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.

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.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for palliative care

1. A palliative approach to care in the last 12 months of life

A palliative approach to care in the last 12 months of life Best Practice Guideline MARCH 2020 A Palliative Approach to Care in the Last 12 Months of LifeDisclaimer These guidelines are not binding on nurses, other health providers or the organizations that employ them. The use of these guidelines should be flexible and based on individual needs and local circumstances. They constitute neither a liability nor discharge from liability. While every effort has been made to ensure the accuracy (...) be produced, reproduced and published in its entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. A palliative approach to care in the last 12 months of life. Toronto (ON): Registered Nurses’ Association

2020 Registered Nurses' Association of Ontario

2. Palliative Care for Adults

Palliative Care for Adults Sixth Edition January 2020 www.icsi.org Copyright © 2020 by Institute for Clinical Systems Improvement 1 Health Care Guideline: Palliative Care for Adults Text in blue in this algorithm indicates a linked corresponding annotation. Does patient choose hospice, and is hospice available? Patient presents with new or established diagnosis of a serious illness Initiate palliative care discussion 1 Assess patient’s palliative care needs based on the speci?ed domains (...) of palliative care 2 Does patient meet hospice criteria? yes yes Social aspects of care Psychological and psychiatric aspects of care Spiritual aspects of care Ethical and legal aspects of care Cultural aspects of care Physical aspects of care 4 5 6 7 8 9 Develop or revise palliative care plan and establish goals of care through the process of shared decision-making 10 Implement palliative care plan Through periodic reassessment, is the care plan meeting the patient’s needs? no yes Remission or resolution

2020 Institute for Clinical Systems Improvement

3. Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review

Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W on 04/05/2019 Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W (...) ,LawrenceLottenberg,MD, CalebMentzer,DO,AnneMosenthal,MD,KaushikMukherjee,MD,MSci,JoshuaNash,DO, BryceRobinson,MD,MS,KristanStaudenmayer,MD,MS,RebeccaWright,PhD, JamesYon,MD,andMarieCrandall,MD,MPH, Jacksonville,Florida BACKGROUND: Despiteanagingpopulationandincreasingnumberofgeriatrictraumapatientsannually,gapsinourunderstandingofbestprac- ticesforgeriatrictraumapatientspersist.Weknowthattraumacentercareimprovesoutcomesforinjuredpatientsgenerally,and palliative care processes can improve outcomes for disease

2019 Eastern Association for the Surgery of Trauma

4. Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial (Abstract)

Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial High-quality evidence on how to improve palliative care in nursing homes is lacking.To investigate the effect of the Palliative Care for Older People (PACE) Steps to Success Program on resident and staff outcomes.A cluster-randomized clinical trial (2015-2017) in 78 nursing homes in 7 countries comparing PACE Steps to Success Program (intervention) with usual care (control (...) ). Randomization was stratified by country and median number of beds in each country in a 1:1 ratio.The PACE Steps to Success Program is a multicomponent intervention to integrate basic nonspecialist palliative care in nursing homes. Using a train-the-trainer approach, an external trainer supports staff in nursing homes to introduce a palliative care approach over the course of 1 year following a 6-steps program. The steps are (1) advance care planning with residents and family, (2) assessment, care planning

2019 EvidenceUpdates

5. Improved Quality of Death and Dying in Care Homes: A Palliative Care Stepped Wedge Randomized Control Trial in Australia (Abstract)

Improved Quality of Death and Dying in Care Homes: A Palliative Care Stepped Wedge Randomized Control Trial in Australia Mortality in care homes is high, but care of dying residents is often suboptimal, and many services do not have easy access to specialist palliative care. This study examined the impact of providing specialist palliative care on residents' quality of death and dying.Using a stepped wedge randomized control trial, care homes were randomly assigned to crossover from control (...) to intervention using a random number generator. Analysis used a generalized linear and latent mixed model. The trial was registered with ANZCTR: ACTRN12617000080325.Twelve Australian care homes in Canberra, Australia.A total of 1700 non-respite residents were reviewed from the 12 participating care homes. Of these residents, 537 died and 471 had complete data for analysis. The trial ran between February 2017 and June 2018.Palliative Care Needs Rounds (hereafter Needs Rounds) are monthly hour-long staff-only

