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Palliative nursing

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https://www.readbyqxmd.com/read/28327170/critical-attitudes-and-beliefs-towards-guidelines-amongst-palliative-care-professionals-results-from-a-national-survey
#1
Helen Kalies, Rieke Schöttmer, Steffen T Simon, Raymond Voltz, Alexander Crispin, Claudia Bausewein
BACKGROUND: Little is known about palliative care professionals' attitudes towards guidelines. In 2015, the German Association for Palliative Medicine (DGP) published an evidence based guideline for palliative care in adults with incurable cancer. Before publication we conducted a national survey among members of the DGP to detect possible barriers and facilitators for its implementation. The aim of the present publication was to evaluate critical attitudes and beliefs which could hinder the effective implementation of the new guideline and to evaluate differences within professional groups and medical specialisations...
March 21, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28315478/improving-palliative-care-through-teamwork-impactt-in-nursing-homes-study-design-and-baseline-findings
#2
Helena Temkin-Greener, Susan Ladwig, Zhiqiu Ye, Sally A Norton, Dana B Mukamel
BACKGROUND: The 2014 Institute of Medicine report recommended that healthcare providers caring for individuals with advanced illness have basic palliative care competencies in communication, inter-professional collaboration, and symptom management. Nursing homes, where one in three American decedents live and die, have fallen short of these competency goals. We implemented an intervention study to examine the efficacy of nursing home-based integrated palliative care teams in improving the quality of care processes and outcomes for residents at the end of life...
March 14, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28284824/-report-on-chronic-dialysis-in-france-in-2016
#3
Société Francophone de Néphrologie Dialyse Et Transplantation
The report on dialysis in France in 2016 from the French Speaking Society of Nephrology Dialysis and Transplantation (SFNDT) provides an exhaustive and documented inventory on dialysis in France. It underlines the organizations that are important in 2016 to maintain a high quality dialysis. Several measures are proposed to maintain and improve the care of dialysis in France: (1) The regulation of dialysis treatment in France must be maintained; (2) a burden of care indicator is proposed to ensure that patients requiring the most care are treated in the centers...
March 8, 2017: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/28282677/-physician-assisted-suicide-survey-on-%C3%A2-217-stgb-in-germany
#4
Julia Zenz, Ruth Rissing-van Saan, Michael Zenz
Background In late 2015, Germany passed a law (§ 217 StGB) prohibiting persons from aiding others in committing suicide on a regular, repetitive basis. Despite intensive societal debate and surveys about assisted dying, the present study was the first to examine attitudes towards the new legal regulation among professionals. Methods In early 2016, all participants of a congress on palliative care received a one-page anonymous questionnaire to complete until the end of the conference. The questionnaire consisted of questions regarding assisted suicide and the new law...
March 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28281018/primary-palliative-care-for-heart-failure-what-is-it-how-do-we-implement-it
#5
REVIEW
Laura P Gelfman, Dio Kavalieratos, Winifred G Teuteberg, Anuradha Lala, Nathan E Goldstein
Heart failure (HF) is a chronic and progressive illness, which affects a growing number of adults, and is associated with a high morbidity and mortality, as well as significant physical and psychological symptom burden on both patients with HF and their families. Palliative care is the multidisciplinary specialty focused on optimizing quality of life and reducing suffering for patients and families facing serious illness, regardless of prognosis. Palliative care can be delivered as (1) specialist palliative care in which a palliative care specialist with subspecialty palliative care training consults or co-manages patients to address palliative needs alongside clinicians who manage the underlying illness or (2) as primary palliative care in which the primary clinician (such as the internist, cardiologist, cardiology nurse, or HF specialist) caring for the patient with HF provides the essential palliative domains...
March 9, 2017: Heart Failure Reviews
https://www.readbyqxmd.com/read/28263951/the-memory-quilt-heart-and-hands-learning-for-palliative-care
#6
Patricia Flanagan, Nancy DeMetro
Nursing students' learning of adult and pediatric palliative care is a daunting experience. An effective initial teaching strategy using a Memory Quilt activity can improve nursing students' interpersonal and communication skills and help prepare them for end-of-life caring. These skills help students meet patient and family needs, as they transition to care settings.
