Latest & greatest articles for palliative care

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Top results for palliative care

101. Palliative care - general issues

of searches were carried out. The terms listed below are the core search terms that were used for Medline. exp Palliative Care/, exp Terminal Care/, exp Terminally Ill/, palliat$.tw., (terminal adj care).tw., (palliative or terminal$ or end of life).tw., (advanced adj disease).tw. Sources of guidelines Medline (with guideline filter) (occupational health practice) Sources of systematic reviews and meta-analyses : Systematic reviews Protocols Database of Abstracts of Reviews of Effects Medline (...) Palliative care - general issues Palliative care - general issues - NICE CKS Share Palliative care - general issues: Summary Palliative care is defined as the active holistic care of people with advanced, progressive illness. Professionals providing general palliative care services should: Be involved as early as possible after diagnosis. Aim to meet the needs of the patient and their family within the limits of their knowledge and competence. Seek specialist advice or refer the patient

2016 NICE Clinical Knowledge Summaries

102. Palliative care - constipation

of constipation in palliative care. Search dates November 2012 - October 2016 Key search terms Various combinations of searches were carried out. The terms listed below are the core search terms that were used for Medline. exp Palliative Care/, exp Terminal Care/, exp Terminally Ill/, palliat$.tw., (terminal adj care).tw., (palliative or terminal$ or end of life).tw., (advanced adj disease).tw. exp Constipation/, constipat$.tw., exp Fecal Impaction/, ((fecal or faecal) adj impact$).tw., ((fecal or faecal) adj (...) Palliative care - constipation Palliative care - constipation - NICE CKS Share Palliative care - constipation: Summary Constipation is defecation that is unsatisfactory because of infrequent stools, difficult stool passage, or seemingly incomplete defecation. Stools are often dry and hard, and may be abnormally large or abnormally small. About 80% of people with cancer will require treatment with laxatives at some time. People receiving palliative care have multiple causes of constipation

2016 NICE Clinical Knowledge Summaries

103. Palliative care - secretions

and on the website. Search strategy Search strategy Scope of search A literature search was conducted for guidelines, systematic reviews and randomized controlled trials on primary care management of palliative care - secretions. Search dates August 2012 - October 2016 Key search terms Various combinations of searches were carried out. The terms listed below are the core search terms that were used for Medline. exp Palliative Care/, exp Terminal Care/, exp Terminally Ill/, palliat$.tw., (terminal adj care).tw (...) Palliative care - secretions Palliative care - secretions - NICE CKS 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 to the concerns and fears

2016 NICE Clinical Knowledge Summaries

104. Palliative care - nausea and vomiting

the vomiting centre via the vagus and splanchnic nerves [ ]. Anti-emetics active at the vomiting centre may therefore help to palliate nausea in this situation [ ]; cyclizine acts on acetylcholine and histamine type 1 (H 1 ) receptors in the vomiting centre [ ]; [ ]. The recommended anti-emetic doses are consistent with specialist palliative care guidelines for the management of nausea and vomiting [ ; ], palliative care literature from a textbook [ ], and the British National Formulary [ ]. Gastric stasis (...) Palliative care - nausea and vomiting Palliative care - nausea and vomiting - NICE CKS Share Palliative care - nausea and vomiting: Summary Nausea is an unpleasant sensation of the need to vomit, which is often accompanied by autonomic symptoms (for example pallor, cold sweat, salivation, and tachycardia). Vomiting (emesis) is the forceful ejection of stomach contents through the mouth. There are many causes of nausea and vomiting in the palliative care setting, including: Drugs (for example