2019 EvidenceUpdates

6. Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial (Abstract)

Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial To assess the impact of early triggered palliative care consultation on the outcomes of high-risk ICU patients.Single-center cluster randomized crossover trial.Two medical ICUs at Barnes Jewish Hospital.Patients (n = 199) admitted to the medical ICUs from August 2017 to May 2018 with a positive palliative care screen indicating high risk for morbidity or mortality.The medical ICUs were randomized (...) to intervention or usual care followed by washout and crossover, with independent assignment of patients to each ICU at admission. Intervention arm patients received a palliative care consultation from an interprofessional team led by board-certified palliative care providers within 48 hours of ICU admission.Ninety-seven patients (48.7%) were assigned to the intervention and 102 (51.3%) to usual care. Transition to do-not-resuscitate/do-not-intubate occurred earlier and significantly more often

2019 EvidenceUpdates

7. Mattresses or Overlays Used in Palliative End-of-Life Care: Clinical Evidence and Guidelines

Mattresses or Overlays Used in Palliative End-of-Life Care: Clinical Evidence and Guidelines Mattresses or Overlays Used in Palliative End-of-Life Care: Clinical Evidence and Guidelines | CADTH.ca Find the information you need Mattresses or Overlays Used in Palliative End-of-Life Care: Clinical Evidence and Guidelines Mattresses or Overlays Used in Palliative End-of-Life Care: Clinical Evidence and Guidelines Last updated: January 30, 2019 Project Number: RB1304-000 Product Line: Research Type (...) : Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical evidence regarding patient comfort and satisfaction with mattresses or mattress overlays used in palliative end-of-life care? What are the evidence-based guidelines regarding the use of mattresses or mattress overlays in palliative end-of-life care? Key Message One non-randomized study and one evidence-based guideline were identified regarding the use of mattresses in palliative end-of-life care

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

8. Pediatric Palliative Care Assessment Tools in the Home-Care Setting: Guidelines

Pediatric Palliative Care Assessment Tools in the Home-Care Setting: Guidelines Pediatric Palliative Care Assessment Tools in the Home-Care Setting: Guidelines | CADTH.ca Find the information you need Pediatric Palliative Care Assessment Tools in the Home-Care Setting: Guidelines Pediatric Palliative Care Assessment Tools in the Home-Care Setting: Guidelines Last updated: August 2, 2019 Project Number: RB1372-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts (...) Result type: Report Question What are the evidence-based guidelines regarding home-care assessments for pediatric palliative-care patients? Key Message One evidence-based guideline was identified regarding home-care assessments for pediatric palliative-care patients. Files Rapid Response Summary of Abstracts Published : August 2, 2019 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

9. End of life and palliative care: the policy landscape

, 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 palliative care? 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 Palliative Care Alliance and World Health Organisation (2014). Global Atlas of Palliative Care at the End of Life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf 12 Etkind SN, et al

2019 Academy of Medical Sciences

10. Perinatal Palliative Care

Perinatal Palliative Care Perinatal Palliative Care - ACOG Menu ▼ Perinatal Palliative Care Page Navigation ▼ Number 786 Committee on Obstetric Practice Committee on Ethics The American Academy of Pediatrics and the Society for Maternal-Fetal Medicine endorse this document. This Committee Opinion was developed by the Committee on Obstetric Practice with the assistance of committee member Russell S. Miller, MD and the American Academy of Pediatrics’ liaison member James J. Cummings, MD (...) ; and the Committee on Ethics with the assistance of the American Academy of Pediatrics’ liaison member Robert Macauley, MD and the Society for Maternal-Fetal Medicine’s liaison member Steven J. Ralston, MD, MPH. Perinatal Palliative Care ABSTRACT : Perinatal palliative care refers to a coordinated care strategy that comprises options for obstetric and newborn care that include a focus on maximizing quality of life and comfort for newborns with a variety of conditions considered to be life-limiting in early

2019 American College of Obstetricians and Gynecologists

11. Clinical Practice Guidelines for Quality Palliative Care

Clinical Practice Guidelines for Quality Palliative Care Clinical Practice Guidelines for Quality Palliative Care | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. Clinical Practice Guidelines (...) for Quality Palliative Care The American Academy of Pediatrics has endorsed the following publication: National Coalition for Hospice and Palliative Care, National Consensus Project. Clinical Practice Guidelines for Quality Palliative Care . 4th ed. Richmond, VA: National Coalition for Hospice and Palliative Care; 2018. Available at: . All statements of endorsement from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, retired, or revised at or before

