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Latest & greatest articles for palliative care
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on palliative care or other clinical topics then use Trip today.
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Covid-19: Guidelines for Community PalliativeCare – which is the ‘Best in Show’? Covid-19: Guidelines for Community PalliativeCare - which is the ‘Best in Show’? - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Covid-19: Guidelines for Community PalliativeCare – which is the ‘Best in Show’? August 10, 2020 Dr Lyn Jenkins, on behalf of Correspondence to Love them or hate them, guidelines (...) are a necessary component of medical practice. And with the arrival of the previously unknown disease of Covid-19, we need guidelines more than ever. This includes guidelines for palliativecare, as confirmed by the in urging the early development of protocols in the context of disasters, including pandemics. [Chapter 4] In an ideal world, guidelines would be a distillation of the evidence, a blue-print for treatment, a ‘score’ from which the doctor performs the ‘music’ of medicine. But writing guidelines
projections and implications for services. BMC Med. 15(1), 102. 4. Bone AE, et al. (2018). What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 5. The Academy of Medical Sciences (2018). Multimorbidity: a priority for global health research. https://acmedsci.ac.uk/file- download/82222577 6. Murtagh FE, et al. (2013). How many people need palliativecare? A study developing and comparing methods (...) on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 10. Barnett K, et al. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380(9836), 37-43. 11. Worldwide PalliativeCare Alliance and World Health Organisation (2014). Global Atlas of PalliativeCare at the End of Life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf 12. Etkind SN, et al
EAN guideline on palliativecare of people with severe, progressive multiple sclerosis EAN guideline on palliativecare of people with severe, progressive multiple sclerosis A. Solari a , A. Giordano a,b , J. Sastre-Garriga c ,S.K€ opke d,e , A. C. Rahn e , I. Kleiter f , K. Aleksovska g , M. A. Battaglia h , J. Bay i , M. Copetti j , J. Drulovic k , L. Kooij l , J. Mens l , E. R. Meza Murillo c , I. Milanov m , R. Milo n,o , T. Pekmezovic p , J. Vosburgh q , E. Silber r , S. Veronese s , F (...) Keywords: clinical practice guideline, GRADE assessment, multiple sclerosis, palliativecare Received 3 March 2020 Accepted 25 March 2020 European Journal of Neurology 2020, 0: 1–20 doi:10.1111/ene.14248 Background and purpose: Patients with severe, progressive multiple sclerosis (MS) have complex physical and psychosocial needs, typically over several years. Few treatment options are available to prevent or delay further clinical worsen- ing in this population. The objective was to develop an evidence
Scottish PalliativeCare Guidelines – temporary COVID-19 guidance Scottish PalliativeCare Guidelines - Home Scottish PalliativeCare Guidelines search Updates 23/06/2020 The weekly research on COVID-19 and PalliativeCare is now available. 17/06/2020 The for June is now available. 17/04/2020 has been issued by Scottish Government indicating that Morphine sulfate solution for injection 10mg/mL should be permanently adopted as first line opioid of choice, where clinically appropriate, in place (...) of Diamorphine 5mg and 10mg. The NHS Scotland palliativecare guidelines will be amended to reflect this permanent change in due course. 09/04/2020 We need your on the COVID-19 guidelines Home COVID-19 - Our Response The palliativecare community will stand with those who are facing suffering related to any illness, those who die during this pandemic, those who face bereavement and all who provide care. Temporary guidelines are now available for symptom management: Guidance for Guidance for supporting end
Covid-19: access to out-of-hours palliative and end-of-life care at home Covid-19: access to out-of-hours palliative and end-of-life care at home - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Covid-19: access to out-of-hours palliative and end-of-life care at home June 16, 2020 Dr Lyn Jenkins, on behalf of Correspondence to Five years ago, the James Lind Alliance carried out research using (...) their Priority Setting Partnership protocol to identify the most important national concerns about palliative and end-of-life (EOL) care. Top of their list was the question: ‘What are the best ways of providing palliativecare outside working hours to avoid crises and help patients stay in their place of choice?’ Since then, the organisation has instigated several investigations, with some completed and some still ongoing. Findings so far show that in the last year of their lives, patients with known life
