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Annals of Palliative Medicine

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https://www.readbyqxmd.com/read/28595448/do-patients-receiving-pelvic-radiation-and-anti-emetics-experience-diarrhea-and-or-constipation
#1
Leah Drost, Vithusha Ganesh, Bo Angela Wan, Carlo DeAngelis, Mark Pasetka, May Tsao, Elizabeth Barnes, Hans Chung, Edward Chow
BACKGROUND: Pelvic radiation may cause radiation enteritis, which commonly manifests as diarrhea. Radiation to the abdomen or pelvis may also cause radiation-induced nausea and vomiting (RINV) which is often treated with anti-emetics such as serotonin (5-HT3) receptor antagonists (RA). However, a common side effect of these anti-emetic medications is constipation. Both diarrhea and constipation can have a significant impact on patient quality of life (QOL). The objective of this study was to assess the prevalence of diarrhea and constipation in patients receiving pelvic radiation and anti-emetics...
June 3, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595446/life-perceptions-of-patients-receiving-palliative-care-and-experiencing-psycho-social-spiritual-healing
#2
Lingsheng Li, Danetta H Sloan, Ambereen K Mehta, Gordon Willis, Meaghann S Weaver, Ann C Berger
BACKGROUND: It is important to identify, from the patients' perspectives, the different factors that contribute toward psycho-social-spiritual healing. METHODS: This was a qualitative study that took place at a large research center, an underserved clinic, and a community hospital. We used a needs assessment questionnaire and open-ended questions to assess the constituents of psycho-social-spiritual healing: (I) how previous life experiences affected patients' present situations in dealing with their illnesses; (II) barriers to palliative care, and (III) benefits of palliative care...
June 3, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595447/therapeutic-suggestions-with-critically-ill-in-palliative-care
#3
Adrienn K Szilágyi, Zoltán Kekecs, Katalin Varga
Suggestions can be used without formal hypnosis, especially with critically ill patients, due to their spontaneous trance state. In this paper we outline data on the effectiveness of therapeutic suggestions. We interpret the possible mechanism of therapeutic suggestions in the context of stress cognition. Basic principles of formulating suggestions are discussed and some recommended versions of non-pharmacological pain control are provided. Case vignettes are given of how suggestions are used with critically ill ICU patients...
May 28, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595449/speedy-response-can-be-achieved-from-palliative-radiotherapy-in-the-treatment-of-painful-uncomplicated-bone-metastases
#4
EDITORIAL
Leila Malek, Edward Chow, Charles B Simone
No abstract text is available yet for this article.
May 26, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595440/on-the-way-of-liberation-from-suffering-and-pain-role-of-hypnosis-in-palliative-care
#5
Enrico Facco, Edoardo Casiglia, Gastone Zanette, Ines Testoni
The huge problems related to chronic, ultimately fatal diseases involve disability, pain, suffering and the perception of one's doom; this calls for reappraising the conventional concepts of health and disease, life and death, encompassing spirituality and the mystery of death beyond any limited perspective. The management of suffering and pain to enhance resilience plays a central role in palliative care (PC) and is the core of the patient-centered approach, focused on the "to care" instead of the "to cure" of the illness-centered medicine...
May 25, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595438/should-dexamethasone-be-standard-in-the-prophylaxis-of-pain-flare-after-palliative-radiotherapy-for-bone-metastases-a-debate
#6
Mark Niglas, Srinivas Raman, Danielle Rodin, Jay Detsky, Carlo DeAngelis, Hany Soliman, Edward Chow, May N Tsao
Pain flare is a well-recognized side-effect of palliative radiotherapy for the treatment of painful bone metastases, with recent randomized data showing incidence rates up to 35%. The impact of pain flare has been associated with worsening immobility, anxiety, depression and quality of life. The use of dexamethasone has recently been supported as an effective option in reducing radiation-induced pain flare based on the NCIC Clinical Trials Group (NCIC CTG) Symptom Control 23 (SC.23) randomized double-blind placebo-controlled trial...
