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BMJ Supportive & Palliative Care

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https://www.readbyqxmd.com/read/28710111/managing-an-intentional-overdose-in-a-hospice
#1
Toby Dinnen, Hannah Armstrong, Paul Perkins
This case report describes a patient admitted unconscious to a hospice following an intentional overdose of oxycodone. She had previously declined conventional medical treatment for cancer and had made an advance decision stating that she wished to avoid hospital admission and refusing life-prolonging treatment. This case illustrates the practical and ethical challenges of managing an intentional overdose in a palliative care setting.
July 14, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28710110/impact-of-a-patient-tailored-complementary-integrative-medicine-programme-on-disturbed-sleep-quality-among-patients-undergoing-chemotherapy
#2
Hilit Kerner, Noah Samuels, Shlomi Ben Moshe, Ilanit Shalom Sharabi, Eran Ben-Arye
OBJECTIVES: The present study examined the impact of a patient-tailored complementary/integrative medicine (CIM) programme on sleep quality in patients undergoing chemotherapy for breast and gynaecological cancer. METHODS: Study participants received standard supportive care, with or without weekly CIM treatments. Disturbed sleep quality was defined as a score of ≥4 on the Edmonton Symptom Assessment Scale (ESAS) or a score of ≥3 on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)...
July 14, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28710109/palliative-medicine-in-mediterranean-countries-different-approaches-same-philosophy
#3
LETTER
Maria Caterina Pallotti, Antonio Noguera-Tejedor, John Yohan Rhee, Matteo Moroni, Guido Biasco, Carlos Centeno
No abstract text is available yet for this article.
July 14, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28705925/management-of-hiccups-in-palliative-care-patients
#4
REVIEW
Yong Suk Jeon, Alison Mary Kearney, Peter Graham Baker
Persistent hiccups are a frustrating experience for palliative care patients, and can have a profound impact on their quality of life. This article provides an evidence-based approach overview of the causes and treatment of this not infrequently debilitating condition for such patients, with a management algorithm. In situations where no readily reversible cause is identified, or where simple physical manoeuvres, such as breath holding have failed, a systematic approach is required. Hiccups can be broadly divided into central and peripheral types...
July 13, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28705924/end-of-life-chemotherapy-a-prisoner-s-dilemma
#5
EDITORIAL
Ho-Man Yeung, Randy S Hebert
No abstract text is available yet for this article.
July 13, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28689185/patients-experiences-of-person-centred-integrated-heart-failure-care-and-palliative-care-at-home-an-interview-study
#6
Naghada Talabani, Karin Hellström Ängerud, Kurt Boman, Margareta Brännström
OBJECTIVES: Patients with severe heart failure (HF) suffer from a high symptom burden and high mortality. European and Swedish guidelines for HF care recommend palliative care for these patients. Different models for integrated palliative care and HF care have been described in the literature. No studies were found that qualitatively evaluated these models. The purpose of this study is to describe patients' experiences of a new model of person-centred integrated HF and palliative care at home...
July 7, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28687559/integrating-chaplaincy-into-healthcare-a-survey-shows-providers-are-interested-in-technology-based-options
#7
LETTER
John Yohan Rhee, Vinh-Tung Nguyen, Rafael Goldstein, Vansh Sharma, Deborah Marin
No abstract text is available yet for this article.
July 7, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28687558/seizure-management-in-children-requiring-palliative-care-a-review-of-current-practice
#8
Nicola Harris, Megumi Baba, Charlotte Mellor, Rebekah Rogers, Kirsty Taylor, Antonia Beringer, Peta Sharples
OBJECTIVES: Controlling seizures in children approaching death can be difficult, and there is a limited evidence base to guide best practice. We compared current practice against the guidance for seizure management produced by the Association of Paediatric Palliative Medicine (APPM). METHODS: Retrospective case note review of episodes of challenging seizure management in children receiving end-of-life care over a 10-year period (2006-2015) in the south-west region of England...
July 7, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28676498/health-and-death-literacy-and-cultural-diversity-insights-from-hospital-employed-interpreters
#9
Barbara Hayes, Anne Marie Fabri, Maria Coperchini, Rafatullah Parkar, Zoe Austin-Crowe
OBJECTIVES: 001225The aim of this qualitative study is to better understand, through the experiences and insights of hospital interpreters, how people from culturally and linguistic diverse (CALD) communities might respond to advance care planning (ACP) and end-of-life discussions. METHODS: Hospital interpreters from five Melbourne metropolitan health services were recruited for in-depth semi-structured interviews that explored the question, 'What can be learnt from hospital interpreters about cultural issues related to ACP and end-of-life decision-making?' Thirty-nine interpreters, representing 22 language groups, were interviewed...
July 4, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28676497/farrell-valve-relieves-bloating-in-gastrostomy-patient
#10
Alison Phippen, Elaine Brennan, John Ealing, Samantha Kay, David Waterman
Dysphagia and weight loss are experienced by up to 80% of patients with motor neuron disease (MND). Enteral tube feeding can benefit these patients but side effects including fullness, bloating, diarrhoea and constipation are frequent and can lead to non-compliance. Changes in feed formulation, regimens and the use of prokinetic medication can help symptoms. We describe a case where the use of gastric pressure relief bags during enteral feeding improved symptoms of bloating in a hospice inpatient with MND. Symptoms recurred when these were not used, which were only partially relieved by manual venting of the gastrostomy tube...
