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Response to “State of Washington, Third State To Permit Aid in Dying”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 18, 2010 Category: Palliative Care Tags: article Source Type: journals

Concentrating Hospital-Wide Deaths in a Palliative Care Unit: The Effect on Place of Death and System-Wide Mortalityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 18, 2010 Category: Palliative Care Tags: article Source Type: journals

Health Systems Find Opportunities and Challenges in Palliative Care Developmentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 18, 2010 Category: Palliative Care Tags: article Source Type: journals

Palliative Care in the Tennies: What Can We Expect?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 18, 2010 Category: Palliative Care Tags: article Source Type: journals

A Review of: “Brownlee, S. (2007). Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer .”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Cox, Lisa E. Source Type: journals

A Review of: “Wolfer, T. A., & Runnion, V. M. (2008). Dying, Death, and Bereavement in Social Work Practice: Decision Cases for Advanced Practice .”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Brandsen, Cheryl K. Source Type: journals

Successfully Increasing Palliative Care Social Work ICU Referralsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Berzoff, JoanDobbie, KristaJoseph, Odette Source Type: journals

Can Personal Resources Make a Difference? An Exploratory Study of Chinese Cancer Patients in Palliative Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Chan, Wallace C. H. Source Type: journals

Spiritually-Sensitive Care in Hospice Social Workemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Callahan, Ann M. Source Type: journals

Challenges Facing Families at the End of Life in Three Settingsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Hovland-Scafe, CyndiKramer, Betty J.Kirchhoff, Karin T.Kehl, Karen A. Source Type: journals

The United States and Hungary: An Exchange of Best Practices in Psychosocial Oncologyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Patyán, LászlóAllen, FloydWalsh, KarynWalsh, KatherineCsikai, Ellen L. Source Type: journals

In These Rounds, Health-Care Professionals Heal Themselvesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Phillips, Julie McColeMoore, Crystal Dea Source Type: journals

Mothering the Bereavedemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Morrissey, Mary Beth Source Type: journals

The Kissemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256))
Source: Journal of Social Work in End-of-Life & Palliative Care (ISSN: 1552-4256) - March 17, 2010 Category: Palliative Care Authors: Beaulieu, Elise Source Type: journals

Transdermal Buprenorphine for Oropharyngeal Mucositis-Associated Pain in Patients Treated with Radiotherapy for Head and Neck Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 17, 2010 Category: Palliative Care Tags: article Source Type: journals

Tabling Hydromorphone: Do We Have it Right?*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 16, 2010 Category: Palliative Care Tags: article Source Type: journals

Palliative care discharge from paediatric intensive care units in Great Britain.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We aim to describe the demographics and clinical characteristics of children discharged to palliative care from 31 paediatric intensive care units in Great Britain, using a cohort of admissions and discharges from the database of paediatric intensive care units (Paediatric Intensive Care Audit Network (PICANet)). The patients included in this study were children discharged alive from paediatric intensive care units (n = 68882) between 1 January 2004 and 31 December 2008. The main outcome measure was Odds Ratios for discharge of children from paediatric intensive care units to palliative care and their referral destinat...
Source: Palliative Medicine - March 16, 2010 Category: Palliative Care Authors: Fraser LK, Fleming T, Miller M, Draper ES, McKinney PA, Parslow RC Tags: Palliat Med Source Type: journals

Cancer pain terminology: Time to develop a taxonomy that promotes good clinical practice and allows research to progressemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Pain (new issue) (Source: Palliative Care JournalClub - Selected Articles)
Source: Palliative Care JournalClub - Selected Articles - March 15, 2010 Category: Palliative Care Authors: Bennett MI Source Type: journals

Efficacy of intranasal fentanyl spray versus other opioids for breakthrough pain in canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Curr Med Res Opin (new issue) (Source: Palliative Care JournalClub - Selected Articles)
Source: Palliative Care JournalClub - Selected Articles - March 15, 2010 Category: Palliative Care Authors: Vissers D, Stam W, Nolte T, Lenre M, Jansen J Source Type: journals

