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Palliative Care in the Emergency room

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https://www.readbyqxmd.com/read/27894008/common-or-multiple-futures-for-end-of-life-care-around-the-world-ideas-from-the-waiting-room-of-history
#1
REVIEW
Shahaduz Zaman, Hamilton Inbadas, Alexander Whitelaw, David Clark
Around the world there is growing interest in the manner in which care is delivered to people at the end of life. However, there is little unanimity on what constitutes a 'good death' and the appropriate societal responses to the issue of delivering culturally relevant and sustainable forms of end of life care in different settings are not subjects of broad agreement. In this critical conceptual paper we focus on the emerging narratives of global palliative care and offer an assessment of their implications...
November 9, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27688616/early-integration-of-palliative-medicine-into-emergency-care-is-it-a-feasible-option
#2
Shrikant Atreya
Patients with advanced malignancy often experience symptoms of disease and treatment that contribute to distress and diminish their quality of life. Most of these patients present to the emergency department thus raising its importance in providing such care especially at the end of life situation. An approach that is aimed at controlling these symptoms, whether or not undergoing curative therapy, is a key feature of high-quality patient-centered care. This paper explores the potential role of palliative medicine in the emergency room and how early integration with emergency care can help improve the quality of life of patients and thus achieve better outcomes...
July 2016: Indian Journal of Medical and Paediatric Oncology
https://www.readbyqxmd.com/read/27650201/end-of-life-care-for-hispanic-children-a-study-of-california-medicaid-beneficiaries
#3
Lisa C Lindley, Laura V Trujillo
INTRODUCTION: More than 8,000 Hispanic children die annually in the United States; yet little is known about the end-of-life care utilized. The purpose of this study was to examine the children and family characteristics associated with end-of-life care for Hispanic children. METHOD: A sample of 370 Hispanic children was created, using the 2009-2010 California Medicaid data. The relationship between child and family characteristics and end-of-life care utilization (i...
December 2016: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/27610349/single-institution-experience-with-the-ladd-s-procedure-in-patients-with-heterotaxy-and-stage-i-palliated-single-ventricle
#4
Kurt D Piggott, Grace George, Harun Fakioglu, Carlos Blanco, Sukumar Saguna Narasimhulu, Kamal Pourmoghadam, Hamish Munroe, William Decampli
AIM: To investigate and describe our current institutional management protocol for single-ventricle patients who must undergo a Ladd's procedure. METHODS: We retrospectively reviewed the charts of all patients from January 2005 to March 2014 who were diagnosed with heterotaxy syndrome and an associated intestinal rotation anomaly who carried a cardiac diagnosis of functional single ventricle and were status post stage I palliation. A total of 8 patients with a history of stage I single-ventricle palliation underwent Ladd's procedure during this time period...
August 8, 2016: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/27570357/does-the-culture-of-modern-day-palliative-care-social-work-leave-room-for-leadership
#5
Jason Davidson
This paper describes research undertaken as part of an MA study in leadership. It draws on interviews with six high profile leaders at the fore front of end of life care sector in the UK. Its findings and emerging themes offer insights about the opportunities for social work leaders in palliative care in the future and how the profession and palliative care sector address current barriers to taking advantage of such opportunity. The main focus of this paper is leadership related to palliative care social work...
April 2, 2016: Journal of Social Work Practice
https://www.readbyqxmd.com/read/27559252/integration-of-early-specialist-palliative-care-in-cancer-care-and-patient-related-outcomes-a-critical-review-of-evidence
#6
Naveen Salins, Raghavendra Ramanjulu, Lipika Patra, Jayita Deodhar, Mary Ann Muckaden
INTRODUCTION: World Health Organization and American Society of Clinical Oncology recommend early integration of specialist palliative care in patients with cancer. This paper focuses on critical review of evidence on integration of early specialist palliative care in cancer care and patient-related outcomes. METHODS: The question for the literature search was - Does integration of early specialist palliative care in cancer care influences patient-related outcomes? 31 articles related to literature search review question were included in this paper...
July 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27140033/perceptions-of-palliative-care-in-the-nicu
#7
Alison J Falck, Sheela Moorthy, Brenda Hussey-Gardner
BACKGROUND AND PURPOSE: The American Academy of Pediatrics supports palliative care (PC) for all children with life-threatening illnesses. Thus, many neonatal intensive care unit (NICU) patients and their families could benefit from PC. Our study objective was to examine provision of PC as experienced by mothers and healthcare providers (HCPs) of NICU patients with life-threatening illnesses. Palliative care components explored included communication, choices, comfort, psychosocial and spiritual needs, and coordination of care...
June 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27097501/-taking-an-active-part-in-a-palliative-care-unit-as-an-anesthesiologist
#8
Toshihiko Nakatani
Palliative care prevents and relieves total pain of patients and their families and improves their quality of life. The author describes the work of anesthesiologists in palliative care unit as ward staffs. The need for palliative care units is increasing and new palliative care units are being established throughout Japan. Anesthesiologists are involved in anesthesia, pain management intensive care, emergency medicine and palliative care. The anesthesiologists in palliative care are involved in use of opioid and nerve block for treating physical pain...
