Latest & greatest articles for palliative care

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Top results for palliative care

161. Palliative care for Parkinson’s disease: suggestions from a council of patient and carepartners Full Text available with Trip Pro

Palliative care for Parkinson’s disease: suggestions from a council of patient and carepartners In 2015, the Parkinson's Disease Foundation sponsored the first international meeting on Palliative Care and Parkinson's disease and the Patient Centered Outcomes Research Institute funded the first comparative effectiveness trial of palliative care for Parkinson's disease. A council of Parkinson's disease patients and carepartners was engaged to assist with both projects. This council wrote (...) the following manuscript as an opinion piece addressed to the clinical and research community on how palliative care could be applied to people living with Parkinson's disease and their families. The council endorses palliative care as an approach to the care of Parkinson's disease patients and their families that seeks to reduce suffering through spiritual, psychosocial, and medical support. This approach should start at the time of diagnosis, as this is a very challenging time for patients

2017 NPJ Parkinson's disease

162. Drug therapy for symptoms associated with anxiety in adult palliative care patients. Full Text available with Trip Pro

Drug therapy for symptoms associated with anxiety in adult palliative care patients. This is an update of a Cochrane Review first published in 2004 (Issue 1) and previously updated in 2012 (Issue 10). Anxiety is common in palliative care patients. It can be a natural response to the complex uncertainty of having a life-limiting illness or impending death, but it may represent a clinically significant issue in its own right.To assess the effectiveness of drug therapy for treating symptoms (...) of drug therapy for the treatment of symptoms of anxiety in adult palliative care patients, that is, people with a known progressive life-limiting illness that is no longer responsive to curative treatment, including advanced heart, respiratory and neurological diseases (including dementia). Comparator treatments included placebo; another drug therapy or different dose schedule; or a non-drug intervention such as counselling, cognitive behaviour therapies or relaxation therapies.Two review authors

2017 Cochrane

163. Palliative and end-of-life care conversations in COPD: a systematic literature review Full Text available with Trip Pro

Palliative and end-of-life care conversations in COPD: a systematic literature review Chronic obstructive pulmonary disease (COPD) is a chronic life-limiting disorder characterised by persistent airflow obstruction and progressive breathlessness. Discussions/conversations between patients and clinicians ensure palliative care plans are grounded in patients' preferences. This systematic review aimed to explore what is known about palliative care conversations between clinicians and COPD patients (...) . A comprehensive search of all major healthcare-related databases and websites was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were quality assessed, employing widely used quality-assessment tools, with only papers scoring moderate-to-high quality included. All relevant data were extracted. A narrative synthesis was used to analyse, process and present the final data. The findings indicated that the frequency and quality of palliative care

2017 ERJ open research

164. Telemedicine in palliative care: a review of systematic reviews. (Abstract)

Telemedicine in palliative care: a review of systematic reviews. To evaluate the quality of systematic reviews on telemedicine applications in palliative care.A structured literature review was conducted to identify systematic reviews dealing with telemedicine in palliative care; the AMSTAR (Assessment of Multiple Systematic Reviews) checklist was used to appraise the evidence related to the systematic reviews.405 records were initially identified; of these 14 were eligible for full-text (...) analysis. In summary, the research strategy allowed the identification of 6 reviews to be included which showed a medium quality (AMSTAR score in between 4 and 7). All the included systematic reviews considered telemedicine applications as a feasible means to be used in palliative care; however, the positive findings are counterbalanced by several critical issues mainly related to the evidence from the primary studies included in each single review.Results of this first attempt to appraise the evidence

2017 Annali dell'Istituto superiore di sanita

165. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement

Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement Guidelines & Protocols Advisory Committee Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 3: Grief and Bereavement Effective Date: February 22, 2017 Scope This guideline addresses the needs of adult patients with incurable cancer or advanced disease (but can be useful for adults dying of any cause), as well as the needs of their caregivers or family, including (...) contacting the Physician Health Program. Refer to Associated Document: Resource Guide for Patients and Caregivers. BCGuidelines.ca: Palliative Care for the Patient with Incurable Cancer or Advanced Disease 2 Part 3: Grief and Bereavement (2017) Grief } Assessment of Grief • Consider using the Adult Attitudes to Grief Scale 3 (Appendix A: Adult Attitudes to Grief Scale – Patient Handout, Practitioner Score Sheet, and Protocol for Use). The Adult Attitudes to Grief Scale is a brief, self-reported, evidence

2017 Clinical Practice Guidelines and Protocols in British Columbia

166. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 1: Approach to Care

Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 1: Approach to Care Guidelines & Protocols Advisory Committee Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 1: Approach to Care Effective Date: February 22, 2017 Scope This guideline presents palliative care assessment and management strategies for primary care practitioners caring for adult patients aged = 19 years with incurable cancer and end stage chronic disease of many types (...) , and their families. NOTE: Care gaps have been identified at important transitions for this group of patients: • upon receiving a diagnosis of incurable cancer; • when discharged from active treatment to the community; • while still ambulatory but needing pain and symptom management; and • at the transition when End-of-Life care may be needed. Diagnostic code: 239 (neoplasm of unspecified nature) Palliative care planning fee code: G14063 Key Recommendations • Identify patients who would benefit from palliative

