstract：:The essential mandate of medicine is the relief of suffering. However, the quest for an integrated model towards a conceptualization of suffering is still ongoing and empirical studies are few. Qualitative inquiry using 31 in-depth interviews and content analysis was carried out between 1999 and 2001 in 26 patients di...

journal_title：Journal of palliative care

authors： Daneault S,Lussier V,Mongeau S,Paillé P,Hudon E,Dion D,Yelle L

更新日期：2004-04-01 00:00:00

abstract：:With increasing trends towards home care of children with even the most complex conditions and care requirements, respite becomes critical in improving the quality of life for terminally ill children and their families. This article reports on the respite component of an evaluation project that examined the effect of ...

journal_title：Journal of palliative care

authors： Davies B,Steele R,Collins JB,Cook K,Smith S

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Little is known about current practice in using the anticonvulsant gabapentin in the management of cancer-related neuropathic pain. OBJECTIVES:The main objective of this study was to describe the pattern of gabapentin use as an adjuvant analgesic for cancer-related neuropathic pain in patients admitted to a...

journal_title：Journal of palliative care

authors： Oneschuk D,al-Shahri MZ

更新日期：2003-10-01 00:00:00

abstract：:There has been little research into pressure ulcer prevention and treatment in hospices. In this study, interviews with hospice directors of clinical services and direct-care nurses were analyzed using qualitative methods. Several general themes were found. Both pressure ulcer prevention and treatment can be painful t...

journal_title：Journal of palliative care

authors： Eisenberger A,Zeleznik J

更新日期：2003-04-01 00:00:00

abstract：:Despite very little confirming evidence, one of the most pervasive beliefs about dying is that terminally ill people receive a great deal of health care in the last few days, weeks, or months of life. A secondary analysis of 1992/93 through 1996/97 Alberta inpatient hospital abstracts data was undertaken to explore an...

journal_title：Journal of palliative care

authors： Wilson DM,Truman CD

更新日期：2002-04-01 00:00:00

abstract：:A survey was conducted to determine what pharmaceutical services are provided to palliative care sites in Australia and Canada, and the pharmacist's role on the interdisciplinary team. Questionnaires were sent to 100 selected sites in each country. Questions pertained to demographics and the level of duties performed....

journal_title：Journal of palliative care

authors： Gilbar P,Stefaniuk K

更新日期：2002-01-01 00:00:00

abstract：:This paper addresses the music therapy process specific to one subgroup of the general population identified as having terminal illness. This subgroup includes individuals who are impoverished, homeless, and do not have someone to provide them with care at the end of life. Based upon her clinical work at Malachi House...

journal_title：Journal of palliative care

authors： Mramor KM

更新日期：2001-10-01 00:00:00

abstract：:Historically, health and social care professionals have described their lack of competence and confidence in many aspects of palliative care, and have recognized the need for increased educational opportunities, where new skills can be acquired and existing knowledge consolidated. Redressing these omissions has led to...

journal_title：Journal of palliative care

authors： Koffman J

更新日期：2001-07-01 00:00:00

abstract：:This paper presents an overview of a qualitative study of six recently discharged hospice patients, who had experienced at least two episodes of inpatient palliative care and who were interviewed about their experience of care. The resulting data formed a representation--the Circle of Care--with a central theme being ...

journal_title：Journal of palliative care

authors： McKinlay EM

更新日期：2001-04-01 00:00:00

abstract：:The emphasis of palliative care has been to support both patients and their family caregivers, and to maintain the caregivers' involvement through the patient's illness and death. This study challenges the assumption that people with amyotrophic lateral sclerosis (ALS) and those who care for them at home have a simila...

journal_title：Journal of palliative care

authors： Bolmsjö I,Hermerén G

更新日期：2001-01-01 00:00:00

abstract：:The principle of double effect is widely used to permit the administration of narcotics and sedatives with the intent to palliate dying patients, even though the administration of these drugs may cause hastening of death. In recent medical literature, this principle's validity has been severely criticized, causing hea...