March 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/27091417/palliative-chemotherapy-affects-aggressiveness-of-end-of-life-care
#9
Chin-Chia Wu, Ta-Wen Hsu, Chun-Ming Chang, Cheng-Hung Lee, Chih-Yuan Huang, Ching-Chih Lee
INTRODUCTION: Although palliative chemotherapy during end-of-life care is used for relief of symptoms in patients with metastatic cancer, chemotherapy may lead to more aggressive end-of-life care and less use of hospice service. This is a population-based study of the association between palliative chemotherapy and aggressiveness of end-of-life care. PATIENTS AND METHODS: Using the National Health Insurance Research Database of Taiwan, we identified 49,920 patients with metastatic cancer who underwent palliative chemotherapy from January 1, 2009, to December 31, 2011...
June 2016: Oncologist
https://www.readbyqxmd.com/read/26769146/utilization-of-palliative-care-and-acute-care-services-in-older-adults-with-advanced-cancer
#10
Namita Sharma, Amit M Sharma, Martha A Wojtowycz, Dongliang Wang, Ajeet Gajra
OBJECTIVES: There is a gap in knowledge regarding the rates of utilization of palliative care services (PCS) and acute care services (ACS) among older patients with advanced cancer close to end of life. We analyzed the utilization of these services among older adults (65 years and older) and compared them to those in younger adults (40-64 years) with advanced cancer. MATERIALS AND METHODS: A retrospective chart review of 567 veterans who died with advanced cancer between 2002 and 2009 and utilized PCS and ACS prior to death was conducted after IRB approval...
January 2016: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/26748741/lived-experience-of-caring-for-dying-patients-in-emergency-room
#11
Waraporn Kongsuwan, Yaowarat Matchim, Kittikorn Nilmanat, Rozzano C Locsin, Tetsuya Tanioka, Yuko Yasuhara
BACKGROUND: Dying often occurs in hospitals and frequently in emergency rooms. Understanding caring for critical and dying patients is necessary for quality nursing. PURPOSE: This study described the meaning of nurses' lived experience of caring for critical and dying patients in the emergency rooms. METHODS: This study was conducted in three emergency rooms of tertiary hospitals in southern Thailand. Twelve nurses met the inclusion criteria: nurses working in emergency room for at least 2 years, and experienced caring for critical and dying patients in an emergency department...
March 2016: International Nursing Review
https://www.readbyqxmd.com/read/26687283/a-pilot-tuning-project-based-national-study-on-recently-graduated-medical-students-self-assessment-of-competences-the-test-study
#12
Pedro Grilo Diogo, Joselina Barbosa, Maria Amélia Ferreira
BACKGROUND: The Tuning Project is an initiative funded by the European Commission that developed core competences for primary medical degrees in Europe. Students' grouped self-assessments are used for program evaluation and improvement of curricula. The TEST study aimed to assess how do Portuguese medical graduates self-assess their acquisition of core competences and experiences of contact with patients in core settings according to the Tuning framework. METHODS: Translation of the Tuning's competences (Clinical Practice - CP), Knowledge (K) items and Clinical Settings (CS) was performed...
2015: BMC Medical Education
https://www.readbyqxmd.com/read/26566813/palliative-patients-under-anaesthesiological-care-a-single-centre-retrospective-study-on-incidence-demographics-and-outcome
#13
Christoph L Lassen, Susanne Aberle, Nicole Lindenberg, Annika Bundscherer, Tobias W Klier, Bernhard M Graf, Christoph H Wiese
BACKGROUND: While anesthesiologist's involvement in palliative care has been widely researched, extensive data on palliative patients under anesthesiological care in the operating room is missing. This study was performed to assess the incidence, demographics, and outcome of palliative patients under anesthesiological care. METHODS: We conducted a single-center retrospective chart review of all palliative patients under anesthesiological care at a university hospital in 1 year...
2015: BMC Anesthesiology
https://www.readbyqxmd.com/read/26498912/avoidable-tragedies-disparities-in-healthcare-access-among-medically-underserved-women-diagnosed-with-cervical-cancer
#14
Lois M Ramondetta, Larissa A Meyer, Kathleen M Schmeler, Maria E Daheri, Jessica Gallegos, Michael Scheurer, Jane R Montealegre, Andrea Milbourne, Matthew L Anderson, Charlotte C Sun
BACKGROUND: The purpose was to identify barriers including logistical and health belief correlates of late stage presentation of cervical cancer (CxCa) among medically underserved women presenting to a safety net health care system. METHODS: Women presenting with newly diagnosed CxCa were asked to complete a detailed health belief survey that included questions about barriers to care and their knowledge of CxCa. All information was collected prior to initiating cancer treatment...
