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Palliative carr

Tracey Carr, Elizabeth Quinlan, Susan Robertson, Wendy Duggleby, Roanne Thomas, Lorraine Holtslander
OBJECTIVE: The purpose of this pilot study was to investigate the palliative potential of home-based yoga sessions provided to women with advanced cancer. METHOD: Personalised 45-minute yoga sessions were offered to three women with advanced cancer by an experienced yoga teacher. Each woman took part in a one-to-one interview after the completion of the yoga programme and was asked to describe her experiences of the programme's impact. RESULTS: The personalised nature of the yoga sessions resulted in similar positive physical and psychosocial effects comparable to those demonstrated in other studies with cancer patients...
March 2016: International Journal of Palliative Nursing
Jennifer Winegarden, Daniel B Carr, Ylisabyth S Bradshaw
OBJECTIVE: We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine. We briefly review the diagnosis and treatment of OIN. SETTING: OIN, particularly when associated with high dose opioid therapy in palliative care, may pose difficult diagnostic and treatment challenges. Few publications from end-of-life settings provide systematic approaches to management of OIN...
April 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Verna L Hendricks-Ferguson, Kathleen J Sawin, Kitty Montgomery, Claretta Dupree, Celeste R Phillips-Salimi, Barb Carr, Joan E Haase
Health care providers recognize that delivery of effective communication with family members of children with life-threatening illnesses is essential to palliative and end-of-life care (PC/EOL). Parents value the presence of nurses during PC/EOL of their dying child. It is vital that nurses, regardless of their years of work experience, are competent and feel comfortable engaging family members of dying children in PC/EOL discussions. This qualitative-descriptive study used focus groups to explore the PC/EOL communication perspectives of 14 novice pediatric oncology nurses (eg, with less than 1 year of experience)...
July 2015: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
Preena Patel, Michelle Koh, Lucinda Carr, Kieran McHugh
Palliative care is an expanding specialty within paediatrics, which has attracted little attention in the paediatric radiological literature. Paediatric patients under a palliative care team will have numerous radiological tests which we traditionally categorise under organ systems rather than under the umbrella of palliative medicine. The prevalence of children with life-limiting illness is significant. It has been estimated to be one per thousand, and this may be an underestimate. In this review, we will focus on our experience at one institution, where radiology has proven to be an invaluable partner to palliative care...
January 2014: Pediatric Radiology
Srinivas R Puli, Nikhil Kalva, Smitha R Pamulaparthy, Matthew L Bechtold, Micheal D Cashman, Fritz-Henry Volmar, Sonu Dhillon, Michael F Shekleton, Norman C Estes, David Carr-Locke
BACKGROUND: Stents are used for palliating inoperable malignant bile duct hilar obstruction. It is not clear if bilateral stenting provides any advantage over unilateral stenting in these patients. Compare bilateral and unilateral stenting in malignant hilar obstruction. STUDY SELECTION CRITERIA: Studies using stents for palliation in patients with malignant hilar obstruction were selected. DATA COLLECTION AND EXTRACTION: Articles were searched in MEDLINE, PubMed, Ovid journals, CINAH, International Pharmaceutical Abstracts, OLDMEDLINE, MEDLINE nonindexed citations, and Cochrane Central Register of Controlled Trials and Database of Systematic Reviews...
November 2013: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
David López-Carr
Migration necessarily precedes environmental change in the form of deforestation and soil degradation in tropical agricultural frontiers. But what environmental factors may contribute to these migration streams in the first place? Identifying environmental characteristics related to this process is crucial for understanding how environmental change and migration may form recurrent feedback loops. Further understanding this process could be useful for developing policies to reduce both environmentally induced migration from origin areas and also to palliate significant environmental change unleashed by settler deforestation in destination areas...
2012: Environmental Research Letters: ERL [Web Site]
Leeann Carr-Brown
No abstract text is available yet for this article.
August 19, 2013: Medical Journal of Australia
Tasha R Stanton, Benedict M Wand, Daniel B Carr, Frank Birklein, Gunnar L Wasner, Neil E O'Connell
BACKGROUND: This is an update of the original Cochrane review published in The Cochrane Library, 2005, Issue 4, on local anaesthetic blockade (LASB) of the sympathetic chain used to treat complex regional pain syndrome (CRPS). OBJECTIVES: To assess the efficacy of LASB for the treatment of pain in CRPS and to evaluate the incidence of adverse effects of the procedure. SEARCH METHODS: We updated searches of the Cochrane Pain, Palliative and Supportive Care Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL) on the Cochrane Library (Issue 11 of 12, 2012), MEDLINE (1966 to 22/11/12), EMBASE (1974 to 22/11/12), LILACS (1982 to 22/11/12), conference abstracts of the World Congresses of the International Association for the Study of Pain (1995 to 2010), and various clinical trial registers (inception to 2012)...
