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

181. Closing the quality gap: revisiting the state of the science series - Improving health care and palliative care for advanced and serious illness

Closing the quality gap: revisiting the state of the science series - Improving health care and palliative care for advanced and serious illness Closing the quality gap: revisiting the state of the science series - Improving health care and palliative care for advanced and serious illness Closing the quality gap: revisiting the state of the science series - Improving health care and palliative care for advanced and serious illness Dy SM, Aslakson R, Wilson RF, Fawole OA, Lau BD, Martinez KA (...) , Vollenweider D, Apostol C, Bass EB 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 Dy SM, Aslakson R, Wilson RF, Fawole OA, Lau BD, Martinez KA, Vollenweider D, Apostol C, Bass EB. Closing the quality gap: revisiting the state of the science series - Improving health care and palliative care for advanced and serious illness. Rockville: Agency

2012 Health Technology Assessment (HTA) Database.

182. Palliative sedation in end-of-life care and survival: a systematic review

Palliative sedation in end-of-life care and survival: a systematic review Palliative sedation in end-of-life care and survival: a systematic review Palliative sedation in end-of-life care and survival: a systematic review Maltoni M, Scarpi E, Rosati M, Derni S, Fabbri L, Martini F, Amadori D, Nanni O CRD summary The review found that palliative sedation in terminally ill adults with cancer, when appropriately indicated and used correctly, did not appear to have a detrimental effect on survival (...) was performed. Study selection Studies that compared length of survival in sedated and non-sedated terminally ill adult patients with cancer were eligible for inclusion. Studies had to present a reliable measurement of outcome. Case studies, letters, reviews, editorials and studies that focused on euthanasia and assisted suicide, ethical aspects or opinions were not eligible. The included studies were based at various locations (hospital, hospice, acute palliative care unit, home). Reasons for sedation

2012 DARE.

183. Drug therapy for symptoms associated with anxiety in adult palliative care patients. (PubMed)

Drug therapy for symptoms associated with anxiety in adult palliative care patients. This is an update of the review published on 'Drug therapy for anxiety in adult palliative care patients' in Issue 1, 2004 of The Cochrane Library. Anxiety is common in palliative care patients. It can be a natural response to impending death, but it may represent a clinically significant issue in its own right. It may also result from pain, or other untreated or poorly managed symptoms. When anxiety is severe (...) or distressing drug therapy may be considered in addition to supportive care.This review aimed to identify and evaluate randomised controlled trials examining the effectiveness of drug therapy for symptoms of anxiety in adult palliative care patients.We searched the following sources: CENTRAL (The Cochrane Library 2012, Issue 2), MEDLINE (1966 to 2012), EMBASE (1980 to 2012), CINAHL (1982 to 2012), PsycLit (1974 to 2000) and PsycInfo (1990 to 2012) for literature pertaining to this topic published in any

2012 Cochrane

184. Interventions to support a palliative care approach in patients with chronic obstructive pulmonary disease: An integrative review (PubMed)

Interventions to support a palliative care approach in patients with chronic obstructive pulmonary disease: An integrative review End-stage chronic obstructive pulmonary disease (COPD) is a debilitating, life-limiting condition. A palliative approach is appropriate for individuals with end-stage COPD, yet currently few interventions embrace this holistic, multidisciplinary and inclusive perspective.To describe interventions to support a palliative care approach in patients with end-stage (...) COPD.Integrative review. DATA SOURCES AND REVIEW METHOD: Peer reviewed articles meeting the search criteria were accessed from Medline, PsychINFO, CINAHL and Google Scholar databases as well as Caresearch online resource. The domains of quality palliative care developed by Steinhauser were used as the conceptual framework to synthesise information.This review has shown that a range of palliative interventions are used to address the needs of individuals with end-stage COPD. Although evidence exists

2012 EvidenceUpdates

185. Antidepressants for the treatment of depression in palliative care: systematic review and meta-analysis

Antidepressants for the treatment of depression in palliative care: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2012 DARE.

186. Palliative care. (PubMed)

Palliative care. 22312158 2012 07 03 2013 06 25 1539-3704 156 3 2012 Feb 07 Annals of internal medicine Ann. Intern. Med. In the clinic. Palliative care. ITC2-1, TC2-2, TC2-3, TC2-4, TC2-5, TC2-6, TC2-7, TC2-8, TC2-9, TC2-10, TC2-11, TC2-12, TC2-13, TC2-14, TC2-15; quiz TC2-16 10.7326/0003-4819-156-3-201202070-01002 Swetz Keith M KM Kamal Arif H AH eng Journal Article Review United States Ann Intern Med 0372351 0003-4819 AIM IM Communication Ethics, Clinical Hospice Care ethics psychology (...) Humans Palliative Care ethics psychology standards Patient Care Team Patient Education as Topic Physician-Patient Relations Terminal Care ethics psychology United States 2012 2 8 6 0 2012 2 9 6 0 2012 7 4 6 0 ppublish 22312158 156/3/ITC2-1 10.7326/0003-4819-156-3-201202070-01002

