Palliative Care
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Center to Advance Palliative Care Palliative Care Clinical Care and Customer Satisfaction Metrics Consensus Recommendations
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Can Metaphors and Analogies Improve Communication with Seriously Ill Patients?
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
My Lucky Experience with Cats
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1059-1059. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
News and Views
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 981-981. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Physician Self-Disclosure at the End of Life: Is it Beneficial?
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 993-994. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Meetings and Events
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1071-1073. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Recent Literature
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1069-1070. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
A Tale of Two Deaths: A Palliative Care Chaplain Reflects
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1057-1058. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Introduction
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1067-1067. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: book review Source Type: journals
Toxicity of Bisphosphonates
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1061-1065. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
In this issue
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 979-979. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Malignant Pericardial Effusions #209
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1052-1053. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
In Defiance of Death: Exposing the Real Costs of End-of-Life Care
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1068-1068. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: book review Source Type: journals
Malignant Pleural Effusions: Interventional Management #157
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1051-1052. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Critical
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1067-1068. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: book review Source Type: journals
Legal Issues in the Care of Pressure Ulcer Patients: Key Concepts for Health Care Providers: A Consensus Paper from the International Expert Wound Care Advisory Panel
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 995-1008. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Decision-Making Capacity
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1075-1075. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Announcements
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1077-1079. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
The Psychological Well-Being Scale for Family Caregivers in Palliative Care
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 985-985. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Even in death …
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 983-984. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
“Desensitization” of Opioids: A Case Study
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 987-987. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Makin' A Doctor
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Journal of Palliative Medicine Nov 2009, Vol. 12, No. 11: 1055-1055. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - November 18, 2009 Category: Palliative Care Tags: article Source Type: journals
Cultural conceptualizations of hospice palliative care: More similarities than differences.
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The role of culture is significant in hospice palliative care (HPC). While mainstream HPC has been well described in many Western countries, there is no conceptual clarity regarding the meaning of HPC among minority cultures and ethnicities. In this article we describe and critically appraise the findings of a literature synthesis of 15 qualitative studies regarding the conceptualization of HPC among culturally diverse populations. Three primary themes emerged regarding HPC. They highlight: (i) that HPC should attend to the physical, psychosocial and spiritual aspects of death and dying; (ii) that the ideal HPC provide...
Source: Palliative Medicine - November 12, 2009 Category: Palliative Care Authors: Bosma H, Apland L, Kazanjian A Tags: Palliat Med Source Type: journals
Can you hear me now? The experience of a deaf family member surrounding the death of loved ones.
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Conclusions These findings provide a framework for future research concerning the needs of Deaf individuals facing the end of life and provide guidance for clinicians.
PMID: 19910395 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - November 12, 2009 Category: Palliative Care Authors: Kehl KA, Gartner CM Tags: Palliat Med Source Type: journals
The intravenous to oral relative milligram potency ratio of morphine during chronic dosing in cancer pain.
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Morphine (M) is the opioid analgesic of choice for severe cancer pain. The IV to PO M equipotent switch ratio (CR) is controversial. We designed this prospective observational cohort to confirm the efficacy and safety of M IV to PO CR of 1:3. Consecutive cancer patients admitted to an inpatient palliative medicine unit were screened for inclusion. Pain was managed by palliative medicine specialists. They were blinded to the patient data collected, and the calculated CR. The switch was considered successful if the following criteria were met: (1) Pain adequately controlled: pain rated as none or mild (2) Number of RD le...
Source: Palliative Medicine - November 12, 2009 Category: Palliative Care Authors: Lasheen W, Walsh D, Mahmoud F, Sarhill N, Rivera N, Davis M, Lagman R, Legrand S Tags: Palliat Med Source Type: journals
Oncologist patient-centered communication with patients with advanced cancer: Exploring whether race or socioeconomic status matter.
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PMID: 19910397 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - November 12, 2009 Category: Palliative Care Authors: Pollak K, Alexander SC, Grambow SC, Tulsky JA Tags: Palliat Med Source Type: journals
European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care
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Palliat Med 2009;23(7):581-93 (Source: Palliative Care JournalClub - Selected Articles)
Source: Palliative Care JournalClub - Selected Articles - November 9, 2009 Category: Palliative Care Authors: Cherny NI, Radbruch L, Board of the European Association for Palliative Care Source Type: journals
RCGP launches 'ante-mortal' End of Life Care Strategy
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Source: RCGP
Area: News
The Royal College of General Practitioners (RCGP) has published a new UK-wide strategy aimed at improving the standards of care for those in the last stages of life. The strategy identifies 10 recommended areas for further work, including the establishment of a new End of Life Care Working Group to oversee and report on their progress. The recommendations include:
. Recognising and rewarding best practice
. Reviewing and refinement of existing educational resources
. Supporting research and development of best practice models
. Endorsing the use of advance care ...