December 2015: Gynecologic Oncology
https://www.readbyqxmd.com/read/26417396/management-and-reconstruction-in-the-breast-cancer-patient-with-a-fungating-t4b-tumor
#15
Aditya Sood, Lily N Daniali, Kameron S Rezzadeh, Edward S Lee, Jonathan Keith
BACKGROUND: A subset of women with locally advanced breast cancer presented with fungating tumor mass eroding and infiltrating the surrounding breast skin (T4b breast cancers). These patients often have chronic pain, large open wounds, frequent infections, malodorous drainage, social isolation, and general debilitation that present enormous therapeutic challenges. Because of the advanced nature of the disease, palliation, while minimizing recovery time and maximizing quality of life, is essential...
2015: Eplasty
https://www.readbyqxmd.com/read/26067883/variation-in-intensity-and-costs-of-care-by-payer-and-race-for-patients-dying-of-cancer-in-texas-an-analysis-of-registry-linked-medicaid-medicare-and-dually-eligible-claims-data
#16
B Ashleigh Guadagnolo, Kai-Ping Liao, Sharon H Giordano, Linda S Elting, Ya-Chen T Shih
PURPOSE: To investigate end-of-life care for Medicaid, Medicare, and dually eligible beneficiaries dying of cancer in Texas. METHODS: We analyzed the Texas Cancer Registry (TCR)-Medicaid and TCR-Medicare linked databases' claims data for 69,572 patients dying of cancer in Texas from 2000 to 2008. We conducted regression models in adjusted analyses of cancer-directed and acute care and total costs of care (in 2014 dollars) in the last 30 days of life. RESULTS: Medicaid patients were more likely to receive chemotherapy and radiation therapy...
July 2015: Medical Care
https://www.readbyqxmd.com/read/25927310/determinants-of-care-outcomes-for-patients-who-die-in-hospital-in-ireland-a-retrospective-study
#17
Kieran McKeown, Trutz Haase, Jonathan Pratschke, Shelagh Twomey, Helen Donovan, Feline Engling
BACKGROUND: More people die in hospital than in any other setting which is why it is important to study the outcomes of hospital care at end of life. This study analyses what influenced outcomes in a sample of patients who died in hospital in Ireland in 2008/9. The study was undertaken as part of the Irish Hospice Foundation's Hospice Friendly Hospitals Programme (2007-2012). METHODS: Outcomes of care were assessed by nurses, doctors and relatives who cared for the patient during the last week of life...
2015: BMC Palliative Care
https://www.readbyqxmd.com/read/25800768/early-versus-delayed-initiation-of-concurrent-palliative-oncology-care-patient-outcomes-in-the-enable-iii-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Marie A Bakitas, Tor D Tosteson, Zhigang Li, Kathleen D Lyons, Jay G Hull, Zhongze Li, J Nicholas Dionne-Odom, Jennifer Frost, Konstantin H Dragnev, Mark T Hegel, Andres Azuero, Tim A Ahles
PURPOSE: Randomized controlled trials have supported integrated oncology and palliative care (PC); however, optimal timing has not been evaluated. We investigated the effect of early versus delayed PC on quality of life (QOL), symptom impact, mood, 1-year survival, and resource use. PATIENTS AND METHODS: Between October 2010 and March 2013, 207 patients with advanced cancer at a National Cancer Institute cancer center, a Veterans Affairs Medical Center, and community outreach clinics were randomly assigned to receive an in-person PC consultation, structured PC telehealth nurse coaching sessions (once per week for six sessions), and monthly follow-up either early after enrollment or 3 months later...
May 1, 2015: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/25774449/end-of-life-care-in-nursing-homes-with-greater-versus-less-palliative-care-knowledge-and-practice
#19
Susan C Miller, Julie C Lima, Sarah A Thompson
BACKGROUND: Many older adults in nursing homes (NHs) lack palliative care (PC) access; but little is known about whether access to PC knowledge and practice (beyond hospice) impacts residents' care. OBJECTIVE: The study objective was to evaluate how differing levels of NH PC knowledge and practice are associated with residents' end-of-life health care use. METHODS: In 2009/10 we surveyed a stratified random sample of U.S. NHs and asked directors of nursing (DONs) PC knowledge and practice questions from Thompson and colleagues' validated PC Survey...
June 2015: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/25716604/are-potential-organ-donors-missed-on-general-wards-a-6-month-audit-of-hospital-deaths
#20
Jonathan J Gatward, Michael J O'Leary, Myra Sgorbini, Paul R Phipps
OBJECTIVE: To determine whether potential organ donors are being missed on general wards by the DonateLife Audit, which concentrates on patients dying in emergency departments and intensive care units. DESIGN, SETTING AND PATIENTS: Six-month (1 July to 31 December 2012) retrospective audit of patient deaths in a 700-bed metropolitan Australian tertiary referral and teaching hospital. MAIN OUTCOME MEASURE: Potential organ donor suitability as assessed by a panel of organ donation specialists...
March 2, 2015: Medical Journal of Australia
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