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https://www.readbyqxmd.com/read/27824769/palliative-care-in-obstetrics-and-gynecology
#1
Carolyn Lefkowits, Caroline Solomon
Palliative care is specialized care for people with life-limiting illness; it focuses on symptom management and quality of life and ensures that a patient's care is concordant with her goals and values. Unlike end-of-life care, palliative care can be offered concurrently with disease-directed therapies, including when the goal is cure. Obstetrics and gynecology patients for whom palliative care is most appropriate include women with gynecologic cancer and women with a fetus or neonate with a potentially life-limiting illness...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27559253/integration-of-early-specialist-palliative-care-in-cancer-care-survey-of-oncologists-oncology-nurses-and-patients
#2
Naveen Salins, Lipika Patra, M R Usha Rani, S O Lohitashva, Raghavendra Rao, Raghavendra Ramanjulu, Nandini Vallath
INTRODUCTION: Palliative care is usually delivered late in the course of illness trajectory. This precludes patients on active disease modifying treatment from receiving the benefit of palliative care intervention. A survey was conducted to know the opinion of oncologists, oncology nurses, and patients about the role of early specialist palliative care in cancer. METHODS: A nonrandomized descriptive cross-sectional study was conducted at a tertiary cancer care center in India...
July 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27531376/defining-high-quality-palliative-care-in-oncology-practice-an-american-society-of-clinical-oncology-american-academy-of-hospice-and-palliative-medicine-guidance-statement
#3
Kathleen E Bickel, Kristen McNiff, Mary K Buss, Arif Kamal, Dale Lupu, Amy P Abernethy, Michael S Broder, Charles L Shapiro, Anupama Kurup Acheson, Jennifer Malin, Tracey Evans, Monika K Krzyzanowska
PURPOSE: Integrated into routine oncology care, palliative care can improve symptom burden, quality of life, and patient and caregiver satisfaction. However, not all oncology practices have access to specialist palliative medicine. This project endeavored to define what constitutes high-quality primary palliative care as delivered by medical oncology practices. METHODS: An expert steering committee outlined 966 palliative care service items, in nine domains, each describing a candidate element of primary palliative care delivery for patients with advanced cancer or high symptom burden...
September 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/26845149/end-of-life-care-for-patients-dying-of-stroke-a-comparative-registry-study-of-stroke-and-cancer
#4
Heléne Eriksson, Anna Milberg, Katarina Hjelm, Maria Friedrichsen
BACKGROUND: Although stroke is a significant public health challenge and the need for palliative care has been emphasized for these patients, there is limited data on end-of-life care for patients dying from stroke. OBJECTIVE: To study the end-of-life care during the last week of life for patients who had died of stroke in terms of registered symptom, symptom management, and communication, in comparison with patients who had died of cancer. DESIGN: This study is a retrospective, comparative registry study...
2016: PloS One
https://www.readbyqxmd.com/read/25958036/old-age-as-risk-indicator-for-poor-end-of-life-care-quality-a-population-based-study-of-cancer-deaths-from-the-swedish-register-of-palliative-care
#5
Magnus Lindskog, Björn Tavelin, Staffan Lundström
BACKGROUND: If patient age affects the quality of end-of-life care in cancer is unknown. Using data from a population-based register of palliative care in Sweden, we addressed this question. METHODS: This nation-wide study focused on the last week of life of adults dying from cancer in 2011-2012, based on data reported to a national quality register for end-of-life care (N=26,976). We specifically investigated if age-dependent differences were present with respect to thirteen indicators of palliative care quality...
July 2015: European Journal of Cancer
https://www.readbyqxmd.com/read/23234300/four-essential-drugs-needed-for-quality-care-of-the-dying-a-delphi-study-based-international-expert-consensus-opinion
#6
Olav Lindqvist, Gunilla Lundquist, Andrew Dickman, Johannes Bükki, Urska Lunder, Carina Lundh Hagelin, Birgit H Rasmussen, Sylvia Sauter, Carol Tishelman, Carl Johan Fürst
PURPOSE: The majority of dying patients do not have access to necessary drugs to alleviate their most common symptoms, despite evidence of drug efficacy. Our aim was to explore the degree of consensus about appropriate pharmacological treatment for common symptoms in the last days of life for patients with cancer, among physicians working in specialist palliative care. MATERIAL AND METHODS: Within OPCARE9, a European Union seventh framework project aiming to optimize end-of-life cancer care, we conducted a Delphi survey among 135 palliative care clinicians in nine countries...
