journal
MENU ▼
Read by QxMD icon Read
search

Journal of Palliative Care

journal
https://www.readbyqxmd.com/read/29129136/palliative-medicine-becoming-a-subspecialty-of-the-royal-college-of-physicians-and-surgeons-of-canada
#1
Jana Pilkey, James Downar, Deborah Dudgeon, Leonie Herx, Doreen Oneschuk, Cori Schroder, Valerie Schulz
The discipline of palliative medicine in Canada started in 1975 with the coining of the term "palliative care." Shortly thereafter, the provision of clinical palliative medicine services started, although the education of the discipline lagged behind. In 1993, the Canadian Society of Palliative Care Physicians (CSPCP) started to explore the option of creating an accredited training program in palliative medicine. This article outlines the process by which, over the course of 20 years, palliative medicine training in Canada went from a mission statement of the CSPCP, to a 1 year of added competence jointly accredited by both the Royal College of Physicians and Surgeons of Canada (Royal College) and the College of Family Physicians of Canada, to a 2-year subspecialty of the Royal College with access from multiple entry routes and a formalized accrediting examination...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29113549/the-final-30-days-of-life-a-study-of-patients-with-gastrointestinal-cancer-in-ontario-canada
#2
Shaila J Merchant, Katherine Lajkosz, Susan B Brogly, Christopher M Booth, Sulaiman Nanji, Sunil V Patel, Nancy N Baxter
BACKGROUND: Studies have reported overly aggressive end-of-life care (EOLC) in many cancers. We investigate trends in, and factors associated with, aggressive EOLC among patients who died of gastrointestinal (GI) cancers in Ontario, Canada. METHODS: All patients with primary cause of death from esophageal, gastric, colon, and anorectal cancer from January 2003 to December 2013 were identified through the Ontario Cancer Registry, and information was collected from linked databases...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29110573/the-impact-of-integrated-multidisciplinary-palliative-care-program-on-symptoms-in-patients-at-the-palliative-care-ward-an-audit-and-a-protocol-of-prospective-controlled-investigation
#3
Andreas Jülich, Thomas Spreu, Britta Buchhold, Taras Usichenko
An integrated multidisciplinary palliative care (IMPC) program is a promising tool to improve symptom control in patients at the end of life. The aim was to study the feasibility of the IMPC program in patients at the palliative care (PC) ward. A retrospective audit, using the extended Edmonton Symptom Assessment Scale (ESAS), was conducted on the PC ward of the university hospital. Consecutive patients who were admitted for the IMPC program during 1 year were considered. One hundred forty-eight cases (93% with underlying cancer) were analyzed...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29110572/tracheostomy-as-a-comfort-measure-in-children-with-life-limiting-conditions
#4
Valerie Marshall, Francesca Holt, Suzanne Crowe
Palliative care for children who can expect only a short life has expanded over the last decade. Greater understanding of the measures required to ensure comfort and acceptable quality of life within the critical care environment has grown in tandem. Some more invasive interventions may be considered a "step too far" by some practitioners, including feeding gastrostomy, contracture release, and tracheostomy. Tracheostomy can facilitate a number of measures, which may enhance the brief life of the child and their family...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29096574/use-of-standardized-assessment-tools-to-improve-the-effectiveness-of-palliative-care-rounds-a-quality-improvement-initiative
#5
Donna Spaner, Valerie B Caraiscos, Christina Muystr, Margaret Lyn Furman, Jodi Zaltz-Dubin, Marilyn Wharton, Katherine Whitehead
BACKGROUND: Optimal care for patients in the palliative care setting requires effective clinical teamwork. Communication may be challenging for health-care workers from different disciplines. Daily rounds are one way for clinical teams to share information and develop care plans for patients. OBJECTIVE: The objective of this initiative was to improve the structure and process of daily palliative care rounds by incorporating the use of standardized tools and improved documentation into the meeting...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29084485/factors-associated-with-opinions-about-hospice-among-older-adults-race-familiarity-with-hospice-and-attitudes-matter
#6
Joonyup Lee, John G Cagle
Attitudes and opinions about end-of-life care among older adults are understudied. Using survey data from the American Association of Retired Persons (AARP) membership in Florida (N = 2714), this study identified predictors of opinions about hospice (OAH) among older adults. Relationships between race/ethnicity and attitudes were also examined. Results showed race of the respondent was the strongest predictor of one's OAH. Predictors of positive opinions of hospice included being of Caucasian race, non-Hispanic ethnicity, better health, greater familiarity with hospice, a high importance of pain control, the importance of fulfilling personal goals, a desire to have health-care professionals involved in one's care, and having engaged in advance care planning...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/29084484/alcohol-dependence-in-palliative-care-a-review-of-the-current-literature
