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Annals of Palliative Medicine

Charlotte Wool, Anita Catlin
The aims of this article are twofold: (I) provide a general overview of perinatal bereavement services throughout the healthcare system and (II) identify future opportunities to improve bereavement services, including providing resources for the creation of standardized care guidelines, policies and educational opportunities across the healthcare system. Commentary is provided related to maternal child services, the neonatal intensive care unit (NICU), prenatal clinics, operating room (OR) and perioperative services, emergency department (ED), ethics, chaplaincy and palliative care services...
November 22, 2018: Annals of Palliative Medicine
Yasmeen Razvi, Stephanie Chan, Liying Zhang, May Tsao, Elizabeth Barnes, Cyril Danjoux, Philomena Sousa, Pearl Zaki, Erin McKenzie, Henry Lam, Carlo DeAngelis, Edward Chow
BACKGROUND: Clinician predicted survival (CPS) plays a crucial role in palliative care, informing physicians of appropriate treatment best suited to the patient. The primary objective of this study was to assess the accuracy of CPS of cancer patients referred for palliative radiotherapy. Secondary objectives included an analysis of factors predictive of accurate CPS, comparisons of the accuracy of survival predictions over subsequent clinic visits, and comparisons to the previous study in the Rapid Response Radiotherapy Program (RRRP) in 2005...
November 21, 2018: Annals of Palliative Medicine
Rebecca M Shulman, Joshua E Meyer, Tianyu Li, Krisha J Howell
BACKGROUND: The potential benefit of administering external beam radiation therapy (EBRT) to patients with asymptomatic bone metastases has rarely been addressed in clinical investigations. The aim of this study was to determine if cancer patients who were treated with EBRT for asymptomatic bone metastases experienced later onset of pain and skeletal-related events (SREs) than those who were untreated. METHODS: A retrospective chart review was conducted for prostate, breast, and lung cancer patients with asymptomatic bone metastases treated at a single cancer center from 2007 to 2017...
November 6, 2018: Annals of Palliative Medicine
Tai Chung Lam, Yolanda Tseng
Radiation oncologists play an important role in the palliative care of advanced cancer patients. The article discusses the various clinical indications of palliative radiation therapy, which include the control of bone pain, acute treatment of cord compression, the control of thoracic and gastrointestinal symptoms. The importance of survival estimates for individualization of radiation therapy regime is elaborated. Besides prescription of radiation treatment, radiation oncologists should also function as primary palliative care providers by assessing and initial management of symptoms and other sources of distress, making prompt referrals to specialists for complex symptom management and contributing to the multidisciplinary palliative care team...
November 6, 2018: Annals of Palliative Medicine
Jimi S Malik, Sriram Yennurajalingam
Cancer cachexia (CC) is one of the most distressing syndromes for both patients and their families. CC can have an impact on patient reported quality of life and overall survival. It is often associated with symptoms such as fatigue, depressed mood, early satiety, and anorexia. Prokinetic agents have been found to improve chronic nausea and early satiety associated with CC. Among the prokinetic agents, metoclopramide is one of the best studied medications. The role of the other prokinetic agents, such as domperidone, erythromycin, haloperidol, levosulpiride, tegaserod, cisapride, mosapride, renzapride, and prucalopride is unclear for use in cachectic cancer patients due to their side effect profile and limited efficacy studies in cancer patients...
November 5, 2018: Annals of Palliative Medicine
Shalini Dalal
Cancer cachexia, characterized by losses in muscle and adipose tissue (AT), is associated with poor quality of life and prognosis, and lacks effective therapies. Both tumor- and host- derived factors disrupt normal metabolism and are vital to the catabolic drive in cancer cachexia. While muscle loss has long dominated cachexia research, recent work conducted predominantly in rodent models has begun to recognize the significance of AT lipid metabolism alterations in the development and progression of cancer cachexia...
October 30, 2018: Annals of Palliative Medicine
Andrew T Olagunju, Babatunde Fadipe, Rotimi W Buraimoh, Olagoke K Ale, Theophilus I Umeizudike, Raphael E Ogbolu, Nasur Buyinza, Jonathan Bayuo, Barbara Mutedzi, Kennedy Nkhoma, Eve Namisango, Katherine Bristowe, Deokhee Yi, Julia Downing, Olatunji F Aina, Joseph D Adeyemi, Fliss E M Murtagh, Richard Harding
BACKGROUND: The burden of symptoms and other concerns in chronic kidney disease (CKD) is known to be high, adversely affecting the quality of life of the growing number of those with this condition in developing countries. In this paper, we describe the protocol of a longitudinal observational study among people living with CKD. The study is developed to assess the bio-psychosocial factors associated with palliative care symptoms and concerns, and pattern of health services usage among Nigerians with stages 3-5 CKD...
October 17, 2018: Annals of Palliative Medicine
Cathryn Pinto, Katherine Bristowe, Jana Witt, Joanna M Davies, Susanne de Wolf-Linder, Marsha Dawkins, Ping Guo, Irene J Higginson, Barbara Daveson, Fliss E M Murtagh
BACKGROUND: Routine use of outcome measures in palliative care is recommended to demonstrate and improve quality of care. The use of outcome measures is relatively recent in UK specialist palliative care services and understanding their use in practice is key to successful implementation. We therefore aimed to explore how patient-centred outcome measures are used in specialist palliative care, and identify key considerations for implementation. METHODS: Multi-method qualitative study (semi-structured interviews and non-participant observation)...
October 2018: Annals of Palliative Medicine
Bárbara Antunes, Claudia Bausewein
No abstract text is available yet for this article.