July 3, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28667087/development-of-tools-to-facilitate-palliative-and-supportive-care-referral-for-patients-with-idiopathic-pulmonary-fibrosis
#11
Charles Sharp, Heather Lamb, Nikki Jordan, Adrienne Edwards, Rachel Gunary, Patricia Meek, Ann B Millar, Clare Kendall, Huzaifa Adamali
OBJECTIVES: Palliative care is underused in non-malignant respiratory diseases, including interstitial lung diseases (ILDs). We investigated current practices around palliative and supportive care and explored the impact of a supportive care decision aid tool. METHODS: This was a single centre study in a UK ILD centre. Retrospective analysis of hospice referrals and patients with idiopathic pulmonary fibrosis (IPF) under the Bristol ILD (BILD) service were used to identify unmet palliative and supportive care needs...
June 30, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28667086/suitable-support-for-anxious-hospice-patients-what-do-nurses-know-do-and-need-an-explanatory-mixed-method-study
#12
Danielle Zweers, Everlien de Graaf, Saskia Teunissen
OBJECTIVE: To provide insight into what nurses know, do and need to provide support to anxious patients in hospice care (HC). METHODS: A mixed method study consisted of an online survey and focus groups (FGs) about what nurses know, do, and need was conducted. 336 HC nurses were invited to participate. Descriptive statistics were computed using SPSS. The χ(2) and t-tests were conducted to compare. The FGs were transcribed verbatim and thematically analysed. RESULTS: The survey was completed by 265 nurses (79%), and five FGs (n=25) were conducted...
June 30, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28663341/determinants-of-hospital-death-in-haematological-cancers-findings-from-a-qualitative-study
#13
Dorothy McCaughan, Eve Roman, Alexandra G Smith, Anne Garry, Miriam Johnson, Russell Patmore, Martin Howard, Debra A Howell
OBJECTIVES: Current UK health policy promotes enabling people to die in a place they choose, which for most is home. Despite this, patients with haematological malignancies (leukaemias, lymphomas and myeloma) are more likely to die in hospital than those with other cancers, and this is often considered a reflection of poor quality end-of-life care. This study aimed to explore the experiences of clinicians and relatives to determine why hospital deaths predominate in these diseases. METHODS: The study was set within the Haematological Malignancy Research Network (HMRN-www...
June 29, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28659434/responding-to-the-public-s-voice-changing-cornea-donation-practice-in-a-hospice
#14
LETTER
Kate Tredgett, Lauren Ward-Davies
No abstract text is available yet for this article.
June 28, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28659433/effect-of-communication-skills-training-on-outcomes-in-critically-ill-patients-with-life-limiting-illness-referred-for-intensive-care-management-a-before-and-after-study
#15
Neil R Orford, Sharyn Milnes, Nicholas Simpson, Gerry Keely, Tania Elderkin, Allison Bone, Peter Martin, Rinaldo Bellomo, Michael Bailey, Charlie Corke
OBJECTIVES: To describe the effect of a communication skills training programme on patient-centred goals of care documentation and clinical outcomes in critically ill patients with life-limiting illnesses (LLI) referred for intensive care management. METHODS: Prospective before-and-after cohort study in a tertiary teaching hospital in Australia. The population was 222 adult patients with LLI referred to the intensive care unit (ICU). The study was divided into two periods, before (1 May to 31 July 2015) and after (15 September to 15December 2015) the intervention...
June 28, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28655756/hymn-to-god-my-god-in-my-sickness
#16
John Birtwhistle
No abstract text is available yet for this article.
June 27, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28647715/finding-meaning-a-personal-reflection-on-adem-crosby
#17
LETTER
Elise Button
No abstract text is available yet for this article.
June 24, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28647714/the-burden-of-multiple-sclerosis-and-patients-coping-strategies
#18
Lorena Lorefice, Giuseppe Fenu, Jessica Frau, Giancarlo Coghe, Maria Giovanna Marrosu, Eleonora Cocco
OBJECTIVES: Multiple sclerosis (MS) is a chronic disease that mainly affects young people. Patients with MS experience several emotional responses to changed perceptions of themselves and manage this situation in ways focused on controlling the overall burden of disease. This present study aimed to evaluate differences between patients with MS and healthy controls (HCs) in coping styles, identifying the MS clinical features that influence adaptive responses. METHODS: Patients with MS, according to the McDonald 2010 criteria, and HCs were recruited...
June 24, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28646082/subcutaneous-magnesium-in-the-advanced-cancer-setting
#19
Stephen J Fenning, Steinunn R Boyce, Paul Wilson, Fran Stretton
Hypomagnesaemia can arise from a variety of causes but is particularly prevalent in cancer populations. This case report describes a patient with recurrent symptomatic hypomagnesaemia, on the background of advanced ovarian cancer and a high-output ileostomy, who was successfully managed on a daily continuous subcutaneous infusion of magnesium via a syringe pump. There is limited published information on the subcutaneous administration of magnesium and, to our knowledge, this is the first case to report its routine delivery over 24 hours in a syringe pump...
June 23, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28637714/advance-care-planning-in-medicare-an-early-look-at-the-impact-of-new-reimbursement-on-billing-and-clinical-practice
#20
Gawin Tsai, Donald H Taylor
OBJECTIVE: In this study, we examined the US Medicare programme's (government-funded social insurance for the elderly or disabled) new reimbursement for advance care planning (ACP) that began on 1 January 2016. This single-centre study addressed whether clinicians who have ACP conversations with patients will use the new reimbursement code and if the new reimbursement is successful at motivating clinicians to have more ACP conversations with patients. METHODS: This is a multimethod study...
June 21, 2017: BMJ Supportive & Palliative Care
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