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American Journal of Hospice & Palliative Care

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https://www.readbyqxmd.com/read/26858170/reiki-therapy-for-symptom-management-in-children-receiving-palliative-care-a-pilot-study
#1
Susan E Thrane, Scott H Maurer, Dianxu Ren, Cynthia A Danford, Susan M Cohen
BACKGROUND: Pain may be reported in one-half to three-fourths of children with cancer and other terminal conditions and anxiety in about one-third of them. Pharmacologic methods do not always give satisfactory symptom relief. Complementary therapies such as Reiki may help children manage symptoms. OBJECTIVE: This pre-post mixed-methods single group pilot study examined feasibility, acceptability, and the outcomes of pain, anxiety, and relaxation using Reiki therapy with children receiving palliative care...
May 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26809826/hope-symptoms-and-palliative-care
#2
Mellar P Davis, Ruth Lagman, Armida Parala, Chirag Patel, Tanya Sanford, Flannery Fielding, Anita Brumbaugh, James Gross, Archana Rao, Sumreen Majeed, Shivani Shinde, Lisa A Rybicki
BACKGROUND: Hope is important to patients with cancer. Identifying factors that influence hope is important. Anxiety, depression, fatigue, and pain are reported to impair hope. The objective of this study was to determine whether age, gender, marital status, duration of cancer, symptoms, or symptom burden measured by the sum of severity scores on the Edmonton Symptom Assessment Scale (ESAS) correlated with hope measured by the Herth Hope Index (HHI). METHODS: Patients with advanced cancer in a palliative care unit participated...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26764362/desirable-information-of-opioids-for-families-of-patients-with-terminal-cancer
#3
Yoshiaki Okamoto, Satoru Tsuneto, Tatsuya Morita, Tatsuya Takagi, Megumi Shimizu, Mitsunori Miyashita, Etsuko Uejima, Yasuo Shima
OBJECTIVE: The aims of this study are to clarify the state of information regarding opioids for families and what kinds of experiences they had with opioids while the patient was followed as an outpatient and inpatient. PARTICIPANTS: This study was part of a cross-sectional nationwide survey of bereaved families of patients with cancer, namely, the Japan Hospice and Palliative Care Evaluation 2 study. The participants in this study comprised 572 bereaved families who had experienced the death of a family member during the period from January 2008 to December 2009 at 1 of 103 certificated palliative care units...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26764346/-i-told-myself-to-stay-positive-perceptions-of-coping-among-latinos-with-a-cancer-diagnosis-living-in-the-united-states
#4
Iraida V Carrion, Frances Nedjat-Haiem, Melania Macip-Billbe, Ryan Black
PURPOSE: This study contributes to the sparse body of literature examining perceptions of coping among Latino men and women with a cancer diagnosis living in the United States. There are currently 50 million Latinos in the United States and, by 2050, projected to grow to 128 million. Although some research indicates that Latinos have unique sociocultural beliefs that influence their cancer care, very little is known about their perceptions of coping after being diagnosed with cancer. We examined Latino men and women's perceptions of coping to understand the meaning of their experience with cancer Method: Using criterion sampling technique, 60 immigrant and migrant Latino men and women diagnosed with cancer within the past 5 years were recruited from community-based organizations, clinics, and churches...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26746878/an-observational-study-to-explore-the-feasibility-of-assessing-bereaved-relatives-experiences-before-and-after-a-quality-improvement-project-to-improve-care-of-dying-medical-inpatients
#5
Katherine Clark, Abby Willis, Naomi Byfieldt
Although hospitals are the most likely place of death, the quality of care received by dying inpatients remains variable. This is concerning for both the dying person and their relatives, with poorer bereavement outcomes likely for those who perceived their family member suffered unduly. There is a real need to consider how this situation can be improved. This work was conducted with the aim of exploring the feasibility of including bereaved relatives' experiences as part of a larger project exploring the use of a care bundle to improve care of the dying inpatients...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26739169/hospice-admission-assessment
#6
Paul J Moon