October 2018: Annals of Palliative Medicine
Richard J Gralla
No abstract text is available yet for this article.
October 2018: Annals of Palliative Medicine
Francesca Rusalen, Maria Elena Cavicchiolo, Paola Lago, Sabrina Salvadori, Franca Benini
No abstract text is available yet for this article.
October 2018: Annals of Palliative Medicine
Alze Pereira Dos Santos Tavares, Carmen Tzanno-Matins, Marcio J C Arruda, Bárbara Antunes
BACKGROUND: Renal Supportive/Palliative Care is gaining gradual recognition as a patient-centered care approach that should be integrated to the traditional disease-centered model of care, mainly in elder patients with advanced chronic kidney disease (CKD). The objective of this study was to assess knowledge, perceptions, attitude, experience and interest in palliative care among renal care providers. METHODS: Online survey, administered between May 23 to June 13, 2017 to members of the Brazilian Society of Nephrology (BSN)...
October 2018: Annals of Palliative Medicine
Anna W LaVigne, Babe Gaolebale, Goitseone Maifale-Mburu, Surbhi Grover
BACKGROUND: A rising tide of cancers and other chronic diseases, alongside the ongoing HIV/AIDS epidemic, has created an increasing demand for palliative care in Africa. Yet, few African nations have established effective palliative care programs. In Botswana, the escalating HIV/AIDS crisis revealed an unmet need for holistic care, prompting efforts to expand palliative care education and policy, and target curricular and health system integration in the years that followed. Despite numerous successes, Botswana continues to face barriers to palliative care development...
October 2018: Annals of Palliative Medicine
Bárbara Antunes, Pedro Pereira Rodrigues, Irene J Higginson, Pedro Lopes Ferreira
The aim of this scoping review is to give an overview and appraisal of the development of outcome measurement throughout time and its present importance to healthcare and specifically to palliative care clinical practice. It is based on a search and search results of a published systematic review on implementing patient reported outcome measures in palliative care clinical practice. Medline, PsycInfo, Cumulative Index to Nursing and Allied Health Literature, Embase and British Nursing Index were systematically searched from 1985...
October 2018: Annals of Palliative Medicine
Ahsan Azhar, Eduardo Bruera
Patients with advanced illnesses, especially near the end of life, often experience multiple complex symptoms which may have profound impact on the quality of life of not only the patients but also their family members. Early and prompt recognition of such clinical challenges is linked with better end of life care for the dying patients, their caregivers and family members. In this narrative, which is not meant to be an in-depth systematic review, we attempt to provide an overview of some commonly used outcome measurement tools available for bedside clinical assessment of the different dimensions of suffering, especially near the time of death...
October 2018: Annals of Palliative Medicine
Anne-Sophie Bertrand, Antoine Iannessi, Sandrine Buteau, Xiong-Ying Jiang, Hubert Beaumont, Benoit Grondin, Guillaume Baudin
BACKGROUND: Interventional radiology procedures in cancer patients cause stress and anxiety. Our objective was to relate our experience in the use of sophrology techniques during interventional radiology procedures and evaluate the effects on patient's pain and anxiety. METHODS: We present a prospective observational study on 60 consecutive patients who underwent interventional radiology procedures in a context of oncologic management from September 2017 to March 2018...
October 2018: Annals of Palliative Medicine
Erin McKenzie, Matthew K Hwang, Stephanie Chan, Liying Zhang, Pearl Zaki, May Tsao, Elizabeth Barnes, Yasmeen Razvi, Leah Drost, Caitlin Yee, Edward Chow
BACKGROUND: More than 70% of patients with advanced cancer experience dyspnea. Dyspnea is predictive of shorter survival and interferes with quality of life (QOL). The present study aimed to identify predictors of the presence and severity of dyspnea in advanced cancer patients. METHODS: A prospective database collected from patients attending a palliative radiotherapy clinic was analyzed for patient demographics, Edmonton Symptom Assessment System (ESAS) scores, Patient-Reported Functional Status (PRFS), history of smoking and respiratory conditions, pulse oximetry readings, and primary cancer site...
October 2018: Annals of Palliative Medicine
Claudia Bausewein, Eva Schildmann, Johannes Rosenbruch, Birgit Haberland, Susanne Tänzler, Christina Ramsenthaler
Outcome measurement is becoming increasingly important in palliative care both in research as well as clinical care. Regular ongoing assessments in palliative care clinical practice have the potential to enable monitoring of the patient's situation, assess the effectiveness of interventions, assess symptoms accurately and focus on patients' priorities. Implementing routine outcome measurement into clinical practice remains a challenge. Therefore, the aim of this article is to describe the process of implementing routine outcome measurement into daily clinical work in a university palliative care unit...
October 2018: Annals of Palliative Medicine
Sandra Martins Pereira, Pablo Hernández-Marrero
Several outcome measures have been systematically implemented to be used in palliative care. However, routine use in clinical practice is not without ethical challenges, which are not commonly addressed. The objectives of this study are therefore (I) to identify the ethical challenges/issues of outcome measurement in palliative care and (II) to understand how these ethical challenges/issues are addressed in palliative care clinical practice. The study consisted of a systematic review of systematic reviews, which is a type of review that brings together a summary of reviews in one place...
October 2018: Annals of Palliative Medicine
Peter May, J Brian Cassel
The status of economic research in palliative care is evaluated. Significant limitations are observed in research to date. Recommendations are made for broadening the scope of economic enquiry in palliative care.
October 2018: Annals of Palliative Medicine
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