#7
Aisling MacCormac
PURPOSE: Alcohol misuse affects up to 28% of palliative care inpatients. This article aims to summarize the existing literature on the care of palliative patients with alcohol dependence. METHODS: The author searched CINAHL, Scopus, MEDLINE, and PubMed from inception until July 2017 using search terms including "alcohol*," "dependence," and "palliative." The results were reported in a narrative manner. RESULTS: Identification of alcohol-dependent patients can be improved through the use of validated tools such as "Cut Down, Annoyed, Guilty, Eye Opener" (CAGE) and "Alcohol Use Disorders Identification Test" (AUDIT)...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28969501/the-strengths-and-challenges-of-palliative-day-care-centers-qualitative-study-with-the-professionals-involved
#8
Bieke Vandaele, Kenneth Chambaere, Ignaas Devisch
BACKGROUND: Palliative day-care centers are a marginal service within the palliative care landscape. Relevant research on the potential and added value of this service model is lacking, and it may therefore be underappreciated. AIM: To examine how representatives of Belgian palliative day-care centers perceive their strengths and added value, as well as the biggest challenges to their survival. DESIGN: Qualitative study of individual interviews and an overarching focus group...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28920517/bleeding-control-in-palliative-care-patients-with-the-help-of-tranexamic-acid
#9
Marcus J P Geist, Jens Kessler, Susanne Frankenhauser, Hubert J Bardenheuer
BACKGROUND: Persistent bleeding is a common reason for admitting patients with advanced cancer to a palliative care unit. Several reports show a successful therapeutic use of the antifibrinolytic agent tranexamic acid in palliative care patients having hemorrhages. However, it is not administered routinely in severe bleeding situations in palliative care, and general dosing recommendations are unclear. CASE PRESENTATION: We report on 3 patients who were treated with tranexamic acid due to symptomatic hemorrhage complicating different malignant processes...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28884618/predictors-of-change-in-quality-of-life-in-patients-with-end-stage-disease-during-hospitalization
#10
Radka Bužgová, Lucie Sikorová, Radka Kozáková, Darja Jarošová
BACKGROUND: Currently, there are no studies aimed at evaluating the quality of life (QoL) of patients with end-stage disease during hospitalization and the factors that influence it. AIM: The aim of the research was to identify predictors of change in the QoL of patients hospitalized due to advanced stage of disease. METHODS: The sample consisted of 140 patients with end-stage disease who were hospitalized on this account. For evaluation of QoL, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was used...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28868960/e-pain-reporter-a-digital-pain-and-analgesic-diary-for-home-hospice-care
#11
Masako Mayahara, JoEllen Wilbur, Sean O'Mahony, Susan Breitenstein
Informal hospice caregivers play a key role in managing patients' pain at home, but lack of adherence to doctor-prescribed analgesic regimens and medication errors are significant barriers to truly effective pain management. A digital pain diary may improve caregiver management of pain at home; however, most digital pain tools available today were developed without input from patients or caregivers. Accordingly, the purpose of this study was to develop a digital pain application (1) for hospice caregivers to record patient pain and analgesic use and (2) for nurses to monitor administration of analgesics by caregivers...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28845743/the-influence-of-physical-and-psychosocial-factors-on-disruptive-pain-among-seriously-ill-home-care-patients
#12
Jacob G S Davidson, Dawn M Guthrie
OBJECTIVES: To estimate the prevalence and correlates of disruptive pain in a sample of seriously ill home care patients in the Canadian province of Ontario. METHODS: The design was a cross-sectional analysis of secondary data from 2757 patients aged 65+. RESULTS: Overall, 69.0% (n = 1902) had any level of pain and 41.6% (n = 1146) indicated that their pain disrupted their usual activities. In the univariate analysis of demographics, the risk of disruptive pain decreased significantly with increasing age ( P < ...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28707554/a-battle-of-words-dignity-and-peace-in-the-writings-of-elisabeth-k%C3%A3-bler-ross
#13
Daniel Burnier
This article analyzes the writings of Elisabeth Kübler-Ross through the discursive lens of the phrase "dying with dignity." For her, the phrase meant allowing someone to die comfortably his/her own death. This phrase has to be understood in relationship with the final "stage of acceptance" of her model. Describing this key part of her well-known scientific output, she often used, in the early 1970s, the phrase "dying in peace and dignity." An evaluation of the evidence suggests that because the concept of dignity was co-opted by the pro-euthanasia movement during this decade, the language of dignity was little by little abandoned by her...
