Latest & greatest articles for palliative care

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This page lists the very latest high quality evidence on palliative care and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Top results for palliative care

161. Palliative care for patients with head and neck cancer: "I would like a quick return to a normal lifestyle".

Palliative care for patients with head and neck cancer: "I would like a quick return to a normal lifestyle". Head and neck cancers constitute a diverse group of diseases including malignancies of the oral cavity, oropharynx, larynx, sinuses, and skull base. Treatment of these cancers includes a combination of surgical resection, chemotherapy, and radiation. Due to both the patterns of disease recurrence and the adverse effects of treatments, patients with head and neck cancer often have (...) a complex and prolonged course of illness that is marked by periods of freedom from disease and symptoms interspersed with bouts of serious illness, debility, and numerous physical and psychological symptoms including pain, dysphagia, weight loss, disfigurement, depression, and xerostomia. Thus, management of this disease is best provided by an interdisciplinary team that includes individuals from the disciplines of otolaryngology, palliative care, radiation oncology, oncology, nutrition, speech

JAMA2008

162. Medically assisted hydration for palliative care patients.

Medically assisted hydration for palliative care patients. BACKGROUND: Many palliative care patients have reduced oral intake during their illness. The management of this can include the provision of medically assisted hydration 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 hydration in palliative care patients on their quality and length of life. SEARCH STRATEGY: Studies were (...) identified from searching CENTRAL, MEDLINE (1966 to 2008), EMBASE (1980 to 2008), CINAHL, CANCERLIT, Caresearch, Dissertation abstracts, SCIENCE CITATION INDEX and the reference lists of all eligible studies, key textbooks, and previous systematic reviews. The date of the latest search was February 2008. SELECTION CRITERIA: All relevant randomised controlled trials (RCTs) or prospective controlled studies of medically assisted hydration in palliative care patients. DATA COLLECTION AND ANALYSIS: Five

Cochrane2008

163. Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians.

Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. RECOMMENDATION 1: In patients with serious illness at the end of life, clinicians should regularly assess patients for pain, dyspnea, and depression. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 2: In patients with serious illness at the end of life, clinicians should use therapies (...) of proven effectiveness to manage pain. For patients with cancer, this includes nonsteroidal anti-inflammatory drugs, opioids, and bisphosphonates. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 3: In patients with serious illness at the end of life, clinicians should use therapies of proven effectiveness to manage dyspnea, which include opioids in patients with unrelieved dyspnea and oxygen for short-term relief of hypoxemia. (Grade: strong recommendation, moderate quality

Annals of Internal Medicine2008

164. Effectiveness of specialized palliative care: a systematic review

Effectiveness of specialized palliative care: a systematic review Effectiveness of specialized palliative care: a systematic review Effectiveness of specialized palliative care: a systematic review Zimmermann C, Riechelmann R, Krzyzanowska M, Rodin G, Tannock I CRD summary This review evaluated the effectiveness of specialised palliative care for terminally ill patients. The authors concluded that the existing evidence does not conclusively support specialised palliative care programmes, and (...) that further research is required to rigorously evaluate the potential benefits of these interventions. Overall, this was a well-conducted review with appropriately cautious conclusions. Authors' objectives To systematically review the effectiveness of specialised palliative care for terminally ill patients. Searching MEDLINE, Ovid HealthSTAR, CINAHL, EMBASE and the Cochrane CENTRAL Register were searched from inception to January 2008; the keywords were reported. Reviewers also handsearched the references

DARE.2008

168. Screening for psychological distress in palliative care: a systematic review

Screening for psychological distress in palliative care: a systematic review Screening for psychological distress in palliative care: a systematic review Screening for psychological distress in palliative care: a systematic review Thekkumpurath P, Venkateswaran C, Kumar M, Bennett MI CRD summary This review found that there were very few studies on the accuracy of questionnaires for the detection of psychological distress in terminally ill patients. The limited evidence suggested that single (...) psychiatric interview in palliative care or terminally ill patients and in which the primary aim was to validate the questionnaires were eligible. Studies that included heterogeneous cancer populations at various stages of the illness were excluded. The psychiatric interview had to be set as the gold standard in the a priori question. All studies included patients with advanced cancer. Target disorders were all psychiatric disorders, depression, and depression and adjustment disorders. Specific

DARE.2008

169. In-home palliative care increased patient satisfaction and reduced use and costs of medical services

In-home palliative care increased patient satisfaction and reduced use and costs of medical services In-home palliative care increased patient satisfaction and reduced use and costs of medical services | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. 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 In-home palliative care increased patient satisfaction and reduced use and costs of medical services Article Text Therapeutics In-home palliative care increased patient satisfaction and reduced use and costs of medical services Statistics from Altmetric.com No Altmetric data available for this article

Evidence-Based Medicine (Requires free registration)2008

170. Palliative care for prison inmates: "don't let me die in prison".

Palliative care for prison inmates: "don't let me die in prison". The number of older inmates in US correctional facilities is increasing and with it the need for quality palliative health care services. Morbidity and mortality are high in this population. Palliative care in the correctional setting includes most of the challenges faced in the free-living community and several unique barriers to inmate care. Successful models of hospice care in prisons have been established and should (...) be disseminated and evaluated. This article highlights why the changing demographics of prison populations necessitates hospice in this setting and highlights many of the barriers that correctional and consulting physicians face while providing palliative care. Issues specific to palliative care and hospice in prison include palliative care standards, inmate-physician and inmate-family relationships, confidentiality, interdisciplinary care, do-not-resuscitate orders and advance medical directives, medical

