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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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End stage heart failure patients. Palliative carein general practice RACGP - End stage heart failure patients – palliative carein general practice Username Password Password security changes or call 1800 284 789 Latest issue 2017 Vol 46(4) 177-256 The April issue of AFP explores advances in diagnostic testing and treatment of disease. Australian Family Physician Chronic heart failure December 2010 / / / / Focus Chronic heart failure End stage heart failure patients Palliative carein general practice (...) Pages 916-920 David C Currow Patricia M Davidson Peter S Macdonald Phillip J Newton Background Chronic heart failure is common, particularly in older individuals, and comorbidities are frequent. Patients with end stage heart failure can be highly symptomatic and require careful monitoring and treatment adjustment to improve symptoms. Objective/s This article summarises the fundamentals of implementing palliative carein general practice and provides guidelines on caring for chronic heart
Clinical practice guidelines for quality palliative care. Clinical practice guidelines for quality palliative care. | National Guideline Clearinghouse Search Sign In Username or Email * Password * Remember Me Don't have an account? Guideline Summary NGC:007218 This guideline summary has been withdrawn from NGC. Please update your bookmarks. View all withdrawn summaries in the . About NGC Guideline Summaries NGC's guidelines summaries contain information systematically derived from original
Early palliative carefor patients with metastatic non-small-cell lung cancer. 20818875 2010 09 07 2010 09 14 2011 08 22 1533-4406 363 8 2010 Aug 19 The New England journal of medicine N. Engl. J. Med. Early palliative carefor patients with metastatic non-small-cell lung cancer. 733-42 10.1056/NEJMoa1000678 Patients with metastatic non-small-cell lung cancer have a substantial symptom burden and may receive aggressive care at the end of life. We examined the effect of introducing (...) palliative careearly after diagnosis on patient-reported outcomes and end-of-lifecare among ambulatory patients with newly diagnosed disease. We randomly assigned patients with newly diagnosed metastatic non-small-cell lung cancer to receive either early palliative careintegrated with standard oncologic care or standard oncologic care alone. Quality of life and mood were assessed at baseline and at 12 weeks with the use of the Functional Assessment of Cancer Therapy-Lung (FACT-L) scale and the Hospital
Management of locally advanced and metastatic prostate cancer - Palliative careGuidelines:Prostate cancer/Management/Locally advanced and metastatic/Palliative care - Cancer Guidelines Wiki Skip Links Personal tools Search Navigation Cancer Council guidelines Methodology Hosted cancer guidelines Prevention Policies Social links Page actions > Guidelines:Prostate cancer/Management/Locally advanced and metastatic/Palliative care > Palliative careInformation on authorship and revision Funding (...) received from Last modified : 12 September 2013 16:58:40 Author(s) : — Author — Co-author — Co-author Cite this page Brooksbank, M, Boughey, M, Cancer Council Australia Advanced Prostate Cancer Guidelines Working Party. [Version URL: , cited 2017 May 22]. Available from . In: Cancer Council Australia Advanced Prostate Cancer Guidelines Working Party. Management of locally advanced and metastatic prostate cancer. Sydney: Cancer Council Australia. Available from: . Contents Palliative carePalliative care
Haloperidol for the treatment of nausea and vomiting in palliative carepatients. BACKGROUND: Nausea and vomiting are common symptoms of patients with terminal, incurable illnesses and can be distressing. OBJECTIVES: The primary objective of the review was to evaluate the efficacy and adverse events associated with the use of haloperidol for the treatment of nausea and vomiting in palliative carepatients. SEARCH STRATEGY: Several electronic databases were searched including CENTRAL, MEDLINE (...) to be conducted with adults receiving palliative careor suffering from an incurable progressive medical condition. Studies where nausea or vomiting, or both, thought to be secondary to pregnancy or surgery were excluded. DATA COLLECTION AND ANALYSIS: Records from each of the electronic databases were imported into a bibliographic package and merged into a core database where titles, keywords and abstracts were inspected for relevance. If it was not possible to accept or reject an abstract with certainty
Palliative carefor Latino patients and their families: whenever we prayed, she wept. Latinos account for 15% of the US population, a proportion projected to grow to 30% by the year 2050. Although there is tremendous diversity within this community, commonalities of language, beliefs, attitudes, and behaviors unite Latinos, making them more similar than different. Differences by national origin, although important, are attenuated when immigrants come to the United States, dominated (...) by an English-language, Anglo-centric culture. For non-Latino and non-Spanish-speaking clinicians, communication barriers and cultural misunderstandings can impede the care of dying Latino patients and their families. We present the case of a young, pregnant, Spanish-speaking woman from Central America diagnosed with a fatal leukemia. As illustrated by this case, Latino immigrants face a number of external challenges to optimal end-of-lifecare: (1) geographic distance as well as political and economic
