Latest & greatest articles for palliative care

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Top results for palliative care

101. Palliative care in heart failure: facts and numbers (PubMed)

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

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2016 ESC heart failure

102. Parents' and families' experiences of palliative and end-of-life neonatal care in neonatal settings: a systematic review protocol. (PubMed)

Parents' and families' experiences of palliative and end-of-life neonatal care in neonatal settings: a systematic review protocol. The overall objective of this systematic review is to identify, critically appraise and synthesize the parents' and families' experiences of palliative and end-of-life neonatal care at facilities/services globally. The specific review question is: what are parents' and families' experiences of palliative and end-of-life neonatal care?

2016 JBI database of systematic reviews and implementation reports

103. Palliative care interventions in advanced dementia. (PubMed)

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

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2016 Cochrane

104. Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. (PubMed)

Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. The use of palliative care programs and the number of trials assessing their effectiveness have increased.To determine the association of palliative care with quality of life (QOL), symptom burden, survival, and other outcomes for people with life-limiting illness and for their caregivers.MEDLINE, EMBASE, CINAHL, and Cochrane CENTRAL to July 2016.Randomized clinical trials (...) of palliative care interventions in adults with life-limiting illness.Two reviewers independently extracted data. Narrative synthesis was conducted for all trials. Quality of life, symptom burden, and survival were analyzed using random-effects meta-analysis, with estimates of QOL translated to units of the Functional Assessment of Chronic Illness Therapy-palliative care scale (FACIT-Pal) instrument (range, 0-184 [worst-best]; minimal clinically important difference [MCID], 9 points); and symptom burden

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2016 JAMA

105. Effect of Inpatient Palliative Care on Quality of Life 2 Weeks After Hematopoietic Stem Cell Transplantation: A Randomized Clinical Trial. (PubMed)

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

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2016 JAMA Controlled trial quality: predicted high

106. Pharmacological interventions for pruritus in adult palliative care patients. (PubMed)

Pharmacological interventions for pruritus in adult palliative care patients. This is an update of the original Cochrane review published in 2013 (Issue 6). Pruritus occurs in patients with disparate underlying diseases and is caused by different pathologic mechanisms. In palliative care patients, pruritus is not the most prevalent but is one of the most puzzling symptoms. It can cause considerable discomfort and affects patients' quality of life.To assess the effects of different (...) pharmacological treatments for preventing or treating pruritus in adult palliative care patients.For this update, we searched CENTRAL (the Cochrane Library), and MEDLINE (OVID) up to 9 June 2016 and Embase (OVID) up to 7 June 2016. In addition, we searched trial registries and checked the reference lists of all relevant studies, key textbooks, reviews and websites, and we contacted investigators and specialists in pruritus and palliative care regarding unpublished data.We included randomised controlled trials

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2016 Cochrane

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

Experiences of healthcare professionals in providing palliative end-of-life care to patients in emergency departments: a systematic review protocol. The objective of this review is to identify and synthesize the best available evidence on the experiences of healthcare professionals in providing palliative care to patients at the end of life in emergency departments.

2016 JBI database of systematic reviews and implementation reports

108. Patient, nursing and medical staff experiences and perceptions of the care of people with palliative esophagogastric cancer: a systematic review of the qualitative evidence. (PubMed)

Patient, nursing and medical staff experiences and perceptions of the care of people with palliative esophagogastric cancer: a systematic review of the qualitative evidence. Esophagogastric cancer is the fifth most common malignancy and its incidence is increasing. The disease progresses quickly and five-year survival rates are poor. Treatment with palliative intent is provided for the majority of patients but there remains a lack of empirical evidence on the most effective service models (...) to support esophagogastric cancer patients.The overall objective of this systematic review was to synthesize the best available evidence on the experiences and perceptions of patients and health professionals with regard to the care of people diagnosed with palliative esophagogastric cancer.The review considered studies that included patients diagnosed with palliative esophagogastric cancer and any health professionals involved in the delivery of palliative care to this patient group in a hospital, home

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2016 JBI database of systematic reviews and implementation reports

109. 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

110. 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

111. The prevalence of burnout in health professionals working in palliative care: a systematic review protocol. (PubMed)

The prevalence of burnout in health professionals working in palliative care: a systematic review protocol. The objective of this review is to examine the evidence on the prevalence of burnout among health professionals working in palliative care.More specifically, the review focuses on the following questions: What is the prevalence of burnout among health professionals working in palliative care? Is there a difference in the prevalence of burnout in different subgroups of health professionals (...) working in palliative care (such as, but not limited to, nurses, physicians, social workers, psychologists)? Is there a difference in the prevalence of burnout among health professionals working in different contexts of palliative care (palliative care units, home care, hospices)?

2016 JBI database of systematic reviews and implementation reports

112. 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?

2016 JBI database of systematic reviews and implementation reports

113. 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

114. 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

115. 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

116. 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

117. 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

2016 Evidence-Based Nursing

118. 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

119. 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

120. 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