Source: NeLM - Palliative care - November 6, 2009 Category: Palliative Care Source Type: organizations
Unbearability of suffering at the end of life: the development of a new measuring device, the SOS-V
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Conclusions:
The SOS-V is an instrument for measuring the unbearability of suffering in end-stage cancer patients with good content validity and psychometric properties, which is feasible to be used in practice. This structured instrument makes it possible to identify and study unbearable suffering in a quantitative and patient-oriented way. (Source: BMC Palliative Care - Latest articles)
Source: BMC Palliative Care - Latest articles - November 3, 2009 Category: Palliative Care Authors: Kees RuijsBregje Onwuteaka-PhilipsenGerrit van der WalAd Kerkhof Source Type: journals
Table of Contents
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(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Tags: Frontmatter Source Type: journals
Editorial Board
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(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Tags: Frontmatter Source Type: journals
Pc-facs
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(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Tags: PC-FACS Source Type: journals
Responding to Suffering: Providing Options and Respecting Choice
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Abstract: Voluntary stopping of eating and drinking (VSED) as a legal means to hasten death has been discussed by some as an option for persons who wish to end their lives. A case is presented of a woman who elected to forgo eating and drinking to end intractable suffering. The potential for benefit and harm in physicians discussing VSED is discussed. Physicians working with terminally ill patients need to consider the discussion of VSED as a therapeutic tool in their support and care of patients with intractable suffering. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Authors: Zail S. Berry Tags: Ethical Issues in Palliative Care Source Type: journals
Validation of a Simplified Anorexia Questionnaire
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Abstract: Context: Anorexia is a common symptom in cancer and is usually assessed by multiple questions and multidimensional questionnaires. A simplified questionnaire would be less burdensome to patients and abbreviate the process.Objectives: We compared the reliability at one point in time, sensitivity to change over time, and prognostic accuracy of a two-item questionnaire with the Functional Assessment of Anorexia and Cachexia Therapy shortened 12-question version (A/CS-12).Methods: Individuals with cancer, who were cognitively intact and verbally agreed to participate, completed a two-item questionnaire and A/CS-12 in...
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Authors: Mellar P. Davis, Tugba Yavuzsen, Jordanka Kirkova, Declan Walsh, Matthew Karafa, Susan LeGrand, Ruth Lagman Tags: Original Articles Source Type: journals
Efficacy of Dexmethylphenidate for the Treatment of Fatigue After Cancer Chemotherapy: A Randomized Clinical Trial
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Abstract: Cancer and its treatment can induce subjective and objective evidence of diminished functional capacity encompassing physical fatigue and cognitive impairment. Dexmethylphenidate (d-MPH; the d-isomer of methylphenidate) was evaluated for treatment of chemotherapy-related fatigue and cognitive impairment. A randomized, double-blind, placebo-controlled, parallel-group study evaluated the potential therapeutic effect and safety of d-MPH in the treatment of patients with chemotherapy-related fatigue. Change from baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue Subscale (FACIT-F) total score at...
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Authors: Elyse E. Lower, Stewart Fleishman, Alyse Cooper, Jerome Zeldis, Herbert Faleck, Zhinuan Yu, Donald Manning Tags: Original Articles Source Type: journals
Attitudes of Patients with Advanced Cancer Toward Research
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There is a great need for an improved evidence base to guide clinical practice and service provision in palliative care, yet research in palliative care has been notoriously difficult, with poor trial accrual and high attrition rates. It is therefore of vital importance to design “patient-friendly” studies that will encourage participation and improve accrual and retention. To design such trials, the views of potential participants need to be known. The systematic review by Todd et al., recently published in this journal, includes studies published up to 2007 and highlights some of the views of advanced cancer patient...
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Authors: Clare White, Janet Hardy Tags: Letters Source Type: journals
Axonal Common Peroneal Nerve Palsy and Delayed Proximal Motor Radial Conduction Block Following Infliximab Treatment
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A 38-year-old female, treated with infliximab (3mg/kg) for a two-year history of psoriatic arthritis, was referred with a sudden onset of left foot drop. At referral, eight courses of infliximab (anti-tumor necrosis factor [anti-TNF] monoclonal antibody) had already been infused. Her past medical history was otherwise unremarkable. No familial history of hereditary neuropathies, that is, hereditary neuropathy with liability to pressure palsy, was reported. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2009 Category: Palliative Care Authors: Andreas A. Argyriou, Alexandra Makridou, Panagiotis Karanasios, Nicolaos Makris Tags: Letters Source Type: journals
Transdermal fentanyl as a front-line approach to moderate-severe pain: a meta-analysis of randomized clinical trials
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J Palliat Care 2009;25(3):172-80 (Source: Palliative Care JournalClub - Selected Articles)
Source: Palliative Care JournalClub - Selected Articles - October 24, 2009 Category: Palliative Care Authors: Tassinari D, Sartori S, Tamburini E, Scarpi E, Tombesi P, Santelmo C, Maltoni M Source Type: journals
Treatment of Malignant Pleural Effusion: PleuRx® Catheter or Talc Pleurodesis? A Cost-Effectiveness Analysis
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 20, 2009 Category: Palliative Care Tags: article Source Type: journals
Evaluation of quality-of-life measures for use in palliative care: A systematic review.