January 2013: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/22343236/palliative-and-end-of-life-care-for-patients-with-ovarian-cancer
#7
REVIEW
Steven M Radwany, Vivian E von Gruenigen
Palliative care improves the quality of life of patients and their families through the prevention and treatment of distressing symptoms while addressing the psychological, social, and spiritual aspects of patient care. Emerging paradigms of delivery promote early involvement in the disease trajectory and specialty approaches to care. Interdisciplinary assessment and shared decision making are important components. Throughout the disease course, aggressive symptom management can improve patients' quality of life and their ability to tolerate and continue treatment...
March 2012: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/21806331/symptom-management-in-gynecologic-malignancies
#8
REVIEW
Carolyn Casey, Lee-may Chen, Michael W Rabow
Patients with gynecologic cancer experience significant symptom burden throughout their disease course and treatment, which negatively impacts their quality of life. The most common symptoms in gynecologic cancer include pain, fatigue, depression and anxiety. Palliative care, including symptom management, focuses on the prevention and relief of suffering and improvement in quality of life, irrespective of prognosis. In a comprehensive cancer care model, palliative care, including symptom management, is offered concurrently with anticancer therapies throughout the disease course, not just at the end of life and not only once curative attempts have been abandoned...
July 2011: Expert Review of Anticancer Therapy
https://www.readbyqxmd.com/read/21600377/pharmacologic-management-of-cancer-related-pain-dyspnea-and-nausea
#9
REVIEW
Winson Y Cheung, Camilla Zimmermann
Patients with cancer often face significant distress from their symptoms, especially near the end of life. However, prompt palliation of these symptoms can be complex since symptoms may occur in clusters, may be cancer- or treatment-related, and frequently require a multidisciplinary approach to management and a combination of therapeutic regimens. While evidence for many conventional symptom treatments is lacking, an increasing number of randomized clinical trials in palliative oncology means that new treatments will become increasingly evidence-based...
June 2011: Seminars in Oncology
https://www.readbyqxmd.com/read/19760770/end-of-life-in-children-with-cancer-experience-at-the-pediatric-oncology-department-of-the-istituto-nazionale-tumori-in-milan
#10
Silvia Beretta, Daniela Polastri, Carlo Alfredo Clerici, Michela Casanova, Graziella Cefalo, Andrea Ferrari, Roberto Luksch, Maura Massimino, Cristina Meazza, Marta Giorgia Podda, Filippo Spreafico, Monica Terenziani, Franca Fossati Bellani
BACKGROUND: Coping with end-stage pediatric cancer patients and the related bereavement is a challenge for all the caregivers involved. PROCEDURE: Forty-seven cancer patients who died in 2006 were assessed as concerns the main place of care in the end stage of their disease, their symptoms, the palliative treatments received, and the site of death. RESULTS: The end stage was managed at the Istituto Nazionale Tumori Pediatric Oncology Department in 61% of cases, at home in 26%, and in hospices or other hospital facilities in 11%...
January 2010: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/18539767/acupuncture-is-underutilized-in-hospice-and-palliative-medicine
#11
REVIEW
Leanna J Standish, Leila Kozak, Sean Congdon
Acupuncture is a complementary and alternative medical modality. A considerable body of acupuncture research has accumulated since 1998. Acupuncture has been integrated into palliative care settings in the United Kingdom but is yet to be widely offered in the United States. The literature was searched to identify clinical trials involving acupuncture, palliative care, hospice, chronic obstructive pulmonary disease, bone marrow, and cancer. Twenty-seven randomized controlled clinical trials of acupuncture were found that reported on conditions common to the hospice and palliative care setting, including dyspnea, nausea and vomiting, pain, and xerostomia, and 23 reported statistically significant results favoring acupuncture use for the conditions investigated...
