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Palliative Care Palliative Care OPML fileThis is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. Palliative Care RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. subscribe with MyMedWormSubscribe to this data using MyMedWorm.subscribe with GoogleReaderSubscribe to this data using GoogleReader.subscribe with BloglinesSubscribe to this data using Bloglines.subscribe with MyYahooSubscribe to this data using MyYahoo.

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Integrating Spiritual Care within Palliative Care: An Overview of Nine Demonstration Projectsemail 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 - February 3, 2012 Category: Palliative Care Tags: article Source Type: research

Improving Access to Palliative Care through an Innovative Quality Improvement Initiative: An Opportunity for Pay-for-Performanceemail 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 - February 3, 2012 Category: Palliative Care Tags: article Source Type: research

Factors influencing survival in patients undergoing palliative bypass for pancreatic adenocarcinomaemail 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.
ConclusionsIn a cohort of patients undergoing a palliative bypass procedure, specific peri‐operative factors can be used to identify patients who are at risk of early mortality. These factors may be helpful in selecting appropriate interventions for this group of patients. J. Surg. Oncol © 2012 Wiley Periodicals, Inc. (Source: Journal of Surgical Oncology)
Source: Journal of Surgical Oncology - February 3, 2012 Category: Cancer & Oncology Authors: Phillip J. GrayJingya WangTimothy M. PawlikBarish H. EdilRichard SchulickRalph H. HrubanHarry DaoJohn CameronChristopher WolfgangJoseph M. Herman Tags: Research Article Source Type: research

Gemcitabine and docetaxel (GEMDOX) for the treatment of relapsed and refractory pediatric sarcomasemail 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.
ConclusionsThe dismal outcomes for patients with relapsed and refractory sarcomas and the lack of effective sarcoma salvage regimens highlight the need for new approaches. This report of the therapeutic activity of gemcitabine and docetaxel (GEMDOX) in rhabdomyosarcoma and other pediatric reports describing activity in osteosarcoma and Ewing sarcoma suggest that this combination should be considered for formal evaluation in a pediatric specific clinical trial. At a minimum, it appears to offer a reasonable, tolerable, palliative option. Pediatr Blood Cancer © 2012 Wiley Periodicals, Inc. (Source: Pediatric Blood and Cancer)
Source: Pediatric Blood and Cancer - February 2, 2012 Category: Cancer & Oncology Authors: Louis RapkinMuna QayedPam BrillMelissa MartinDana ClarkBradley A. GeorgeThomas A. OlsonKaren Wasilewski‐MaskerAdina AlazrakiHoward M. Katzenstein Tags: Research Article Source Type: research

Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults.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.
Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined. PMID: 22302457 [PubMed - as supplied by publisher] (Source: Pain Physician)
Source: Pain Physician - February 1, 2012 Category: Anesthesiology Authors: Moeller JR, Albanese TH, Garchar K, Aultman JM, Radwany S, Frate D Tags: HEC Forum Source Type: research

Wound outcomes in patients with advanced illnessemail 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 prospective case series was studied to assess the potential for complete healing of wounds among patients with advanced illness referred to a regional palliative care program in Toronto, Canada. Two hundred and eighty‐two patients, of which 148 were primarily diagnosed with cancer and 134 with non cancer advanced illness, were assessed and followed until their deaths. On the baseline initial referral date, 823 wounds were documented. The wound classes assessed included pressure ulcers, malignant wounds, skin tears, venous leg ulcers, diabetic foot ulcers and arterial leg/foot ulcers. Proportions of patients showing com...
Source: International Wound Journal - February 1, 2012 Category: Surgery Authors: Vincent MaidaMarguerite EnnisJason Corban Source Type: research

Pediatric Analgesic Clinical Trial Designs, Measures, and Extrapolation: Report of an FDA Scientific Workshopemail 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.
Analgesic trials pose unique scientific, ethical, and practical challenges in pediatrics. Participants in a scientific workshop sponsored by the US Food and Drug Administration developed consensus on aspects of pediatric analgesic clinical trial design. The standard parallel-placebo analgesic trial design commonly used for adults has ethical and practical difficulties in pediatrics, due to the likelihood of subjects experiencing pain for extended periods of time. Immediate-rescue designs using opioid-sparing, rather than pain scores, as a primary outcome measure have been successfully used in pediatric analgesic efficacy t...
Source: PEDIATRICS - February 1, 2012 Category: Pediatrics Authors: Berde, C. B., Walco, G. A., Krane, E. J., Anand, K. J. S., Aranda, J. V., Craig, K. D., Dampier, C. D., Finkel, J. C., Grabois, M., Johnston, C., Lantos, J., Lebel, A., Maxwell, L. G., McGrath, P., Oberlander, T. F., Schanberg, L. E., Stevens, B., Taddio, Tags: Special Article Source Type: research

