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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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Early specialty palliativecare - translating data in oncology into practice. 24328469 2013 12 19 2018 11 13 1533-4406 369 24 2013 Dec 12 The New England journal of medicine N. Engl. J. Med. Early specialty palliativecare--translating data in oncology into practice. 2347-51 10.1056/NEJMsb1305469 Parikh Ravi B RB From Harvard Medical School (R.B.P.) and Massachusetts General Hospital (J.S.T.) - both in Boston; the American Cancer Society, Washington, DC (R.A.K.); and Johns Hopkins University (...) , Baltimore (T.J.S.). Kirch Rebecca A RA Smith Thomas J TJ Temel Jennifer S JS eng P30 CA006973 CA NCI NIH HHS United States Journal Article United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2014 Mar 13;370(11):1074-5 24620887 N Engl J Med. 2014 Mar 13;370(11):1075 24620888 N Engl J Med. 2014 Mar 13;370(11):1075-6 24620886 Cost Savings Health Policy Humans Neoplasms therapy PalliativeCare economics legislation & jurisprudence methods Quality of Life Time Factors United States 2013 12 17 6
The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review Herber OR, Johnston BM CRD summary The authors explored the role, challenges and supporting factors (...) by healthcare support workers. Searching CINAHL, EMBASE, PsycINFO, MEDLINE, British Nursing Index, Web of Science and ASSIA were searched for studies published in English in peer-reviewed journals between 1990 and 2011. Search terms were reported. Reference lists were used to locate further studies. The International Journal of Palliative Nursing was handsearched. Study selection Eligible for inclusion were quantitative and qualitative studies that explored the role and associated challenges for health care
A good death at home: home palliativecare services keep people where they want to be A good death at home: home palliativecare services keep people where they want to be | Evidently Cochrane sharing the latest Cochrane Reviews Search Main menu Post navigation by Key message: There is good evidence that home palliativecare increases the chance of dying at home and reduces symptom burden, especially for people with cancer, without increasing caregiver grief. Where would you prefer to die (...) , if you had an advanced illness? More than 50% of people say they would like to die at home, given the choice, but in many countries relatively few people do; just 21% in England in 2010, for example. The need for home palliativecare services is increasing as the ageing population expands and an understanding of their impact on death at home and on things that matter to patients and their carers, such as how well symptoms are controlled and how they feel about their care, is important in working out
Do community specialist palliativecare services that provide home nursing increase rates of home death for people with life-limiting illnesses? A systematic review and meta-analysis of comparative studies Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Pharmacological interventions for pruritus in adult palliativecare patients. Pruritus is not the most prevalent but one of the most puzzling symptoms in palliativecare patients. It can cause considerable discomfort and has a major impact on patients' quality of life. In the field of palliativecare, pruritus is a symptom occurring in patients with disparate underlying diseases and based on different pathologic mechanisms but ending in the same phenomenon. The pathogenesis of pruritus (...) is complex and not fully elucidated. Thus, it is still very difficult to treat pruritus effectively. Evidence-based treatment approaches are needed.The objective was to evaluate the efficacy of different pharmacological treatments for preventing or treating pruritus in adult palliativecare patients.A systematic literature search up to January 2012 was performed and it was updated in August 2012. The following databases were searched: The Cochrane Library (CENTRAL, DARE, CDSR) (2012, issue 8 of 12
Effectiveness and cost-effectiveness of home palliativecare services for adults with advanced illness and their caregivers. Extensive evidence shows that well over 50% of people prefer to be cared for and to die at home provided circumstances allow choice. Despite best efforts and policies, one-third or less of all deaths take place at home in many countries of the world.1. To quantify the effect of home palliativecare services for adult patients with advanced illness and their family (...) caregivers on patients' odds of dying at home; 2. to examine the clinical effectiveness of home palliativecare services on other outcomes for patients and their caregivers such as symptom control, quality of life, caregiver distress and satisfaction with care; 3. to compare the resource use and costs associated with these services; 4. to critically appraise and summarise the current evidence on cost-effectiveness.We searched 12 electronic databases up to November 2012. We checked the reference lists
