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end of life decision making

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https://www.readbyqxmd.com/read/29655666/environmental-considerations-in-the-selection-of-isolation-gowns-a-life-cycle-assessment-of-reusable-and-disposable-alternatives
#1
Eric Vozzola, Michael Overcash, Evan Griffing
BACKGROUND: Isolation gowns serve a critical role in infection control by protecting healthcare workers, visitors, and patients from the transfer of microorganisms and body fluids. The decision of whether to use a reusable or disposable garment system is a selection process based on factors including sustainability, barrier effectiveness, cost, and comfort. Environmental sustainability is increasingly being used in the decision-making process. Life cycle assessment is the most comprehensive and widely used tool used to evaluate environmental performance...
April 11, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29650860/-end-of-life-decision-making-support-in-palliative-homecare
#2
Akitaka Yoshizawa, Hiroyoshi Ikeda, Takayuki Yoshizawa
Advance care planning is important in end-of-life decision making in home-based palliative care for both cancer patients and non-cancer patients.
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29649398/feasibility-and-patient-perceptions-of-video-declarations-regarding-end-of-life-decisions-by-hospitalized-patients
#3
Lisa M Quintiliani, Jessica E Murphy, Pablo Buitron de la Vega, Katherine R Waite, S Emily Armstrong, Lori Henault, Angelo E Volandes, Michael K Paasche-Orlow
BACKGROUND: A videotaped declaration by patients of their advance care planning preferences could be an opportunity to supplement advance directive forms and be a source of information for family, caregivers, and clinicians, yet research is needed to examine the content and acceptability of making declarations among patients. OBJECTIVE: To evaluate the content and acceptability of 'video declarations': the process of patients videotaping themselves describing their advance care planning preferences...
March 13, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29649031/low-level-of-vegetative-state-after-traumatic-brain-injury-in-a-swiss-academic-hospital
#4
Federica Stretti, Stephanie Klinzing, Ulrike Ehlers, Peter Steiger, Reto Schuepbach, Tanja Krones, Giovanna Brandi
BACKGROUND: No standards exist regarding decision making for comatose patients, especially concerning life-saving treatments. The aim of this retrospective, single-center study was to analyze outcomes and the decision-making process at the end of life (EOL) in patients with traumatic brain injury (TBI) in a Swiss academic tertiary care hospital. METHODS: Consecutive admissions to the surgical intensive care unit (ICU) with stays of at least 48 hours between January 1, 2012 and June 30, 2015 in patients with moderate to severe TBI and with fatality within 6 months after trauma were included...
April 11, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29629995/single-vs-bilateral-lung-transplantation-when-and-why
#5
Shambhu Aryal, Steven D Nathan
PURPOSE OF REVIEW: Lung transplantation is a life-saving treatment for several end stage lung diseases. Over the last two decades, the number of lung transplantation performed worldwide has steadily increased but several thousand people still die every year waiting for lung transplantation. However, the optimal procedure for lung transplantation in non-septic lung conditions remains debatable. RECENT FINDINGS: In pulmonary fibrosis and COPD, many recent studies suggest superiority of bilateral lung transplantation over single lung transplantation when long-term survival is evaluated; consequently, bilateral lung transplantation has been favored by many lung transplantation centers...
April 7, 2018: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/29620556/parent-perspectives-of-receiving-early-information-about-palliative-and-end-of-life-care-options-from-their-child-s-pediatric-providers
#6
Verna L Hendricks-Ferguson, Joan E Haase
BACKGROUND: Parents of children diagnosed with cancer may experience decision regret about cancer treatment decisions and dissatisfaction with the perceived clarity in information received from their child's providers. OBJECTIVE: The aim of this study was to describe parental perspectives about receiving an early palliative care and end-of-life (PC/EOL) communication intervention titled "Communication Plan: Early through End of Life Intervention" (COMPLETE) from an interprofessional team of physician and registered nurse providers...
April 3, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29614012/the-elderly-perceived-meanings-and-values-of-virtual-reality-leisure-activities-a-means-end-chain-approach
#7
Cheng-Shih Lin, Mei-Yuan Jeng, Tsu-Ming Yeh
This study uses means-end chain (MEC) techniques to examine the awareness, decision-making procedure, and personal values of the elderly with regard to virtual reality leisure activities. The results of the study show that elderly respondents value virtual reality leisure activities that are fun, safe, and easy. In terms of outcome benefits, elderly respondents value feeling physically and mentally healthy, firsthand experience, and satisfied curiosity. In value terms, elderly respondents hope that their chosen virtual reality leisure activities improve not only their relationships with others, but also their enjoyment, quality of life, and sense of belonging...