journal_title：Journal of palliative care

authors： Hawryluck LA,Harvey WR

更新日期：2000-10-01 00:00:00

abstract：:With recent changes in health care there is greater emphasis on providing care at home, including the support of families to enable more home deaths. Since a home death may not be practical or desirable in every family situation, there is a need for an objective way to assess the viability of a home death in each indi...

journal_title：Journal of palliative care

authors： Cantwell P,Turco S,Brenneis C,Hanson J,Neumann CM,Bruera E

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Despite the central role of hospice in end-of-life care, little is known about the proportion of terminally ill patients referred for hospice and the physician factors associated with hospice referral. METHODS:Cross-sectional data from a self-administered survey of 231 physicians were used to estimate the p...

journal_title：Journal of palliative care

authors： Bradley EH,Fried TR,Kasl SV,Cicchetti DV,Johnson-Hurzeler R,Horwitz SM

更新日期：2000-01-01 00:00:00

abstract：:Caregivers are often overwhelmed by the strain of terminal caregiving. We wished to better understand the needs of terminal caregivers and to supply a basis for tailoring interventions to them during caregiving and early bereavement. This report provides a profile of 124 bereaved caregivers interviewed within three mo...

journal_title：Journal of palliative care

authors： Wyatt GK,Friedman L,Given CW,Given BA

更新日期：1999-04-01 00:00:00

abstract：:The study assessed the components of high-quality HIV palliative care using the multidimensional model of quality assessment developed by Maxwell (4). Data collection consisted of interviews with individual subjects and focus groups. The interviews took place in three London health authorities. Seven service users and...

journal_title：Journal of palliative care

authors： Armes PJ,Higginson IJ

更新日期：1999-01-01 00:00:00

abstract：:A strong and often polarized debate has taken place during recent years concerning the consequences of dehydration in the terminally ill patient. When a patient has a severely restricted oral intake or is found to be dehydrated, the decision to administer fluids should be individualized and made on the basis of a care...

journal_title：Journal of palliative care

authors： Steiner N,Bruera E

更新日期：1998-07-01 00:00:00

abstract：:Health care workers often perceive a conflict between autonomy and beneficence when dealing with clients living at risk in the community. Respect for personal freedom and the desire to help and protect vulnerable people frequently appear to demand opposite interventions. The assessment of decision-making capacity is a...

journal_title：Journal of palliative care

authors： Strang DG,Molloy DW,Harrison C

更新日期：1998-04-01 00:00:00

abstract：:This article describes two young, potentially curable patients who chose a course of treatment that ultimately resulted in death. Their choice was in part influenced by the prospect of the disfiguring surgery that would have been required for cure. In the first patient this would have meant massive head and neck surge...

journal_title：Journal of palliative care

authors： Jenkins CA,Scarfe A,Bruera E

更新日期：1998-01-01 00:00:00

abstract：:In 1992, 82.2% of deaths in Alberta occurred in acute care hospitals or continuing care facilities. This paper outlines the end-of-life care of adult inpatients who died that year in four such facilities (n = 137). CPR was an infrequent end-of-life treatment modality (2.9%), in stark contrast to the extensive use of o...

journal_title：Journal of palliative care

authors： Wilson D

更新日期：1997-01-01 00:00:00

abstract：:The anniversary of a death is perceived as a difficult time by the majority of closely bereaved relatives and friends. Bereavement anniversary cards are supportive and useful in the context of wider follow-up. This study identified no strong predictors to indicate those for whom such a card would be inappropriate. Sev...

journal_title：Journal of palliative care

authors： Hutchison SM

更新日期：1995-10-01 00:00:00

abstract：:Morphine was administered to 56 advanced cancer patients; of that number spinal metastases had induced bone pain in 28 and malignant tumors had induced sciatica in 28. The sciatica was caused in 16 patients by direct invasion of the sacral plexus, in four by lumbar bone metastases, and in eight by pelvic bone metastas...