2016 NICE Clinical Knowledge Summaries

105. Palliative care - dyspnoea

Palliative care - dyspnoea Palliative care - dyspnoea - NICE CKS Share Palliative care - dyspnoea: Summary Breathlessness is an objective observable sign, whereas dyspnoea is a subjective described symptoms of difficulty in breathing. Anxiety is often a major component of dyspnoea. Dyspnoea can result from impaired ventilation or increased ventilatory demand, or both factors. There are multiple possible causes of dyspnoea in people with cancer, including: Direct causes — such as primary lung (...) cancer or lung metastases. Indirect effects of cancer — such as pleural effusion, superior vena cava syndrome, anaemia, pulmonary embolism, and surgery. Non-malignant causes — such as pneumonia, chronic obstructive pulmonary disease, heart failure, and anxiety. Assessment of someone with dyspnoea in a palliative care setting involves asking about: Features of the dyspnoea (for example severity, timing, onset, and precipitating and exacerbating factors). Associated physical symptoms (for example cough

2016 NICE Clinical Knowledge Summaries

106. Palliative cancer care - pain

Palliative cancer care - pain Palliative cancer care - pain - NICE CKS 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 compression. Investigations may

2016 NICE Clinical Knowledge Summaries

107. What are best practice service models in rural areas for the delivery of end of life and palliative care?

, Duggleby W. Using a quality framework to assess rural palliative care . J Palliat Care. 2010 Autumn;26 (3):141-50. 4. Pesut B, Pesut B. Feasibility of a rural palliative supportive service. Rural & Remote Health 2015: 15(2):3116 -Jun. 5. Kuziemsky C, Jewers H, Appleby B, Foshay N, Maccaull W, Miller K, Macdonald M. Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. Informatics for Health and Social Care 2012 Jan; 37(1):37-50 6 (...) What are best practice service models in rural areas for the delivery of end of life and palliative care? Objectives To provide specific, innovative examples of best practice service models for end of life and palliative care services (cancer and non-cancer) in rural areas applicable to the UK. In addition, to: ? Explore potential of new technology (tele-rehabilitation, tele -health, tele-medicine) in enhancing access to and the sustainability of rural services. ? Identify the barriers

2016 Palliative Care Evidence Review Service (PaCERS)

108. Optimising palliative and end-of-life care within care home settings Full Text available with Trip Pro

Optimising palliative and end-of-life care within care home settings Optimising palliative and end-of-life care within care home 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 Optimising palliative and end-of-life care within care home settings Article Text EBN opinion Optimising palliative and end-of-life care within care home settings Gary Mitchell 1 , Alison Twycross 2 Statistics from Altmetric.com Background The World

2016 Evidence-Based Nursing

109. Cohort study: Community palliative care use by dementia sufferers may reduce emergency department use at end of life

Cohort study: Community palliative care use by dementia sufferers may reduce emergency department use at end of life Community palliative care use by dementia sufferers may reduce emergency department use at end 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 (...) 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 Community palliative care use by dementia sufferers may reduce emergency department use at end of life Article Text Care of the older person Cohort study Community palliative care

2016 Evidence-Based Nursing

110. Routine Bowel Care for Patients in Long-Term or Palliative Care: Guidelines

Routine Bowel Care for Patients in Long-Term or Palliative Care: Guidelines Routine Bowel Care for Patients in Long-Term or Palliative Care: Guidelines | CADTH.ca Find the information you need Routine Bowel Care for Patients in Long-Term or Palliative Care: Guidelines Routine Bowel Care for Patients in Long-Term or Palliative Care: Guidelines Published on: December 7, 2015 Project Number: RB0940-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type (...) : Report Question What are the guidelines for routine bowel care of long-term care seniors and palliative care residents? Key Message Two evidence-based guidelines were identified regarding routine bowel care of long-term care seniors and palliative care residents. Tags constipation, defecation, diarrhea, duodenal obstruction, fecal impaction, fecal incontinence, geriatrics, long-term care, nursing homes, palliative care, palliative Files Rapid Response Summary of Abstracts Published : December 7, 2015

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

112. Palliative Care. Full Text available with Trip Pro

Palliative Care. 26605939 2015 11 27 2018 12 02 1533-4406 373 22 2015 11 26 The New England journal of medicine N. Engl. J. Med. Palliative Care. 2188 10.1056/NEJMc1511946 Hashemian S Mohammadreza SM Beheshti Shahid S Miller James J eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2015 Aug 20;373(8):747-55 26287850 Critical Illness therapy Humans Palliative Care 2015 11 26 6 0 2015 11 26 6 0 2015 12 15 6 0 ppublish 26605939 10.1056/NEJMc1511946 10.1056