August 2008: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/16898102/symptom-management-in-patients-with-established-renal-failure-managed-without-dialysis
#12
REVIEW
F E M Murtagh, J M Addington-Hall, P Donohoe, I J Higginson
Increasing numbers of patients with chronic kidney disease Stage 5 (GFR <15ml/minute) are being managed without dialysis, either through their own preference or because dialysis is unlikely to benefit them. This growing group of patients has extensive health care needs. Their overall symptom burden is high, and symptom prevalence matches or exceeds that in other end of life populations, both with cancer and other non-cancer diagnoses. These symptoms may often go unrecognised and under-treated. Regular symptom assessment is necessary, together with pro-active management of identified symptoms...
April 2006: EDTNA/ERCA Journal
https://www.readbyqxmd.com/read/16450874/differences-between-terminally-ill-cancer-patients-who-died-after-euthanasia-had-been-performed-and-terminally-ill-cancer-patients-who-did-not-request-euthanasia
#13
Jean-Jacques Georges, Bregje D Onwuteaka-Philipsen, Gerrit van der Wal, Agnes van der Heide, Paul J van der Maas
Palliative care, directed at improving the quality of life of terminally ill patients, is generally not aimed at any form of postponing or hastening death. It is possible that high quality palliative care could prevent requests for euthanasia. However, empirical evidence on this issue is scarce. In a national survey of end-of-life medical decisions in The Netherlands the subject of care at the end of life has been addressed. Data on terminally ill cancer patients who died after their request was granted and euthanasia had been performed were compared with those of terminally ill cancer patients who did not request euthanasia...
December 2005: Palliative Medicine
https://www.readbyqxmd.com/read/16376744/when-nothing-helps-propofol-as-sedative-and-antiemetic-in-palliative-cancer-care
#14
Staffan Lundström, Ulla Zachrisson, Carl Johan Fürst
Benzodiazepines, neuroleptics, and barbiturates are commonly used for sedation to achieve symptom control in end-of-life care. Propofol has several advantages over traditional sedating agents that would indicate its use in treatment-refractory situations. We report on the use of propofol in 35 patients. In 22 patients, propofol was used for palliative sedation when treatment with benzodiazepines had failed. The mean dose range during treatment was between 0.90 and 2.13 mg/kg/h. The effect was assessed as good or very good in 91% of the patients...
December 2005: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/15157036/end-of-life-care-in-urban-areas-of-china-a-survey-of-60-oncology-clinicians
#15
Xin Shelley Wang, Li Jun Di, Cielito C Reyes-Gibby, Hong Guo, Shu Jun Liu, Charles S Cleeland
Although cancer is a leading cause of death, little is known about cancer-related end-of-life care in China. We surveyed 60 Chinese oncology clinicians' practices and attitudes toward end-of-life care. Fewer than half reported available hospital-based hospice service, although mast urban cancer patients die in the hospital. Most clinicians reported they felt competent to care for dying patients--more competent in controlling pain, constipation, nausea, and vomiting, but less competent in managing depression, anorexia, and dyspnea...
February 2004: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/14635087/attitudes-of-medical-oncologists-toward-palliative-care-for-patients-with-advanced-and-incurable-cancer-report-on-a-survery-by-the-european-society-of-medical-oncology-taskforce-on-palliative-and-supportive-care
#16
Nathan I Cherny, Raphael Catane et al.
BACKGROUND AND METHODS: In part of a quality improvement program, the European Society of Medical Oncology (ESMO) surveyed its membership regarding their involvement in and attitudes toward the palliative care (PC) of patients with advanced cancer. RESULTS: Of 895 members who responded, 82.5% were European and 12.1% were American. Sixty-nine percent of respondents reported that patients with advanced cancer constituted a major proportion of their practice; for 22% of respondents, patients with advanced cancer constituted most of their practice...
December 1, 2003: Cancer
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