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Journal of Hospice and Palliative Nursing: JHPN

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https://www.readbyqxmd.com/read/30382955/can-writing-and-storytelling-foster-self-care-a-qualitative-inquiry-into-facilitated-dinners
#1
Anne Bruce, Helena Daudt, Susan Breiddal
Research into self-care practices suggests the need for conscientious and systematic support of nurses and other health care providers. The purpose of this study was to explore the impact of an innovative self-care initiative. The goals were to explore the experience of nurses and other health care providers participating in a reflective, creative nonfiction storytelling event called "Dinner and Stories" and the potential benefits and limitations of using an informal, storytelling model for self-care...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379803/ensuring-high-quality-in-palliative-care
#2
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379802/home-care-nurses-experience-with-medication-kit-in-palliative-care
#3
Katrine Staats, Oscar TranvÄg, Ellen Karine Grov
Home-care nurses assist many advanced cancer patients desiring to live in the familiar surroundings of their own home until the day they die. The purpose of this study was to increase the understanding concerning home-care nurse experience with the Norwegian version of the medication kit as a tool in symptom management for the terminally ill. The study had a qualitative, descriptive, and explorative design, based on hermeneutic methodology. Two focus group interviews with 4 subsequent in-depth interviews helped generate data...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379801/evaluating-an-initiative-to-promote-entry-level-competence-in-palliative-and-end-of-life-care-for-registered-nurses-in-canada
#4
Lori L Rietze, Coby L Tschanz, Holly R L Richardson
Numerous competency statements have been developed for the purpose of guiding nurse educators and clinicians. Rarely, though, are there evaluations of the use of these competency statements in practice. In this cross-sectional descriptive study, nurse educators were surveyed to determine how the Canadian Association of Schools of Nursing (CASN) Palliative and End-of-Life Care Entry-to-Practice Competencies and Indicators are used in schools of nursing in Canada. Twenty-four respondents consented to participating in this study...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379800/ketamine-use-for-complex-pain-in-the-palliative-care-population
#5
Marianne Johnstone-Petty
Palliative care patients are predisposed to complex pain, including refractory pain, neuropathic pain, opioid-induced hyperalgesia, and opioid-induced neurotoxicity. Palliative care complex pain management can include use of subanesthetic parenteral ketamine. Support for subanesthetic ketamine exists from anecdotal experiences and nonrandomized studies, but there is a lack of statistically significant evidence to support or dismiss its use. Ketamine is sought for illegal, nonmedical purposes, so the lack of evidence coupled with potential for exploitation makes judicious and knowledgeable use critical...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379799/effect-of-a-palliative-screening-tool-on-referrals-an-approach-to-increase-access-to-palliative-care-services
#6
Casie M Kichler, Fawn A Cothran, Marcia A Phillips
The aim of this study was to develop and trial a screening tool to increase palliative care referrals for hospitalized patients with chronic obstructive pulmonary disease (COPD) at a community hospital. Baseline data were collected retrospectively to determine the palliative care referral rate of patients with COPD at a high risk for readmission using the LACE index. A palliative care referral tool was developed to screen the patients who were at a high risk for readmission for palliative care referral. A 3-month pilot project prospectively evaluated the palliative care referral rate after educating staff on the use of the screening tool and implementing its use...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379798/effects-of-dignity-therapy-on-family-members-a-systematic-review
#7
Lisa J Scarton, Lara Boyken, Robert J Lucero, George Fitchett, George Handzo, Linda Emanuel, Diana J Wilkie
Dignity therapy (DT) provides, for patients with a serious illness, a guided sharable life review through a protocolized interview and the creation of a legacy document. Evidence is mounting in support of the use of DT for patients with a serious illness; however, it is unclear whether DT has effects on family members. The purpose of this article was to provide a systematic literature review of the effects DT has on family members of patients who receive DT. Using a PubMed search with key terms of "Chochinov," "family," and "dignity care," a total of 18 articles published between January 2000 and July 2016 were identified and included in this review...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379797/use-of-seva-stress-release-acupressure-to-reduce-pain-stress-and-fatigue-in-patients-hospitalized-for-cancer-treatment
#8
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379796/use-of-seva-stress-release-acupressure-to-reduce-pain-stress-and-fatigue-in-patients-hospitalized-for-cancer-treatment
#9
Kari Sand-Jecklin, Victoria Reiser
Patients undergoing treatment for cancer often experience stress, fatigue, and pain during their treatment. Medical management of these symptoms can cause additional adverse effects, but it is possible that noninvasive complementary therapies may be able to reduce these symptoms without unwanted adverse effects. The purpose of this study was to assess the feasibility and impact of the Seva Stress Release acupressure protocol on stress, fatigue, pain, and vital signs of patients hospitalized for cancer treatment...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379795/a-patient-s-suicidal-ideations-and-a-clinical-nurse-leader-s-responsibility
#10
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379794/a-patient-s-suicidal-ideations-and-a-clinical-nurse-leader-s-responsibility
#11
Jody Kusheba, Karen Mulvihill
Nurses caring for patients at end of life are faced with many ethical dilemmas. A patient's desire to commit suicide affects not only the person who commits suicide but also the patient's family, friends, and health care professionals. This fictional case study demonstrates an ethical dilemma when Beth, a novice hospice clinical nurse leader, is at a home care visit for Joan, a patient with end-stage ovarian cancer, and Joan expresses her wish to commit suicide. The case raises issues about patient autonomy, patient confidentiality, nursing professional code of ethics, beneficence, and whether the nurse's actions were enough to prevent the death...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30379792/national-consensus-project-guidelines-fourth-edition
#12
Betty Ferrell
No abstract text is available yet for this article.