journal_title：Journal of palliative care

authors： Yoshioka H,Tsuneto S,Kashiwagi T

更新日期：1994-04-01 00:00:00

abstract：:Comfort care for cancer patients in the terminal stage has been the goal of hospice programs since their inception. Among the many treatment modalities available to homebound patients, transfusions have been little studied for their effects on advanced disease symptoms, particularly for those in the terminal phase. Ou...

journal_title：Journal of palliative care

authors： Sciortino AD,Carlton DC,Axelrod A,Eng M,Zhukovsky DS,Vinciguerra V

更新日期：1993-10-01 00:00:00

abstract：:Although the consequences of prolonged lying on a hard surface are as old as the human race, publications on this subject are scarce. This is due to the fact that a decubitus ulcer never occurs in isolation but is nearly always a complication of some other condition. The term "decubitus" was already used by Hildnaus i...

journal_title：Journal of palliative care

authors： Guggisberg E,Terumalai K,Carron JM,Rapin CH

更新日期：1992-07-01 00:00:00

abstract：:The Regional Palliative Care Unit in Ottawa conducted a retrospective study to determine how satisfied patients and families were with the service the Unit offers. Forty-five primary care providers, bereaved from 6 to 12 months, completed the 64-item semistructured telephone interview in a mean time of 20 minutes. The...

journal_title：Journal of palliative care

authors： Keizer MC,Kozak JF,Scott JF

更新日期：1992-01-01 00:00:00

abstract：:In this paper I have described some of the recent developments in the growth of a patient/survivor movement in Canada. Arguments for the value of increased patient participation include providing a needed balance to the traditional medical perspective, addressing patient needs free from other vested interests, providi...

journal_title：Journal of palliative care

authors： Gray RE

更新日期：1992-01-01 00:00:00

abstract：:When dying patients are young adults or have a contagious disease, nursing staff may feel acutely uncomfortable and the patients may become isolated and alone. Nurses who work in palliative care units (PCU) develop special interactive skills that are generally acknowledged but not clearly defined or understood. Admiss...

journal_title：Journal of palliative care

authors： Pepler CJ,Lynch A

更新日期：1991-04-01 00:00:00

abstract：:Daily care involving proximity with a malodorous patient in the terminal stage of cancer has often proved difficult for the caregiver. Whatever the cause of the primary cancer, three sources of noxious odor can exist or coexist: necrosis, superinfection, and perspiration and/or discharge. The proposed treatment calls ...

journal_title：Journal of palliative care

authors： Jacob MJ,Markstein C,Liesse MM,Deckers C

更新日期：1991-01-01 00:00:00

abstract：:Morphine and hydromorphone infusions of 6 or more (average 25.75) days in duration were used with increasing frequency (up to 7%) by our oncology inpatients. Eighty-six percent of the 135 inpatients we reviewed realized good pain control with dose rates up to 700 morphine-equivalent (ME) mg/h. Local toxicity occurred ...

journal_title：Journal of palliative care

authors： Ferris FD,Kerr IG,De Angelis C,Sone M,Hume S

更新日期：1990-07-01 00:00:00

abstract：:The conduct of psychosocial research with palliative care patients or staff presents a major investigative challenge. The fragility of patients and their physical or cognitive limitations severely curtail the types of studies that are possible and the research methods that can be applied. A major limitation is that ra...

journal_title：Journal of palliative care

authors： Cassileth BR,Lusk EJ

更新日期：1989-12-01 00:00:00

abstract：:There may be quantitatively more cancer in the developing world, Africa included, than in the developed world. Unlike in the developed world, cancer patients in Africa present for treatment at a late stage and therefore most of them have pain. Yet, the most commonly used modality for treatment of the cancer pain is dr...

journal_title：Journal of palliative care

authors： Minja BM

更新日期：1989-06-01 00:00:00