2019 American Academy of Pediatrics

12. Stereotactic ablative radiotherapy versus standard of care palliative treatment in patients with oligometastatic cancers (SABR-COMET): a randomised, phase 2, open-label trial. (Abstract)

Stereotactic ablative radiotherapy versus standard of care palliative treatment in patients with oligometastatic cancers (SABR-COMET): a randomised, phase 2, open-label trial. The oligometastatic paradigm suggests that some patients with a limited number of metastases might be cured if all lesions are eradicated. Evidence from randomised controlled trials to support this paradigm is scarce. We aimed to assess the effect of stereotactic ablative radiotherapy (SABR) on survival, oncological (...) ), we randomly assigned patients (1:2) to receive either palliative standard of care treatments alone (control group), or standard of care plus SABR to all metastatic lesions (SABR group), using a computer-generated randomisation list with permuted blocks of nine. Neither patients nor physicians were masked to treatment allocation. The primary endpoint was overall survival. We used a randomised phase 2 screening design with a two-sided α of 0·20 (wherein p<0·20 designates a positive trial). All

2019 Lancet Controlled trial quality: predicted high

13. Would You Refer This Patient With Cancer to a Palliative Care Specialist?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center. (Abstract)

Would You Refer This Patient With Cancer to a Palliative Care Specialist?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center. In 2016, the American Society of Clinical Oncology published a guideline recommending that all patients with advanced cancer be referred to palliative care providers. This recommendation was based on a series of trials showing that palliative care, when added to standard oncology treatment, improves outcomes, including quality of life. Here, 2 oncologists (...) , 1 of whom is also a palliative care specialist, debate the guideline and discuss how best to care for a 71-year-old woman with metastatic neuroendocrine carcinoma who has a short life expectancy but feels well and has no symptoms related to her cancer or chemotherapy.

2019 Annals of Internal Medicine

14. Early specialist palliative care on quality of life for malignant pleural mesothelioma: a randomised controlled trial Full Text available with Trip Pro

Early specialist palliative care on quality of life for malignant pleural mesothelioma: a randomised controlled trial Malignant pleural mesothelioma (MPM) has a high symptom burden and poor survival. Evidence from other cancer types suggests some benefit in health-related quality of life (HRQoL) with early specialist palliative care (SPC) integrated with oncological services, but the certainty of evidence is low.We performed a multicentre, randomised, parallel group controlled trial comparing (...) early referral to SPC versus standard care across 19 hospital sites in the UK and one large site in Western Australia. Participants had newly diagnosed MPM; main carers were additionally recruited.review by SPC within 3 weeks of allocation and every 4 weeks throughout the study. HRQoL was assessed at baseline and every 4 weeks with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30.change in EORTC C30 Global Health Status 12 weeks after

2019 EvidenceUpdates

15. Delirium is common among adults receiving palliative care and could be better recognised

and management. If the tools for screening and assessment in hospital were used in palliative care, delirium might be better managed. Citation and Funding Hosie A, Agar M, Lobb E et al. . Int J Nurs Stud. 2017;75:123-9. The project was funded through a Postgraduate Award by the Commonwealth Government of Australia. Bibliography Candy B, Jackson K, Jones L et al. . Cochrane Database Syst Rev. 2012;(11):CD004770. Hosie A, Davidson P, Agar M, Sanderson C, Phillips J. . Palliat Med. 2013;27(6):486-98. Hosie (...) A, Lobb E, Agar M, Davidson P et al. . Int J Palliat Nurs. 2016;22(1):13-21. Hospice UK. . London: Hospice UK; 2018. NHS Scotland. . 2014; updated 2016. NHS website. . London: Department of Health and Social Care; 2018. NICE. . CG103. London: National Institute for Health and Care Excellence; 2010. NICE. . NG31. London: National Institute for Health and Care Excellence; 2015. Improving delirium recognition and assessment for people receiving inpatient palliative care: a mixed methods meta-synthesis

