Latest & greatest articles for palliative care

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This page lists the very latest high quality evidence on palliative care and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for palliative care

221. Older persons' perceptions and experiences of community palliative care: a systematic review of qualitative evidence protocol. (PubMed)

Older persons' perceptions and experiences of community palliative care: a systematic review of qualitative evidence protocol. The objective of this systematic review is to identify and synthesize the best available qualitative evidence on how older persons perceive and experience community palliative care.The specific question is: What are older persons' perceptions and experiences of community palliative care?

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2016 JBI database of systematic reviews and implementation reports

222. Experiences of emergency department nurses in providing palliative care to adults with advanced cancer: a systematic review protocol. (PubMed)

Experiences of emergency department nurses in providing palliative care to adults with advanced cancer: a systematic review protocol. The objective of this review is to explore the experiences and perceptions of emergency department nurses in providing palliative care to adults with advanced cancer so as to contribute to the developing knowledge base on this phenomenon and, in turn, inform future practice and policy changes. Specifically, the review question for this qualitative review (...) is as follows: what are the experiences and perceptions of emergency department nurses in providing palliative care to adults with advanced cancer?

2016 JBI database of systematic reviews and implementation reports

223. Effect of Palliative Care-Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial. (PubMed)

Effect of Palliative Care-Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial. Family caregivers of patients with chronic critical illness experience significant psychological distress.To determine whether family informational and emotional support meetings led by palliative care clinicians improve family anxiety and depression.A multicenter randomized clinical trial conducted from October 2010 through November 2014 in 4 medical intensive care units (...) (ICUs). Adult patients (aged ≥21 years) requiring 7 days of mechanical ventilation were randomized and their family surrogate decision makers were enrolled in the study. Observers were blinded to group allocation for the measurement of the primary outcomes.At least 2 structured family meetings led by palliative care specialists and provision of an informational brochure (intervention) compared with provision of an informational brochure and routine family meetings conducted by ICU teams (control

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2016 JAMA Controlled trial quality: predicted high

224. Palliative Care

Palliative Care ©Institute for Clinical and Economic Review, 2016 Palliative Care in the Outpatient Setting A Comparative Effectiveness Report Final Report April 27, 2016 Completed by: Institute for Clinical and Economic Review ©Institute for Clinical and Economic Review, 2016 Page i AUTHORS: Courtney Cunningham, MPH Program Director Karin Travers, DSc Research Director Rick Chapman, PhD, MS Director of Health Economics Anne Loos, MA Research Associate Erin Lawler, MA Program and Communications (...) Associate Shanshan Liu, MS, MPH Research Associate Steven D. Pearson, MD, MSc President Daniel A. Ollendorf, PhD Chief Scientific Officer DATE OF PUBLICATION: April 27, 2016 ICER would like to thank Rebecca Kirch, JD, Consultant to the Center to Advance Palliative Care for her peer review of the draft report. ©Institute for Clinical and Economic Review, 2016 Page ii About ICER The Institute for Clinical and Economic Review (ICER) is an independent non-profit research organization that evaluates medical

2016 California Technology Assessment Forum

225. Palliative care in patients with heart failure. (PubMed)

Palliative care in patients with heart failure. Despite advances in cardiac therapy, heart failure (HF) remains a progressive, highly symptomatic, and deadly disease that places great demands on patients, caregivers, and healthcare systems. Palliative care is a multidisciplinary approach to care that focuses on communication, shared decision making, and advance care planning; provides relief from pain and other distressing symptoms; integrates psychological and spiritual aspects of care (...) ; and offers a support system to help families cope during illness and bereavement. Palliative care has applications across the stages of heart failure, including early in the course of illness, often in conjunction with other therapies that are intended to prolong life. However, the incorporation of palliative care into the management of heart failure has been suboptimal for several reasons: uncertainty in the disease trajectory, failure to reward communication between healthcare providers and patients

2016 BMJ

226. What are best practice service models in rural areas for the delivery of end of life and palliative care?

What are best practice service models in rural areas for the delivery of end of life and palliative care? Objectives To provide specific, innovative examples of best practice service models for end of life and palliative care services (cancer and non-cancer) in rural areas applicable to the UK. In addition, to: ? Explore potential of new technology (tele-rehabilitation, tele -health, tele-medicine) in enhancing access to and the sustainability of rural services. ? Identify the barriers (...) to success. ? Identify key themes of successful end of life/palliative care services from the perspective of patients, families and their carers. Review Methods A systematic search was conducted across a wide-ranging set of databases: Ovid Medline, including In-Process & Other Non-Indexed Citations, Ovid Embase, OVID HMIC, Ovid PsycINFO and Ebsco CINAHL. The preliminary search strategy was developed on Ovid Medline using both text words and Medical subject headings from January 2005 to November 2015