PalliativeCare Considerations For Patients With Cardiovascular Disease Under COVID-19 PalliativeCare Considerations For Patients With Cardiovascular Disease Under COVID-19 - American College of Cardiology ') Search All Types Search or Menu CBT=cognitive behavioral therapy; IV=intravenous; po=by mouth; SL=sublingually + People with Parkinsonism, Lewy body disease or pre-existing cogwheel rigidity, for whom haloperidol is contraindicated, quetiapine 12.5-25 mg orally up to 4 times daily can (...) in significant consequences for patients who require complex medical decisions in a resource scarce health care environment. Palliativecare provides assistance to providers to integrate planning and comfort into care. Telehealth can advance palliativecare initiatives especially prior to hospitalization. By providing support to our most vulnerable adult patients, we can minimize pain and suffering and promote dignity. This article was authored by John Mulrow, MD, FACC, FSCAI , Cardiology Clinic of San
Covid-19: Management of palliativecare in hospital during the coronavirus pandemic Publications approval reference: 001559 Specialty guides for patient management during the coronavirus pandemic Clinical guide for the management of palliativecare in hospital during the coronavirus pandemic Keeping the care in healthcare 27 March 2020, Version 1 As clinicians, we all have responsibilities in relation to coronavirus and we should seek and act on national and local guidelines. We have a specific (...) responsibility to institute best practice palliativecare for all patients who require this, either with pre-existing palliativecare needs or because of coronavirus infection. We may need to work outside our specific areas of training and expertise, and the General Medical Council (GMC) has already indicated its support for this in the exceptional circumstances we may face. All hospitals have access to specialist palliativecare teams, whether as in-house hospital palliativecare teams or in-reach teams
A palliative approach to care in the last 12 months of life Best Practice Guideline MARCH 2020 A Palliative Approach to Care in the Last 12 Months of LifeDisclaimer These guidelines are not binding on nurses, other health providers or the organizations that employ them. The use of these guidelines should be flexible and based on individual needs and local circumstances. They constitute neither a liability nor discharge from liability. While every effort has been made to ensure the accuracy (...) be produced, reproduced and published in its entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. A palliative approach to care in the last 12 months of life. Toronto (ON): Registered Nurses’ Association
of palliativecare and hospice services in epidemics and pandemics: a rapid review to inform practice during the COVID-19 pandemic. J Pain Symptom Manage. 2020. 5. Borasio GD, Gamondi C, Obrist M, Jox R, For The Covid-Task Force Of Palliative C. COVID- 19: decision making and palliativecare. Swiss Med Wkly. 2020;150:w20233. Appendix 1: PubMed search terms: ((palliativecare[MeSH Terms] OR palliat*[title/abstract] OR hospices[MeSH Terms] OR “terminal care”[title/abstract] OR "terminally ill"[title/abstract (...) ])) AND ((2019- nCoV[title/abstract] or nCoV[title/abstract] or covid-19[title/abstract] or covid19[title/abstract] or "covid 19"[title/abstract] OR "coronavirus"[MeSH Terms] OR "coronavirus"[title/abstract])) PubMed search terms: ((palliativecare[MeSH Terms] OR palliat*[title/abstract] OR hospices[MeSH Terms] OR “terminal care”[title/abstract] OR "terminally ill"[title/abstract])) AND ("pandemics"[MeSH Terms] OR "pandemic*"[title/abstract]) Document History Original search 28 March 2020 Review 12 April
Health Sciences, The University of Oxford. Dr Clare Gardiner PhD is a Senior Research Fellow at the Palliative and End of Life Care Studies Group, in the Health Sciences School, The University of Sheffield. SEARCH TERMS Database: Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily <1946 to May 06, 2020> Search Strategy: ——————————————————————————– 1 palliativecare/ or palliative medicine/ or palliat*.mp. or hospices/ or terminally ill/ or terminal care (...) The role and response of primary care and community nursing in the delivery of palliativecare in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic The role and response of primary care and community nursing in the delivery of palliativecare in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes
Covid-19 and the role of oxygen in palliativecare at home Covid-19 and the role of oxygen in palliativecare at home - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Covid-19 and the role of oxygen in palliativecare at home May 26, 2020 26 May 2020 Dr Lyn Jenkins, on behalf of Correspondence to: If I were to come down with severe Covid-19 and choose to stay at home rather than go into hospital, would I (...) benefit from receiving oxygen? Among the many questions surrounding palliativecare at home, that’s the one that persistently nags at me. There is that high-flow oxygen in hospital would improve my chances of survival but what about home-delivered oxygen? Does low-flow oxygen through a mask or nasal tubes, or a positive pressure ventilation machine (such as that which relieves breathing problems during sleep), make a difference to survival? I’ve not come across any case studies or random control