April 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/28260997/children-with-intellectual-disability-and-hospice-utilization
#7
Lisa C Lindley, Mari Beth Colman, John T Meadows
Over 42,000 children die each year in the United States, including those with intellectual disability (ID). Survival is often reduced when children with intellectual disability also suffer from significant motor dysfunction, progressive congenital conditions, and comorbidities. Yet, little is known about hospice care for children with intellectual disability. The purpose of this study was to explore the relationship between intellectual disability and hospice utilization. Additionally, we explored whether intellectual disability combined with motor dysfunction, progressive congenital conditions, and comorbidities influenced pediatric hospice utilization...
February 2017: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/28258277/differences-in-place-of-death-between-lung-cancer-and-copd-patients-a-14-country-study-using-death-certificate-data
#8
Joachim Cohen, Kim Beernaert, Lieve Van den Block, Lucas Morin, Katherine Hunt, Guido Miccinesi, Marylou Cardenas-Turanzas, Bregje Onwuteaka-Philipsen, Rod MacLeod, Miguel Ruiz-Ramos, Donna M Wilson, Martin Loucka, Agnes Csikos, Yong-Joo Rhee, Joan Teno, Winne Ko, Luc Deliens, Dirk Houttekier
Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of terminal care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death...
December 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28255069/sexual-well-being-in-cancer-and-palliative-care-an-assessment-of-healthcare-professionals-current-practice-and-training-needs
#9
Aoife Gleeson, Emily Hazell
: Sexual well-being is often significantly affected by cancer and its treatments. Previous research shows that a patient's sexual well-being is often overlooked in clinical practice. OBJECTIVES: The aims of this study were twofold. First, to determine the current practice of healthcare professionals (HCPs) working with cancer and palliative care patients in primary and secondary care settings in relation to sexual well-being. Second, to determine the education requirements of HCPs regarding the management of sexual well-being concerns of cancer/palliative care patients...
March 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28252328/the-impact-of-medical-technology-on-sense-of-security-in-the-palliative-home-care-setting
#10
Berit Munck, Anna Sandgren
The increase in the use of medical devices in palliative home care requires that patients and next-of-kin feel secure. Therefore, the aim was to describe medical technology's impact on the sense of security for patients, next-of-kin and district nurses. Deductive content analysis was conducted on data from three previous studies, using the theoretical framework 'palliative home care as a secure base'. The use of medical technology was shown to have an impact on the sense of security for all involved. A sense of control was promoted by trust in staff and their competence in managing the technology, which was linked to continuity...
March 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28249546/assessment-of-palliative-care-services-in-western-kenya
#11
Hijab Zubairi, Priyanka Tulshian, Sarah Villegas, Brett D Nelson, Kennedy Ouma, Thomas F Burke
BACKGROUND: The need for palliative care services is rapidly increasing due to the rising number of patients with non-communicable diseases. The objective of this study was to assess the current availability and barriers to palliative care and healthcare worker knowledge and perceptions on palliative pain control in western Kenya. METHODS: An evidence-based 40-question assessment tool was conducted between October 2015 and February 2016 in Siaya County, western Kenya...
January 19, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28248746/a-context-oriented-communication-algorithm-for-advance-care-planning-a-model-to-assist-palliative-care-in-heart-failure
#12
JinShil Kim, Shinmi Kim, Mi-Seung Shin, Jae Ok Jin, Yunmi Kim, Mee-Ok Lee
BACKGROUND: Access to consultation or referral for decisions about advance care planning (ACP) is limited, particularly for nonmalignant models pertinent to palliative care in heart failure (HF). OBJECTIVES: The aim of this study was to solicit professional opinions about the feasibility of using an exemplary context-oriented communication algorithm for ACP discussions. METHODS: Using a panel of expert physicians and nurses in cardiovascular care, a 3-round Delphi study was conducted to evaluate the proposed model...
February 28, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28247529/the-kaempf-periviability-guidelines-return-of-the-god-committee
#13
Patrick J Marmion
Not all births are happy occasions. As an obstetrician, I have helped many families as they experienced stillbirths and untimely deliveries over the last thirty years. During the last ten years I have witnessed a disturbing phenomenon: preterm babies dying needlessly because they are being denied life-sustaining interventions. I remember the families who were simply told their 23-week newborns would die because "all of them do". I remember the families who were told "we do not recommend intensive care for babies born at 24 weeks because when they survive their outcomes are bleak"...
March 1, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28245167/politics-and-palliative-care-gambia
#14
Dion Smyth
Dion Smyth's review of palliative nursing on the internet.