April 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29611241/the-interactive-effect-of-advanced-cancer-patient-and-caregiver-prognostic-understanding-on-patients-completion-of-do-not-resuscitate-orders
#8
Megan Johnson Shen, Kelly M Trevino, Holly G Prigerson
OBJECTIVE: Advanced cancer patients' prognostic understanding is associated with completion of Do Not Resuscitate (DNR) orders, which often represent engagement in advance care planning (ACP). Given caregivers' critical roles in patient decision-making about ACP and end-of-life care, caregivers' prognostic understanding may have a large additive effect. The present study examined the association between the main and interactive effects of advanced cancer patient and caregiver prognostic understanding on DNR order completion...
April 2, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29608934/transition-points-for-the-routine-integration-of-palliative-care-in-patients-with-advanced-cancer
#9
Anna Collins, Vijaya Sundararajan, Jodie Burchell, Jeremy Millar, Sue-Anne McLachlan, Meinir Krishnasamy, Brian H Le, Linda Mileshkin, Peter Hudson, Jennifer Philip
CONTEXT: Increasing emphases are being placed upon early integration of palliative care for patients with advanced cancers, yet barriers to implementation in clinical practice remain. Criteria to standardise referral have been endorsed, but their application are yet to be tested at the population level. OBJECTIVES: This study sought to: 1) establish the need for standardised referral by examining current end of life care outcomes of decedents with cancer; and 2) define transition points within a cancer illness course which are associated with poor prognosis, whereby palliative care should be routinely introduced to augment clinician- based decision making...
March 30, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29608338/exploring-provider-surrogate-communication-during-polst-discussions-for-individuals-with-advanced-dementia
#10
Hyejin Kim, Christine Bradway, Susan E Hickman, Mary Ersek
OBJECTIVES: This qualitative descriptive study explored provider-surrogate communication during Physician Orders for Life-Sustaining Treatment (POLST) discussions for patients with advanced dementia. METHODS: Data from participant observations and audio-recordings of ten POLST discussions were analyzed using directed content analysis within the context of an existing conceptual model of Communication and Surrogate Decision Making. RESULTS: Surrogates primarily focused on making sense of the clinical information about life-sustaining treatments during POLST conversations...
April 2, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29603347/the-experiences-and-preparedness-of-family-carers-for-best-interest-decision-making-of-a-relative-living-with-advanced-dementia-a-qualitative-study
#11
Gillian Carter, Dorry Mclaughlin, W George Kernohan, Peter Hudson, Mike Clarke, Katherine Froggatt, Peter Passmore, Kevin Brazil
AIM: To explore the experience and the preparedness of family carers in their caregiving role as best interest decision-makers of a relative living with advanced dementia. BACKGROUND: The prevalence of dementia is a global issue. The role of being a carer of a relative living with dementia does not necessarily lessen once they are admitted to a nursing home. Best interest decision-making including end-of-life care decisions need to be made and reaching these choices can be challenging...
March 30, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29600384/paclitaxel-as-albumin-bound-nanoparticles-with-gemcitabine-for-untreated-metastatic-pancreatic-cancer-an-evidence-review-group-perspective-of-a-nice-single-technology-appraisal
#12
REVIEW
Angela Stainthorpe, Janette Greenhalgh, Adrian Bagust, Marty Richardson, Angela Boland, Sophie Beale, Rui Duarte, Eleanor Kotas, Lindsay Banks, Daniel Palmer
As part of the single technology appraisal (STA) process, the National Institute for Health and Care Excellence (NICE) invited Celgene Ltd to submit clinical and cost-effectiveness evidence for paclitaxel as albumin-bound nanoparticles (Nab-Pac) in combination with gemcitabine (Nab-Pac + Gem) for patients with untreated metastatic pancreatic cancer. The STA was a review of NICE's 2015 guidance (TA360) in which Nab-Pac + Gem was not recommended for patients with untreated metastatic pancreatic cancer...
March 29, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29593337/end-of-life-decision-making-across-cancer-types-results-from-a-nationwide-retrospective-survey-among-treating-physicians
#13
Mariëtte N Verkissen, Dirk Houttekier, Joachim Cohen, Rik Schots, Kenneth Chambaere, Luc Deliens
BACKGROUND: The treatment of advanced cancer often involves potentially life-shortening end-of-life decisions (ELDs). This study aimed to examine the prevalence and characteristics of ELDs in different cancer types. METHODS: A nationwide death certificate study was conducted based on a large random sample of all deaths in Flanders, Belgium, between 1 January and 30 June 2013. All cancer deaths were selected (n = 2392). Attending physicians were sent a questionnaire about ELDs and the preceding decision-making process...
