Latest & greatest articles for palliative care

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Top results for palliative care

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

Pharmacological treatments for fatigue associated with palliative care. This review updates the original review, 'Pharmacological treatments for fatigue associated with palliative care' and also incorporates the review 'Drug therapy for the management of cancer-related fatigue'.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 and is often not counteracted (...) in palliative care, with a focus on patients at an advanced stage of disease, including patients with cancer and other chronic diseases.For this update, we searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, PsycINFO and EMBASE, and a selection of cancer journals up to 28 April 2014. We searched the references of identified articles and contacted authors to obtain unreported data. To validate the search strategy we selected sentinel references.We considered randomised controlled

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2015 Cochrane

142. Laxatives for the management of constipation in people receiving palliative care. (PubMed)

Laxatives for the management of constipation in people receiving palliative care. This article describes the second update of a Cochrane review on the effectiveness of laxatives for the management of constipation in people receiving palliative care. Previous versions were published in 2006 and 2010 where we also evaluated trials of methylnaltrexone; these trials have been removed as they are included in another review in press. In these earlier versions, we drew no conclusions on individual (...) effectiveness of different laxatives because of the limited number of evaluations. This is despite constipation being common in palliative care, generating considerable suffering due to the unpleasant physical symptoms and the availability of a wide range of laxatives with known differences in effect in other populations.To determine the effectiveness and differential efficacy of laxatives used to manage constipation in people receiving palliative care.We searched the Cochrane Central Register of Controlled

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2015 Cochrane

143. Dignity-conserving care in palliative care settings: An integrative review (PubMed)

Dignity-conserving care in palliative care settings: An integrative review To report an integrative review of evidence relating to dignity-conserving care in palliative care settings. It will also suggest avenues for future research.Research suggests that dignity is welcomed by those receiving palliative and end of life care. However, as dignity is a subjective term, it is not always explicit how this may be employed by nurses. Given that the preferred place of care for patients with palliative (...) care needs is the home, the issue of dignity may be particularly important for community nurses. Therefore, synthesising evidence of dignity-conserving care for community nurses caring for people with palliative care needs provides clarity in a complex area of palliative care research.Integrative literature review.The review involved key bibliographic and review databases CINAHL, MEDLINE, EMBASE, ASSIA and PsycInfo. Medical Subject Headings and free terms were undertaken for articles published from

2015 EvidenceUpdates

145. Quantitative study?other: An online learning module improves specialist palliative care nurses? pain assessments and patient-reported pain

Quantitative study?other: An online learning module improves specialist palliative care nurses? pain assessments and patient-reported pain An online learning module improves specialist palliative care nurses’ pain assessments and patient-reported pain | 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 An online learning module improves specialist palliative care nurses’ pain assessments and patient-reported pain Article Text Nursing issues

2015 Evidence-Based Nursing

146. Systematic review: Non-cancer palliative care in the community needs greater interprofessional collaboration to maintain coordinated care and manage uncertainty

Systematic review: Non-cancer palliative care in the community needs greater interprofessional collaboration to maintain coordinated care and manage uncertainty Non-cancer palliative care in the community needs greater interprofessional collaboration to maintain coordinated care and manage uncertainty | 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 Non-cancer palliative care in the community needs greater interprofessional collaboration

2015 Evidence-Based Nursing

147. Palliative care needs in patients hospitalized with heart failure (PCHF) study: rationale and design. (PubMed)

Palliative care needs in patients hospitalized with heart failure (PCHF) study: rationale and design. The primary aim of this study is to provide data to inform the design of a randomized controlled clinical trial (RCT) of a palliative care (PC) intervention in heart failure (HF). We will identify an appropriate study population with a high prevalence of PC needs defined using quantifiable measures. We will also identify which components a specific and targeted PC intervention in HF should (...) and disease-specific quality of life, mood, symptom burden, caregiver burden, and end of life care. Inpatient assessments will be performed and after discharge outpatient assessments will be carried out every 4 months for up to 2.5 years. Participants will be followed up for a minimum of 1 year for hospital admissions, and place and cause of death. Methods for identifying patients with HF with PC needs will be evaluated, and estimates of healthcare utilisation performed.By assessing the prevalence

