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Teamwork in palliative care

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https://www.readbyqxmd.com/read/27843637/critically-ill-patients-with-cancer-chances-and-limitations-of-intensive-care-medicine-a-narrative-review
#1
REVIEW
Peter Schellongowski, Wolfgang R Sperr, Philipp Wohlfarth, Paul Knoebl, Werner Rabitsch, Herbert H Watzke, Thomas Staudinger
This narrative review deals with the challenge of defining adequate therapy goals and intensive care unit (ICU) admission criteria for critically ill patients with cancer. Several specific complications of critically ill patients with cancer require close collaborations of intensive care and cancer specialists. Intensivists require a basic understanding of the pathophysiology, diagnosis and therapy of common cancer-specific problems. Cancer specialists must be knowledgeable in preventing, detecting and treating imminent or manifest organ failures...
2016: ESMO Open
https://www.readbyqxmd.com/read/27803569/structural-challenges-of-providing-palliative-care-for-patients-with-breast-cancer
#2
Tahereh Alsadat Khoubbin Khoshnazar, Maryam Rassouli, Mohammad Esmaeil Akbari, Farah Lotfi-Kashani, Syrus Momenzadeh, Shahpar Haghighat, Moosa Sajjadi
INTRODUCTION: To establish a palliative care system (PCS) in Iran, it is necessary to identify the potential barriers. AIM: This study aims to highlight the views of stakeholders to know the challenges of providing palliative care for women with breast cancer. MATERIALS AND METHODS: Semi-structured in-depth interviews are used with purposeful sampling conducted in Tehran, Iran; from January to June 2015. Twenty participants were included in the study: nine patients with breast cancer and ten health-care providers...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27754747/palliative-care-bedside-teaching-a-qualitative-analysis-of-medical-students-reflective-writings-after-clinical-practices
#3
Rocío Rojí, Antonio Noguera-Tejedor, Fernando Pikabea-Díaz, José Miguel Carrasco, Carlos Centeno
CONTEXT: A mandatory course in palliative care (PC) is organized for all final-year medical students at the University of Navarre. It consists of 24 lectures, 4 workshops, and 1 scheduled five hour clinical PC service experience at two different sites. In the 48 hours after the visit and related to the clinical experience, each student has to complete a 500-word reflective writing (RW) piece. OBJECTIVE: To investigate how a brief PC clinical experience helps equip the medical student...
October 18, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27747809/medicines-management-medication-errors-and-adverse-medication-events-in-older-people-referred-to-a-community-nursing-service-a-retrospective-observational-study
#4
Rohan A Elliott, Cik Yin Lee, Christine Beanland, Krishna Vakil, Dianne Goeman
BACKGROUND: Increasing numbers of older people are receiving support with medicines management from community nursing services (CNSs) to enable them to live in their own homes. Little is known about these people and the support they receive. OBJECTIVES: To explore the characteristics of older people referred for medicines management support, type of support provided, medication errors and adverse medication events (AMEs). METHODS: A retrospective observational study of a random sample of 100 older people referred to a large non-profit CNS for medicines management support over a 3-month period was conducted...
March 2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27676853/pediatric-rehabilitation-and-pediatric-oncology-a-winner-association-the-experience-of-grenoble-pediatric-hospital
#5
Véronique Bourg, Anne Descotes, Anne Pagnier, Jacques Griffet, Dominique Plantaz
The Child and Family Hospital of Grenoble is one of the rare university hospitals in France to benefit from the presence of a physician specializing in rehabilitation medicine. This hospital includes both inpatient and outpatient units. During the temporary closure of one department, certain members of the rehabilitation unit were reassigned to the acute care wards of the pediatric department, including physical therapists, occupational therapists, and speech therapists. Over the course of one year, these therapists completed more than 150 interventions in this department, more than half of which were in the hematology and oncology ward...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27443410/experiences-of-security-and-continuity-of-care-patients-and-families-narratives-about-the-work-of-specialized-palliative-home-care-teams
#6
Anna Klarare, Birgit H Rasmussen, Bjöörn Fossum, Carl Johan Fürst, Johan Hansson, Carina Lundh Hagelin
BACKGROUND: Those who are seriously ill and facing death are often living with physical, emotional, social, and spiritual suffering. Teamwork is considered to be necessary to holistically meet the diverse needs of patients in palliative care. Reviews of studies regarding palliative care team outcomes have concluded that teams provide benefits, especially regarding pain and symptom management. Much of the research concerning palliative care teams has been performed from the perspective of the service providers and has less often focused on patients' and families' experiences of care...