Changing the Cultural View and Coverage of End-of-Life Care.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Since the mid-60s, the trend has been for treatment to stand at the forefront of medicine and when death occurs, it is seen as a failure of intervention. Institutional deaths are far greater today for the elderly and terminally ill patients than prior to the Medicare era. The safety, comfort, desires, and mental/spiritual well-being of the patient (and their family) are often lost in the attempt to treat rather than comfort. The cost of end-of-life care continues to spiral out of control (along with the rest of health care costs), yet there has been very little impact on longevity in spite of all the technological adva...
Source: The American Journal of Hospice and Palliative Care - March 15, 2010 Category: Palliative Care Authors: Defanti TR Tags: Am J Hosp Palliat Care Source Type: journals

Thalidomide for the Control of Severe Paraneoplastic Pruritus Associated With Hodgkin's Disease.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 22-year-old woman with nodular sclerosis type II Hodgkin lymphoma diagnosed in June 2001. She initially underwent chemotherapy with 6 cycles of ABVD (adriamycin, bleomycin, vincristine, dacarbazine) regimen, leading to clinical remission. As it relapsed, she was again treated with 2 different chemotherapy regimens. In November 2003, she underwent bone marrow autotransplantation, but it relapsed after 2 months. After that, she was treated with chemotherapy in monotherapy until November 2005. In December 2005, she was referred to palliative care. Her main symptom was very severe pruritus that interfered with all aspect...
Source: The American Journal of Hospice and Palliative Care - March 15, 2010 Category: Palliative Care Authors: Gonçalves F Tags: Am J Hosp Palliat Care Source Type: journals

Personality Characteristics of Hospice Palliative Care Volunteers: The "Big Five" and Empathy.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The goal of this study was to examine the personality characteristics of hospice palliative care volunteers by measuring the so-called big five personality traits and 4 separate aspects of empathy. A total of 99 hospice palliative care volunteers completed the NEO Five-Factor Inventory (NEO-FFI) of Costa Jr and McCrae and the Interpersonal Reactivity Index (IRI) of Davis. The vast majority (84%) of the volunteers were females. Compared to the norms for adult females on the NEO-FFI, female hospice palliative care volunteers scored significantly higher on the traits of agreeableness, extraversion, and openness and signif...
Source: The American Journal of Hospice and Palliative Care - March 15, 2010 Category: Palliative Care Authors: Claxton-Oldfield S, Banzen Y Tags: Am J Hosp Palliat Care Source Type: journals

Jeremy Creek: Blessing of the Fleet.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 20228358 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - March 12, 2010 Category: Palliative Care Authors: Limehouse C Tags: Am J Hosp Palliat Care Source Type: journals

Symptom Burden in Hospitalized Patients With Cancer in Kuwait and the Need for Palliative Care.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We conducted this study to describe the symptom burden among hospitalized patients with cancer in a Kuwaiti cancer center. Twenty physical symptoms were assessed in 45 patients with cancer. The majority (82%) of patients had an advanced incurable cancer and 42% were receiving best supportive care only. The median number of symptoms per patient was 6.4 +/- 2.8. The most common symptoms were pain (82%), weakness/fatigue (80%), anorexia (67%), weight loss (49%), and dyspnea (42%). Pain was the most distressing symptom in 31% of patients, followed by dyspnea (24%) and weakness/fatigue (11%). The high prevalence of advanced...
Source: The American Journal of Hospice and Palliative Care - March 12, 2010 Category: Palliative Care Authors: Alshemmari S, Ezzat H, Samir Z, Sajnani K, Alsirafy S Tags: Am J Hosp Palliat Care Source Type: journals

Conducting Outcomes Research in Pediatric Palliative Care.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article outlines some of the complexities of measuring outcomes in pediatric palliative care. It is recommended that national and international collaborations include representatives of the pediatric palliative care community. PMID: 20228360 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - March 12, 2010 Category: Palliative Care Authors: Knapp C, Madden V Tags: Am J Hosp Palliat Care Source Type: journals

