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

201. Medically assisted hydration for palliative care patients. (Abstract)

Medically assisted hydration for palliative care patients. Many palliative care patients have reduced oral intake during their illness. The management of this can include the provision of medically assisted hydration with the aim of prolonging the length of life of a patient, improving their quality of life, or both.To determine the effect of medically assisted hydration in palliative care patients on their quality and length of life.Studies were identified from searching CENTRAL, MEDLINE (1966 (...) to 2008), EMBASE (1980 to 2008), CINAHL, CANCERLIT, Caresearch, Dissertation abstracts, SCIENCE CITATION INDEX and the reference lists of all eligible studies, key textbooks, and previous systematic reviews. The date of the latest search was February 2008.All relevant randomised controlled trials (RCTs) or prospective controlled studies of medically assisted hydration in palliative care patients.Five relevant studies were identified. These included two RCTs (93 participants), and three prospective

2008 Cochrane

202. Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. (Abstract)

Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. RECOMMENDATION 1: In patients with serious illness at the end of life, clinicians should regularly assess patients for pain, dyspnea, and depression. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 2: In patients with serious illness at the end of life, clinicians should use therapies (...) of evidence.) RECOMMENDATION 4: In patients with serious illness at the end of life, clinicians should use therapies of proven effectiveness to manage depression. For patients with cancer, this includes tricyclic antidepressants, selective serotonin reuptake inhibitors, or psychosocial intervention. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 5: Clinicians should ensure that advance care planning, including completion of advance directives, occurs for all patients

2008 Annals of Internal Medicine

203. In-home palliative care increased patient satisfaction and reduced use and costs of medical services

In-home palliative care increased patient satisfaction and reduced use and costs of medical services In-home palliative care increased patient satisfaction and reduced use and costs of medical services | 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 In-home palliative care increased patient satisfaction and reduced use and costs of medical services Article Text Therapeutics In-home palliative care increased patient satisfaction

2008 Evidence-Based Medicine

204. Screening for psychological distress in palliative care: a systematic review

Screening for psychological distress in palliative care: a systematic review 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.

2008 DARE.

205. Family meetings in palliative care: multidisciplinary clinical practice

Family meetings in palliative care: multidisciplinary clinical practice BioMed Central Page 1 of 12 (page number not for citation purposes) BMC Palliative Care Open Access Research article Family meetings in palliative care: Multidisciplinary clinical practice guidelines Peter Hudson* 1 , Karen Quinn 1 , Brendan O'Hanlon 2 and Sanchia Aranda 3 Address: 1 Centre for Palliative Care Education & Research, St Vincent's and The University of Melbourne, PO Box 2900, Fitzroy, Victoria 3065, Australia (...) function of palliative care. Family meetings are commonly recommended as a useful way for health care professionals to convey information, discuss goals of care and plan care strategies with patients and family carers. Yet it seems there is insufficient research to demonstrate the utlility of family meetings or the best way to conduct them. This study sought to develop multidisciplinary clinical practice guidelines for conducting family meetings in the specialist palliative care setting based

2008 Clinical Practice Guidelines Portal

206. Effectiveness of specialized palliative care: a systematic review Full Text available with Trip Pro

Effectiveness of specialized palliative care: a systematic review Effectiveness of specialized palliative care: a systematic review Effectiveness of specialized palliative care: a systematic review Zimmermann C, Riechelmann R, Krzyzanowska M, Rodin G, Tannock I CRD summary This review evaluated the effectiveness of specialised palliative care for terminally ill patients. The authors concluded that the existing evidence does not conclusively support specialised palliative care programmes (...) , and that further research is required to rigorously evaluate the potential benefits of these interventions. Overall, this was a well-conducted review with appropriately cautious conclusions. Authors' objectives To systematically review the effectiveness of specialised palliative care for terminally ill patients. Searching MEDLINE, Ovid HealthSTAR, CINAHL, EMBASE and the Cochrane CENTRAL Register were searched from inception to January 2008; the keywords were reported. Reviewers also handsearched the references

2008 DARE.

207. Palliative care for prison inmates: "don't let me die in prison". Full Text available with Trip Pro

Palliative care for prison inmates: "don't let me die in prison". The number of older inmates in US correctional facilities is increasing and with it the need for quality palliative health care services. Morbidity and mortality are high in this population. Palliative care in the correctional setting includes most of the challenges faced in the free-living community and several unique barriers to inmate care. Successful models of hospice care in prisons have been established and should (...) be disseminated and evaluated. This article highlights why the changing demographics of prison populations necessitates hospice in this setting and highlights many of the barriers that correctional and consulting physicians face while providing palliative care. Issues specific to palliative care and hospice in prison include palliative care standards, inmate-physician and inmate-family relationships, confidentiality, interdisciplinary care, do-not-resuscitate orders and advance medical directives, medical

2007 JAMA

208. Paediatric palliative care: challenges and emerging ideas. (Abstract)

Paediatric palliative care: challenges and emerging ideas. Paediatric palliative care is an emerging subspecialty that focuses on achieving the best possible quality of life for children with life-threatening conditions and their families. To achieve this goal, the individuals working in this field need to: clearly define the population served; better understand the needs of children with life-threatening conditions and their families; develop an approach that will be appropriate across (...) different communities; provide care that responds adequately to suffering; advance strategies that support caregivers and health-care providers; and promote needed change by cultivating educational programmes. Despite these challenges, advances in paediatric palliative care have been achieved in a short period of time; we expect far greater progress as the field becomes more formalised and research networks are established.