July 22, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27436606/an-exploratory-study-of-interprofessional-collaboration-in-end-of-life-decision-making-beyond-palliative-care-settings
#7
Anita Ho, Kim Jameson, Carol Pavlish
As healthcare delivery becomes increasingly interprofessional, it is imperative to identify opportunities for effective collaboration and coordination of care. Drawing on a Canadian qualitative study that adopted a constant comparative method based on the grounded theory approach, we report how healthcare providers' (HCPs) personal experiences and professional roles intersect with system factors in hindering or enhancing their ability to support patients and families in planning for end-of-life (EOL) care. We used a criterion-based sampling strategy and sought HCPs who had direct experience engaging patients and families in complex healthcare decisions on: (1) initiating, withholding, or withdrawing treatment; (2) care planning; and/or (3) discharge planning...
July 19, 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27119406/an-interprofessional-education-programme-for-medical-learners-during-a-one-month-palliative-care-rotation
#8
Kalli Stilos, Patricia Daines, Jennifer Moore
Interprofessional education in health care and in palliative care has been the focus of increasing attention in recent years. For health professionals to provide and deliver high-quality palliative care, collaboration and teamwork is required. Palliative care is the ideal service to introduce interprofessional teamwork to medical learners early on in their training. During a 1-month palliative care rotation in Ontario, Canada, medical learners completed a questionnaire seeking their feedback on the interprofessional team model...
April 2, 2016: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/27073753/medicines-management-medication-errors-and-adverse-medication-events-in-older-people-referred-to-a-community-nursing-service-a-retrospective-observational-study
#9
Rohan A Elliott, Cik Yin Lee, Christine Beanland, Krishna Vakil, Dianne Goeman
BACKGROUND: Increasing numbers of older people are receiving support with medicines management from community nursing services (CNSs) to enable them to live in their own homes. Little is known about these people and the support they receive. OBJECTIVES: To explore the characteristics of older people referred for medicines management support, type of support provided, medication errors and adverse medication events (AMEs). METHODS: A retrospective observational study of a random sample of 100 older people referred to a large non-profit CNS for medicines management support over a 3-month period was conducted...
2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27026192/interprofessional-team-building-in-the-palliative-home-care-setting-use-of-a-conceptual-framework-to-inform-a-pilot-evaluation
#10
James Shaw, Colleen Kearney, Brenda Glenns, Sandra McKay
Home-based palliative care is increasingly dependent on interprofessional teams to deliver collaborative care that more adequately meets the needs of clients and families. The purpose of this pilot evaluation was to qualitatively explore the views of an interprofessional group of home care providers (occupational therapists, nurses, personal support work supervisors, community care coordinators, and a team coordinator) regarding a pilot project encouraging teamwork in interprofessional palliative home care services...
2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/26929430/-who-is-on-your-health-care-team-asking-individuals-with-heart-failure-about-care-team-membership-and-roles
#11
Kori A LaDonna, Joanna Bates, Glendon R Tait, Allan McDougall, Valerie Schulz, Lorelei Lingard
BACKGROUND: Complex, chronically ill patients require interprofessional teams to address their multiple health needs; heart failure (HF) is an iconic example of this growing problem. While patients are the common denominator in interprofessional care teams, patients have not explicitly informed our understanding of team composition and function. Their perspectives are crucial for improving quality, patient-centred care. OBJECTIVES: To explore how individuals with HF conceptualize their care team, and perceive team members' roles...
February 29, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/26814216/hospice-assist-at-home-does-the-integration-of-hospice-care-in-primary-healthcare-support-patients-to-die-in-their-preferred-location-a-retrospective-cross-sectional-evaluation-study
#12
Everlien de Graaf, Daniëlle Zweers, Anna Ch Valkenburg, Allegonda Uyttewaal, Saskia Ccm Teunissen
BACKGROUND: A majority of patients prefer to die at home. Specialist palliative care aims to improve quality of life. Hospice assist at home is a Dutch model of general/specialised palliative care within primary care, collaboratively built by general practitioners and a hospice. AIM: The aims of this study are to explore whether hospice assist at home service enables patients at hometo express end-of-life preferences and die in their preferred location. In addition, this study provides insight into symptomburden, stability and early referral...