Referring a patient and family to high-quality palliative careat the close of life: "We met a new personality... with this level of compassion and empathy". Palliative careservices are increasingly available to primary care physicians for both expert consultations and services to seriously ill patients. The United States now has more than 1400 hospital-based palliative careteams and more than 4700 hospice programs. We use an illustrative case of a palliative carehospitalization and (...) intervention for a middle-aged man with severe pain from spinal metastases to discuss 4 key questions that a primary care physician faces in caring for the seriously ill patient with difficult symptom management: (1) Should I refer a patient to a hospital-based palliative careteam or to hospice services for difficult symptom management? (2) If the patient is referred to a hospital-based palliative careteam, what should I, as the primary care physician, expect? (3) When should I refer to hospice services
Physical activity as a supportive care intervention in palliativecancerpatients: a systematic review Physical activity as a supportive care intervention in palliativecancerpatients: a systematic review Physical activity as a supportive care intervention in palliativecancerpatients: a systematic review Lowe SS, Watanabe SM, Courneya KS CRD summary The review concluded there was insufficient evidence to evaluate the efficacy of physical activity as a supportive care intervention (...) in palliativecancerpatients. This conclusion reflected the limited data available and is likely to be reliable. Authors' objectives To evaluate physical activity as a supportive care intervention in palliativecancerpatients. Searching The authors stated that 14 electronic databases, three journals, and two conference proceedings were searched, without reporting any further details (other than there were no language restrictions). Study authors were also contacted to identify further studies. Study
Is short-term palliative carecost-effective in multiple sclerosis? A randomized phase II trial Is short-term palliative carecost-effective in multiple sclerosis? A randomized phase II trial Is short-term palliative carecost-effective in multiple sclerosis? A randomized phase II trial Higginson IJ, McCrone P, Hart SR, Burman R, Silber E, Edmonds PM Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study evaluated the cost-effectiveness of a short-term palliative careservice for people with multiple sclerosis (MS). The authors concluded that the service was likely to be cost-effective and further study in phase III trials was needed. The methods of the study seem to have been appropriate and were clearly reported
Effectiveness of topical administration of opioids in palliative care: a systematic review Effectiveness of topical administration of opioids in palliative care: a systematic review Effectiveness of topical administration of opioids in palliative care: a systematic review LeBon B, Zeppetella G, Higginson IJ CRD summary The review provided support for the effectiveness of topical opioids in controlling pain in palliative care, but did not provide clear recommendations for clinical practice (...) regarding the ideal opioid, dosage, interval of administration, carrier, or identification of wounds that were most suitable for treatment. The limitations of the evidence provided imply that the authors' conclusions should be interpreted with caution. Authors' objectives To evaluate the effectiveness of topical opioids in controlling pain in palliative care. Searching The databases MEDLINE, EMBASE, CINAHL, CANCERLIT, St Christopher’s Hospice Library database, www.controlled-trials.com, and Evidence
Effects of a palliative careintervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. 19690306 2009 08 19 2009 08 25 2016 10 19 1538-3598 302 7 2009 Aug 19 JAMA JAMA Effects of a palliative careintervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. 741-9 10.1001/jama.2009.1198 There are few randomized controlled trials on the effectiveness of palliative care (...) , psychoeducational intervention (Project ENABLE [Educate, Nurture, Advise, Before Life Ends]) conducted by advanced practice nurses consisting of 4 weekly educational sessions and monthly follow-up sessions until death or study completion (n = 161) vs usual care (n = 161). Quality of life was measured by the Functional Assessment of Chronic Illness Therapy for Palliative Care (score range, 0-184). Symptom intensity was measured by the Edmonton Symptom Assessment Scale (score range, 0-900). Mood was measured
Medically assisted nutrition for palliative carein adult patients. BACKGROUND: Many palliative carepatients have a reduced oral intake during their illness. The management of this can include the provision of medically assisted nutrition with the aim of prolonging the length of life of a patient, improving their quality of life, or both. OBJECTIVES: To determine the effect of medically assisted nutrition on the quality and length of life of palliative carepatients. SEARCH STRATEGY: Studies (...) or prospectively controlled trials found that met the inclusion criteria. MAIN RESULTS: There were four prospective non-controlled trials (including one qualitative study) that studied medically assisted nutrition in palliative careparticipants, and one Cochrane systematic review (on Motor Neurone disease), but no RCTs or prospective controlled studies. AUTHORS' CONCLUSIONS: There are insufficient good quality trials to make any recommendations for practice with regards to the use of medically assisted
A critical literature review exploring the challenges of delivering effective palliative careto older people with dementia 18416791 2008 04 17 2008 08 11 2009 03 30 1365-2702 17 9 2008 May Journal of clinical nursing J Clin Nurs A critical literature review exploring the challenges of delivering effective palliative careto older people with dementia. 1144-63 10.1111/j.1365-2702.2007.02220.x This paper considers the challenges of delivering effective palliative careto older people (...) with dementia and the possible strategies to overcome barriers to end-of-lifecare in these patients. In UK alone, approximately 100,000 people with dementia die each year and as the number of older people increases, dementia is set to become even more prevalent. Dementia is a progressive terminal illness for which there is currently no cure. Patients dying with dementia have significant health-care needs and in recent years it has been recognised that palliative careshould be made available to everyone