JAMA2007

171. Paediatric palliative care: challenges and emerging ideas.

Paediatric palliative care: challenges and emerging ideas. Paediatric palliative care is an emerging subspecialty that focuses on achieving the best possible quality of life for children with life-threatening conditions and their families. To achieve this goal, the individuals working in this field need to: clearly define the population served; better understand the needs of children with life-threatening conditions and their families; develop an approach that will be appropriate across (...) different communities; provide care that responds adequately to suffering; advance strategies that support caregivers and health-care providers; and promote needed change by cultivating educational programmes. Despite these challenges, advances in paediatric palliative care have been achieved in a short period of time; we expect far greater progress as the field becomes more formalised and research networks are established.

Lancet2007

172. Palliative care for patients with amyotrophic lateral sclerosis: "prepare for the worst and hope for the best".

Palliative care for patients with amyotrophic lateral sclerosis: "prepare for the worst and hope for the best". Amyotrophic lateral sclerosis (ALS) is a devastating terminal neurodegenerative disease with a highly predictable clinical course such that palliative care should begin at or soon after diagnosis. The outcome is certain in most cases. The only medication approved for treatment in the United States, riluzole, extends life by about 2 months. Virtually all skeletal muscles eventually (...) support might be considered. Goals of care should be assessed on an ongoing basis. Presenting the unusual case of a patient with ALS who is also a prominent neurologist specializing in ALS, we enumerate issues in management and palliative care applicable to ALS but also to other fatal, progressive neurologic diseases such as Huntington's chorea and late-stage Parkinson disease.

JAMA2007

174. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care

Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Brumley R, Enguidanos S, Jamison P, Seitz R, Morgenstern N, Saito S, McIlwane J, Hillary K, Gonzalez J 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 The study examined the clinical and economic impact of a multidisciplinary team intervention consisting of in-home palliative care added to usual care for terminally ill patients. In-home palliative care delivered by a multidisciplinary team increased patient

NHS Economic Evaluation Database.2007

176. Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing

Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing National Horizon Scanning Centre 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 National Horizon Scanning Centre. Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing. Birmingham: National Horizon Scanning Centre (NHSC). 2007 Authors' objectives This study examines the use of Methylnatrexone for opioid induced constipation in advanced illness and palliative care. Project page URL Indexing

Health Technology Assessment (HTA) Database.2007

177. The efficacy of acupuncture in the management of chronic pain and in palliative care.

The efficacy of acupuncture in the management of chronic pain and in palliative care. The efficacy of acupuncture in the management of chronic pain and in palliative care. The efficacy of acupuncture in the management of chronic pain and in palliative care. Martinez Pecino F, Sola Arnau I, Betina Nishishinya Aquino M 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 Martinez Pecino F, Sola Arnau I, Betina Nishishinya Aquino M. The efficacy of acupuncture in the management of chronic pain and in palliative care. Seville: Andalusian Agency for Health Technology Assessment (AETSA). 2007 Authors' objectives The main aim of this review was to evaluate the efficacy of acupuncture in the management of chronic pain and in palliative care. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Acupuncture Therapy; Chronic Disease

Health Technology Assessment (HTA) Database.2007

178. UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer

UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use (...) of cookies. Log in via your Society 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 via your Society 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 UK palliative care professionals identified service infrastructure, patient

Evidence-Based Nursing (Requires free registration)2007

179. Palliative care for frail older adults: "there are things I can't do anymore that I wish I could . . . ".

Palliative care for frail older adults: "there are things I can't do anymore that I wish I could . . . ". Frailty in older adults is increasingly a recognized syndrome of decline, sometimes subtle, in function and health that may be amenable to available approaches to care. Frailty manifests the following core clinical features: loss of strength, weight loss, low levels of activity, poor endurance or fatigue, and slowed performance. The presence of 3 or more of these features is associated (...) with adverse outcomes including falls, new or worsened function impairment, hospitalization, and death. In this article, we use the case of Mrs K to describe the challenges of recognizing frailty in clinical practice, common problems and symptoms that frail older adults experience, and approaches to these issues that clinicians may incorporate into their practices. We discuss the importance of advance care planning, provider-patient communication, and appropriate palliative care and hospice referral

JAMA2006

180. Laxatives for the management of constipation in palliative care patients.

Laxatives for the management of constipation in palliative care patients. BACKGROUND: Constipation is a common problem for palliative care patients which can generate considerable suffering for patients due to both the unpleasant physical symptoms and psychological preoccupations that can arise. There is uncertainty about the 'best' management of constipation in palliative care patients and variation in practice between palliative care settings. OBJECTIVES: To determine the effectiveness (...) of laxative administration for the management of constipation in palliative care patients, and the differential efficacy of the laxatives used to manage constipation. SEARCH STRATEGY: We searched The Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue four, 2005), MEDLINE (1966 to January 2005), EMBASE (1980 to January 2005), CANCERLIT, PUBMED, Science Citation Index, CINAHL, The Cochrane Library, SIGLE, NTIS, DHSS-DATA, Dissertation Abstracts, Index to Scientific and Technical

Cochrane2006