March 29, 2018: British Journal of Cancer
https://www.readbyqxmd.com/read/29590692/-return-to-work-from-vocational-retraininga-long-term-analysis-of-individual-trajectories-biografical-and-structural-conditions-of-success-and-failure
#14
Alexander Meschnig, Ernst von Kardorff, Sebastian Klaus
BACKGROUND AND AIMS: The study aimed at the reconstruction of the trajectories of participants of a two-year vocational-retraining into new workplaces thereby identifying favourable and risky conditions of the return-to-work process. From a practical point of view the study identified special needs and necessities for after-care facilities. METHODS: A Mixed-Method-Design was used. Quantitatively the follow-up-study included 214 persons who participated for three times on filling out a questionnaire over a period of eighteen months after the end of the vocational retraining...
March 28, 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29569520/advance-care-planning-in-chinese-seniors-cultural-perspectives
#15
Hon Wai Benjamin Cheng
In traditional Chinese culture, death was sensitive and mentioning it was sacrilegious and to be avoided. Many Chinese families object to telling the patient a "bad" diagnosis or prognosis, which may hinder the chance in advance care planning (ACP) discussion. While death remains an inevitable consequence of being born, as such, it is important that human beings recognize its inevitability and plan ahead of a good death. Advance care planning enables patients to assert their care preferences in the event that they are unable to make their own medical decisions...
January 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/29566541/advance-care-planning-for-people-with-dementia-ordinary-everyday-conversations
#16
Kay de Vries, Jenny Drury-Ruddlesden
Advance care planning for people with dementia has become a focus of dementia care policies in developed countries. In New Zealand, the framework for dementia care relies on the person with dementia having a level of competence to enable them to participate in the planning process. For people with dementia, it may be too late to initiate these discussions in terms of decision-making capacity. Consequently, decisions about end-of-life care for people with dementia are typically made by a family member who acts as a surrogate decision maker on behalf of the person with dementia...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29566123/end-of-life-care-options-and-decision-making-for-older-patients-with-malignant-brain-tumors-reply
#17
Laura L Dover, Caleb R Dulaney, Gabrielle Rocque
No abstract text is available yet for this article.
March 22, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/29566108/end-of-life-care-options-and-decision-making-for-older-patients-with-malignant-brain-tumors
#18
Andrew K Conner, Robert G Briggs, Michael E Sughrue
No abstract text is available yet for this article.
March 22, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/29564147/prehospital-recognition-and-antibiotics-for-999-patients-with-sepsis-protocol-for-a-feasibility-study
#19
Chris Moore, Jenna Bulger, Matt Morgan, Timothy Driscoll, Alison Porter, Saiful Islam, Mike Smyth, Gavin Perkins, Bernadette Sewell, Timothy Rainer, Prabath Nanayakkara, Chukwudi Okolie, Susan Allen, Greg Fegan, Jan Davies, Theresa Foster, Nick Francis, Fang Gao Smith, Gemma Ellis, Tracy Shanahan, Robin Howe, Helen Snooks
Background: Sepsis is a common condition which kills between 36,000 and 64,000 people every year in the UK. Early recognition and management of sepsis has been shown to reduce mortality and improve the health and well-being of people with sepsis. Paramedics frequently come into contact with patients with sepsis and are well placed to provide early diagnosis and treatment.We aim to determine the feasibility of undertaking a fully powered randomised controlled trial (RCT) to test the clinical and cost-effectiveness of paramedics obtaining blood cultures from and administering IV antibiotics to patients with sepsis, so we can make a decision about whether to proceed to a fully powered randomised controlled trial, which will answer questions regarding safety and effectiveness for patients and benefit to the National Health Service (NHS)...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29550293/do-physicians-discuss-end-of-life-decisions-with-family-members-a-mortality-follow-back-study
#20
Maarten Vermorgen, Aline De Vleminck, Luc Deliens, Dirk Houttekier, Nele Spruytte, Chantal Van Audenhove, Joachim Cohen, Kenneth Chambaere
OBJECTIVE: Deaths from chronic illness are often preceded by a potentially life-shortening end-of-life decision (ELD). Involving family in these ELDs may have psychosocial benefits for them and the dying person. This study aims to examine how often ELDs are discussed with relatives of the dying person and which characteristics determine their involvement in those ELDs. METHODS: A questionnaire survey was conducted in 2013 among physicians attending a large, stratified and representative sample of deaths (n = 6188) in Flanders...
March 2, 2018: Patient Education and Counseling
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