2013: Cochrane Database of Systematic Reviews
Bret T Petersen, Michel Kahaleh, Richard A Kozarek, David Loren, Kapil Gupta, Thomas Kowalski, Martin Freeman, Yang K Chen, Malcolm S Branch, Steven Edmundowicz, Michael Gluck, Kenneth Binmoeller, Todd H Baron, Raj J Shah, Timothy Kinney, William Ross, Paul Jowell, David Carr-Locke
Background and Study Aims. Endoscopic placement of self-expanding metal stents (SEMSs) is indicated for palliation of inoperable malignant biliary obstruction. A fully covered biliary SEMS (WallFlex Biliary RX Boston Scientific, Natick, USA) was assessed for palliation of extrahepatic malignant biliary obstruction. Patients and Methods. 58 patients were included in this prospective, multicenter series conducted under an FDA-approved IDE. Main outcome measurements included (1) absence of stent occlusion within six months or until death, whichever occurred first and (2) technical success, need for reintervention, bilirubin levels, stent patency, time to stent occlusion, and adverse events...
2013: Gastroenterology Research and Practice
Natalie Pattison, Susan M Carr, Chris Turnock, Shelley Dolan
AIMS AND OBJECTIVES: To explore the meaning of end-of-life care for critically ill cancer patients, families, oncologists, palliative care specialists, critical care consultants and nurses. BACKGROUND: End-of-life care for critically ill patients, of whom nearly 20% will die in critical care, remains somewhat problematic (Truog et al. 2008). End-of-life care is an established domain in cancer; however, research has not been conducted previously into dying, critically ill cancer patients' experiences...
May 2013: Journal of Clinical Nursing
Connie H Carr, Helen McNeal, Elaine Regalado, Richard A Nelesen, Linda S Lloyd
BACKGROUND: Community physicians are often ill-prepared for the management of complex symptoms. With a shortage of board certified physicians in palliative medicine to assist, the result is a lack of access to critical pain and symptom management expertise to care for seriously ill Californians. We report on a palliative medicine telephone hotline available to health care professionals. METHODS: San Diego Hospice and The Institute for Palliative Medicine received a grant to provide a telephone hotline for health care professionals to assist in answering clinical questions relating to palliative care...
March 2013: Journal of Palliative Medicine
Silvana Leo, Caterina Accettura, Antonio Gnoni, Antonella Licchetta, Marianna Giampaglia, Annamaria Mauro, Valeria Saracino, Brian I Carr
PURPOSE: Gastrointestinal cancer (GI) incidence increases with each decade of life and is the leading cause of death in patients aged >70 years. Nevertheless, elderly patients are often excluded or underrepresented in clinical trials. We performed a review of current recommendations in the management of GI elderly cancer patients. METHODS: A comprehensive literature review was performed analyzing data about several meta-analysis and studies regarding chemotherapeutic regimens in elderly patients with colorectal and gastroesophageal cancers...
March 2013: Journal of Gastrointestinal Cancer
Joseph Sacco, Dana R Deravin Carr, Deborah Viola
OBJECTIVE: To examine the effectiveness of palliative medicine consultation on completion of advance directives/do-not-resuscitate (DNR) orders by racial/ethnic minorities. METHOD: A sample of 1999 seriously ill African American and Hispanic inpatients was obtained from the Palliative Medicine Consultation database (n = 2972). Associations between race/ethnicity and diagnosis and documentation of DNR status on admission and discharge were examined. RESULTS: Cancer was the primary diagnosis, 34...
June 2013: American Journal of Hospice & Palliative Care
Michelle Carr, Lisa Bergersen, Audrey C Marshall, John F Keane, James E Lock, Sitaram M Emani, Doff B McElhinney
OBJECTIVE: Our aim was to assess acute hemodynamic changes with stent insertion, outcomes, and factors associated with increased longevity of stented small diameter homograft conduits. BACKGROUND: Right ventricle-to-pulmonary artery (RV-PA) homograft conduits are commonly used to palliate RV outflow tract obstruction. Bare metal stenting (BMS) and transcatheter pulmonary valve implantation have been shown to relieve obstructed larger diameter conduits and may delay surgical conduit reintervention...
