abstract：BACKGROUND:Prognostication plays a key role in palliative care (PC). It is critical for advance care planning, determining hospice eligibility, and communication. In contrast to subjective clinical prognostication, evidence-based prognostication (EBP) uses existing validated data to quantify prognosis; however, the ext...

journal_title：Journal of palliative medicine

authors： Bruggeman AR,Heavey SF,Ma JD,Revta C,Roeland EJ

更新日期：2015-04-01 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: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：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:Patients with chronic obstructive pulmonary disease (COPD) have well-documented symptoms that affect quality of life. Professional societies recommend palliative care for such patients, but the optimal way of delivering this care is unknown. OBJECTIVE:To describe an outpatient palliative medicine program fo...

journal_title：Journal of palliative medicine

authors： Schroedl C,Yount S,Szmuilowicz E,Rosenberg SR,Kalhan R

更新日期：2014-11-01 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：UNLABELLED:Abstract Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., "breaking bad news." The necessary skills for SLAI differ between pediatric and adult medical environment...

journal_title：Journal of palliative medicine

authors： Wolfe AD,Frierdich SA,Wish J,Kilgore-Carlin J,Plotkin JA,Hoover-Regan M

更新日期：2014-09-01 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: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：OBJECTIVE:To determine whether it is possible to predict, at the time of hospice enrollment, which patients will die within 6 months. DESIGN:Electronic health record-based retrospective cohort study. SETTING:Patients admitted to 10 hospices in the CHOICE network (Coalition of Hospices Organized to Investigate Compara...

journal_title：Journal of palliative medicine

authors： Harris PS,Stalam T,Ache KA,Harrold JE,Craig T,Teno J,Smither E,Dougherty M,Casarett D

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Patients and families can make informed decisions at the end-of-life if they have had discussions regarding their wishes, but this is not regularly done due to poor understanding of advance directives (AD). OBJECTIVE:The objective was to evaluate the effectiveness of an AD video to educate patients in both ...

journal_title：Journal of palliative medicine

authors： Toraya C

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Although hospice emergency kits (HEKs) are provided by many home hospice agencies, little is known about their use, side effects, and perceived impact. OBJECTIVE:To evaluate HEK medication utilization, side effects, and impact as perceived by home hospice patients and their caregivers. METHODS:We conducted...

journal_title：Journal of palliative medicine

authors： Bailey FA,Williams BR,Goode PS,Woodby LL,Granstaff US,Echt KV,Redden DT,Kvale E,Burgio KL

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:After prenatal diagnosis of lethal fetal abnormality (LFA), some couples choose to continue the pregnancy rather than opt for termination of the pregnancy. This may result in the requirement for neonatal palliative care, which in France is prescribed by the Leonetti Law. These rare situations raise various q...

journal_title：Journal of palliative medicine

authors： Tosello B,Dany L,Gire C,Bétrémieux P,Vriet-Ndour ME,Le Coz P,D'Ercole C,Siméoni U,Einaudi MA

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Prognostic tools are available to predict if terminally ill cancer patients have days or weeks to live. Tools for predicting the prognosis in ambulatory patients at an earlier stage are lacking. The Number of Risk Factors (NRF) score developed in ambulatory cancer patients receiving palliative radiation ther...

journal_title：Journal of palliative medicine

authors： Glare P,Shariff I,Thaler HT

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Acute hospital readmission of older adults receiving hospice care is not aligned with hospice goals. OBJECTIVE:To identify factors associated with 30-day readmission among older adults newly discharged to hospice. DESIGN/SUBJECTS:Medical record review of 59 patients, 19 readmitted within 30 days and 40 ran...

journal_title：Journal of palliative medicine

authors： Goldenheim A,Oates D,Parker V,Russell M,Winter M,Silliman RA

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Substantial agreement has been achieved on research priorities in palliative care over the past 15 years, as evidenced by consensus conferences and systematic reviews. Despite the presence of a widely endorsed research agenda, however, addressing the gaps in scientific knowledge has progressed slowly, sugges...

journal_title：Journal of palliative medicine

authors： Chen EK,Riffin C,Reid MC,Adelman R,Warmington M,Mehta SS,Pillemer K

更新日期：2014-07-01 00:00:00

abstract：PURPOSE:There have been no studies to date that examine physicians' decisions to withdraw life-sustaining treatment for patients based on their surrogates' financial gain. The authors' objective was to ascertain physician attitudes about withdrawing life-sustaining treatment when financial considerations are involved. ...

journal_title：Journal of palliative medicine

authors： Wastila LJ,Farber NJ

更新日期：2014-05-01 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:Depression and pain often coexist in terminally ill patients, but few studies have examined their relationship among larger samples. Other psychosocial factors experienced by patients may become barriers to pain management and affect the relationship between depression and pain. OBJECTIVE:This study aims to...

journal_title：Journal of palliative medicine

authors： Chan WC,Kwan CW,Chi I,Chong AM

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Although most hospice care occurs in the home, a growing number of patients utilize inpatient hospice settings. An inpatient hospice stay requires one or more transitions in care settings, although little is known about these transitions. OBJECTIVE/DESIGN:Using ethnographic methods, this study examined the ...