Hospice admission assessment is a pivotal encounter for patient/family and hospice representative. For patient/family, the admission is the threshold by which a particular level of care can commence and, symbolically, a certain marker in health status trajectory is reached. For hospice representative, the admission episode is an occasion to inaugurate an ambience that can serve to frame future hospice care experiences for the patient/family. Through a narrative lens, hospice admission assessment can be seen as experiential time and space, where patient's and family's stories are mindfully and deliberately witnessed and explored...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26722008/delirium-frequency-and-risk-factors-among-patients-with-cancer-in-palliative-care-unit
#7
Gülcin Şenel, Neşe Uysal, Gonca Oguz, Mensure Kaya, Nihal Kadioullari, Nesteren Koçak, Serife Karaca
Introductıon: Delirium is a complex but common disorder in palliative care with a prevalence between 13% and 88% but a particular frequency at the end of life yet often remains insufficiently diagnosed and managed. The aim of our study is to determine the frequency of delirium and identify factors associated with delirium at palliative care unit. METHODS: Two hundred thirteen consecutive inpatients from October 1, 2012, to March 31, 2013, were studied prospectively. Age, gender, Palliative Performance Scale (PPS), Palliative Prognostic Index (PPI), length of stay in hospital, and delirium etiology and subtype were recorded...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26718956/determinants-of-palliative-care-utilization-among-patients-hospitalized-with-metastatic-gastrointestinal-malignancies
#8
Philip N Okafor, Derrick J Stobaugh, Augustine K Nnadi, Jayant A Talwalkar
BACKGROUND: Gastrointestinal tract cancers account for a significant proportion of the national cancer burden. AIM: We sought to explore patient- and hospital-level determinants of palliative care utilization among patients hospitalized with metastatic gastrointestinal tract cancers using a national database. METHODS: An analysis of the 2012 National Inpatient Sample was performed. International Classification of Diseases, Ninth Revision codes were used to identify hospital discharges associated with metastatic digestive tract cancers and patient/hospital covariates for inclusion in a logistic regression model...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26602317/barriers-of-palliative-care-in-neonatal-intensive-care-units
#9
Mansooreh Azzizadeh Forouzi, Marjan Banazadeh, Jila Soltan Ahmadi, Farideh Razban
OBJECTIVE: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses' attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses' attitude toward barriers in providing NPC in Southeast Iran. METHOD: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26602316/discussing-serious-news
#10
Hilary Flint, Mark Meyer, Monir Hossain, Melissa Klein
AIM: The ability to communicate serious news to patients and families in a caring and compassionate way is a critical skill for physicians. This study explores the impact of a novel communication skills workshop that included bereaved parents in role play on pediatric residents' confidence to communicate serious news. METHODS: Following the workshop, pediatric residents were surveyed to assess their perceived efficacy of the educational intervention. The survey included anchored response and open-ended questions to yield qualitative and quantitative results...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26589881/validation-of-2-prognostic-models-in-hospitalized-patients-with-advanced-hematological-malignancies-in-japan
#11
Eiji Ohno, Miyuki Abe, Hitohiro Sasaki, Kazuki Okuhiro
Patients with advanced hematological malignancies are less likely to be referred to specialist palliative care services compared with patients having solid tumors. It has been reported that one of the most important reasons for the lack of referral is difficulties in the prognostication of terminally ill patients with hematologic malignancies. The study objective was to evaluate the predictive accuracy of the Palliative Prognostic Index (PPI) and the prognostic model developed by Kripp et al in hospitalized patients under the care of a hematologist...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26589879/outcomes-of-in-hospital-cardiopulmonary-resuscitation-among-patients-with-cancer
#12
Waleed Zafar, Irum Ghafoor, Arif Jamshed, Sabika Gul, Haroon Hafeez
OBJECTIVE: To review all episodes where an emergency code was called in a cancer-specialized hospital in Pakistan and to assess survival to discharge among patients who received a cardiopulmonary resuscitation (CPR). METHODS: We reviewed demographic and clinical data related to all "code blue" calls over 3 years. Multivariate logistic regression analyses were used to test the association of clinical characteristics with the primary outcome of survival to discharge...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26566928/building-community-capacity-in-bereavement-support
#13
Lauren J Breen, Samar M Aoun, Bruce Rumbold, Beverley McNamara, Denise A Howting, Vincent Mancini