February 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28236265/the-longitudinal-course-of-depression-symptomatology-following-a-palliative-rehabilitation-program
#15
Andrea Feldstain, Sophie Lebel, Martin R Chasen
PURPOSE: Patients with advanced cancer have increased life expectancy but suffer from ongoing burden. Depressive symptomatology is their most common mental health concern. The Ottawa Palliative Rehabilitation Program (PRP) offers rehabilitation for this population. It offers 8 weeks of individualized interdisciplinary rehabilitation, post cancer treatment. Interventions include medical (physician and nurse), physiotherapy, occupational therapy, dietary, and social work using a general self-efficacy framework...
February 24, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28222079/establishing-priorities-for-oncology-nursing-research-nurse-and-patient-collaboration
#16
Anna Cox, Anne Arber, Ann Gallagher, Mairead MacKenzie, Emma Ream
PURPOSE/OBJECTIVES: To obtain consensus on priorities for oncology nursing research in the United Kingdom.
. DESIGN: A three-round online Delphi survey.
. SETTING: Oncology nurses were invited via the United Kingdom Oncology Nursing Society (UKONS) database. Patient participation was invited through patient organizations.
. SAMPLE: 50 oncology nurses and 18 patients.
. METHODS: Eligible and consenting individuals reported five priorities for oncology nursing research (round 1), rated their level of agreement with them (round 2), and restated and revised their responses in light of the group's responses (round 3)...
March 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28220314/supportive-care-organization-in-france-a-national-in-depth-survey-among-patients-and-oncologists
#17
Florian Scotté, Christian Hervé, Pauline Leroy, Jean-Marc Tourani, René-Jean Bensadoun, Marie-Eve Bugat, Fadila Farsi, Nicolas Jovenin, Moïse Namer, Christophe Tournigand, Sophie Morin, Cloé Brami, Stéphane Oudard, Alexandre Saadi, Ivan Krakowski
PURPOSE: Medical doctors' (MDs), but not patients', perception of supportive care in cancer (SCC) in France has been previously assessed in a national survey. This study evaluated MDs and patients' perceptions of the SCC organization and implementation in France. METHODS: The French SCC Association conducted two observational studies: study 1 (S1), containing a 30-point questionnaire sent to 2263 MDs, and study 2 (S2), containing a 40-point questionnaire sent to 2000 patients...
February 20, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28219293/managing-bodies-managing-persons-postmortem-care-and-the-role-of-the-nurse
#18
Rebecca S Williams
This paper addresses how interactions between UK palliative care nursing staff and the bodies of the deceased they care for function as a mechanism to help them make sense of death in line with their work as carers. Through an analysis of postmortem care rituals, I will argue that nurses play an integral role in the 'making of the dead', and look at how this functions in relation to their role as carers of bodies in line with associated states of personal wellbeing. Further to this, there is an argument to be made for the recognition of the nurse's place in biomedical models as managers of the transient body; as the constructors of the well, sick, living and dead body...
July 2016: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28218982/isolation-and-prayer-as-means-of-solace-for-arab-women-with-breast-cancer-an-in-depth-interview-study
#19
Ghada Najjar Assaf, Eleanor Holroyd, Violeta Lopez
OBJECTIVE: This study explored Arab women's experiences following the diagnosis and treatment of breast cancer. METHODS: Face-to-face in-depth interviews were conducted with 20 Arab women attending a public hospital in Abu Dhabi, United Arab Emirates, following a recent diagnosis of breast cancer. All interviews were transcribed verbatim and analysed using the thematic method. RESULTS: Arab women's experiences following their breast cancer diagnoses and treatments included the themes of (1) protecting one's self from stigma, (2) facing uncertainties and prayers, and (3) getting on with life...
February 20, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28217729/providing-palliative-care-to-patients-with-cancer-addressing-the-needs-in-kenya
#20
Pam Malloy, Juli Boit, Allison Tarus, Joyce Marete, Betty Ferrell, Zipporah Ali
Cancer is the third highest cause of death in Kenya, preceded by infectious and cardiovascular diseases, and in most cases, diagnosed in later stages. Nurses are the primary caregivers, assessing and managing these patients in the clinic, in inpatient settings, and in rural and remote communities. While cancer rates remain high, the burden to the patient, the caregiver, and society as a whole continues to rise. Kenya's poverty complicates cancer even further. Many Kenyans are unaware of cancer's signs and symptoms, and limited diagnostic and treatment centers are available...
January 2017: Asia-Pacific Journal of Oncology Nursing
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