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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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PalliativeCare for the Patient with Incurable Cancer or Advanced Disease: Part 2: Pain and Symptom Management Guidelines & Protocols Advisory Committee PalliativeCare 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 PalliativeCare, available at: www.bc-cpc.ca/cpc/symptom-management-guidelines/ The inter-professional guidelines cover the following symptoms: - Hiccoughs - Twitching / myoclonus / seizures - Delirium
PalliativeCare for the Patient with Incurable Cancer or Advanced Disease: Part 1: Approach to Care Guidelines & Protocols Advisory Committee PalliativeCare for the Patient with Incurable Cancer or Advanced Disease Part 1: Approach to Care Effective Date: February 22, 2017 Scope This guideline presents palliativecare 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) Palliativecare planning fee code: G14063 Key Recommendations • Identify patients who would benefit from palliative
/10.1056/NEJMra1404684 http://www.ncbi.nlm.nih.gov/pubmed/26287850?tool=bestpractice.com To palliate comes from the Latin word 'palliare', meaning 'to cloak', or to ease symptoms without curing the underlying disease. The primary goal of palliativecare is to provide quality of life for the patient and family 2018 19. 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 (...) Palliativecare Top results for palliativecare - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2
General PalliativeCare Guidelines for the Management of Pain at the End of Life in Adult Patients General PalliativeCare Guidelines for the ManaGeMent of Pain at the end of life in adult Patients February 20111 Contents IntroduCtIon 3 understandIng PaIn 5 PrInCIPles oF PaIn ManageMent 8 assessMent oF PaIn 9 general PrInCIPles oF analgesIC PresCrIbIng 13 PharMaCologICal ManageMent oF PaIn 14 fiGure 1 PharMaColoGiCal ManaGeMent of Pain 14 steP 1 for Mild Pain 15 steP 2 for Mild to Moderate Pain (...) In CognItIve IMP aIrMent 59 PaIn assessMent and ManageMent In 61 learnIng dIsabIlItIes aPPendIx 1 PaIn assessMent Chart 63 aPPendIx 2 hosPItal anxIety & dePressIon sCale 65 aPPendIx 3 nICe ClInICal guIdelInes For 66 neuroP athIC PaIn aPPendIx 4 PatIent InForMatIon leaFlet oPIoIds 68 aPPendIx 5 audIt assessMent tool 73 aPPendIx 6 draFt suMMary Poster 74 aPPendIx 7 sPeCIalIst PallIatIveCare ContaCt 82 InForMatIon aPPendIx 8 MeMbershIP oF PaIn guIdelInes 84 workstrand aPPendIx 9 abbrevIatIons 86 reFerenCes
Guidelines on Management of Pain in Cancer and/or PalliativeCare | Cancer Care Ontario Google Tag Manager You are using an outdated browser. We suggest you update your browser for a better experience. for update. Browse Guidelines Browse Pathway Maps Sort by You are here / / Guidelines on Management of Pain in Cancer and/or PalliativeCare Guidelines & Advice Guidelines on Management of Pain in Cancer and/or PalliativeCare ID: ES 18-4 Sep 2017 Type of Content: Guidelines & Advice, Evidence (...) as a source of information for the Ontario PalliativeCare Network (OPCN). Patient Population Patients with cancer or other diseases requiring palliativecare. Intended Guideline Users The intended users of this evidence summary are staff of the Patient Reported Outcomes and Symptom Management Program of CCO and staff of the Ontario PalliativeCare Network. This evidence summary may also be of interest to physicians, nurses, caregivers, and patients dealing with cancer or palliativecare symptom
Palliative and End-of-Life Care in Stroke 1887 Background and Purpose—The purpose of this statement is to delineate basic expectations regarding primary palliativecare competencies and skills to be considered, learned, and practiced by providers and healthcare services across hospitals and community settings when caring for patients and families with stroke. Methods—Members of the writing group were appointed by the American Heart Association Stroke Council’s Scientific Statement Oversight (...) Committee and the American Heart Association’s Manuscript Oversight Committee. Members were chosen to reflect the diversity and expertise of professional roles in delivering optimal palliativecare. Writing group members were assigned topics relevant to their areas of expertise, reviewed the appropriate literature, and drafted manuscript content and recommendations in accordance with the American Heart Association’s framework for defining classes and level of evidence and recommendations. Results
practice guidelines for quality palliativecare, 3rd ed. 2013. Available at: http://www.nationalconsensusproject.org. Accessed April 18, 2017. 10. Smith S, et al. Evidence on the cost effectiveness of palliativecare: A literature review. Palliat Med. 2014;28(2):130-150. 11. Temel J, Greer J, Muzikansky A, et al. Early palliativecare 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 (...) PalliativeCare ACS TQIP PALLIATIVECARE BEST PRACTICES GUIDELINES Table of Contents Introduction 3 Interdisciplinary PalliativeCare Team 5 Essential Components of PalliativeCare 6 Breaking Bad News 9 PalliativeCare 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
