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Latest & greatest articles for palliative care
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of searches were carried out. The terms listed below are the core search terms that were used for Medline. exp PalliativeCare/, 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 (...) Palliativecare - general issues Palliativecare - general issues - NICE CKS Share Palliativecare - general issues: Summary Palliativecare is defined as the active holistic care of people with advanced, progressive illness. Professionals providing general palliativecare 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
of constipation in palliativecare. 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 PalliativeCare/, 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 (...) Palliativecare - constipation Palliativecare - constipation - NICE CKS Share Palliativecare - 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 palliativecare have multiple causes of constipation
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 palliativecare - 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 PalliativeCare/, exp Terminal Care/, exp Terminally Ill/, palliat$.tw., (terminal adj care).tw (...) Palliativecare - secretions Palliativecare - secretions - NICE CKS Share Palliativecare - 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
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 palliativecare guidelines for the management of nausea and vomiting [ ; ], palliativecare literature from a textbook [ ], and the British National Formulary [ ]. Gastric stasis (...) Palliativecare - nausea and vomiting Palliativecare - nausea and vomiting - NICE CKS Share Palliativecare - 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 palliativecare setting, including: Drugs (for example
Palliativecare - dyspnoea Palliativecare - dyspnoea - NICE CKS Share Palliativecare - 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 palliativecare setting involves asking about: Features of the dyspnoea (for example severity, timing, onset, and precipitating and exacerbating factors). Associated physical symptoms (for example cough
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 palliativecare: 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
, Duggleby W. Using a quality framework to assess rural palliativecare . J PalliatCare. 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 palliativecare: 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 palliativecare? Objectives To provide specific, innovative examples of best practice service models for end of life and palliativecare 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
Routine Bowel Care for Patients in Long-Term or PalliativeCare: Guidelines Routine Bowel Care for Patients in Long-Term or PalliativeCare: Guidelines | CADTH.ca Find the information you need Routine Bowel Care for Patients in Long-Term or PalliativeCare: Guidelines Routine Bowel Care for Patients in Long-Term or PalliativeCare: 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 palliativecare residents? Key Message Two evidence-based guidelines were identified regarding routine bowel care of long-term care seniors and palliativecare residents. Tags constipation, defecation, diarrhea, duodenal obstruction, fecal impaction, fecal incontinence, geriatrics, long-term care, nursing homes, palliativecare, palliative Files Rapid Response Summary of Abstracts Published : December 7, 2015
PalliativeCare. 26605939 2015 11 27 2018 12 02 1533-4406 373 22 2015 11 26 The New England journal of medicine N. Engl. J. Med. PalliativeCare. 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 PalliativeCare 2015 11 26 6 0 2015 11 26 6 0 2015 12 15 6 0 ppublish 26605939 10.1056/NEJMc1511946 10.1056
PalliativeCare. 26605940 2015 11 27 2018 12 02 1533-4406 373 22 2015 11 26 The New England journal of medicine N. Engl. J. Med. PalliativeCare. 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 PalliativeCare 2015 11 26 6 0 2015 11 26 6 0 2015 12 15 6 0 ppublish 26605940 10.1056/NEJMc1511946 10.1056
Antimicrobials at the End of Life: An Opportunity to Improve PalliativeCare 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 PalliativeCare 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 PalliatCare. 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
Levomepromazine for nausea and vomiting in palliativecare. 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 palliativecare. 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 palliativecare settings.To evaluate the efficacy of, and adverse events associated with, levomepromazine for the treatment of nausea and vomiting in palliativecare 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
Haloperidol for the treatment of nausea and vomiting in palliativecare 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 palliativecare patients.To evaluate the efficacy and adverse events (...) associated with the use of haloperidol for the treatment of nausea and vomiting in palliativecare 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
Strategies to promote coping and resilience in oncology and palliativecare 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 palliativecare 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
of care needs and how to address them, negative palliativecare experiences are likely to ensue. Therefore, as the demand for palliativecare increases, and ethnocultural factors continue to affect palliation, it is important to gain a better understanding of palliativecare 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 (...) Palliativecare 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 palliativecare experiences of adult cancer patients from ethnocultural groups.More specifically, this systematic review seeks to answer the following questions:1. What are the palliativecare experiences of adult cancer patients from diverse ethnocultural groups?2. What meanings do adult patients
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 CarePalliativeCare 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 (...) PalliativeCare 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. PalliativeCare 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
Training and supportive programs for palliativecare volunteers in community settings. Palliativecare 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 palliativecare services, particularly for those living in the community. Activities undertaken by palliativecare 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 palliativecare clients and their families. Training and support can also have considerable resource implications for palliativecare 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 palliativecare volunteers on palliativecare