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30260814/transforming-end-of-life-care-by-implementing-a-patient-centered-care-model-findings-from-an-action-research-project
#13
Raffaella Dobrina, Maja Tenze, Alvisa Palese
Patient-centered care is valued by health care professionals working in palliative care settings. However, studies have revealed the difficulty of adopting patient-centered care in daily practice and of sharing its meaning within the interdisciplinary team. The aim of this study was to report the process of transforming end-of-life care by implementing a patient-centered model of care in an Italian hospice. An action research process was conducted between June 2012 and June 2014. The following phases were performed: (a) "looking" phase: the diagnosis was established by collecting data through semistructured interviews in the field study and through the administration of the Frommelt Attitude Toward the Care of the Dying Scale Form B-Italian Version; (b) "thinking" phase: staff members, guided by a research team, redesigned practice by identifying priorities in improvements and actions through multiprofessional focus groups; (c) "acting" phase: actions identified in the previous phase were implemented; and (d) "relooking" phase: the same data collection processes used in the looking phase were applied to evaluate the outcomes achieved...
December 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188446/hpna-position-statement-advance-care-planning
#14
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188445/lessons-from-an-immersion-experience-in-southern-india
#15
Kimberly Chow
Approximately 2.4 million people in India are living with cancer, and more than 1 million new cancer diagnoses are made annually, often in advanced stages of disease. An estimated 80% of patients with advanced cancer will develop significant pain resulting in the need to increase access to appropriate palliative care services across the country, including a priority on pain and symptom management. This article describes the history and status of palliative care across India, with an emphasis on the efforts made in the southern state of Kerala to engage community volunteers in the care of patients with chronic serious illness...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188444/losing-health-symbols-because-of-nutrition-related-problems-in-advanced-cancer-an-interpretative-phenomenological-analysis
#16
Sophie Opsomer, Sofie Joossens, Claudia De Wit, Emelien Lauwerier, Peter Pype
Cancer and nutrition-related problems are extremely distressing events and disturb functioning and daily life. It is recognized that the effects of stressors challenging well-being are mediated by the meaning attached to these stressors. As nutrition-related problems are often being experienced within couples, it is also important to gain understanding of a partner's interpretation of complaints and whether it coincides with that of the patient.To explore the meaning attached to nutrition-related problems, a qualitative approach was followed...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188443/pilot-of-a-pediatric-palliative-care-early-intervention-instrument
#17
Rachel Shaw, Hallie Seegal, Joy G Miller, Jessica Keim-Malpass
Current research demonstrates that pediatric symptom management care is often initiated in the late stages of disease once clinicians are no longer able to meaningfully impact symptom burden. Given that physicians or nurse practitioners are responsible for initiating palliative care referrals, it is incumbent upon registered nurses to advocate when improved symptom management care is needed. The pediatric palliative care screening instrument pilot provides a centralized instrument to document and quantify a patient's symptom profile, giving registered nurses the opportunity to objectively communicate and track a patient's need for improved symptom management care within the areas of pain, secretions, dyspnea, intractable seizures, nausea, vomiting, constipation, diarrhea, anorexia, cachexia, sleep disturbance, lethargy, anxiety, depression, and/or agitation...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188442/what-matters-to-persons-with-dementia-at-the-end-of-life-perspectives-of-proxy-decision-makers
#18
Jung Kwak, Hyunjin Noh
For substituted decision makers for the growing number of persons with dementia (PWDs), understanding the PWD's values is a prerequisite for making end-of-life (EOL) decisions congruent with the PWD's wishes. The current qualitative study explored PWD health care proxies' perspectives on values that are important to PWDs at end of life and challenges in making EOL decisions that reflect PWDs' values. Semistructured interviews were conducted with 20 PWD proxies, and data were analyzed using the content analysis, an inductive approach to identify themes...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188441/self-efficacy-and-stress-among-informal-caregivers-of-individuals-at-end-of-life
#19
Michelle M Hampton, Patricia Newcomb
Researchers have established associations between the stressors of providing informal care and caregiver health risks. Despite the negative consequences, researchers have identified the existence of protective factors that have the potential to buffer or prevent stress. The purpose of this study was to determine the relationship between self-efficacy and stress in adult informal caregivers providing end-of-life care. This cross-sectional, associational study analyzed data from questionnaires completed by adult informal caregivers providing end-of-life care for an adult in North Texas...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/30188440/exploration-of-families-experiences-caring-for-loved-ones-with-advanced-ovarian-cancer
#20
Kalli Stilos, Margaret Fitch, Amy Eleanor Nolen, Tracey DasGupta, Marilyn Sapsford, Alison McAndrew, Shari Moura
Ovarian cancer is challenging, both physically and psychologically, because of the advanced nature of the disease at diagnosis, adverse effects of the disease and treatment, and impact on roles and responsibilities. The family plays an integral role in promoting and maintaining the health of family caregivers, as well as providing physical and emotional support. The purpose of this study was to explore the experience of family caregivers caring for their loved ones with advanced ovarian cancer. Thirteen family caregivers were interviewed...
October 2018: Journal of Hospice and Palliative Nursing: JHPN
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