Levomepromazine for nausea and vomiting in palliativecare. Nausea and vomiting are common, distressing symptoms for patients receiving palliativecare. There are several agents which can be used to treat these symptoms. Levomepromazine is an antipsychotic drug which is commonly used to alleviate nausea and vomiting in palliativecare settings.To evaluate the efficacy of and adverse events (both minor and serious) associated with the use of levomepromazine for the treatment of nausea (...) and vomiting in palliativecare patients.We searched the electronic databases including CENTRAL, MEDLINE, and EMBASE using relevant search terms and synonyms in March 2013.Randomised controlled trials of levomepromazine for the treatment of nausea or vomiting, or both, for adults receiving palliativecare. Studies where symptoms were thought to be due to pregnancy or surgery were excluded.The potential relevance of studies was assessed based on titles and abstracts. Any study reports which appeared to meet
Generalist plus Specialist PalliativeCare - Creating a More Sustainable Model. 23465068 2013 04 04 2018 12 02 1533-4406 368 13 2013 Mar 28 The New England journal of medicine N. Engl. J. Med. Generalist plus specialist palliativecare--creating a more sustainable model. 1173-5 10.1056/NEJMp1215620 Quill Timothy E TE Department of Medicine, PalliativeCare Division, University of Rochester Medical Center, Rochester, NY, USA. Abernethy Amy P AP eng Journal Article 2013 03 06 United States N Engl (...) J Med 0255562 0028-4793 AIM IM J Clin Anesth. 2014 Sep;26(6):429-31 25200705 Curriculum Fellowships and Scholarships Humans PalliativeCare standards Specialization Specialty Boards United States Workforce 2013 3 8 6 0 2013 3 8 6 0 2013 4 5 6 0 ppublish 23465068 10.1056/NEJMp1215620
Midhurst Macmillan Community Specialist PalliativeCare Service Midhurst Macmillan Community Specialist PalliativeCare Service | The King's Fund Main navigation Health and care services Leadership, systems and organisations Patients, people and society Policy, finance and performance Search term Apply Midhurst Macmillan Community Specialist PalliativeCare Service: Delivering end-of-life care in the community This content relates to the following topics: Share this content Related details (...) Authors Publication details Pages 34 This case study looks at the Midhurst Macmillan Service – a community-based, consultant-led, specialist palliativecare service in a rural community in the south of England. The service covers approximately 150,000 people across three counties – Surrey, Hampshire and West Sussex. It is jointly funded by the NHS and Macmillan Cancer Support up to a total value of £1.2 million per year. This case study is part of a in the United States to compare five successful UK
Naloxone for use in long-term care and palliativecare: clinical effectiveness, safety, and guidelines Naloxone for use in long-term care and palliativecare: clinical effectiveness, safety, and guidelines Naloxone for use in long-term care and palliativecare: clinical effectiveness, safety, and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation CADTH. Naloxone for use in long-term care and palliativecare: clinical effectiveness, safety, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Reference List. 2013 Authors' conclusions One evidence-based guideline was identified for the use of naloxone to reverse the effects of narcotics in long-term care and palliativecare patients. No evidence was identified regarding the clinical effectiveness and safety of naloxone
Transitions to palliativecare for older people in acute hospitals: a mixed-methods study Transitions to palliativecare for older people in acute hospitals: a mixed-methods study Transitions to palliativecare for older people in acute hospitals: a mixed-methods study Gott M, Ingleton C, Gardiner C, Richards N, Cobb M, Ryan A, Noble B, Bennett M, Seymour J, Ward S, Parker C Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation Gott M, Ingleton C, Gardiner C, Richards N, Cobb M, Ryan A, Noble B, Bennett M, Seymour J, Ward S, Parker C. Transitions to palliativecare for older people in acute hospitals: a mixed-methods study. Health Services and Delivery Research 2013; 1(11) Authors' objectives (1) to explore how transitions to a palliativecare approach are managed and experienced in acute hospitals and to identify best practice from
PalliativeCare Guidelines | ICSI The MN Health Collaborative includes physicians and other representatives from major healthcare organizations working together to address major health topics affecting Minnesota communities today. ICSI has been developing evidence-based clinical practice guidelines to improve patient care since 1993. ICSI helps forward-focused Minnesota health organizations find ways to redefine and redesign systems and the market. Together, we aim to improve care and reduce (...) patients at risk for osteoporosis, as well as identification and treatment of those patients with osteoporosis. August 28, 2017 "/> Assessment, diagnosis, and treatment of acute, subacute, and chronic pain in ambulatory settings. November 21, 2013 "/> This guideline will assist primary and specialty care providers in identifying and caring for adult patients with a serious (potentially life-limiting, life-threatening or chronic, progressive) illness who may benefit from palliativecare. April 1, 2014