2017 Clinical Practice Guidelines and Protocols in British Columbia

167. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 2: Pain and Symptom Management

Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 2: Pain and Symptom Management Guidelines & Protocols Advisory Committee Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 2: Pain and Symptom Management Effective Date: February 22, 2017 Scope This guideline presents strategies for the assessment and management of cancer pain, and symptoms associated with advanced disease, in patients = 19 years of age. Part 2 is divided into seven (...) • Nausea and Vomiting: Guideline | Medication Table • Pain: Guideline | Equianalgesic Conversion for Morphine | Medication Table For additional guidance on palliative pain and symptom management, see also the BC Inter-professional Palliative Symptom Management Guidelines produced by the BC Centre for Palliative Care, available at: www.bc-cpc.ca/cpc/symptom-management-guidelines/ The inter-professional guidelines cover the following symptoms: - Hiccoughs - Twitching / myoclonus / seizures - Delirium

2017 Clinical Practice Guidelines and Protocols in British Columbia

168. Impact of intervention aimed at improving the integration of oncology units and local palliative care services: results of the multicentre prospective sequential MIRTO study Full Text available with Trip Pro

Impact of intervention aimed at improving the integration of oncology units and local palliative care services: results of the multicentre prospective sequential MIRTO study Chemotherapy (CT) in patients with advanced cancer (ACP) near the end of life is an increasing practice of oncology units. A closer integration with palliative care (PC) services could reduce the use of potentially harmful CT. This prospective study is aimed at assessing whether a more integrated care model could reduce CT

2017 ESMO open

169. What is the value of palliative care provision in low-resource settings? Full Text available with Trip Pro

What is the value of palliative care provision in low-resource settings? 28588999 2018 11 13 2059-7908 2 1 2017 BMJ global health BMJ Glob Health What is the value of palliative care provision in low-resource settings? e000139 10.1136/bmjgh-2016-000139 Anderson R Eleanor RE Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. Grant Liz L Global Health Academy, University of Edinburgh, FRCPE, Edinburgh, UK. eng Journal Article 2017 02 14 England BMJ (...) Glob Health 101685275 2059-7908 Competing interests: None declared. 2016 07 26 2016 11 03 2017 6 8 6 0 2017 6 8 6 0 2017 6 8 6 1 epublish 28588999 10.1136/bmjgh-2016-000139 bmjgh-2016-000139 PMC5335766 Afr J Prim Health Care Fam Med. 2014 Nov 14;6(1):E1-8 26245417 Lancet. 2013 Sep 21;382(9897):1060-9 23697823 J Pain Palliat Care Pharmacother. 2003;17(3-4):xxix-xxxvi 15022945 Lancet. 2016 May 21;387(10033):2133-44 26578033 Science. 2009 Oct 30;326(5953):682-8 19900925 Indian J Palliat Care. 2016 Jul

2017 BMJ global health

171. Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial Full Text available with Trip Pro

Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial Purpose We evaluated the impact of early integrated palliative care (PC) in patients with newly diagnosed lung and GI cancer. Patients and Methods We randomly assigned patients with newly diagnosed incurable lung or noncolorectal GI cancer to receive either early integrated PC and oncology care (n = 175) or usual care (n = 175) between May 2011 and July 2015. Patients who were assigned (...) to the intervention met with a PC clinician at least once per month until death, whereas those who received usual care consulted a PC clinician upon request. The primary end point was change in quality of life (QOL) from baseline to week 12, per scoring by the Functional Assessment of Cancer Therapy-General scale. Secondary end points included change in QOL from baseline to week 24, change in depression per the Patient Health Questionnaire-9, and differences in end-of-life communication. Results Intervention

2017 EvidenceUpdates

172. What processes decrease the risk of opioid toxicity following interventional procedures for uncontrolled pain in palliative care or cancer patients?

What processes decrease the risk of opioid toxicity following interventional procedures for uncontrolled pain in palliative care or cancer patients? Review Methods Search Strategy: A systematic search was conducted across a wide-ranging set of data- bases: Ovid Medline, including In-Process & Other Non-Indexed Citations, Ovid Embase, Ebsco CINAHL and Cochrane Library. The preliminary search strategy was devel- oped on Ovid Medline using both text words and Medical subject headings from January (...) 2006 to February 2017 restricted to English language humans. The search strategy was modified to capture indexing systems of the other databases. (Search strategies available upon request). To identify additional papers, the following website was searched: palliative care knowledge network Furthermore electronic tables of content for the last two years were scanned for British Journal of Anaesthesia, Journal of Pain and Symptom Management, Pain and Palliative medicine. Reference lists of systematic

2017 Palliative Care Evidence Review Service (PaCERS)

173. Advance care planning and palliative care

Advance care planning and palliative care Advance care planning and palliative care | 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 Advance care planning and palliative care Article Text This article has a correction. Please see: EBN perspective Advance care planning and palliative care Roberta Heale 1 , Helen Noble 2 Statistics from Altmetric.com EBN Perspectives brings together key issues from the commentaries in one of our nursing