January 1, 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662627/continuous-palliative-sedation-for-existential-distress-a-survey-of-canadian-palliative-care-physicians-views
#14
Anna Voeuk, Cheryl Nekolaichuk, Robin Fainsinger, Ann Huot
BACKGROUND: Palliative sedation can be used for refractory symptoms during end-of-life care. However, continuous palliative sedation (CPS) for existential distress remains controversial due to difficulty determining when this distress is refractory. OBJECTIVES: The aim was to determine the opinions and practices of Canadian palliative care physicians regarding CPS for existential distress. METHODS: A survey focusing on experience and views regarding CPS for existential distress was sent to 322 members of the Canadian Society of Palliative Care Physicians...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662626/expert-discussion-on-taking-a-spiritual-history
#15
Piret Paal, Eckhard Frick, Traugott Roser, Guy Jobin
This article elaborates on the hazards of spiritual history taking. It provides expert insights to consider before entering the field. In summer 2012, a group of spiritual care experts were invited to discuss the complexity of taking spiritual histories in a manner of hermeneutic circle. Thematic analysis was applied to define the emerging themes. The results demonstrate that taking a spiritual history is a complex and challenging task, requiring a number of personal qualities of the interviewer, such as 'being present', 'not only hearing, but listening', 'understanding the message beyond the words uttered', and 'picking up the words to respond'...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662625/oxycodone-in-palliative-care-art-and-empathy-still-have-a-place
#16
William P Tormey
A 47-year-old woman who was receiving palliative care for metastatic breast cancer, which included oxycodone, was found dead in bed. The femoral blood level of oxycodone at autopsy was 1200 µg/L, which is a value within the lethal range. Could the cause of death be attributed to misadventure or suicide? Would the coroner consider a recommendation of therapeutic drug monitoring in palliative care which could have a serious negative impact on pain relief practice? A narrative verdict was the outcome linking the primary cause of death with the drug cocktail found at autopsy...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662624/interference-between-family-caregivers-mental-disorders-and-their-estimates-of-quality-of-dying-and-death-qodd-of-their-loved-ones
#17
Maria Heckel, Sonja Bussmann, Martin Weber, Christoph Ostgathe, Stephanie Stiel
BACKGROUND: In studies enrolling informal caregivers of patients in palliative care, it is necessary to ensure that findings are not influenced by factors such as mental disorders. AIM: This study aims to describe the influence of anxiety and depression on bereaved informal caregivers' retrospective ratings of the quality of dying and death (QoDD) of their loved ones. DESIGN: Informal caregivers of deceased patients from 2 German palliative care (PC) units took part in a validation study of the German version of the original QoDD-Deutsch-Angehörige (QoDD-D-Ang) during the fourth week following the patient's death at the earliest...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662623/engagement-of-primary-care-physicians-in-home-palliative-care
#18
Shiraz Malik, Russell Goldman, Nanor Kevork, Kirsten Wentlandt, Amna Husain, Nancy Merrow, Lisa W Le, Camilla Zimmermann
PURPOSE: To describe prevalence and characteristics associated with family physician and general practitioner (FP/GP) provision of home palliative care (HPC). METHODS: We surveyed FP/GPs in an urban health region of Ontario, Canada, to determine their current involvement in HPC, the nature of services provided, and perceived barriers and enablers. RESULTS: A total of 1439 surveys were mailed. Of the 302 FP/GP respondents, 295 provided replies regarding engagement in HPC: 101 of 295 (33%) provided HPC, 76 (26%) were engageable with further support, and 118 (40%) were not engageable regardless of support...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/28662622/determinants-of-home-death-in-patients-with-cancer-a-population-based-study-in-ontario-canada
#19
Hamid Raziee, Refik Saskin, Lisa Barbera
AIM: To determine factors associated with home death in patients with cancer in Ontario, particularly to assess the association between death at home and (1) patients' rural/urban residence and (2) neighborhood income in urban areas. MATERIALS AND METHODS: We conducted a retrospective cross-sectional study in Ontario (2003-2010) using linked administrative databases. In order to account for clustering phenomenon, multivariable generalized estimating equation model was used to evaluate factors associated with home death...
January 2017: Journal of Palliative Care
https://www.readbyqxmd.com/read/26856130/moments-that-last-forever
#20
Barbara Allen, Donald D Kautz
No abstract text is available yet for this article.
2015: Journal of Palliative Care
journal
journal
29352
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"