2015 ESC heart failure

148. Management of Constipation in Adult Patients Receiving Palliative Care

Management of Constipation in Adult Patients Receiving Palliative Care Management of Constipation in Adult Patients Receiving Palliative Care National Clinical Guideline No. 10 November 2015Guideline Development Group The Management of Constipation in Adult Patients Receiving Palliative Care Guideline was developed by a subgroup of the Health Service Executive (HSE)/Royal College of Physicians of Ireland (RCPI) National Clinical Programme for Palliative Care, known as the Guideline Development (...) Group (GDG). The Guideline Development Group was supported by senior multidisciplinary service leads assembled by the National Clinical Programme for Palliative Care who evaluated the quality of the development process and documentation at key time points. This group was called the Guideline Steering Group. The All Ireland Institute of Hospice and Palliative Care (AIIHPC) awarded an educational bursary to three members of the Guideline Development Group. The AIIHPC had no editorial influence

2015 National Clinical Guidelines (Ireland)

149. Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care. (PubMed)

Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care. To compare the mortality of patients in a palliative care unit on working days with that on weekends and public holidays.Retrospective database study.Palliative care unit in Germany.All admissions to palliative care unit between 1 January 1997 and 31 December 2008.The impact of day type (working days or weekends and public holidays) on mortality was analysed using Poisson regression models.A (...) total of 2565 admitted patients and 1325 deaths were recorded. Of the deaths, 448 (33.8%) occurred on weekends and public holidays. The mortality rate on weekends and public holidays was 18% higher than that on working days (mortality rate ratio 1.18, 95% confidence interval 1.05 to 1.32; P=0.005).Patients in the palliative care unit were at higher risk of dying on weekends and public holidays. In the absence of a prospective study, the exact reasons for this correlation are unclear.© Voltz et al

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2014 BMJ

150. Droperidol for treatment of nausea and vomiting in palliative care patients. (PubMed)

Droperidol for treatment of nausea and vomiting in palliative care patients. This is an updated version of the original Cochrane review published in Issue 10, 2010, on droperidol for the treatment of nausea and vomiting in palliative care patients. Nausea and vomiting are common symptoms in patients with terminal illness and can be very unpleasant and distressing. There are several different types of antiemetic treatments that can be used to control these symptoms. Droperidol (...) is an antipsychotic drug and has been used and studied as an antiemetic in the management of postoperative and chemotherapy nausea and vomiting.To evaluate the efficacy and adverse events (both minor and serious) associated with the use of droperidol for the treatment of nausea and vomiting in palliative care patients.We searched electronic databases including CENTRAL, MEDLINE (1950-), EMBASE (1980-), CINAHL (1981-) and AMED (1985-), using relevant search terms and synonyms. The basic search strategy

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2014 Cochrane

151. Putting the Heart into Palliative Care

Putting the Heart into Palliative Care Putting the Heart into Palliative Care - Evidently Cochrane Search and hit Go By October 10, 2014 // In the last of our special series of guest blogs for Hospice Care Week, GP Richard Lehman considers palliative care for people with heart failure and the need for good care based on the patient’s goals at the end of life, whatever their mode of dying. Stewart S, MacIntyre K, Hole DJ, Capewell S, McMurray JJ More “malignant” than cancer? Five-year survival (...) following a first admission with heart failure. Eur J Heart Fail 2001;3:315-22 Looking through the Palliative Care section of the Cochrane Library, you will find a great wealth of reviews, from the very general to the very specific. Almost all of them relate to dying from cancer. Most people, however, die from conditions other than cancer; and conversely most people with cancer do not die from it. The average age of patients in acute medical hospital wards is now 80 or over, and the commonest cause

2014 Evidently Cochrane

152. Implementing patient-reported outcome measures in palliative care clinical practice: a systematic review of facilitators and barriers

Implementing patient-reported outcome measures in palliative care clinical practice: a systematic review of facilitators and barriers 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.

2014 DARE.

153. Fentanyl transdermal patches in palliative care: clinical effectiveness, safety, and guidelines

Fentanyl transdermal patches in palliative care: clinical effectiveness, safety, and guidelines Fentanyl transdermal patches in palliative care: clinical effectiveness, safety, and guidelines Fentanyl transdermal patches in palliative care: clinical effectiveness, safety, and guidelines CADTH 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 CADTH. Fentanyl transdermal patches in palliative care: clinical effectiveness, safety, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary of Abstracts. 2014 Authors' conclusions Two evidence-based guidelines regarding the use of fentanyl transdermal patches for pain relief in palliative care patients were identified. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Administration, Cutaneous; Fentanyls

2014 Health Technology Assessment (HTA) Database.

154. Impact of community based, specialist palliative care teams on hospitalisations and emergency department visits late in life and hospital deaths: a pooled analysis. (PubMed)