May 25, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595441/healing-spirituality-and-integrative-medicine
#7
David M Steinhorn, Jana Din, Angela Johnson
Spirituality plays a prominent role in the lives of most palliative patients whether or not they formally adhere to a specific religion and belief. As a result, the palliative care team is frequently called upon to support families who are experiencing their "dark night of the soul" and struggling to make sense of their lives during a healthcare crisis. While conventional religious practices provide a source of comfort and guidance for many of our patients, a significant number of our patients do not have a strong religious community to which to turn...
May 22, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595442/quality-of-life-in-responders-after-palliative-radiation-therapy-for-painful-bone-metastases-using-eortc-qlq-c30-and-eortc-qlq-bm22-results-of-a-brazilian-cohort
#8
Lucas C Mendez, Srinivas Raman, Bo Angela Wan, José Luiz Padilha da Silva, Fábio Y Moraes, Kennya M L B Lima, Maurício F Silva, Maria Del Pilar Estevez Diz, Edward Chow, Gustavo Nader Marta
BACKGROUND: Bone metastases cause pain, suffering and impaired quality of life (QoL). Palliative radiotherapy (RT) and/or chemotherapy are effective methods in controlling pain, reducing analgesics use and improving QoL. This study goal was to investigate the changes in QoL scores among patients who responded to palliative treatment. METHODS: A prospective study evaluating the role of radiation therapy in a public academic hospital in São Paulo-Brazil recorded patients' opioid use, pain score, Portuguese version of QLQ-BM22 and QLQ-C30 before and 2 months after radiotherapy...
May 17, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595445/sixty-day-mortality-after-stereotactic-radiosurgery-of-brain-metastases-a-forgotten-palliative-treatment-outcome
#9
Federico L Ampil, Anil Nanda, Glenn Mills, Moiz Vora
No abstract text is available yet for this article.
May 9, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595444/international-access-to-palliative-care-the-need-to-improve
#10
Chloe Hui-Ling Choy
The global supply of palliative care remains low, meeting 10% of current need. And if no changes are being made, with respect to attitudes, policies and funding towards palliative care, the problem will only worsen as global demand is set to increase with the changing demographics. The recognition of palliative care's potential to greatly improve one's quality of life while being an economical model of healthcare, is the first step that we must take internationally. That investment into palliative care will reap high returns...
May 8, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595437/perceptions-and-types-of-support-coming-from-families-caring-for-patients-suffering-from-advanced-illness-in-kinshasa-democratic-republic-of-congo
#11
Jacques Masumbuku Lofandjola, Ernest Kiswaya Sumaili, Philippe Mairiaux, Jean Petermans
BACKGROUND: Perceptions of families who take care of patients suffering from advanced illness are rarely considered in Kinshasa medical practices; nevertheless, these families are the main actors involved in such care. The objective of this present study was to illustrate, in a Congolese context, the perceptions of families on the care of patients suffering from advanced illness, and to identify the possible aids provided by healthcare facilities. METHODS: A qualitative study was performed among focus groups in six hospitals in Kinshasa...
May 8, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595436/ethical-challenges-in-extra-corporeal-membrane-oxygenation-use
#12
EDITORIAL
Tony Makdisi, George Makdisi
The immense increase of patients treated with extra corporeal membrane oxygenation (ECMO) in the last few years, along with the uncertainty of outcomes as well as the lack of clarity on the intended treatment direction, these situations which are considered by some to be just delaying of death and even worse than death. These circumstances create disagreements among surrogates, and between health care providers and surrogates, and emerge unique ethical challenges about the use of this new technology. In this article we discuss these challenging questions...