2012 Annals of Internal Medicine

187. Palliative care for adults: strong opioids for pain relief

Palliative care for adults: strong opioids for pain relief P Palliativ alliative care for adults: strong opioids e care for adults: strong opioids for pain relief for pain relief Clinical guideline Published: 23 May 2012 nice.org.uk/guidance/cg140 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after (...) be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Palliative care for adults: strong opioids for pain relief (CG140) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

188. Improving health care and palliative care for advanced and serious illness: closing the quality gap - revisiting the state of the science

Improving health care and palliative care for advanced and serious illness: closing the quality gap - revisiting the state of the science Improving health care and palliative care for advanced and serious illness: closing the quality gap - revisiting the state of the science Improving health care and palliative care for advanced and serious illness: closing the quality gap - revisiting the state of the science Dy SM, Aslakson R, Wilson RF, Fawole OA, Lau BD, Martinez KA, Vollenweider D, Apostol (...) the effectiveness of health care and palliative care interventions and quality improvement models to improve outcomes for patients with advanced and serious illness. Searching MEDLINE, CINAHL, PsycINFO, The Cochrane Library and DARE were searched from 2000 to 2011. Additional studies were sought from reference lists of eligible articles and relevant reviews, as well as from technical experts. Study selection Studies that evaluated health care and palliative care interventions, including quality improvement

2012 DARE.

189. Cohort study: Modelling study of prognostic indicators for patients with locally advanced or metastatic cancer identifies variables that predict short-term survival in palliative care

Cohort study: Modelling study of prognostic indicators for patients with locally advanced or metastatic cancer identifies variables that predict short-term survival in palliative care Modelling study of prognostic indicators for patients with locally advanced or metastatic cancer identifies variables that predict short-term survival in palliative care | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie (...) for patients with locally advanced or metastatic cancer identifies variables that predict short-term survival in palliative care Article Text Prognosis Cohort study Modelling study of prognostic indicators for patients with locally advanced or metastatic cancer identifies variables that predict short-term survival in palliative care David Casarett Statistics from Altmetric.com Commentary on: Gwilliam B , Keeley V , Todd C , et al . Development of prognosis in palliative care study (PiPS) predictor models

2012 Evidence-Based Medicine (Requires free registration)

190. Clinical Practice Guideline for Palliative Care

Clinical Practice Guideline for Palliative Care GuíaSalud. Clinical Practice Guideline for Palliative Care. Full version. Table of Contents. Clinical Practice Guideline for Palliative Care. Full version Note :It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. The recommendations included should be considered with caution taking into account that it is pending evaluate its validity. Download (4,09 MB) Guideline modification An information (...) note from the Spanish Agency of Medicines and Medical Devices (AEMPS) related to ondansetron has been inserted. Access the where the changes carried out are detailed. Table of Contents 4.1. Definition and objectives of palliative care 4.2. Relevant Concepts 4.3. Organisational aspects of palliative care 4.4. Survival Prediction 5.1. Principles for adequate information and communication in palliative care 5.2. Palliative Care Communication Training 5.3. Ethical and legal aspects of information

2012 GuiaSalud

192. Development of Prognosis in Palliative care Study (PiPS) predictor models to improve prognostication in advanced cancer: prospective cohort study. (PubMed)

Development of Prognosis in Palliative care Study (PiPS) predictor models to improve prognostication in advanced cancer: prospective cohort study. To develop a novel prognostic indicator for use in patients with advanced cancer that is significantly better than clinicians' estimates of survival.Prospective multicentre observational cohort study.18 palliative care services in the UK (including hospices, hospital support teams, and community teams).1018 patients with locally advanced (...) or metastatic cancer, no longer being treated for cancer, and recently referred to palliative care services.Performance of a composite model to predict whether patients were likely to survive for "days" (0-13 days), "weeks" (14-55 days), or "months+" (>55 days), compared with actual survival and clinicians' predictions.On multivariate analysis, 11 core variables (pulse rate, general health status, mental test score, performance status, presence of anorexia, presence of any site of metastatic disease

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2011 BMJ

193. Transitions to palliative care in acute hospitals in England: qualitative study. (PubMed)

Transitions to palliative care in acute hospitals in England: qualitative study. To explore how transitions to a palliative care approach are perceived to be managed in acute hospital settings in England.Qualitative study.Secondary or primary care settings in two contrasting areas of England.58 health professionals involved in the provision of palliative care in secondary or primary care.Participants identified that a structured transition to a palliative care approach of the type advocated (...) in UK policy guidance is seldom evident in acute hospital settings. In particular they reported that prognosis is not routinely discussed with inpatients. Achieving consensus among the clinical team about transition to palliative care was seen as fundamental to the transition being effected; however, this was thought to be insufficiently achieved in practice. Secondary care professionals reported that discussions about adopting a palliative care approach to patient management were not often held