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Conclusions: Many measurement instruments were identified, but most had not yet been adequately evaluated. The evaluation of existing instruments with good content validity should have priority over the development of new instruments.
PMID: 19843620 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - October 19, 2009 Category: Palliative Care Authors: Albers G, Echteld MA, de Vet HC, Onwuteaka-Philipsen BD, van der Linden MH, Deliens L Tags: Palliat Med Source Type: journals
Creating social work competencies for practice in hospice palliative care.
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This article describes and critically appraises the findings of a literature synthesis of 15 qualitative studies regarding the conceptualization of HPC among culturally diverse populations. Three primary themes emerged regarding HPC. They highlight i) that HPC should attend to the physical, psychosocial and spiritual aspects of death and dying; ii) that the ideal HPC provider demonstrates excellent knowledge and expertise about end of life care, and is respectful, genuine and compassionate; and (iii), that HPC should include a range of resources that alleviate the potential burdens associated with end of life care. The syn...
Source: Palliative Medicine - October 19, 2009 Category: Palliative Care Authors: Bosma H, Johnston M, Cadell S, Wainwright W, Abernethy N, Feron A, Kelley ML, Nelson F Tags: Palliat Med Source Type: journals
The pragmatic use of apomorphine at the end of life.
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Parkinson's Disease (PD) is an irreversible degenerative neurological disorder with no known cure. Apomorphine is a potent short-acting D1/D2 dopamine agonist administered sub-cutaneously that is used in the treatment of PD. Optimising PD medication is an important aspect of end of life care. There are no previously reported cases of apomorphine providing symptom relief in terminal care of PD patients. This case highlights its potential benefits for symptom control at the end of life.
PMID: 19837701 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - October 15, 2009 Category: Palliative Care Authors: Dewhurst F, Lee M, Wood B Tags: Palliat Med Source Type: journals
Costs associated with resource utilization during the palliative phase of care: a Canadian perspective.
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Conclusion: Such results provide a comprehensive picture of costs related to palliative care in Canada, by specifying the cost sharing between the PHCS, the family, and NFPO.
PMID: 19837702 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - October 15, 2009 Category: Palliative Care Authors: Dumont S, Jacobs P, Fassbender K, Anderson D, Turcotte V, Harel F Tags: Palliat Med Source Type: journals
What progress has been made towards implementing national guidance on end of life care? A national survey of UK general practices.
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The objectives of this study were to establish the extent to which UK primary care has adopted recommended practices on supportive and palliative care of adults with cancer, and to relate this to participation in national initiatives. We conducted a cross-sectional postal questionnaire survey of a random sample of UK general practices. In total, 60.0% of practices (2096 of 3495) responded to the survey: 61.5% reported involvement with the Gold Standards Framework (GSF); 24.4% with the Liverpool or other End of Life Care Pathway; 12.3%, with the Preferred Place of Care (PPC) initiative; and 8.4% with Advance Care Planning (...
Source: Palliative Medicine - October 15, 2009 Category: Palliative Care Authors: Hughes PM, Bath PA, Ahmed N, Noble B Tags: Palliat Med Source Type: journals
Impact of Writing “Comfort Measures Only” Orders in a Community Teaching Hospital
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 15, 2009 Category: Palliative Care Tags: article Source Type: journals
Propofol for Terminal Sedation in Palliative Care: A Systematic Review
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 14, 2009 Category: Palliative Care Tags: article Source Type: journals
Care for the Bodies of Deceased Cancer Inpatients in Japanese Palliative Care Units
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 14, 2009 Category: Palliative Care Tags: article Source Type: journals
A Study into the Children's Palliative Care Educational Needs of Health Professionals in Uganda
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 14, 2009 Category: Palliative Care Tags: article Source Type: journals
“Love Your Neighbor Like Yourself”: A Jewish Ethical Approach to the Use of Pain Medication with Potentially Dangerous Side Effects
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 14, 2009 Category: Palliative Care Tags: article Source Type: journals
Effect of Topical Morphine (Mouthwash) on Oral Pain Due to Chemotherapy- and/or Radiotherapy-Induced Mucositis: A Randomized Double-Blinded Study
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Journal of Palliative Medicine , Vol. 0, No. 0. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 14, 2009 Category: Palliative Care Tags: article Source Type: journals