Palliativecare - oral Palliativecare - oral | Topics A to Z | CKS | NICE Search CKS… Menu Palliativecare - oral Palliativecare - oral Last revised in October 2018 Common oral problems in palliativecare include dry mouth, painful mouth, halitosis, alteration of taste, and excessive salivation. Diagnosis Management Prescribing information Background information Palliativecare - oral: Summary Common oral problems in palliativecare include dry mouth, painful mouth, halitosis, alteration (...) of taste, and excessive salivation. They may result from poor oral intake, drug treatments, local irradiation, oral tumours, or chemotherapy. Oral symptoms may significantly affect the person's quality of life, causing eating, drinking, and communication problems, and oral discomfort and pain. When assessing a person with oral symptoms in palliativecare: Ask about dry mouth, oral pain, halitosis, alteration in taste, excessive salivation, bad breath, difficulty chewing, difficulty speaking, dysphagia
Palliativecare - nausea and vomiting: Scenario: Unknown cause Scenario: Unknown cause | Management | Palliativecare - nausea and vomiting | CKS | NICE Search CKS… Menu Scenario: Unknown cause Palliativecare - nausea and vomiting: Scenario: Unknown cause Last revised in October 2016 Scenario: Unknown cause From age 16 years onwards. What simple measures may help nausea and vomiting in palliativecare? Make sure the person has access to a large bowl, tissues, and water. The sight and smell (...) are based on palliativecare literature from textbooks [ ; ; ] and published journal articles [ ; ]. Evidence from a small observational study (n = 54) of hospice patients suggested that acupressure has benefit in controlling nausea and vomiting [ ]. Although the study had methodological weaknesses which limit the findings, the risk of this technique is probably low; acupressure bands are safe and easy to administer [ ]. CKS could not find studies relating to acupuncture or relaxation for people
Palliativecare - nausea and vomiting: Prescribing an anti-emetic Prescribing an anti-emetic | Prescribing information | Palliativecare - nausea and vomiting | CKS | NICE Search CKS… Menu Prescribing an anti-emetic Palliativecare - nausea and vomiting: Prescribing an anti-emetic Last revised in October 2016 Prescribing an anti-emetic What route of administration should I use? Oral administration is the route of choice. However, this may not be appropriate for people: Who cannot swallow (...) for octreotide). Use sodium chloride as the diluent for octreotide and consider a second syringe driver if octreotide is to be co-administered with other drugs. Before mixing drugs, check their compatibility. Always follow local palliativecare guidelines or seek advice from local palliativecare services or hospital pharmacy drug information services before mixing drugs in a syringe driver. Data are most often available on combinations of two drugs in a syringe driver, although some combinations of three
Palliativecare - nausea and vomiting: Prescribing a prokinetic Prescribing a prokinetic | Prescribing information | Palliativecare - nausea and vomiting | CKS | NICE Search CKS… Menu Prescribing a prokinetic Palliativecare - nausea and vomiting: Prescribing a prokinetic Last revised in October 2016 Prescribing a prokinetic Prokinetics (metoclopramide and domperidone) should not be given concurrently with drugs with antimuscarinic activity (for example cyclizine, hyoscine) because (...) such as syncope or tachyarrhythmias arise during treatment. Should be avoided in people who are taking medication that prolongs the QT interval such as ketoconazole and erythromycin. Should be prescribed with caution in people aged over 60 years and people who have existing prolongation of cardiac conduction intervals (particularly the QTc interval), electrolyte disturbance, and an underlying cardiac disease (such as congestive heart failure). These recommendations are based mainly on palliativecare
Palliativecare - nausea and vomiting Palliativecare - nausea and vomiting | Topics A to Z | CKS | NICE Search CKS… Menu Palliativecare - nausea and vomiting Palliativecare - nausea and vomiting Last revised in October 2016 Nausea is an unpleasant sensation of the need to vomit, which is often accompanied by autonomic symptoms, for example pallor, cold sweat, salivation Management Prescribing information Background information Palliativecare - 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 palliativecare setting, including: Drugs (for example opioids and cytotoxic drugs). Metabolic causes (for example from hypercalcaemia or renal failure). Gastric stasis (due to drugs, ascites, hepatomegaly, peptic ulcer