Pediatric palliativecare in Canada and the United States: a qualitative metasummary of the needs of patients and families Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Closing the quality gap: revisiting the state of the science series - Improving health care and palliativecare for advanced and serious illness Closing the quality gap: revisiting the state of the science series - Improving health care and palliativecare for advanced and serious illness Closing the quality gap: revisiting the state of the science series - Improving health care and palliativecare for advanced and serious illness Dy SM, Aslakson R, Wilson RF, Fawole OA, Lau BD, Martinez KA (...) , Vollenweider D, Apostol C, Bass EB Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Dy SM, Aslakson R, Wilson RF, Fawole OA, Lau BD, Martinez KA, Vollenweider D, Apostol C, Bass EB. Closing the quality gap: revisiting the state of the science series - Improving health care and palliativecare for advanced and serious illness. Rockville: Agency
Palliative sedation in end-of-life care and survival: a systematic review Palliative sedation in end-of-life care and survival: a systematic review Palliative sedation in end-of-life care and survival: a systematic review Maltoni M, Scarpi E, Rosati M, Derni S, Fabbri L, Martini F, Amadori D, Nanni O CRD summary The review found that palliative sedation in terminally ill adults with cancer, when appropriately indicated and used correctly, did not appear to have a detrimental effect on survival (...) was performed. Study selection Studies that compared length of survival in sedated and non-sedated terminally ill adult patients with cancer were eligible for inclusion. Studies had to present a reliable measurement of outcome. Case studies, letters, reviews, editorials and studies that focused on euthanasia and assisted suicide, ethical aspects or opinions were not eligible. The included studies were based at various locations (hospital, hospice, acute palliativecare unit, home). Reasons for sedation
Drug therapy for symptoms associated with anxiety in adult palliativecare patients. This is an update of the review published on 'Drug therapy for anxiety in adult palliativecare patients' in Issue 1, 2004 of The Cochrane Library. Anxiety is common in palliativecare patients. It can be a natural response to impending death, but it may represent a clinically significant issue in its own right. It may also result from pain, or other untreated or poorly managed symptoms. When anxiety is severe (...) or distressing drug therapy may be considered in addition to supportive care.This review aimed to identify and evaluate randomised controlled trials examining the effectiveness of drug therapy for symptoms of anxiety in adult palliativecare patients.We searched the following sources: CENTRAL (The Cochrane Library 2012, Issue 2), MEDLINE (1966 to 2012), EMBASE (1980 to 2012), CINAHL (1982 to 2012), PsycLit (1974 to 2000) and PsycInfo (1990 to 2012) for literature pertaining to this topic published in any
Interventions to support a palliativecare approach in patients with chronic obstructive pulmonary disease: An integrative review End-stage chronic obstructive pulmonary disease (COPD) is a debilitating, life-limiting condition. A palliative approach is appropriate for individuals with end-stage COPD, yet currently few interventions embrace this holistic, multidisciplinary and inclusive perspective.To describe interventions to support a palliativecare approach in patients with end-stage (...) COPD.Integrative review. DATA SOURCES AND REVIEW METHOD: Peer reviewed articles meeting the search criteria were accessed from Medline, PsychINFO, CINAHL and Google Scholar databases as well as Caresearch online resource. The domains of quality palliativecare developed by Steinhauser were used as the conceptual framework to synthesise information.This review has shown that a range of palliative interventions are used to address the needs of individuals with end-stage COPD. Although evidence exists
Antidepressants for the treatment of depression in palliativecare: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Palliativecare. 22312158 2012 07 03 2013 06 25 1539-3704 156 3 2012 Feb 07 Annals of internal medicine Ann. Intern. Med. In the clinic. Palliativecare. ITC2-1, TC2-2, TC2-3, TC2-4, TC2-5, TC2-6, TC2-7, TC2-8, TC2-9, TC2-10, TC2-11, TC2-12, TC2-13, TC2-14, TC2-15; quiz TC2-16 10.7326/0003-4819-156-3-201202070-01002 Swetz Keith M KM Kamal Arif H AH eng Journal Article Review United States Ann Intern Med 0372351 0003-4819 AIM IM Communication Ethics, Clinical Hospice Care ethics psychology (...) Humans PalliativeCare ethics psychology standards Patient Care Team Patient Education as Topic Physician-Patient Relations Terminal Care ethics psychology United States 2012 2 8 6 0 2012 2 9 6 0 2012 7 4 6 0 ppublish 22312158 156/3/ITC2-1 10.7326/0003-4819-156-3-201202070-01002