2017 Evidence-Based Nursing

174. Systematic review with meta-analysis: Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness

Systematic review with meta-analysis: Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness | 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 Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness Article Text Adult nursing Systematic

2017 Evidence-Based Nursing

175. Palliative Care

practice guidelines for quality palliative care, 3rd ed. 2013. Available at: http://www.nationalconsensusproject.org. Accessed April 18, 2017. 10. Smith S, et al. Evidence on the cost effectiveness of palliative care: A literature review. Palliat Med. 2014;28(2):130-150. 11. Temel J, Greer J, Muzikansky A, et al. Early palliative care for patients with metastatic non-small cell lung cancer. NEJM. 2010;363:733-742. 12. Toevs CC. Palliative medicine in the surgical intensive care unit and trauma. Surg (...) Palliative Care ACS TQIP PALLIATIVE CARE BEST PRACTICES GUIDELINES Table of Contents Introduction 3 Interdisciplinary Palliative Care Team 5 Essential Components of Palliative Care 6 Breaking Bad News 9 Palliative Care Assessment 12 Goals of Care Conversation 19 End-of-Life Care 21 Special Considerations for Geriatric Patients 23 Special Considerations for Pediatric Patients 25 Special Considerations for Spinal Cord Injury 26 Special Considerations for Traumatic Brain Injury 27 Supporting

2017 American College of Surgeons

176. Cohort study: Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings

Cohort study: Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care 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 Pain-related palliative care challenges in people with advanced dementia call for education and practice

2017 Evidence-Based Nursing

177. Palliative care in heart failure: facts and numbers Full Text available with Trip Pro

Palliative care in heart failure: facts and numbers Millions of people worldwide have heart failure. Despite enormous advances in care that have improved outcome, heart failure remains associated with a poor prognosis. Worldwide, there is poor short-term and long-term survival. The 1 year survival following a heart failure admission is in the range of 20-40% with between-country variation. For those living with heart failure, the symptom burden is high. Studies report that 55 to 95% of patients (...) experience shortness of breath and 63 to 93% experience tiredness. These symptoms are associated with a high level of distress (43-89%). Fewer patients experience symptoms such as constipation (25-30%) or dry mouth (35-74%). However, when they do, such symptoms are associated with high levels of distress (constipation: 15-39%; dry mouth: 14-33%). Psychological symptoms also predominate with possibly as many as 50% experiencing depression. Palliative care services in heart failure are not widely available

2016 ESC heart failure

178. Palliative care interventions in advanced dementia. Full Text available with Trip Pro

Palliative care interventions in advanced dementia. Dementia is a chronic, progressive and ultimately fatal neurodegenerative disease. Advanced dementia is characterised by profound cognitive impairment, inability to communicate verbally and complete functional dependence. Usual care of people with advanced dementia is not underpinned universally by a palliative approach. Palliative care has focused traditionally on care of people with cancer but for more than a decade, there have been (...) increased calls worldwide to extend palliative care services to include all people with life-limiting illnesses in need of specialist care, including people with dementia.To assess the effect of palliative care interventions in advanced dementia and to report on the range of outcome measures used.We searched ALOIS, the Cochrane Dementia and Cognitive Improvement Group's Specialized Register on 4 February 2016. ALOIS contains records of clinical trials identified from monthly searches of several major

2016 Cochrane

179. Effect of Inpatient Palliative Care on Quality of Life 2 Weeks After Hematopoietic Stem Cell Transplantation: A Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Inpatient Palliative Care on Quality of Life 2 Weeks After Hematopoietic Stem Cell Transplantation: A Randomized Clinical Trial. During hospitalization for hematopoietic stem cell transplantation (HCT), patients receive high-dose chemotherapy before transplantation and experience significant physical and psychological symptoms and poor quality of life (QOL).To assess the effect of inpatient palliative care on patient- and caregiver-reported outcomes during hospitalization for HCT (...) and 3 months after transplantation.Nonblinded randomized clinical trial among 160 adults with hematologic malignancies undergoing autologous/allogeneic HCT and their caregivers (n = 94). The study was conducted from August 2014 to January 2016 in a Boston hospital; follow-up was completed in May 2016.Patients assigned to the intervention (n=81) were seen by palliative care clinicians at least twice a week during HCT hospitalization; the palliative intervention was focused on management of physical

2016 JAMA Controlled trial quality: predicted high

180. Subcutaneous Administration of Multiple Medications in Palliative Care Patients: Clinical Effectiveness and Guidelines

Subcutaneous Administration of Multiple Medications in Palliative Care Patients: Clinical Effectiveness and Guidelines Subcutaneous Administration of Multiple Medications in Palliative Care Patients: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Subcutaneous Administration of Multiple Medications in Palliative Care Patients: Clinical Effectiveness and Guidelines Subcutaneous Administration of Multiple Medications in Palliative Care Patients: Clinical (...) Effectiveness and Guidelines Published on: October 28, 2016 Project Number: RB1029-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of the subcutaneous administration of multiple medications via one site in palliative care patients? What are the evidence-based guidelines regarding the subcutaneous administration of multiple medications for palliative care patients? Key Message No relevant literature

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review