2016 Palliative Care Evidence Review Service (PaCERS)

227. Palliative cancer care - pain

Palliative cancer care - pain Palliative cancer care - pain - NICE CKS Share Palliative cancer care - pain: Summary Cancer-related pain may be persistent or breakthrough (episodic), and influenced by physical, psychological, social and spiritual factors. Breakthrough pain may be: Unpredictable (spontaneous). Predictable (incident) and related to movement or activity. The type of pain experienced depends on the underlying cause, and may be somatic, visceral or neuropathic pain. It can be caused (...) by direct effects of a tumour, cancer treatment, related to procedures such as dressing changes, or unrelated to the underlying cancer. When assessing pain for a person in palliative care: A validated structured pain assessment tool may be helpful. The impact on quality of life should be discussed. If appropriate, an examination should be performed — looking particularly for specific points of tenderness and signs of neurological deficit which may suggest spinal cord compression. Investigations may

2016 NICE Clinical Knowledge Summaries

228. Palliative care - general issues

Palliative care - general issues Palliative care - general issues - NICE CKS Share Palliative care - general issues: Summary Palliative care is defined as the active holistic care of people with advanced, progressive illness. Professionals providing general palliative care services should: Be involved as early as possible after diagnosis. Aim to meet the needs of the patient and their family within the limits of their knowledge and competence. Seek specialist advice or refer the patient (...) on locally agreed protocols and guidelines, delivered within the context of a managed system or pathway. Requires a multidisciplinary team because of the potential multidimensional nature of problems in palliative care. Have I got the right topic? Have I got the right topic? From age 16 years onwards. This CKS topic covers the general management issues related to palliative care and incorporates guidance from the National Institute for Health and Care Excellence on Improving supportive and palliative

2016 NICE Clinical Knowledge Summaries

229. Palliative care - cough

Palliative care - cough Palliative care - cough - NICE CKS Share Palliative care - cough: Summary Cough is a defensive reflex that occurs in response to stimulation of irritant receptors which are found in the airways. It has two functions — to prevent foreign material entering the lower respiratory tract, and to clear secretions from the lungs and airways. Cough in people with cancer is most commonly associated with cancer of the airways, lungs, pleura, and mediastinum, but tumours (...) metastasizing to the thorax can also cause cough. In people with cancer, the most common cause of acute cough is respiratory tract infection. Other possible non-malignant causes include post-nasal drip, asthma, chronic obstructive pulmonary disease, and gastro-oesophageal reflux disease. When assessing someone with cough in palliative care, the following should be elicited: The impact on the person's quality of life. The severity, time of onset, and duration of the cough. The pattern and character

2016 NICE Clinical Knowledge Summaries

230. Palliative care - secretions

Palliative care - secretions Palliative care - secretions - NICE CKS Share Palliative care - secretions: Summary During the terminal phase of a person's illness, airway secretions may accumulate and result in gurgling and rattling noises during inspiration and expiration. It may be difficult to tell whether noisy secretions in the last few hours of life are causing distress to the person, but such noises may be distressing to some families or carers. Listen to the concerns and fears (...) . QOF indicators QOF indicators Table 1 . Indicators related to palliative care in the Quality and Outcomes Framework of the General Medical Services contract. Indicator Points Payment stages PC001 The contractor establishes and maintains a register of all patients in need of palliative care/support irrespective of age 3 — PC002 The contractor has regular (at least 3 monthly) multidisciplinary case review meetings where all patients on the palliative care register are discussed 3 — Data from

2016 NICE Clinical Knowledge Summaries

231. Palliative care - constipation

Palliative care - constipation Palliative care - constipation - NICE CKS Share Palliative care - constipation: Summary Constipation is defecation that is unsatisfactory because of infrequent stools, difficult stool passage, or seemingly incomplete defecation. Stools are often dry and hard, and may be abnormally large or abnormally small. About 80% of people with cancer will require treatment with laxatives at some time. People receiving palliative care have multiple causes of constipation (...) , such as: Drugs, for example, opioid analgesics, antimuscarinic drugs, antacids. Secondary effects of disease, for example, dehydration, inadequate dietary fibre, inactivity, delirium, spinal cord compression, lack of privacy. Direct effects of malignant tumours, causing bowel obstruction, hypercalcaemia, nerve damage. When assessing a person with constipation in palliative care: The history should include information about the frequency and character of stools, discomfort, blood or mucus with the stool