2007 Lancet

209. Palliative care for patients with amyotrophic lateral sclerosis: "prepare for the worst and hope for the best". Full Text available with Trip Pro

Palliative care for patients with amyotrophic lateral sclerosis: "prepare for the worst and hope for the best". Amyotrophic lateral sclerosis (ALS) is a devastating terminal neurodegenerative disease with a highly predictable clinical course such that palliative care should begin at or soon after diagnosis. The outcome is certain in most cases. The only medication approved for treatment in the United States, riluzole, extends life by about 2 months. Virtually all skeletal muscles eventually (...) support might be considered. Goals of care should be assessed on an ongoing basis. Presenting the unusual case of a patient with ALS who is also a prominent neurologist specializing in ALS, we enumerate issues in management and palliative care applicable to ALS but also to other fatal, progressive neurologic diseases such as Huntington's chorea and late-stage Parkinson disease.

2007 JAMA

210. Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing

Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing National Horizon Scanning Centre 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 National Horizon Scanning Centre. Methylnatrexone for opioid induced constipation in advanced illness and palliative care: horizon scanning technology briefing. Birmingham: National Horizon Scanning Centre (NHSC). 2007 Authors' objectives This study examines the use of Methylnatrexone for opioid induced constipation in advanced illness and palliative care. Project page URL Indexing

2007 Health Technology Assessment (HTA) Database.

211. The efficacy of acupuncture in the management of chronic pain and in palliative care.

The efficacy of acupuncture in the management of chronic pain and in palliative care. The efficacy of acupuncture in the management of chronic pain and in palliative care. The efficacy of acupuncture in the management of chronic pain and in palliative care. Martinez Pecino F, Sola Arnau I, Betina Nishishinya Aquino M 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 Martinez Pecino F, Sola Arnau I, Betina Nishishinya Aquino M. The efficacy of acupuncture in the management of chronic pain and in palliative care. Seville: Andalusian Agency for Health Technology Assessment (AETSA). 2007 Authors' objectives The main aim of this review was to evaluate the efficacy of acupuncture in the management of chronic pain and in palliative care. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Acupuncture Therapy; Chronic Disease

2007 Health Technology Assessment (HTA) Database.

212. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care

of related interest Brumley RD, Enguidanos S, Cherin D. Effectiveness of a home-based palliative care program for end-of-life. J Palliat Med 2003;6:715–24. Rose JH, O’Toole EE, Dawson NV, et al. Perspectives, preferences, care practices, and outcomes among older and middle-aged patients with late-stage cancer. J Clin Oncol 2004;22:4907–17. Cherin DA, Huba GJ, Steinberg J, et al. Satisfaction with services in innovative managed care programs for groups of traditionally underserved individuals with HIV (...) Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care Brumley R, Enguidanos S, Jamison P, Seitz R, Morgenstern N, Saito S, McIlwane J, Hillary K, Gonzalez J Record Status This is a critical abstract of an economic evaluation

2007 NHS Economic Evaluation Database.

213. UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer

UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you (...) palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer Article Text Qualitative UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article

2007 Evidence-Based Nursing

214. Palliative care for frail older adults: "there are things I can't do anymore that I wish I could . . . ". (Abstract)

Palliative care for frail older adults: "there are things I can't do anymore that I wish I could . . . ". Frailty in older adults is increasingly a recognized syndrome of decline, sometimes subtle, in function and health that may be amenable to available approaches to care. Frailty manifests the following core clinical features: loss of strength, weight loss, low levels of activity, poor endurance or fatigue, and slowed performance. The presence of 3 or more of these features is associated (...) with adverse outcomes including falls, new or worsened function impairment, hospitalization, and death. In this article, we use the case of Mrs K to describe the challenges of recognizing frailty in clinical practice, common problems and symptoms that frail older adults experience, and approaches to these issues that clinicians may incorporate into their practices. We discuss the importance of advance care planning, provider-patient communication, and appropriate palliative care and hospice referral