May 5, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595435/a-fetal-diagnostic-center-s-referral-rate-for-perinatal-palliative-care
#13
Krishelle L Marc-Aurele, Andrew D Hull, Marilyn C Jones, Dolores H Pretorius
BACKGROUND: Fetal specialists support standardizing the practice of offering women palliative care for life limiting fetal diagnoses. However, there is little data available regarding what fetal specialists do in practice. Since 2003, our center has kept a database of all women referred for fetal complications. METHODS: Retrospective electronic chart review of pregnant women between 2006 and 2012 using UCSD's Fetal Care and Genetics Center referral database. Objectives were to determine: (I) how many high risk pregnancies referred to the University of California San Diego Medical Center (UCSD) over a 6-year period have potentially life limiting fetal diagnoses; (II) pregnancy outcome; and (III) referral rate to perinatal palliative care...
May 4, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595443/shedding-light-on-the-fundamental-mechanism-underlying-hypnotic-analgesia
#14
Joachim Keppler
Owing to the increasing importance of clinical hypnosis in pain therapy and palliative care, there is a growing interest in uncovering the mechanism underlying hypnotic analgesia. The neurophysiological findings suggest that the hypnotic state is associated with an altered operating mode of the brain that is clearly different from the normal operating mode. While in the normal operating mode a dolorogenic stimulus induces a highly synchronized large-scale activity pattern that leads to the experience of pain, the altered operating mode inhibits the synchronization of spatially divided brain regions...
May 3, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595439/psychosocial-spiritual-healing
#15
Ann Berger
No abstract text is available yet for this article.
April 25, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595430/sustained-effects-of-acupuncture-in-treatment-of-chronic-constipation
#16
EDITORIAL
Stephanie C Tjen-A-Looi, Liang-Wu Fu
No abstract text is available yet for this article.
April 17, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595429/expanding-palliative-care-s-reach-in-the-community-via-the-elder-service-agency-network
#17
M Carrington Reid, Angela Ghesquiere, Cara Kenien, Elizabeth Capezuti, Daniel Gardner
Over the past two decades, palliative care has established itself as a promising approach to address the complex needs of individuals with advanced illness. Palliative care is well-established in US hospitals and has recently begun to expand outside of the hospital setting to meet the needs of non-hospitalized individuals. Experts have called for the development of innovative community-based models that facilitate delivery of palliative care to this target population. Elder service agencies are important partners that researchers should collaborate with to develop new and promising models...
April 17, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595425/african-american-elders-psychological-social-spiritual-cultural-experiences-across-serious-illness-an-integrative-literature-review-through-a-palliative-care-lens
#18
Heather Lea Coats
Disparities in palliative care for seriously ill African American elders exist because of gaps in knowledge around culturally sensitive psychological, social, and spiritual care. The purpose of this integrative literature review is to summarize the research examining African American elders' psychological, social, and spiritual illness experiences. Of 108 articles, 60 quantitative, 42 qualitative, and 6 mixed methods studies were reviewed. Negative and positive psychological, social, and spiritual experiences were noted...
April 17, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28595434/radiotherapy-for-brain-metastases-near-the-end-of-life-in-an-integrated-health-care-system
#19
Joan J Ryoo, Michael Batech, Chengyi Zheng, Raymond W Kim, Michael K Gould, A Robert Kagan, Winston W Lien
BACKGROUND: To examine radiotherapy (RT) patterns-of-care and utilization at the end of life (EOL) among non-small cell lung cancer (NSCLC) patients with brain metastasis (BrM) in an integrated health care system. METHODS: Central tumor registry identified 5,133 patients diagnosed with NSCLC from 2007-2011. BrM were determined by imaging. Patient and clinical characteristics were obtained by chart abstraction. In addition to abstracted variables, graded prognostic assessment (GPA) score of 0-1 was derived by collected data and tested as a predictor of death within 14 or 30 days of RT...
April 15, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28480720/the-ethics-of-suffering-in-the-era-of-assisted-dying
#20
Blair Henry
No abstract text is available yet for this article.
April 2017: Annals of Palliative Medicine
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