PalliativeCare for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement Guidelines & Protocols Advisory Committee PalliativeCare 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: PalliativeCare 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
Integration of PalliativeCare Into Standard Oncology Care Integration of PalliativeCare 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 PalliativeCare 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
, future projections and implications for services. BMC Med. 15(1), 102. 4 Bone AE, et al. (2018). What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 5 The Academy of Medical Sciences (2018). Multimorbidity: a priority for global health research. https://acmedsci.ac.uk/file-download/82222577 6 Murtagh FE, et al. (2013). How many people need palliativecare? A study developing and comparing (...) on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 10 Barnett K, et al. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380(9836), 37-43. 11 Worldwide PalliativeCare Alliance and World Health Organisation (2014). Global Atlas of PalliativeCare at the End of Life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf 12 Etkind SN, et al
accessed 24 April 2017). https://www.capc.org/policymakers/overview/ Kelley AS, Morrison RS. Palliativecare for the seriously ill. N Engl J Med. 2015;373:747-755. http://www.nejm.org/doi/full/10.1056/NEJMra1404684 http://www.ncbi.nlm.nih.gov/pubmed/26287850?tool=bestpractice.com To palliate comes from the Latin word 'palliare', meaning 'to cloak', or to ease symptoms without curing the underlying disease. The primary goal of palliativecare is to provide quality of life for the patient and family (...) PalliativecarePalliativecare - Medical information | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Palliativecare Last reviewed: February 2019 Last updated: January 2018 Summary Palliativecare is specialised medical care for people with serious illness that focuses on the best quality of life for both the patient and his or her family. Center to Advance PalliativeCare. Overview for policymakers: palliativecare. http://www.capc.org/ (last
Analgesia: use of patient/proxy patient controlled analgesia in palliativecare Analgesia: use of patient/proxy patient controlled analgesia in palliativecare | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Analgesia: use of patient/proxy patient controlled analgesia in palliativecare Analgesia: use of patient/proxy patient controlled analgesia in palliativecare ; . These techniques are most commonly used following surgery ( ; ), but can also (...) to health care professionals, rather than being trained to take on the responsibility for administration of bolus doses of analgesia. Although this is entirely appropriate in a patient population who are opiate naïve and with limited pain experience, such as the majority of post-operative patients. The palliativecare population who will be considered for PCA and PPCA have different characteristics. In this population, patients and parents/carers are experienced in both pain assessment and management
The Canadian Hospice PalliativeCare Model for PalliativeCare: Clinical Evidence and Guidelines The Canadian Hospice PalliativeCare Model for PalliativeCare: Clinical Evidence and Guidelines | CADTH.ca Find the information you need The Canadian Hospice PalliativeCare Model for PalliativeCare: Clinical Evidence and Guidelines The Canadian Hospice PalliativeCare Model for PalliativeCare: Clinical Evidence and Guidelines Last updated: November 5, 2018 Project Number: RB1276-000 Product Line (...) : Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical evidence supporting the use of the Canadian Hospice PalliativeCare Model for adults requiring palliativecare in any setting? What are the evidence-based guidelines associated with the use of the Canadian Hospice PalliativeCare Model for adults requiring palliativecare in any setting? Key Message No relevant literature regarding the Canadian Hospice PalliativeCare Model for adults
Early palliativecare 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 palliativecare is initiated (...) much earlier in the disease trajectory and closer to the diagnosis of incurable cancer.To compare effects of early palliativecare 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
Investigation of Cannabis for Chronic Pain and PalliativeCare Investigation of Cannabis for Chronic Pain and PalliativeCare - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Investigation of Cannabis (...) for Chronic Pain and PalliativeCare The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02683018 Recruitment Status : Withdrawn (funding) First Posted : February 17, 2016 Last Update Posted : February 28, 2019 Sponsor: New York State Psychiatric Institute Information provided by (Responsible Party): Diana