journal_title：Journal of palliative medicine

authors： Lysaght Hurley S,Strumpf N,Barg FK,Ersek M

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Over the last 20 years, multiple interventions to better integrate palliative care and intensive care unit (ICU) care have been evaluated. This systematic review summarizes these studies and their outcomes. METHODS:We searched MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL...

journal_title：Journal of palliative medicine

authors： Aslakson R,Cheng J,Vollenweider D,Galusca D,Smith TJ,Pronovost PJ

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Communication with patients and families is an essential component of high-quality care in serious illness. Small-group skills training can result in new communication behaviors, but past studies have used facilitators with extensive experience, raising concerns this is not scalable. OBJECTIVE:The objective...

journal_title：Journal of palliative medicine

authors： Bays AM,Engelberg RA,Back AL,Ford DW,Downey L,Shannon SE,Doorenbos AZ,Edlund B,Christianson P,Arnold RW,O'Connor K,Kross EK,Reinke LF,Cecere Feemster L,Fryer-Edwards K,Alexander SC,Tulsky JA,Curtis JR

更新日期：2014-02-01 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: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：BACKGROUND:The role of emergent palliative surgery in the setting of advanced malignancy remains a subject of controversy. OBJECTIVE:The purpose of this study was to identify clinical predictors of outcome in patients with cancer who undergo nonelective abdominal surgery. SETTING/SUBJECTS:Individuals who underwent ur...

journal_title：Journal of palliative medicine

authors： Roses RE,Tzeng CW,Ross MI,Fournier KF,Abbott DE,You YN

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Patients receiving hospice or palliative care often receive antimicrobial therapy; however the effectiveness of antimicrobial therapy for symptom management in these patients is unknown. OBJECTIVE:The study's objective was to systematically review and summarize existing data on the prevalence and effectiven...

journal_title：Journal of palliative medicine

authors： Rosenberg JH,Albrecht JS,Fromme EK,Noble BN,McGregor JC,Comer AC,Furuno JP

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:In 2011 the Palliative Care Funding Review highlighted concerns about the funding, provision, and quality of care at the end of life. Two years on, an independent review of the Liverpool Care Pathway--prompted by a storm of negative media coverage--has raised concerns around a lack of funding, availability o...

journal_title：Journal of palliative medicine

authors： Kinghorn P,Coast J

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:For the better part of 100 years, acetaminophen (or paracetamol as it is known outside of the United States) has been a common first-line analgesic in pediatrics and is typically well tolerated with minimal side effects. Its use as an anti-pyretic is also well-documented and thus it is used broadly for sympt...

journal_title：Journal of palliative medicine

authors： Marks AD,Keefer P,Saul D

更新日期：2013-12-01 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：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:As the United States braces for full implementation of health care reform, the eyes of the nation are on Medicaid. The large number of newly eligible Medicaid beneficiaries may challenge health care resources and ultimately impact quality of care. This is a special concern among current Medicaid beneficiarie...

journal_title：Journal of palliative medicine

authors： Lindley LC,Lyon ME

更新日期：2013-11-01 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：BACKGROUND AND OBJECTIVE:To date, there are no known published studies that prospectively followed hospice patients receiving hydromorphone to evaluate the development of hydromorphone-induced neuroexcitation (HINE). The first objective of this study was to determine the incidence of HINE. The second objective was to i...

journal_title：Journal of palliative medicine

authors： Kullgren J,Le V,Wheeler W

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:The provision of complementary therapy in palliative care is rare in Canadian hospitals. An Ontario hospital's palliative care unit developed a complementary therapy pilot project within the interdisciplinary team to explore potential benefits. Massage, aromatherapy, Reiki, and Therapeutic Touch™ were provid...

journal_title：Journal of palliative medicine

authors： Berger L,Tavares M,Berger B

更新日期：2013-10-01 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: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：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：:Symptom control for hospice patients frequently involves the use of pharmacologic agents for control of pain, dyspnea, and anxiety. Other troubling symptoms that will often require pharmacologic agents include nausea, vomiting, constipation, and delirium. While the Medicare requirement for hospice is a prognosis of si...

journal_title：Journal of palliative medicine

authors： Speer ND,Dioso J,Casner PR

更新日期：2013-08-01 00:00:00

abstract：:Continuing the momentum of geriatric palliative medicine research achieved during the past decade requires a focus on research methods priorities that span the continuum of research from small pilot studies testing new interventions to large multisite studies evaluating implementation of proven interventions and model...

journal_title：Journal of palliative medicine

authors： Aldridge Carlson MD

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:Percutaneous cervical cordotomy (PCC) is a well recognized but infrequently performed procedure for the relief of unilateral intractable pain from malignancy. There is a paucity of data regarding efficacy and safety of PCC. OBJECTIVES:The study's objectives were to demonstrate the efficacy and safety of PCC...

journal_title：Journal of palliative medicine

authors： Bain E,Hugel H,Sharma M

更新日期：2013-08-01 00:00:00