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Current Opinion in Supportive and Palliative Care

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https://www.readbyqxmd.com/read/29206700/caregiver-anticipatory-grief-phenomenology-assessment-and-clinical-interventions
#1
Alexandra Coelho, Maja de Brito, António Barbosa
PURPOSE OF REVIEW: This review aims to synthesize recent findings on anticipatory grief in caregivers, referring to its phenomenology, assessment and clinical interventions. RECENT FINDINGS: Recent literature illustrates the wide scope of the current use of the term anticipatory grief, reflecting caregivers' experiences in different end-of-life trajectories. The anticipation of death is the distinctive aspect of anticipatory grief in the predeath grief continuum, encompassing several progressive losses, past and future...
December 4, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206704/palliative-care-needs-assessment-in-chronic-heart-failure
#2
Daisy J A Janssen, Miriam J Johnson, Martijn A Spruit
PURPOSE OF REVIEW: The unmet palliative care needs of patients with chronic heart failure (CHF) are well known. Palliative care needs assessment is paramount for timely provision of palliative care. The present review provides an overview of palliative care needs assessment in patients with CHF: the role of prognostic tools, the role of the surprise question, and the role of palliative care needs assessment tools. RECENT FINDINGS: Multiple prognostic tools are available, but offer little guidance for individual patients...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206703/palliative-care-needs-of-heart-failure-patients-in-china-putting-people-first
#3
Ping Guo, Richard Harding, Irene J Higginson
PURPOSE OF REVIEW: Recognizing the rising prevalence of heart failure in China, patients with heart failure have substantial palliative needs. This review highlights recent evidence on the epidemic of heart failure, identifies needs and potential benefit of palliative care in heart failure, and sets future strategic policy and research directions in China. RECENT FINDINGS: Epidemiological studies demonstrate the prevalence of heart failure among women is higher than men in China and increases substantially with age...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206702/challenges-in-clarifying-goals-of-care-in-patients-with-advanced-heart-failure
#4
Patricia H Strachan, Jennifer Kryworuchko, Lin Li
PURPOSE OF REVIEW: Patients with advanced heart failure require communication about goals of care, yet many challenges exist, leaving it suboptimal. High mortality rates and advances in the use of life-sustaining technology further complicate communication and underscore the urgency to understand and address these challenges. This review highlights current research with a view to informing future research and practice to improve goals of care communication. RECENT FINDINGS: Clinicians view patient and family barriers as more impactful than clinician and system factors in impeding goals of care discussions...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29206701/thirst-in-heart-failure-what-do-we-know-so-far
#5
Sabine M Allida, Christopher S Hayward, Phillip J Newton
PURPOSE OF REVIEW: Thirst is a common and burdensome symptom of heart failure, which impacts adversely on quality of life. To date, there is limited research on the prevalence of thirst, the factors associated with thirst and interventions to help manage thirst in heart failure. This review summarizes key empirical research developments of thirst. RECENT FINDINGS: Recent research shows that the heart failure syndrome, medications, self-care practice such as fluid restriction and anxiety contributes greatly to increased thirst in patients with heart failure...
November 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29176333/symptom-cluster-among-patients-with-advanced-heart-failure-a-review-of-its-manifestations-and-impacts-on-health-outcomes
#6
Doris Sau-Fung Yu, Polly Wai-Chi Li, Sherry On-Ki Chong
PURPOSE OF REVIEW: Assessment of symptom clustering is effective in enhancing care planning for symptom palliation in life-limiting disease. This review was aimed at identifying symptom cluster manifestation among advanced heart failure patients and to investigate the prognostic impact of the identified symptom clusters. RECENT FINDINGS: A systematic search of the literature identified 10 relevant articles. Two approaches were undertaken based on: correlations between symptoms and shared characteristics of patients' symptom profiles, to identify the symptom clusters...
November 25, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29176332/transition-to-survivorship-can-there-be-improvement
#7
Margaret I Fitch
PURPOSE OF REVIEW: The transition from primary cancer treatment to posttreatment follow-up care is seen as critical to the long-term health of survivors. However, relatively little attention has been paid to understanding this pivotal period. This review will offer a brief outline of the significant work surrounding this pivotal time published in the past year. RECENT FINDINGS: The growing number of cancer survivors has stimulated an emphasis on finding new models of care, whereby responsibility for survivorship follow-up is transitioned to primary care providers...