2006 JAMA

215. Laxatives for the management of constipation in palliative care patients. (Abstract)

Laxatives for the management of constipation in palliative care patients. Constipation is a common problem for palliative care patients which can generate considerable suffering for patients due to both the unpleasant physical symptoms and psychological preoccupations that can arise. There is uncertainty about the 'best' management of constipation in palliative care patients and variation in practice between palliative care settings.To determine the effectiveness of laxative administration (...) for the management of constipation in palliative care patients, and the differential efficacy of the laxatives used to manage constipation.We searched The Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue four, 2005), MEDLINE (1966 to January 2005), EMBASE (1980 to January 2005), CANCERLIT, PUBMED, Science Citation Index, CINAHL, The Cochrane Library, SIGLE, NTIS, DHSS-DATA, Dissertation Abstracts, Index to Scientific and Technical Proceedings and NHS-NRR and reference lists

2006 Cochrane

216. Reform of drug control policy for palliative care in Romania. (Abstract)

Reform of drug control policy for palliative care in Romania. Unrelieved pain from cancer and HIV/AIDS is a substantial worldwide public-health problem. Inadequate pain relief is partly due to excessively strict national drug-control policies that constrain medical use of essential medicines such as morphine. Romania's drug-control policies are more than 35 years old and impose an antiquated regulatory system that is based on inpatient post-surgical management of acute pain that restricts (...) prescription authority and makes access to opioid treatment difficult for outpatients with severe chronic pain due to cancer or HIV/AIDS. A Ministry of Health palliative-care commission used WHO guidelines to assess and recommend changes to Romania's national drug control law and regulations. The Romanian parliament has adopted a new law that will simplify prescribing requirements and allow modern pain management. Achievement of adequate pain relief is a vital part of worldwide health and will be dependent

2006 Lancet

217. Integrating palliative care for liver transplant candidates: "too well for transplant, too sick for life". (Abstract)

Integrating palliative care for liver transplant candidates: "too well for transplant, too sick for life". Chronic liver disease results in more than 1 million physician visits and more than 300,000 hospitalizations per year in the United States. More than 27,000 patients annually progress to end-stage liver disease (ESLD), liver failure, or death. Patients with ESLD experience such complications as encephalopathy, malnutrition, muscle wasting, ascites, esophagogastric variceal hemorrhage (...) of palliative care with life-sustaining therapy to maximize the patient's quality and quantity of life.

2006 JAMA

218. Palliative care involved a specific concept of care focusing on life and optimising patient quality of life Full Text available with Trip Pro

care that recognizes the value of each person. References Cohen SR, Boston P, Mount BM, et al . Changes in quality of life following admission to palliative care units. Palliat Med 2001 ; 15 : 363 –71. Miettinen T, Alaviuhkola H, Pietila A-M. The contribution of “good” palliative care to quality of life in dying patients: family members’ perceptions. J Fam Nurs 2001 ; 7 : 261 –80. Stewart AL, Teno J, Patrick DL, et al . The concept of quality of life of dying persons in the context of health care (...) Palliative care involved a specific concept of care focusing on life and optimising patient quality of life Palliative care involved a specific concept of care focusing on life and optimising patient quality of life | 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

2006 Evidence-Based Nursing

219. Acceptability of low molecular weight heparin thromboprophylaxis for inpatients receiving palliative care: qualitative study. Full Text available with Trip Pro

Acceptability of low molecular weight heparin thromboprophylaxis for inpatients receiving palliative care: qualitative study. To find out what inpatients with advanced cancer who are receiving palliative care think about the effect of thromoprophylaxis on overall quality of life.Qualitative study using audiotaping of semistructured interviews.Regional cancer centre in Wales.28 inpatients with advanced metastatic cancer receiving palliative care and low molecular weight heparin.Recurring themes (...) were considered uncomfortable and had a negative impact on quality of life. Patients were concerned that because they had advanced disease they might not be eligible for thromboprophylaxis.Low molecular weight heparin is acceptable to inpatients with advanced cancer receiving palliative care and has a positive impact on overall quality of life. Antiembolic stockings are an unacceptable intervention in this patient group. Guidelines on thromboprophylaxis are urgently needed for palliative care

2006 BMJ

220. Meeting palliative care needs in post-acute care settings: "to help them live until they die". (Abstract)

Meeting palliative care needs in post-acute care settings: "to help them live until they die". One fourth of US deaths take place in long-term care facilities. As the population ages and hospitals shorten length of stay, these settings will deliver more terminal care. Using an illustrative case of an older patient with metastatic melanoma whose life expectancy was weeks to months, we discuss when potential benefits outweigh the risks of transfer from the hospital to post-acute care settings (...) . To improve continuity of care, we outline communication of treatment goals and orders that anticipate symptom escalation. We discuss criteria physicians can use to identify the settings most able to ensure access to high-quality palliative care. Physicians and patients must consider the advantages and disadvantages of inpatient hospice, nursing homes, and residential care facilities. Post-acute care settings vary in delivery of hospice and other palliative care services, professional nursing services

2006 JAMA