Early palliative care for adults with advanced cancer. Incurable cancer, which often constitutes an enormous challenge for patients, their families, and medical professionals, profoundly affects the patient's physical and psychosocial well-being. In standard cancer care, palliative measures generally are initiated when it is evident that disease-modifying treatments have been unsuccessful, no treatments can be offered, or death is anticipated. In contrast, early palliative care is initiated (...) much earlier in the disease trajectory and closer to the diagnosis of incurable cancer.To compare effects of early palliative care interventions versus treatment as usual/standard cancer care on health-related quality of life, depression, symptom intensity, and survival among adults with a diagnosis of advanced cancer.We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, OpenGrey

Assessment tools for palliative care Assessment tools for palliative care Assessment tools for palliative care Aslakson R, Dy SM, Wilson RF, Waldfogel JM, Zhang A, Isenberg SR, Blair A, Sixon J, Robinson KA Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Aslakson R, Dy SM, Wilson RF, Waldfogel JM, Zhang A, Isenberg SR, Blair A, Sixon J, Robinson KA. Assessment (...) tools for palliative care. Rockville: Agency for Healthcare Research and Quality (AHRQ). Technical Brief No. 30. 2017 Authors' objectives To (1) provide an overview of palliative care assessment tools designed to be completed by or with patients or caregivers, including which tools have been applied to clinical care, as quality indicators, or in evaluations of interventions, and (2) identify needs for future palliative care assessment tool development and evaluation. Authors' conclusions We

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

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

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

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

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

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

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

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

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

1342PEARLY PALLIATIVE CARE IN CANCER PATIENTS. SYSTEMATIC REVIEW OF LITERATURE, WITH META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS.

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

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

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

Cachexia in palliative care

Sedation in palliative care

Anxiety in palliative care patients

Depression in palliative care patients

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