November 25, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29176331/management-of-work-through-the-seasons-of-cancer-survivorship
#8
Saskia F A Duijts
PURPOSE OF REVIEW: Survival from cancer has expanded enormously over the past decades. It is estimated that 40-50% of all cancer survivors are of working age at time of diagnosis and thus potentially part of the labor force. The seasons of survivorship can be used as a steppingstone to describe issues regarding employability survivors are dealing with. RECENT FINDINGS: The acute survival stage begins at the point of diagnosis. Disclosure of diagnosis, and flexibility of both employers and (occupational) healthcare professionals are important factors in this stage...
November 25, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/29068809/advances-in-managing-and-preventing-thromboembolic-disease-in-cancer-patients
#9
Anthony Maraveyas, Iqtedar Muazzam, Simon Noble, George Bozas
PURPOSE OF REVIEW: To update on new data for low-molecular weight heparins (LMWHs) and the direct oral anticoagulants (DOACs) for the treatment and prevention of cancer-associated thrombosis (CAT), to discuss progress with the risk-adaptive management scores (RAMS) and update on increased dose primary thromboprophylaxis (IDPTP). RECENT FINDINGS: In a pooled meta-analysis of 1132 cancer patients who received DOACs vs. vitamin K analogues (VKAs), recurrence of venous thromboembolism (VTE) was reduced from 6...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28984677/advances-in-the-understanding-and-management-of-mucositis-during-stem-cell-transplantation
#10
Joanne M Bowen, Hannah R Wardill
PURPOSE OF REVIEW: Mucositis is a severe and common side effect of anticancer treatments, with an incidence of between 40 and 80% depending on the cytotoxic regimen used. The most profound mucositis burden is experienced during conditioning regimens for hematopoietic stem cell transplant (HSCT), where the use of highly mucotoxic agents with or without total body irradiation leads to serious damage throughout the alimentary tract. Currently, the assessment and management of both oral and gastrointestinal mucositis lack authoritative guideline, with recommendations only achieved in narrow clinical scenarios...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28984676/advances-in-understanding-and-management-of-lymphoedema-cancer-primary
#11
Vaughan Keeley
PURPOSE OF REVIEW: Despite being neglected both clinically and in research in the past, primary lymphoedema, and lymphoedema secondary to cancer treatment have been the subject of an increasing number of studies in recent years. This review will focus on new developments relevant to clinical practice. RECENT FINDINGS: The main themes covered by the review include the incidence and prevalence of lymphoedema, early detection and intervention in cancer-related lymphoedema, risk reduction for the development of cancer-related lymphoedema, surgical treatment, palliative care for lymphoedema in advanced cancer and developments in the genetics of primary lymphoedema...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28957884/palliative-and-end-of-life-care-for-adults-with-advanced-chronic-obstructive-pulmonary-disease-a-rapid-review-focusing-on-patient-and-family-caregiver-perspectives
#12
Gillian Mathews, Bridget Johnston
PURPOSE OF REVIEW: The aim of the review was to explore patient and family caregiver perspectives on key issues for ensuring quality of end-of-life care for people with chronic obstructive pulmonary disease (COPD). The growing evidence on the value of specialist palliative care services demonstrates significant improvements in treatments and provisions; however, much of the literature is generic in nature or centred on people with a cancer diagnosis. In this review, we examine the literature to ascertain the views and needs of patients and carers affected by advanced COPD, a highly debilitating condition that can have a profoundly negative impact on the quality of end-of-life experience...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28957883/what-is-next-after-anamorelin
#13
Jose M Garcia
PURPOSE OF REVIEW: In spite of its relevance, treatments for the cancer anorexia and cachexia syndrome (CACS) are not available. One of the agents that recently reached phase III clinical trials is anamorelin. Its development, along with that of other agents for this indication, will be reviewed here, with a focus on the gaps in the current knowledge and future directions. RECENT FINDINGS: In spite of several targets showing promising results in early development, their difficulties obtaining regulatory approval underscore the need to reconsider the current strategies in drug development and the challenges in the field of CACS...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28957882/impact-of-advance-care-planning-on-end-of-life-management
#14
Urška Lunder, Branka Červ, Hana Kodba-Čeh