Impact of community based, specialist palliative care teams on hospitalisations and emergency department visits late in life and hospital deaths: a pooled analysis. To determine the pooled effect of exposure to one of 11 specialist palliative care teams providing services in patients' homes.Pooled analysis of a retrospective cohort study.Ontario, Canada.3109 patients who received care from specialist palliative care teams in 2009-11 (exposed) matched by propensity score to 3109 patients who (...) received usual care (unexposed).The palliative care teams studied served different geographies and varied in team composition and size but had the same core team members and role: a core group of palliative care physicians, nurses, and family physicians who provide integrated palliative care to patients in their homes. The teams' role was to manage symptoms, provide education and care, coordinate services, and be available without interruption regardless of time or day.Patients (a) being in hospital

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2014 BMJ

155. Fentanyl Transdermal Patches in Palliative Care: Clinical Effectiveness, Safety, and Guidelines

Fentanyl Transdermal Patches in Palliative Care: Clinical Effectiveness, Safety, and Guidelines TITLE: Fentanyl Transdermal Patches in Palliative Care: Clinical Effectiveness, Safety, and Guidelines DATE: 29 May 2014 RESEARCH QUESTIONS 1. What is the clinical effectiveness and safety of fentanyl transdermal patches for pain relief in palliative care patients? 2. What are the evidence-based guidelines for the use of fentanyl transdermal patches for pain relief in palliative care patients? KEY (...) MESSAGE Two evidence-based guidelines regarding the use of fentanyl transdermal patches for pain relief in palliative care patients were identified. METHODS A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2014, Issue 5), University of York Centre for Reviews and Dissemination (CRD) databases, Canadian and major international health technology agencies, as well as a focused Internet search. No methodological filters were applied to limit retrieval

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

156. Medically assisted nutrition for adult palliative care patients. (PubMed)

Medically assisted nutrition for adult palliative care patients. Many palliative care patients 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. This is an updated version of the original Cochrane review published in Issue 4, 2008.To determine the effect of medically assisted nutrition on the quality and length (...) of life of palliative care patients.We identified studies from searching Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, CANCERLIT, Caresearch, Dissertation abstracts, SCIENCE CITATION INDEX and the reference lists of all eligible trials, key textbooks and previous systematic reviews. The date of the latest search was 26 March 2014.All relevant randomised controlled trials (RCTs) or prospective controlled trials (if no RCTs were found).We found no RCTs

2014 Cochrane

157. Benefits and costs of home palliative care compared with usual care for patients with advanced illness and their family caregivers. (PubMed)

Benefits and costs of home palliative care compared with usual care for patients with advanced illness and their family caregivers. Are home palliative care services associated with benefits to patients with advanced illness and family caregivers, and are they cost-effective?Compared with usual care, home palliative care is associated with increased odds of dying at home and fewer symptoms for patients with advanced illness. It is not associated with changes in caregiver grief. Cost

2014 JAMA

158. Delirium in adult patients receiving palliative care: a systematic review of the literature.

Delirium in adult patients receiving palliative care: a systematic review of the literature. Delirium in palliative care patients is common and its diagnosis and treatment is a major challenge. Our objective was to perform a literature analysis in two phases on the recent scientific evidence (2007-2012) on the diagnosis and treatment of delirium in adults receiving palliative care. In phase 1 (descriptive studies and narrative reviews) 133 relevant articles were identified: 73 addressed (...) the issue of delirium secondarily, and 60 articles as the main topic. However, only 4 prospective observational studies in which delirium was central were identified. Of 135 articles analysed in phase 2 (clinical trials or descriptive studies on treatment of delirium in palliative care patients), only 3 were about prevention or treatment: 2 retrospective studies and one clinical trial on multicomponent prevention in cancer patients. Much of the recent literature is related to reviews on studies

2014 Revista de psiquiatria y salud mental

159. Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. (PubMed)

Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. Patients with advanced cancer have reduced quality of life, which tends to worsen towards the end of life. We assessed the effect of early palliative care in patients with advanced cancer on several aspects of quality of life.The study took place at the Princess Margaret Cancer Centre (Toronto, ON, Canada), between Dec 1, 2006, and Feb 28, 2011. 24 medical oncology clinics were cluster randomised (...) (in a 1:1 ratio, using a computer-generated sequence, stratified by clinic size and tumour site [four lung, eight gastrointestinal, four genitourinary, six breast, two gynaecological]), to consultation and follow-up (at least monthly) by a palliative care team or to standard cancer care. Complete masking of interventions was not possible; however, patients provided written informed consent to participate in their own study group, without being informed of the existence of another group. Eligible

2014 Lancet

160. Palliative and End-of-Life Care in Stroke

Palliative and End-of-Life Care in Stroke 1887 Background and Purpose—The purpose of this statement is to delineate basic expectations regarding primary palliative care 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 palliative care. 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

2014 Congress of Neurological Surgeons