BACKGROUND: Most bereaved people do not require specialist intervention, yet building community capacity in providing bereavement support is underdeveloped. While family caregivers indicate a need for more information about bereavement, there is little evidence to guide what this information might contain. OBJECTIVE: The study's purpose was to inform bereavement support by determining the advice people bereaved through expected deaths in palliative care have for others in that situation...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26543063/a-survey-of-hospice-and-palliative-care-physicians-regarding-palliative-sedation-practices
#14
Michael R Lux, Bridget McCrate Protus, Jason Kimbrel, Phyllis Grauer
CONTEXT: Patients nearing the end of life may experience symptoms that are refractory to standard therapeutic options. Physicians may consider palliative sedation to relieve intolerable suffering. There is limited clinical literature regarding preferred medications for palliative sedation. OBJECTIVES: To determine the preferred medications physicians use when implementing palliative sedation. METHODS: An Internet-based, cross-sectional survey of hospice and palliative care physicians in the United States...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26543062/-what-is-palliative-care
#15
Elissa Kozlov, Brian D Carpenter
BACKGROUND AND AIM: Americans rely on the Internet for health information, and people are likely to turn to online resources to learn about palliative care as well. The purpose of this study was to analyze online palliative care information pages to evaluate the breadth of their content. We also compared how frequently basic facts about palliative care appeared on the Web pages to expert rankings of the importance of those facts to understanding palliative care. DESIGN: Twenty-six pages were identified...
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26475460/ethics-roundtable
#16
Steven J Baumrucker, Jennifer Easterday, Matt Stolick, Melissa McCall-Burton, Russell W Adkins, Daniel Winiger, Cathleen Cook
No abstract text is available yet for this article.
April 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26722007/role-of-physical-therapy-intervention-in-patients-with-life-threatening-illnesses
#17
Kaitlyn Putt, Kelli Anne Faville, David Lewis, Kevin McAllister, Maria Pietro, Ahmed Radwan
BACKGROUND: Physical therapy encompasses the skilled treatment and care for patients across the life span through a multitude of different practice settings. This includes caring for individuals within end-of-life or palliative care settings. The goal of treatment in this stage of care is to relieve physical, social, psychological, and spiritual suffering in order to improve overall quality of life in patients with terminal illnesses. There has been limited research conducted to investigate the utilization of physical therapy interventions in palliative care settings...
March 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26494830/advance-directives-and-care-received-by-older-nursing-home-residents
#18
Erika R Manu, Lona Mody, Sara E McNamara, Caroline A Vitale
BACKGROUND: Research shows variable success as to whether care provided aligns with individual patient preferences as reflected in their advance directives (AD). OBJECTIVE: We aimed to study AD status and subsequent care received in older nursing home (NH) residents deemed at risk for infections and care transitions: those with a urinary catheter (UC), feeding tube (FT), or both. Design/participants/measurements: A subgroup analysis of a prospective cohort of 90 residents with a UC and/or FT from 15 NHs in southeast Michigan...
March 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26430133/pediatric-primary-care-involvement-in-end-of-life-care-for-children
#19
Lisa C Lindley, Savithri Nageswaran
OBJECTIVES: To examine the relationship between pediatric primary care involvement and hospice and home health care use at end of life. METHODS: California Medicaid data were used to estimate the relationship between pediatric primary care involvement and use of hospice and home health care using generalized estimating equations. RESULTS: Of the 2037 children who died between 2007 and 2010, 11% used hospice and 23% used home health. Among all children, primary care was not related to hospice use and was associated with home health use, usual source of care (OR = 1...
March 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26341104/dying-with-dyspnea-in-the-hospital
#20
Deborah Morris, Marissa Galicia-Castillo
BACKGROUND: While many patients hope to die at home, many die in hospitals. Patients die with unrecognized and untreated symptoms including dyspnea. OBJECTIVE: We sought to determine prevalence of dyspnea at end of life in patients dying in acute hospital care and examine treatment patterns. DESIGN/PARTICIPANTS: A retrospective chart review of deaths at tertiary care hospital over a 3-month period evaluated dyspnea in last 24 hours of life, opioid orders and administration as well as presence of palliative care consultation...
March 2017: American Journal of Hospice & Palliative Care
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