2015 NEJM

113. Palliative Care. Full Text available with Trip Pro

Palliative Care. 26605940 2015 11 27 2018 12 02 1533-4406 373 22 2015 11 26 The New England journal of medicine N. Engl. J. Med. Palliative Care. 2188-9 10.1056/NEJMc1511946 McGovern Terrance T Catapano Anthony A Shroff Ninad N eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2015 Aug 20;373(8):747-55 26287850 Critical Illness therapy Humans Palliative Care 2015 11 26 6 0 2015 11 26 6 0 2015 12 15 6 0 ppublish 26605940 10.1056/NEJMc1511946 10.1056

2015 NEJM

114. Antimicrobials at the End of Life: An Opportunity to Improve Palliative Care and Infection Management Full Text available with Trip Pro

Antimicrobials at the End of Life: An Opportunity to Improve Palliative Care and Infection Management 26426830 2015 12 24 2018 11 13 1538-3598 314 19 2015 Nov 17 JAMA JAMA Antimicrobials at the End of Life: An Opportunity to Improve Palliative Care and Infection Management. 2017-8 10.1001/jama.2015.13080 Juthani-Mehta Manisha M Yale School of Medicine, Section of Infectious Diseases, Department of Internal Medicine, New Haven, Connecticut. Malani Preeti N PN University of Michigan Health System (...) -94 20472860 Am J Hosp Palliat Care. 2012 Dec;29(8):599-603 22218916 J Pain Symptom Manage. 2013 Oct;46(4):483-90 23317761 J Palliat Med. 2013 Dec;16(12):1568-74 24151960 Antimicrob Agents Chemother. 2014 Sep;58(9):5473-7 25001299 JAMA Intern Med. 2014 Oct;174(10):1660-7 25133863

2015 JAMA

115. Levomepromazine for nausea and vomiting in palliative care. Full Text available with Trip Pro

Levomepromazine for nausea and vomiting in palliative care. This is an updated version of the original Cochrane Review published in Issue 4, 2013, on Levomepromazine for nausea and vomiting in palliative care.Nausea and vomiting are common, distressing symptoms for patients receiving palliative care. There are several drugs which can be used to treat these symptoms, known as antiemetics. Levomepromazine is an antipsychotic drug is commonly used as an antiemetic to alleviate nausea and vomiting (...) in palliative care settings.To evaluate the efficacy of, and adverse events associated with, levomepromazine for the treatment of nausea and vomiting in palliative care patients.For this update we searched electronic databases, including those of Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE, up to February 2015. We searched clinical trial registers on 7 October 2015 for ongoing trials.Randomised controlled trials of levomepromazine for the treatment of nausea or vomiting

2015 Cochrane

116. Haloperidol for the treatment of nausea and vomiting in palliative care patients. Full Text available with Trip Pro

Haloperidol for the treatment of nausea and vomiting in palliative care patients. Nausea and vomiting are common symptoms in patients with terminal, incurable illnesses. Both nausea and vomiting can be distressing. Haloperidol is commonly prescribed to relieve these symptoms. This is an updated version of the original Cochrane review published in Issue 2, 2009, of Haloperidol for the treatment of nausea and vomiting in palliative care patients.To evaluate the efficacy and adverse events (...) associated with the use of haloperidol for the treatment of nausea and vomiting in palliative care patients.For this updated review, we performed updated searches of CENTRAL, EMBASE and MEDLINE in November 2013 and in November 2014. We searched controlled trials registers in March 2015 to identify any ongoing or unpublished trials. We imposed no language restrictions. For the original review, we performed database searching in August 2007, including CENTRAL, MEDLINE, EMBASE, CINAHL and AMED, using