2016 NICE Clinical Knowledge Summaries

232. Palliative care - nausea and vomiting

Palliative care - nausea and vomiting Palliative care - nausea and vomiting - NICE CKS Share Palliative care - nausea and vomiting: Summary Nausea is an unpleasant sensation of the need to vomit, which is often accompanied by autonomic symptoms (for example pallor, cold sweat, salivation, and tachycardia). Vomiting (emesis) is the forceful ejection of stomach contents through the mouth. There are many causes of nausea and vomiting in the palliative care setting, including: Drugs (for example (...) of the person’s illness, their prognosis, the severity of their symptoms, and the wishes of the person and their family. Simple measures may help relieve nausea and vomiting in palliative care. They include: Ensuring access to a large bowl, tissues, and water. Eating snacks consisting of a few mouthfuls rather than large meals. Drinking cool fizzy drinks rather than still or hot drinks. Relaxation techniques. Parenteral hydration, if appropriate. Cognitive behavioural therapy (for anticipatory nausea

2016 NICE Clinical Knowledge Summaries

233. Palliative care - dyspnoea

Palliative care - dyspnoea Palliative care - dyspnoea - NICE CKS Share Palliative care - dyspnoea: Summary Breathlessness is an objective observable sign, whereas dyspnoea is a subjective described symptoms of difficulty in breathing. Anxiety is often a major component of dyspnoea. Dyspnoea can result from impaired ventilation or increased ventilatory demand, or both factors. There are multiple possible causes of dyspnoea in people with cancer, including: Direct causes — such as primary lung (...) cancer or lung metastases. Indirect effects of cancer — such as pleural effusion, superior vena cava syndrome, anaemia, pulmonary embolism, and surgery. Non-malignant causes — such as pneumonia, chronic obstructive pulmonary disease, heart failure, and anxiety. Assessment of someone with dyspnoea in a palliative care setting involves asking about: Features of the dyspnoea (for example severity, timing, onset, and precipitating and exacerbating factors). Associated physical symptoms (for example cough

2016 NICE Clinical Knowledge Summaries

234. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search October 2019 September 2019 August 2019 July 2019 June 2019 May 2019 April 2019 March 2019 February 2019 January 2019 This site (...) uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association , PhD, CNP, FAHA, Chair , PhD, MS, RN, FAHA, Co-Chair , MD, MSPH, Co-Chair , MD , PhD , MD , MD, MPH, MBA, FAHA , PhD, MPH , MD , MD, FAHA , PhD, LICSW , MD , MPH , MD , PhD, MPH, JD , MD , PhD, RN, FAHA , PA, FNP, JD

2016 American Heart Association

235. Integration of Palliative Care Into Standard Oncology Care

Integration of Palliative Care Into Standard Oncology Care Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLE Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.2016.70.1474 Journal of Clinical Oncology - published online before print October 31, 2016 PMID: Integration (...) of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update x Betty R. Ferrell , x Jennifer S. Temel , x Sarah Temin , x Erin R. Alesi , x Tracy A. Balboni , x Ethan M. Basch , x Janice I. Firn , x Judith A. Paice , x Jeffrey M. Peppercorn , x Tanyanika Phillips , x Ellen L. Stovall , x Camilla Zimmermann , and x Thomas J. Smith Betty R. Ferrell, City of Hope Medical Center, Duarte, CA; Jennifer S. Temel and Jeffrey M. Peppercorn, Massachusetts

2016 American Society of Clinical Oncology Guidelines

236. Quantitative study?other: Costs incurred by family caregivers of patients with palliative care needs

Quantitative study?other: Costs incurred by family caregivers of patients with palliative care needs Costs incurred by family caregivers of patients with palliative care needs | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Costs incurred by family caregivers of patients with palliative care needs Article Text Nursing issues Quantitative study—other Costs incurred by family caregivers of patients with palliative care needs Ronda G Hughes

2016 Evidence-Based Nursing

237. Experiences of healthcare professionals in providing palliative end-of-life care to patients in emergency departments: a systematic review protocol

Experiences of healthcare professionals in providing palliative end-of-life care to patients in emergency departments: a systematic review protocol Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith

2016 PROSPERO

238. Cohort study: Community palliative care use by dementia sufferers may reduce emergency department use at end of life

Cohort study: Community palliative care use by dementia sufferers may reduce emergency department use at end of life Community palliative care use by dementia sufferers may reduce emergency department use at end of life | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password (...) For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Community palliative care use by dementia sufferers may reduce emergency department use at end of life Article Text Care of the older person Cohort study Community palliative care

2016 Evidence-Based Nursing

239. Optimising palliative and end-of-life care within care home settings

Optimising palliative and end-of-life care within care home settings Optimising palliative and end-of-life care within care home settings | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password (...) * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Optimising palliative and end-of-life care within care home settings Article Text EBN opinion Optimising palliative and end-of-life care within care home settings Gary Mitchell 1 , Alison Twycross 2 Statistics from Altmetric.com Background The World

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2016 Evidence-Based Nursing

240. What is the evidence that people with frailty have their needs for palliative care met? A systematic review

What is the evidence that people with frailty have their needs for palliative care met? A systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation

2016 PROSPERO