Latest & greatest articles for palliative care

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Top results for palliative care

101. Palliative cancer care - pain

Palliative cancer care - pain Palliative cancer care - pain - NICE CKS Clinical Knowledge Summaries Share Palliative cancer care - pain: Summary Cancer-related pain may be persistent or breakthrough (episodic), and influenced by physical, psychological, social and spiritual factors. Breakthrough pain may be: Unpredictable (spontaneous). Predictable (incident) and related to movement or activity. The type of pain experienced depends on the underlying cause, and may be somatic, visceral (...) or neuropathic pain. It can be caused by direct effects of a tumour, cancer treatment, related to procedures such as dressing changes, or unrelated to the underlying cancer. When assessing pain for a person in palliative care: A validated structured pain assessment tool may be helpful. The impact on quality of life should be discussed. If appropriate, an examination should be performed — looking particularly for specific points of tenderness and signs of neurological deficit which may suggest spinal cord

2017 NICE Clinical Knowledge Summaries

102. Palliative care - secretions

Palliative care - secretions Palliative care - secretions - NICE CKS Clinical Knowledge Summaries Share Palliative care - secretions: Summary During the terminal phase of a person's illness, airway secretions may accumulate and result in gurgling and rattling noises during inspiration and expiration. It may be difficult to tell whether noisy secretions in the last few hours of life are causing distress to the person, but such noises may be distressing to some families or carers. Listen (...) during the review of this topic. QOF indicators QOF indicators Table 1 . Indicators related to palliative care in the Quality and Outcomes Framework of the General Medical Services contract. Indicator Points Payment stages PC001 The contractor establishes and maintains a register of all patients in need of palliative care/support irrespective of age 3 — PC002 The contractor has regular (at least 3 monthly) multidisciplinary case review meetings where all patients on the palliative care register

2017 NICE Clinical Knowledge Summaries

103. Systematic review with meta-analysis: Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness

Systematic review with meta-analysis: Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness | 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 Palliative care improves quality of life and reduces symptom burden in adults with life-limiting illness Article Text Adult nursing Systematic

2017 Evidence-Based Nursing

104. Randomised controlled trial: Placebo might be superior to antipsychotics in management of delirium in the palliative care setting

Randomised controlled trial: Placebo might be superior to antipsychotics in management of delirium in the palliative care setting Placebo might be superior to antipsychotics in management of delirium in the palliative care setting | 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 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 Placebo might be superior to antipsychotics in management of delirium in the palliative care setting Article Text Therapeutics/Prevention Randomised controlled trial

2017 Evidence-Based Medicine (Requires free registration)

105. Cohort study: Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings

Cohort study: Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care 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 Pain-related palliative care challenges in people with advanced dementia call for education and practice

2017 Evidence-Based Nursing

106. What processes decrease the risk of opioid toxicity following interventional procedures for uncontrolled pain in palliative care or cancer patients?

What processes decrease the risk of opioid toxicity following interventional procedures for uncontrolled pain in palliative care or cancer patients? Review Methods Search Strategy: A systematic search was conducted across a wide-ranging set of data- bases: Ovid Medline, including In-Process & Other Non-Indexed Citations, Ovid Embase, Ebsco CINAHL and Cochrane Library. The preliminary search strategy was devel- oped on Ovid Medline using both text words and Medical subject headings from January (...) 2006 to February 2017 restricted to English language humans. The search strategy was modified to capture indexing systems of the other databases. (Search strategies available upon request). To identify additional papers, the following website was searched: palliative care knowledge network Furthermore electronic tables of content for the last two years were scanned for British Journal of Anaesthesia, Journal of Pain and Symptom Management, Pain and Palliative medicine. Reference lists of systematic

2017 Palliative Care Evidence Review Service (PaCERS)

107. Palliative care in heart failure: facts and numbers (Full text)

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

2016 ESC heart failure PubMed

108. 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

109. Palliative care interventions in advanced dementia. (Full text)

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

2016 Cochrane PubMed

110. Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. (Full text)

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

2016 JAMA PubMed

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

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

2016 JAMA PubMed

112. Pharmacological interventions for pruritus in adult palliative care patients. (Full text)

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

2016 Cochrane PubMed

113. 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

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

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

2016 JBI database of systematic reviews and implementation reports PubMed

115. 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

116. 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

117. 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

118. 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

119. Effect of Palliative Care-Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial. (Full text)

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

2016 JAMA PubMed

120. 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