June 2016: Palliative Medicine
https://www.readbyqxmd.com/read/26602391/-concept-and-overview-of-jsmo-guidelines-for-the-treatment-of-bone-metastasis
#13
Hiroyuki Shibata
Many diagnostic and treatment modalities for bone metastasis are available. They include biomarker examination, imaging techniques, surgery, radiation therapy, chemotherapy, palliation, and rehabilitation, among others. Diagnosis of the disease and administration of these treatments require caregivers and other medical personnel including medical oncologists for primary tumors, radiologists, pathologists, orthopedists, radiotherapists, palliative care doctors, rehabilitation doctors, dentists, nurses, pharmacists, physical therapists, psychologists, and medical social workers...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/26409169/who-is-on-the-medical-team-shifting-the-boundaries-of-belonging-on-the-icu
#14
Jason Rodriquez
Medical teamwork promises to improve communication and collaboration in the healthcare industry, yet critics argue teamwork is little more than a new managerial discourse to obscure traditional workplace hierarchies. Based on 300 h of participant-observation and 35 interviews with staff of a medical intensive care unit at an academic medical center, this article argues that teamwork is neither a panacea for coordinating complex care nor is it simply a discourse to control workers; rather, it is an ongoing social activity characterized by boundary-work, negotiation, and resistance over the terms of membership...
November 2015: Social Science & Medicine
https://www.readbyqxmd.com/read/26330435/promoting-staff-resilience-in-the-pediatric-intensive-care-unit
#15
K Jane Lee, Michael L Forbes, Gloria J Lukasiewicz, Trisha Williams, Anna Sheets, Kay Fischer, Matthew F Niedner
BACKGROUND: Health care professionals experience workplace stress, which may lead to impaired physical and mental health, job turnover, and burnout. Resilience allows people to handle stress positively. Little research is aimed at finding interventions to improve resilience in health care professionals. OBJECTIVE: To describe the availability, use, and helpfulness of resilience-promoting resources and identify an intervention to implement across multiple pediatric intensive care units...
September 2015: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/26312536/palliative-care-in-dementia-literature-review-of-nurses-knowledge-and-attitudes-towards-pain-assessment
#16
REVIEW
Michelle Burns, Sonja McIlfatrick
BACKGROUND: Pain is prevalent among older people, yet is often under-recognised and undertreated in people with dementia. The nurse has a central role in identifying and appropriately assessing pain in order to provide effective treatment. Research however suggests there are significant deficits in this area. AIM: To explore the evidence on nurses' knowledge and attitudes to pain assessment in older people with dementia. DESIGN: A systematic narrative review of peer-reviewed articles published between 2000 and 2014...
August 2015: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/26180154/achieving-benchmark-results-for-neonatal-palliation-of-hypoplastic-left-heart-syndrome-and-related-anomalies-in-an-emerging-program
#17
Ali Dodge-Khatami, William Z Chancellor, Bhawna Gupta, Samantha R Seals, Makram R Ebeid, Sarosh P Batlivala, Mary B Taylor, Jorge D Salazar
BACKGROUND: Results of surgical management of hypoplastic left heart syndrome (HLHS) and related anomalies are often compared to published benchmark data which reflect the use of a variety of surgical and hybrid protocols. We report encouraging results achieved in an emerging program, despite a learning curve at all care levels. Rather than relying on a single preferred protocol, surgical management was based on matching surgical strategy to individual patient factors. METHODS: From 2010 to 2014, a total of 47 consecutive patients with HLHS or related anomalies with ductal-dependent systemic circulation underwent initial surgical palliation, including 30 Norwood stage I, 8 hybrid stage I, and 9 salvage-to-Norwood procedures...
July 2015: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/25914573/quality-indicators-for-paediatric-palliative-care
#18
Janie Charlebois, Claude Cyr
OBJECTIVES: To apply quality indicators for paediatric palliative care and evaluate performance in one service provision area. METHODS: After institutional review board approval, medical records were abstracted for well-defined and measurable quality indicators for children with chronic complex conditions (CCCs) between January 2006 and December 2011 (n=50) at a university medical centre. RESULTS: Of the 50 children with a CCC (mean age 64 months, 48% female), 39 (78%) died in hospital, 11 (22%) died at home and 13 (26%) were <1 month of age...
April 2015: Paediatrics & Child Health
https://www.readbyqxmd.com/read/25912276/implementing-outcome-measures-within-an-enhanced-palliative-care-day-care-model
#19
Isae Kilonzo, Michael Lucey, Feargal Twomey
BACKGROUND: Specialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes...
September 2015: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/25884845/implementation-of-integrated-services-networks-in-quebec-and-nursing-practice-transformation-convergence-or-divergence
#20
Caroline Longpré, Carl-Ardy Dubois
BACKGROUND: Even though nurses are expected to play a key role in implementing integrated services networks, up to now their practice in this regard has received very little research attention. The aim of this study is to describe the extent to which the evolution of nursing practice in Quebec in recent years has converged with the requirements and efforts involved in services integration. METHODS: This descriptive study was carried out with 107 nurses working an integrated network of healthcare services in Quebec in four different care pathways: chronic obstructive pulmonary disease, autonomy support for the elderly, palliative oncology care, and mental health...
2015: BMC Health Services Research
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