2015 Cochrane

117. Strategies to promote coping and resilience in oncology and palliative care nurses caring for adult patients with malignancy: a comprehensive systematic review. (Abstract)

Strategies to promote coping and resilience in oncology and palliative care nurses caring for adult patients with malignancy: a comprehensive systematic review. Cancer care nursing is perceived as personally and professionally demanding. Developing effective coping skills and resilience has been associated with better health and wellbeing for nurses, work longevity and improved quality of patient care.The objective of this systematic review was to identify personal and organizational strategies (...) that promote coping and resilience in oncology and palliative care nurses caring for adult patients with malignancy.The search strategy identified published and unpublished studies from 2007 to 2013. Individual search strategies were developed for the 12 databases accessed and search alerts established. The review considered qualitative, quantitative and mixed methods studies that assessed personal or organizational interventions, programs or strategies that promoted coping and resilience. These included

2015 JBI database of systematic reviews and implementation reports

118. Palliative care experiences of adult cancer patients from ethnocultural groups: a qualitative systematic review protocol. Full Text available with Trip Pro

of care needs and how to address them, negative palliative care experiences are likely to ensue. Therefore, as the demand for palliative care increases, and ethnocultural factors continue to affect palliation, it is important to gain a better understanding of palliative care experiences of patients from different ethnocultural groups.The terms culture and ethnicity have been defined and used differently in literature which sometimes lead to confusion. Ethnicity has been defined as distinctive shared (...) Palliative care experiences of adult cancer patients from ethnocultural groups: a qualitative systematic review protocol. The objective of this review is to synthesize the best available evidence on palliative care experiences of adult cancer patients from ethnocultural groups.More specifically, this systematic review seeks to answer the following questions:1. What are the palliative care experiences of adult cancer patients from diverse ethnocultural groups?2. What meanings do adult patients

2015 JBI database of systematic reviews and implementation reports

119. Palliative Care for the Seriously Ill. Full Text available with Trip Pro

IM N Engl J Med. 2015 Nov 26;373(22):2188-9 26605940 N Engl J Med. 2015 Nov 26;373(22):2188 26605939 Critical Illness psychology therapy Hospice Care Humans Long-Term Care Palliative Care standards Practice Guidelines as Topic Spirituality United States 2015 8 20 6 0 2015 8 20 6 0 2015 8 26 6 0 ppublish 26287850 10.1056/NEJMra1404684 PMC4671283 NIHMS736777 JAMA. 2004 Jan 7;291(1):88-93 14709580 Natl Vital Stat Rep. 2012 Oct 10;61(6):1-51 24984457 Palliat Med. 2005 Apr;19(3):228-33 15920937 J Pain (...) Palliative Care for the Seriously Ill. 26287850 2015 08 25 2018 11 13 1533-4406 373 8 2015 Aug 20 The New England journal of medicine N. Engl. J. Med. Palliative Care for the Seriously Ill. 747-55 10.1056/NEJMra1404684 Kelley Amy S AS Morrison R Sean RS eng K23 AG040774 AG NIA NIH HHS United States K24 AG022345 AG NIA NIH HHS United States P30 AG028741 AG NIA NIH HHS United States R24 AG044300 AG NIA NIH HHS United States Journal Article Review United States N Engl J Med 0255562 0028-4793 AIM

2015 NEJM

120. Training and supportive programs for palliative care volunteers in community settings. (Abstract)

Training and supportive programs for palliative care volunteers in community settings. Palliative care is specialised health care to support people living with a terminal illness and their families. The involvement of volunteers can extend the range of activities offered by palliative care services, particularly for those living in the community. Activities undertaken by palliative care volunteers vary considerably but can be practical, social or emotional in nature. The types of training (...) and support provided to these volunteers are likely to affect the volunteers' effectiveness in their role and influence the quality of care provided to palliative care clients and their families. Training and support can also have considerable resource implications for palliative care organisations, which makes it important to know how to provide this training and support as effectively as possible.To assess the effects of training and support strategies for palliative care volunteers on palliative care

2015 Cochrane