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Journal of Palliative Medicine

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https://www.readbyqxmd.com/read/28191862/the-view-from-my-seat
#1
Ashley Karpinos, Brian Grieb, Liza Weavind, Maie El-Sourady, Rev Matt Frierdich
No abstract text is available yet for this article.
February 13, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186850/the-use-of-dexmedetomidine-in-pediatric-palliative-care-a-preliminary-study
#2
Jamie Burns, Kevin Jackson, Kathy A Sheehy, Julia C Finkel, Zenaide M Quezado
OBJECTIVE: To evaluate the effect of dexmedetomidine infusions in patients with advanced malignancies, advanced heart disease, or after stem cell transplantation (SCT), who during end-of-life care had pain and/or agitation unresponsive to conventional therapies. BACKGROUND: Pediatric patients with intractable advanced malignancies, end-stage congenital heart diseases, or after SCT can suffer a great deal during end of life. Pain, drowsiness, fatigue, irritability, and worrying are experienced frequently, considered distressing, and are strongly associated with reductions in health-related quality-of-life scores...
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186841/topical-treatments-for-acute-and-chronic-wound-pain-327
#3
Katherine Steele
No abstract text is available yet for this article.
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186839/meeting-basic-needs-social-supports-and-services-provided-by-hospice
#4
Nathan A Boucher, Maragatha Kuchibhatla, Kimberly S Johnson
OBJECTIVE: Describe social goods and services for which hospices assist patients and families and the resources hospices use to do so. BACKGROUND: Basic social supports and services not routinely covered by insurers may be needed by terminally ill patients and their families. Little is known about hospices' provision of such social supports and services. METHODS: A 2014-2015 cross-sectional survey of hospices nationwide. Participating hospices had been in operation for at least 3 years and were located in any of the 50 states or District of Columbia...
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186837/methadone-and-corrected-qt-prolongation-in-pain-and-palliative-care-patients-a-case-control-study
#5
Katherine M Juba, Tina M Khadem, David J Hutchinson, Jack E Brown
BACKGROUND: Methadone (ME) is commonly used in pain and palliative care (PPC) patients with refractory pain or intolerable opioid adverse effects (AEs). A unique ME AE is its corrected QT (QTc) interval prolongation risk, but most evidence exists in methadone maintenance therapy patients. OBJECTIVE: Our goal was to identify QTc interval prolongation risk factors in PPC patients receiving ME and other medications known to prolong the QTc interval and develop a risk stratification tool...
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186835/preparing-pediatric-healthcare-professionals-for-end-of-life-care-discussions-an-exploratory-study
#6
Amanda Henderson, Jeanine Young, Anthony Herbert, Natalie Bradford, Lee-Anne Pedersen
BACKGROUND: Preparedness to initiate end-of-life (EoL) discussions is a confronting and daunting task for all healthcare professionals. We conducted a group interview to explore healthcare professionals' experiences of preparing for EoL discussions with the patient and their family in a pediatric context. AIM: To identify what pediatric healthcare professionals consider important when preparing for an EoL discussion. METHODS: A qualitative design using a group interview...
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186833/the-use-of-a-brief-5-item-measure-of-family-satisfaction-as-a-critical-quality-indicator-in-advanced-cancer-care-a-multisite-comparison
#7
Katherine A Ornstein, Joan Penrod, Julie B Schnur, Cardinale B Smith, Jeanne A Teresi, Melissa M Garrido, Karen McKendrick, Albert L Siu, Diane E Meier, R Sean Morrison
BACKGROUND: Although family satisfaction is recognized as a critical indicator of quality for patients with advanced cancer, it is rarely assessed as part of routine clinical care. Measurement burden may be one barrier to widespread use of family satisfaction measures. OBJECTIVE: The goal of this study was to test the ability of a new, brief 5-item measure of family satisfaction with care to accurately capture differences across hospital settings. DESIGN: Using data from the Palliative Care for Cancer Patients study, a prospective study of 1979 patients and caregivers, we used multivariate regression analysis to detect significant differences across five sites...
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28186829/practical-ideas-for-improving-the-quality-of-hospice-care
#8
Leonard L Berry, Stephen R Connor, Brad Stuart
No abstract text is available yet for this article.
February 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28177857/end-of-life-care-in-nunavik-quebec-inuit-experiences-current-realities-and-ways-forward
#9
Shawn Renee Hordyk, Mary Ellen Macdonald, Paul Brassard
BACKGROUND: Increasing longevity for Inuit living in Nunavik, northern Quebec, has resulted in heightened rates of cancers and chronic diseases necessitating complex treatments. Consequently, end-of-life (EOL) care, once the domain of Inuit families and communities, has come to include professionalized healthcare providers with varying degrees of awareness of factors to consider in providing care to Inuit populations. OBJECTIVE: To better understand the factors shaping EOL care in Nunavik to support the development of a sustainable model of care...