The Effects of an Inpatient Palliative Care Team on Discharge Dispositionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 10, 2010 Category: Palliative Care Tags: article Source Type: journals

Use of Epidural Steroid as an Adjuvant in Neuropathic Cancer Pain Management: A Case Report.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The complexity of pain and pain care is such that there may come a point in the treatment of a patient with pain when a simple approach to management is no longer possible. The proverbial analgesic ladder can be rapidly overtaken when attempting palliative management of long-term or severe end-of-life pain. Epidural steroid injection is frequently used procedure in chronic back pain of neuropathic origin in nonmalignant cases. This case report implicates the use of epidural steroid for the management of severe neuropathic symptoms including allodynia and hyperalgesia in the setting of cancer pain and palliative care. ...
Source: The American Journal of Hospice and Palliative Care - March 10, 2010 Category: Palliative Care Authors: Mishra S, Singh Rana SP, Upadhyay SP, Bhatnagar S Tags: Am J Hosp Palliat Care Source Type: journals

Use of Sustained Release Oral Morphine as a Bridge in Withdrawal of Morphine in Patients on High Doses of Oral Immediate Release Morphine for Cancer Pain.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present 2 cases where the sustained release oral morphine was used as a bridge to withdraw immediate release oral morphine successfully in 2 patients after resolution of disease. PMID: 20220200 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - March 10, 2010 Category: Palliative Care Authors: Ahmed A, Khurana H, Gogia V, Mishra S, Bhatnagar S Tags: Am J Hosp Palliat Care Source Type: journals

αemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: These results indicate the effectiveness of a2d modulators for management of neuropathic pain secondary to compression radiculopathy. The results also suggest a possible therapeutic superiority of LYRICA over locally available generic brands of pregabalin and gabapentin. These findings need to be further examined in randomized, controlled trials. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - March 9, 2010 Category: Palliative Care Authors: Tramboo Tariq A, Gurkhoo Showket Source Type: journals

Improving Residents' End-of-Life Communication Skills with a Short Retreat: A Randomized Controlled Trialemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 5, 2010 Category: Palliative Care Tags: article Source Type: journals

Advance Care Planning and Hospice Enrollment: Who Really Makes the Decision To Enroll?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 4, 2010 Category: Palliative Care Tags: article Source Type: journals

Can Anti-Infective Drugs Improve the Infection-Related Symptoms of Patients with Cancer During the Terminal Stages of their Lives?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 4, 2010 Category: Palliative Care Tags: article Source Type: journals

Administrative Outcomes Five Years after Opening an Acute Palliative Care Unit at a Comprehensive Cancer Centeremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 2, 2010 Category: Palliative Care Tags: article Source Type: journals

Advance Directives and Do-Not-Resuscitate Orders in Patients with Cancer with Metastatic Spinal Cord Compression: Advanced Care Planning Implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - March 2, 2010 Category: Palliative Care Tags: article Source Type: journals

Pediatric Palliative Care: Feedback From the Pediatric Intensivist Community.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the results of a survey completed in late 2007 of the Section on Critical Care of the American Academy of Pediatrics (AAP). The 102 respondents provided information regarding their clinical and educational experiences, perceived barriers to the provision of palliative care in the intensive care environment, currently available PPC resources, and the usefulness of palliative care specialization in the pediatric intensive care unit. PMID: 20197556 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - March 2, 2010 Category: Palliative Care Authors: Jones PM, Carter BS Tags: Am J Hosp Palliat Care Source Type: journals

Nausea and Vomiting in Advanced Cancer.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Nausea and vomiting are relatively common in advanced cancer and is dreaded more than pain by patients. The history, pattern of nausea and vomiting, associated symptoms, and physical examination provides clues as to etiology and may guide therapy. Continuous severe nausea unrelieved by vomiting is usually caused by medications or metabolic abnormalities, while nausea relieved by vomiting or induced by eating is usually due to gastroparesis, gastric outlet obstruction, or small bowel obstruction. Drug choices are empiric or based on etiology. Metoclopramide has the greatest evidence for efficacy followed by phenothiazin...
Source: The American Journal of Hospice and Palliative Care - March 2, 2010 Category: Palliative Care Authors: Ang SK, Shoemaker LK, Davis MP Tags: Am J Hosp Palliat Care Source Type: journals