PURPOSE OF REVIEW: The aim of this review is to critically appraise the recent evidence on different aspects of impact of advance care planning (ACP) in palliative care and to reflect on further implications on practice and research in the future. RECENT FINDINGS: Evidence about various ACP impacts is rapidly growing and most common outcome measures are still advance directive completion, change in hospital admission rate and patients' and families' views and experiences with ACP...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28957881/practical-approaches-to-managing-cancer-patients-with-weight-loss
#15
Egidio Del Fabbro, Tamara A Orr, Susan M Stella
PURPOSE OF REVIEW: Poor appetite and weight loss are a source of family conflict, psychological distress, and associated with poor tolerance to chemotherapy, impaired quality of life, and decreased survival. Despite clinicians' concern about the effect of cachexia on their patients, few oncological professional organizations provide guidelines for the treatment of cancer-related weight loss. RECENT FINDINGS: Recent publications indicate there is an unmet need for addressing cachexia in patients with cancer...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28957880/research-priorities-in-cancer-cachexia-the-university-of-rochester-cancer-center-nci-community-oncology-research-program-research-base-symposium-on-cancer-cachexia-and-sarcopenia
#16
Richard F Dunne, Karen M Mustian, Jose M Garcia, William Dale, Reid Hayward, Breton Roussel, Mary M Buschmann, Bette J Caan, Calvin L Cole, Fergal J Fleming, Joe V Chakkalakal, David C Linehan, Aram F Hezel, Supriya G Mohile
PURPOSE OF REVIEW: Cancer cachexia remains understudied and there are no standard treatments available despite the publication of an international consensus definition and the completion of several large phase III intervention trials in the past 6 years. In September 2015, The University of Rochester Cancer Center NCORP Research Base led a Symposium on Cancer Cachexia and Sarcopenia with goals of reviewing the state of the science, identifying knowledge gaps, and formulating research priorities in cancer cachexia through active discussion and consensus...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28922295/spiritual-needs-of-patients-with-cancer-in-palliative-care-an-integrative-review
#17
Ana Cláudia Mesquita, Érika de Cássia Lopes Chaves, Guilherme Antônio Moreira de Barros
PURPOSE OF REVIEW: The experience of a life crisis, such as the experience of end-of-life terminality whenever facing cancer can make the spiritual needs of patients clear. The goal of this revision was to synthesize the existing evidence regarding the spiritual needs of patients with cancer in palliative care. RECENT FINDINGS: An integrated revision of the literature was conducted regarding the database sources from PubMed, CINAHL, EMBASE, LILACS and Scopus, without publishing year restrictions...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28922294/health-professionals-quality-of-life-in-relation-to-end-of-life-care
#18
Juan P Linzitto, Gladys Grance
PURPOSE OF REVIEW: Palliative care professionals are frequently exposed to stressful and demanding situations in the assistance of patients and their families, therefore research related to their quality of life is a relevant topic to provide evidence on interventions oriented to professional self-care. RECENT FINDINGS: Research about professionals' quality of life is having a profuse development with core concepts being under review. SUMMARY: Currently, burnout syndrome and compassion fatigue are considered relevant determinants of professionals' quality of life...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28922293/the-role-of-vitamin-d-in-cancer-cachexia
#19
Fabio Penna, Andrea Camperi, Maurizio Muscaritoli, Nicoletta Filigheddu, Paola Costelli
PURPOSE OF REVIEW: The possibility to use vitamin D supplementation to improve muscle wasting, with particular focus on cancer cachexia, is discussed. RECENT FINDINGS: Vitamin D exerts biological actions on myogenic precursor proliferation and differentiation, impinging on muscle regeneration. However, the effects of VitD supplementation in diseases associated with muscle atrophy, such as cancer cachexia, are poorly investigated. Data obtained in experimental models of cancer cachexia show that the administration of vitamin D to tumor-bearing animals is not able to prevent or delay both muscle wasting and adipose tissue depletion, despite increased expression of muscle vitamin D receptor...
December 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28922292/advances-in-delivery-of-ambulatory-autologous-stem-cell-transplantation-for-multiple-myeloma
#20
Jack Khouri, Navneet S Majhail
PURPOSE OF REVIEW: Autologous stem cell transplantation (ASCT) is generally performed in the inpatient setting in its entirety. Several centers have demonstrated the feasibility of performing ASCT for myeloma in the ambulatory setting. We review the safety, cost-effectiveness, complications and outcomes of outpatient ASCT for myeloma. RECENT FINDINGS: Published studies are heterogeneous but suggest that outpatient ASCT for myeloma is cost-effective and associated with a shorter or no initial hospitalization, albeit there is a high rate of readmission for complications...
December 2017: Current Opinion in Supportive and Palliative Care
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