February 8, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28165845/miss-minnie
#10
Paul C Rousseau
No abstract text is available yet for this article.
February 6, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28157431/increased-symptom-expression-among-patients-with-delirium-admitted-to-an-acute-palliative-care-unit
#11
Maxine de la Cruz, Sriram Yennu, Diane Liu, Jimin Wu, Akhila Reddy, Eduardo Bruera
INTRODUCTION: Delirium is the most common neuropsychiatric condition in very ill patients and those at the end of life. Previous case reports found that delirium-induced disinhibition may lead to overexpression of symptoms. It negatively affects communication between patients, family members, and the medical team and can sometimes lead to inappropriate interventions. Better understanding would result in improved care. Our aim was to determine the effect of delirium on the reporting of symptom severity in patients with advanced cancer...
February 3, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28151051/illness-trajectories-description-and-clinical-use-326
#12
Paige Comstock Barker, Jennifer S Scherer
No abstract text is available yet for this article.
February 2, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28146647/chaplains-working-in-palliative-care-who-they-are-and-what-they-do
#13
Jane Jeuland, George Fitchett, Dena Schulman-Green, Jennifer Kapo
BACKGROUND: Palliative care (PC) programs utilize chaplains to address patients' spiritual care needs; however, there is no comprehensive description of chaplaincy in PC programs nationally. OBJECTIVE: To describe chaplains working in PC across the United States, including their integration on the PC team and visit content. DESIGN: National online survey conducted February-April 2015. SUBJECTS: We invited participation from hospital-based chaplains belonging to four national professional chaplain associations who spent 15% or more of their working hours with PC teams...
February 1, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28140755/when-one-knows-a-fetus-is-expected-to-die-palliative-care-in-the-context-of-prenatal-diagnosis-of-fetal-malformations
#14
Taisa Rocha Catania, Lisandra Stein Bernardes, Glaucia Rosana Guerra Benute, Maria Augusta Bento Cicaroni Gibeli, Nathalia Bertolassi do Nascimento, Tercilia Virginia Aparecida Barbosa, Vera Lucia Jornada Krebs, Rossana P V Francisco
BACKGROUND: Fetal malformations occur in 2% of gestations and are the fifth most common cause of neonatal death in the world. In many cases, fetal malformations result in neonatal death or long stay in intensive care facilities. Families that continue the pregnancy in such a situation need to make choices and cope with an overwhelming number of potential issues. Palliative care starting at the prenatal period is a growing field that allows the entire family to prepare for this difficult situation...
January 31, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28135117/an-11-year-study-of-home-hospice-service-trends-in-singapore-from-2000-to-2010
#15
Benedict John Ho, Ramaswamy Akhileswaran, Grace Su Yin Pang, Gerald Choon Huat Koh
BACKGROUND: Hospice care is most appropriate when a patient no longer benefits from curative treatment and has limited life expectancy. These patients may suffer from any type of life-limiting illness, including end-stage cancer, end-stage heart disease, end-stage renal failure, AIDS, and Alzheimer's disease, among other illnesses. Patients are managed on their pain and symptoms and home hospice care manages these patients in the comfort of their own home, enabling patients to spend their last days with dignity and have a good quality of life...
January 30, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28128674/-and-yet-it-was-a-blessing-the-case-for-existential-maturity
#16
Linda L Emanuel, Neha Reddy, Joshua Hauser, Sarah B Sonnenfeld
We are interested in the kind of well-being that can occur as a person approaches death; we call it "existential maturity." We describe a conceptual model of this state that we felt was realized in an individual case, illustrating the state by describing the case. Our goal is to articulate a generalizable, working model of existential maturity in concepts and terms taken from fundamentals of psychodynamic theory. We hope that a recognizable case and a model-based way of thinking about what was going on can both help guide care that fosters existential maturity and stimulate more theoretical modeling of the state...
January 27, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28121492/-unknown-title
#17
(no author information available yet)
No abstract text is available yet for this article.
January 25, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28118057/-unless-you-bring-it-up-you-won-t-know-the-reactions-of-the-people-older-japanese-americans-perceptions-toward-hospice-care-and-advance-care-discussion-and-planning
#18
Alexis Coulourides Kogan, Wesley Kobashigawa, Susan Enguidanos
No abstract text is available yet for this article.
January 24, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28106478/uremic-calciphylaxis-325
#19
Katherine Roza, Jason C George, Maria Bermudez, Zankhana Mehta
No abstract text is available yet for this article.
January 20, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28103131/pediatric-palliative-care-needs-assessments-from-paper-forms-to-actionable-patient-care
#20
Meaghann Shaw Weaver, Denice Schroeder, Christopher Wichman, Sue Bace, Catherine Vail, Andrew Macfadyen
No abstract text is available yet for this article.
January 19, 2017: Journal of Palliative Medicine
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