Role of Palliative Low-Molecular-Weight Heparin for Treating Venous Thromboembolism in Patients With Advanced Cancer.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Patients with cancer are at risk of developing venous thromboembolism ([VTE]; deep venous thrombosis, and pulmonary embolism). Although vitamin K antagonists had originally been used to treat VTE in these patients, low-molecular-weight heparins (LMWH) have been shown to be more effective and safe for patients with cancer-associated thrombosis. In cancer patients with advanced disease where curative therapy is no longer the intent of treatment, continued anticoagulation for VTE for palliative purposes continues to remain a controversial topic as no large randomized trials have been conducted to guide clinicians in this ...
Source: The American Journal of Hospice and Palliative Care - March 2, 2010 Category: Palliative Care Authors: Tran QN Tags: Am J Hosp Palliat Care Source Type: journals

Pc-facsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Tags: PC-FACS Source Type: journals

Psychosocial Issues in Palliative Care: A Message for Us Allemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
As an Australian emergency physician interested in geriatric care and certainly not someone who considers myself an expert in palliative care, this book not only gives an excellent overview of psychosocial issues in palliative care but also has applicability to a broader health care audience. Understanding psychosocial issues and tools for intervention in patient care is not generally given a high priority in formal medical education. Yet, with increasing clinical experience, I have come to recognize the importance of addressing patient comfort, in the broad sense. Palliative care has embraced this holistic approach as def...
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Carolyn Hullick Tags: Book Reviews Source Type: journals

Dying Tax Free: The Modern Advance Directive and Patients' Financial Valuesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision m...
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Timothy W. Kirk, George R. Luck Tags: Ethical Issues in Palliative Care Source Type: journals

Parent Pain Responses as Predictors of Daily Activities and Mood in Children with Juvenile Idiopathic Arthritis: The Utility of Electronic Diariesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The present study used electronic diaries to examine how parent responses to their child's pain predict daily adjustment of children with juvenile idiopathic arthritis (JIA). Nine school-aged children with JIA along with one of their parents completed thrice-daily assessments of pain-related variables, activity participation, and mood using handheld computers (Palm® pilots) for 14 days, yielding a potential of 42 child and parent assessments for each dyad. Children provided information on current pain level, mood, and participation in social, physical, and school activities. Parents independently rated their own...
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Mark Connelly, Kelly K. Anthony, Rebecca Sarniak, Maggie H. Bromberg, Karen M. Gil, Laura E. Schanberg Tags: Original Articles Source Type: journals

Psychometric and Clinical Assessment of the 10-Item Reduced Version of the Fatigue Scale—Child Instrumentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Fatigue is one of the most debilitating conditions associated with cancer and anticancer therapy. The lack of reliable and valid self-report instruments has prevented accurate assessment of fatigue in pediatric oncology patients. The purpose of this study was to identify the most sensitive and specific score, that is, the “cut score,” on the Fatigue Scale-Child (FS-C) to identify those children with high cancer-related fatigue in need of clinical intervention. We first used Rasch methods to identify the items on the FS-C that distinguished children with high cancer-related fatigue from other children; our fin...
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Pamela S. Hinds, Jie Yang, Jami S. Gattuso, Marilyn Hockenberry, Heather Jones, Sue Zupanec, Chenghong Li, Valerie McLaughlin Crabtree, Belinda N. Mandrell, Robert A. Schoumacher, Kelly Vallance, Stacy Sanford, Deo Kumar Srivastava Tags: Original Articles Source Type: journals