2019 NIHR Dissemination Centre

16. Clinical Practice Guidelines for Quality Palliative Care

Clinical Practice Guidelines for Quality Palliative Care PEDIATRICS Volume 143, number 1, January 2019:e20183310 FROM THE AMERICAN ACADEMY OF PEDIATRICS The American Academy of Pediatrics has endorsed the following publication: National Coalition for Hospice and Palliative Care, National Consensus Project. Clinical Practice Guidelines for Quality Palliative Care. 4th ed. Richmond, VA: National Coalition for Hospice and Palliative Care; 2018. Available at: www. nationalcoalition hpc. org/ ncp (...) . All statements of endorsement from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, retired, or revised at or before that time. Clinical Practice Guidelines for Quality Palliative Care To cite: Clinical Practice Guidelines for Quality Palliative Care. Pediatrics. 2019;143(1):e20183310 DOI: https:// doi. or g/ 10. 1542/ peds. 2018- 3310 PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275). Copyright © 2019 by the American Academy

2019 American Academy of Pediatrics

17. Palliative care

/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 palliative care is to provide quality of life for the patient and family 2018 19. A good death at home: home palliative care services keep people where they want to be A good death at home: home palliative care services keep people where they want to be | Evidently (...) Palliative care Top results for palliative care - 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

2018 Trip Latest and Greatest

18. Indicators of integration at ESMO Designated Centres of Integrated Oncology and Palliative Care Full Text available with Trip Pro

Indicators of integration at ESMO Designated Centres of Integrated Oncology and Palliative Care A recent international consensus panel identified 13 major indicators to assess the level of integration between oncology and palliative care. We examined these indicators among European Society for Medical Oncology (ESMO) Designated Centres (ESMO-DCs) of Integrated Oncology and Palliative Care (PC) and determined the centre characteristics associated with greater integration.This is a preplanned (...) secondary analysis of a recent survey to characterise the structure, processes and outcomes of the palliative care programmes at ESMO-DCs. We assessed the level of integration using 13 major indicators. We calculated two Palliative Care and Oncology Integration Indexes consisting of all 13 indicators (PCOI-13, range 0-13) and 9 of the 13 indicators (PCOI-9, range 0-9), with a higher index indicating greater integration.The survey response rate was 152/184 (83%). Among the 13 major indicators

2018 ESMO open

19. Mu-opioid antagonists for opioid-induced bowel dysfunction in people with cancer and people receiving palliative care. Full Text available with Trip Pro

Mu-opioid antagonists for opioid-induced bowel dysfunction in people with cancer and people receiving palliative care. Opioid-induced bowel dysfunction (OIBD) is characterised by constipation, incomplete evacuation, bloating, and gastric reflux. It is one of the major adverse events of treatment for pain in cancer and in palliative care, resulting in increased morbidity and reduced quality of life.This is an update of two Cochrane reviews. One was published in 2011, Issue 1 on laxatives (...) and methylnaltrexone for the management of constipation in people receiving palliative care; this was updated in 2015 and excluded methylnaltrexone. The other was published in 2008, Issue 4 on mu-opioid antagonists (MOA) for OIBD. In this updated review, we only included trials on MOA (including methylnaltrexone) for OIBD in people with cancer and people receiving palliative care.To assess the effectiveness and safety of MOA for OIBD in people with cancer and people receiving palliative care.We searched

2018 Cochrane

20. A narrative literature review of palliative care regarding patients with idiopathic pulmonary fibrosis Full Text available with Trip Pro

A narrative literature review of palliative care regarding patients with idiopathic pulmonary fibrosis The aim of this study was to examine the reported characteristics of extant studies on palliative care for patients with idiopathic pulmonary fibrosis.Narrative review.A comprehensive search of the following electronic databases in English and Japanese commenced from 2002 - December 2017. Eligibility criteria was determined by the inclusion and exclusion criteria.Nineteen articles were (...) eligible. The characteristics of palliative care for patients with idiopathic pulmonary fibrosis were symptoms relief, start time of palliative care and palliative care needs of patients and care partners. Also, patients' education of disease management including advanced care planning and developing a palliative care system by the healthcare provider including multidisciplinary professional teams was identified. The care provided was a "care conference" and integrated palliative care was carried out

2018 Nursing open