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2011 BMJ

194. Interventions for improving palliative care for older people living in nursing care homes. (PubMed)

Interventions for improving palliative care for older people living in nursing care homes. Residents of nursing care homes for older people are highly likely to die there, making these places where palliative care is needed.The primary objective was to determine effectiveness of multi-component palliative care service delivery interventions for residents of care homes for older people. The secondary objective was to describe the range and quality of outcome measures.The grey literature (...) (RCTs), Controlled Clinical Trials (CCTs), controlled before-and-after studies and interrupted time series studies of multi-component palliative care service delivery interventions for residents of care homes for older people. These usually include the assessment and management of physical, psychological and spiritual symptoms and advance care planning. We did not include individual components of palliative care, such as advance care planning.Two review authors independently assessed studies

2011 Cochrane

195. Does palliative care improve outcomes for patients with incurable illness? A review of the evidence

Does palliative care improve outcomes for patients with incurable illness? A review of the evidence Does palliative care improve outcomes for patients with incurable illness? A review of the evidence Does palliative care improve outcomes for patients with incurable illness? A review of the evidence El-Jawahri A, Greer JA, Temel JS CRD summary The authors concluded that available evidence confirmed palliative care services were associated with improvements in patients' quality of life, family (...) caregiver outcomes, patient and caregiver satisfaction with care, and the quality of care delivered at the end of life for patients with incurable illnesses. Due to multiple limitations in this review and the evidence, these conclusions may not be reliable. Authors' objectives To review the efficacy of various palliative care interventions to improve patients’ quality of life, physical and psychological symptoms, satisfaction with care, family caregiver outcomes, health service use, and quality of end

2011 DARE.

196. General Palliative Care Guidelines for the Management of Pain at the End of Life in Adult Patients

General Palliative Care Guidelines for the Management of Pain at the End of Life in Adult Patients General Palliative Care 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 PallIatIve Care ContaCt 82 InForMatIon aPPendIx 8 MeMbershIP oF PaIn guIdelInes 84 workstrand aPPendIx 9 abbrevIatIons 86 reFerenCes

2011 Regulation and Quality Improvement Authority

197. Summary of General Palliative Care Guidelines for the Management of Pain at the End of Life for Adults

Summary of General Palliative Care Guidelines for the Management of Pain at the End of Life for Adults Summary of General Palliative Care GuidelineS for the manaGement of Pain at the end of life for adultS Opioid for moderate to severe pain ± Non-opioid ± Adjuvant Opioid for mild to moderate pain ± Non-opioid ± Adjuvant Non-opioid ± Adjuvant WHO Pain Relief Ladder Step 3 Step 2 Step 1 Pain For patients with hepatic impairment or renal impairment consult full text version of Pain Guidelines Step (...) cause/s of pain/s • is there any disease modifying treatment which may help pain control? • Start at the level of the World health organisation (Who) analgesic ladder appropriate for the severity of the pain • if pain uncontrolled prescribe medication from the next step of the ladder rather than alternative analgesic from the same step • involve patient and carer in management plan For persisting complex Pain: SEEK SPECIALIST ADVICE e.g. specialist palliative care

2011 Regulation and Quality Improvement Authority

198. Survey: Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care

Survey: Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care | Evidence-Based Nursing We use cookies to improve our service and to tailor our content (...) are here Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care Article Text Care of the older person Survey Most hospices and palliative care programmes in the USA serve people with dementia; lack of awareness, need for respite care and reimbursement policies are the main barriers to providing this care Tony Ryan 1 , Christine Ingleton 1 Statistics from

2011 Evidence-Based Nursing

199. The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature

The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature The use of massage therapy for reducing pain, anxiety, and depression in oncological palliative care patients: a narrative review of the literature Falkensteiner M, Mantovan F, Muller I, Them C CRD (...) in patients receiving oncological palliative care. Searching The Cochrane Library, CINAHL, PsycINFO, MEDLINE, EMBASE, AMED and Trip databases were searched for studies published between 2000 and 2010. Reference lists of relevant studies and selected journals were screened for further articles. Only studies published in English, German or Italian were included. Study selection Eligible studies were of massage therapy (full body or partial, including hand massage) given in palliative/oncological care

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2011 DARE.

200. Pharmacological treatments for fatigue associated with palliative care. (PubMed)

Pharmacological treatments for fatigue associated with palliative care. In healthy individuals, fatigue is a protective response to physical or mental stress, often relieved by rest. By contrast, in palliative care patients fatigue can be severely debilitating, thereby impacting daily activity and quality of life, often with rest not counteracting fatigue. Fatigue frequently occurs in patients with advanced disease and modalities treating cancer often contribute or cause fatigue. Further (...) complicating issues are its multidimensionality, subjective nature, and lack of a consensus definition of fatigue. Pathophysiology is not fully understood and evidence-based treatment approaches are needed.The objective was to determine efficacy of pharmacological treatments on non-specific fatigue in palliative care. The focus was on patients at an advanced stage of disease, including cancer and other chronic diseases associated with fatigue, aiming to relieve fatigue. Studies aiming at curative treatment

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2010 Cochrane