Single- vs. Multiple-Item Instruments in the Assessment of Quality of Life in Patients with Advanced Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Although multidimensional instruments are usually used to measure quality of life in advanced cancer patients, recent research suggests that single-item assessments can provide a reliable measure. Using the Functional Assessment of Cancer Therapy-General (FACT-G) instrument as a gold standard, we assessed the performance of the Edmonton Symptom Assessment System “feeling of well-being” (ESAS WB) item. We reviewed the data from 213 patients enrolled in six clinical trials. We determined the association between baseline ESAS WB and FACT-G total and subscale domain scores (Physical Well-being [PWB], Social/Famil...
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Shirley H. Bush, Henrique A. Parsons, J. Lynn Palmer, Zhijun Li, Ray Chacko, Eduardo Bruera Tags: Original Articles Source Type: journals

The Experience of Breathlessness: The Social Course of Chronic Obstructive Pulmonary Diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Good communication practices are fundamental in the care for COPD patients. Particularly, diagnosis and prognosis need to be rethought in a model to suit the condition of COPD. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Marjolein Gysels, Irene J. Higginson Tags: Original Articles Source Type: journals

A Comparison of Two Spirituality Instruments and Their Relationship With Depression and Quality of Life in Chronic Heart Failureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined how these instruments related to each other and to measures of depression and quality of life using correlations and principal component analyses. The FACIT-Sp measured aspects of spirituality related to feelings of peace and coping, whereas the IW measured beliefs, coping, and relational aspects of spirituality. Only the FACIT-Sp Meaning/Peace subscale consistently correlated with depression (r=−0.50, P (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: David B. Bekelman, Carla Parry, Farr A. Curlin, Traci E. Yamashita, Diane L. Fairclough, Frederick S. Wamboldt Tags: Original Articles Source Type: journals

Got Volunteers? Association of Hospice Use of Volunteers With Bereaved Family Members' Overall Rating of the Quality of End-of-Life Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: In this cross-sectional study, hospice programs with higher use of volunteers per patient day were associated with bereaved family member reports that the hospice program quality of care was excellent. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Eve M. Block, David J. Casarett, Carol Spence, Pedro Gozalo, Stephen R. Connor, Joan M. Teno Tags: Original Articles Source Type: journals

Reducing Patient Barriers to Pain and Fatigue Managementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The “Passport to Comfort” intervention was effective in reducing patient barriers to pain and fatigue management as well as in increasing patient knowledge regarding pain and fatigue. This intervention demonstrates innovation by translating the evidence-based guidelines for pain and fatigue as developed by the National Comprehensive Cancer Network into practice. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Tami Borneman, Marianna Koczywas, Virginia Chih-Yi Sun, Barbara F. Piper, Gwen Uman, Betty Ferrell Tags: Original Articles Source Type: journals

Impact of Pain and Symptom Burden on the Health-Related Quality of Life of Hemodialysis Patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Symptom burden in end-stage renal disease was substantial and had a tremendous negative impact on all aspects of hemodialysis patients' HRQL. These patients, therefore, would likely benefit from the institution of programs to reduce symptom burden. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 1, 2010 Category: Palliative Care Authors: Sara N. Davison, Gian S. Jhangri Tags: Original Articles Source Type: journals

Abstracts.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Authors: PMID: 20194636 [PubMed - in process] (Source: Palliative Medicine)
Source: Palliative Medicine - March 1, 2010 Category: Palliative Care Tags: Palliat Med Source Type: journals

Assessment and management of fatigue in neuromuscular disease.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Fatigue is a common and potentially debilitating symptom of neuromuscular disease (NMD). Studies show that patients with NMD subjectively report increased levels of fatigue. Laboratory testing has demonstrated that patients with NMD show objective physiological signs of increased fatigue, with both central and peripheral components. To date, no treatment has been proven to be truly effective through evidence-based medicine. Thus, the clinician must use a multimodality approach to treating fatigue in patients with NMD. Management interventions are generally based on a sequential approach including treatment of comorbid ...
Source: The American Journal of Hospice and Palliative Care - March 1, 2010 Category: Palliative Care Authors: Lou JS, Weiss MD, Carter GT Tags: Am J Hosp Palliat Care Source Type: journals