January 1, 2013: Catheterization and Cardiovascular Interventions
Raina M Merchant, Lin Yang, Lance B Becker, Robert A Berg, Vinay Nadkarni, Graham Nichol, Brendan G Carr, Nandita Mitra, Steven M Bradley, Benjamin S Abella, Peter W Groeneveld
BACKGROUND: It is unknown how in-hospital cardiac arrest (IHCA) rates vary across hospitals and predictors of variability. OBJECTIVES: Measure variability in IHCA across hospitals and determine if hospital-level factors predict differences in case-mix adjusted event rates. RESEARCH DESIGN: Get with the Guidelines Resuscitation (GWTG-R) (n=433 hospitals) was used to identify IHCA events between 2003 and 2007. The American Hospital Association survey, Medicare, and US Census were used to obtain detailed information about GWTG-R hospitals...
February 2012: Medical Care
Jean Giacomotto, Laurent Ségalat, Maïté Carre-Pierrat, Kathrin Gieseler
We previously reported the use of the cheap and fast-growing nematode Caenorhabditis elegans to search for molecules, which reduce muscle degeneration in a model for Duchenne Muscular Dystrophy (DMD). We showed that Prednisone, a steroid that is generally prescribed as a palliative treatment to DMD patients, also reduced muscle degeneration in the C. elegans DMD model. We further showed that this strategy could lead to the discovery of new and unsuspected small molecules, which have been further validated in a mammalian model of DMD, i...
January 2012: Methods: a Companion to Methods in Enzymology
Adam Charles Critchley, James Harvey, Michael Carr, Obi Iwuchukwu
Breast cancer is the most common malignancy in women and the main cause of cancer death in the UK. Gastrointestinal (GI) tract metastasis and carcinomatosis from primary breast cancer are rare but breast cancer is the second most common primary malignancy to metastasise to the GI tract after malignant melanoma. The metastatic patterns of invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC) have been shown to differ considerably. Liver, lung and brain metastases are more common in IDC. Most series report a greater prediliction for lobular carcinoma to metastasise to the GI tract, gynaecological organs or peritoneum...
July 2011: Annals of the Royal College of Surgeons of England
G Costamagna, A Tringali, D N Reddy, J Devière, M Bruno, T Ponchon, H Neuhaus, M Mutignani, G V Rao, S Lakhtakia, O Le Moine, P Fockens, E A Rauws, V Lepilliez, B Schumacher, A Seelhoff, D Carr-Locke
BACKGROUND AND STUDY AIMS: Covered self-expanding metal stents (SEMSs) have proven effective for managing malignant bile duct strictures and may reduce risk of tumor ingrowth. A new nitinol partially covered biliary SEMS was prospectively evaluated. PATIENTS AND METHODS: 70 patients with inoperable extrahepatic biliary obstructions were enrolled in a prospective multicenter trial, and followed up to 6 months or death, whichever came first. Primary endpoint was adequate palliation defined as absence of recurrent biliary obstruction from partly covered SEMS placement to end of follow-up...
April 2011: Endoscopy
Xiang Da Dong, Brian I Carr
Neuroendocrine tumors (NETs) of the gastrointestinal tract have a propensity for hepatic metastases. Surgical resection for hepatic metastases remains the gold standard for long-term survival, but many patients present with multifocal tumors, precluding surgery with increasing use of chemoembolization. However, there are few studies examining long-term survival factors. We reviewed our 15-year experience with chemoembolization in 123 patients with unresectable NET liver metastases, whose prognosis was evaluated upon baseline clinical factors...
December 2011: Medical Oncology
Jennifer J Telford, David L Carr-Locke, Todd H Baron, John M Poneros, Brenna C Bounds, Peter B Kelsey, Robert H Schapiro, Christopher S Huang, David R Lichtenstein, Brian C Jacobson, John R Saltzman, Christopher C Thompson, David G Forcione, Christopher J Gostout, William R Brugge
BACKGROUND: The most common complication of uncovered biliary self-expandable metal stents (SEMSs) is tumor ingrowth. The addition of an impenetrable covering may prolong stent patency. OBJECTIVE: To compare stent patency between uncovered and partially covered SEMSs in malignant biliary obstruction. DESIGN: Multicenter randomized trial. SETTING: Four teaching hospitals. PATIENTS: Adults with inoperable distal malignant biliary obstruction...
November 2010: Gastrointestinal Endoscopy
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