Biliary stenting: Indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guidelineemail 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 is part of a combined publication that expresses the current view of the European Society of Gastrointestinal Endoscopy about endoscopic biliary stenting. The present Clinical Guideline describes short-term and long-term results of biliary stenting depending on indications and stent models; it makes recommendations on when, how, and with which stent to perform biliary drainage in most common clinical settings, including in patients with a potentially resectable malignant biliary obstruction and in those who require palliative drainage of common bile duct or hilar strictures. Treatment of benign conditions (str...
Source: Endoscopy - February 1, 2012 Category: Gastroenterology Authors: Dumonceau, J.-M.Tringali, A.Blero, D.Devière, J.Laugiers, R.Heresbach, D.Costamagna, G. Tags: Guideline Source Type: research

Intracerebroventricular opioids for intractable painemail 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.
SummaryAims:  When pain is refractory to systemic opioid and nonopioid analgesic therapy and palliative chemoradiation or ablative or stimulant neurosurgical procedures are not possible, palliative treatment becomes limited, particularly if the patient wishes to be at home at the end of life. Intracerebroventricular (ICV) infusion of morphine in the home setting might be presented as an option. The present article reviews the basic and clinical evidence of the efficacy and safety of ICV administration of opioids. Information was gathered from various bibliographic sources, including PubMed and others, and summarized and ...
Source: British Journal of Clinical Pharmacology - February 1, 2012 Category: Drugs & Pharmacology Authors: Robert B. Raffa Joseph V. Pergolizzi Source Type: research

[Palliative care in the light of legal and regulatory requirements in Germany].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.
Abstract In Germany, palliative care has developed rapidly since the establishment of the first palliative care unit in 1983. More improvements in patient-centered care are only possible if legal requirements as well as education of physicians, nurses, and other professionals involved in palliative care are adapted to current needs. This paper provides an overview of legal and regulatory requirements including a critical appreciation of their influence on palliative care in Germany. Only recently has medical education in palliative medicine been implemented as an integral part of medical studies at German universit...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2012 Category: Global & Universal Authors: Cremer-Schaeffer P, Radbruch L Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research

[Review] Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPCemail 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.
Here we provide the updated version of the guidelines of the European Association for Palliative Care (EAPC) on the use of opioids for the treatment of cancer pain. The update was undertaken by the European Palliative Care Research Collaborative. Previous EAPC guidelines were reviewed and compared with other currently available guidelines, and consensus recommendations were created by formal international expert panel. The content of the guidelines was defined according to several topics, each of which was assigned to collaborators who developed systematic literature reviews with a common methodology. (Source: The Lancet Oncology)
Source: The Lancet Oncology - February 1, 2012 Category: Cancer & Oncology Authors: Augusto Caraceni, Geoffrey Hanks, Stein Kaasa, Michael I Bennett, Cinzia Brunelli, Nathan Cherny, Ola Dale, Franco De Conno, Marie Fallon, Magdi Hanna, Dagny Faksvåg Haugen, Gitte Juhl, Samuel King, Pål Klepstad, Eivor A Laugsand, Marco Maltoni, Sebasti Tags: Review Source Type: research

Opportunities And Challenges Of Palliative Care In The ICU Discussed In Expert Roundtableemail 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.
If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units (ICUs) has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - January 31, 2012 Category: Consumer Health News Tags: Palliative Care / Hospice Care Source Type: news

Wrong Medicine: Doctors, Patients, and Futile Treatment [Book and Media Reviews]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: JAMA)
Source: JAMA - January 31, 2012 Category: Journals (General) Authors: Thompson, A. Tags: Medical Practice, Medical Ethics, Patient-Physician Relationship/ Care, End-of-life Care/ Palliative Medicine Book and Media Reviews Source Type: research

A Better Option for Patients With TGA/VSD and Severe Pulmonary Hypertension Undergoing Palliative Arterial Switch Operation.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: 22269750 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Lui RC, Zhuang J, Lei BF Tags: Ann Thorac Surg Source Type: research

Life-affirming tales of a hospiceemail 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.
Hospices are too often associated with immense sadness, but a new series hopes to show the positive side of palliative care, writesBRIAN O'CONNELL (Source: The Irish Times - Health)
Source: The Irish Times - Health - January 30, 2012 Category: Consumer Health News Source Type: news

Opportunities and challenges of palliative care in the ICU discussed in expert roundtableemail 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.
(Mary Ann Liebert, Inc./Genetic Engineering News) If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 30, 2012 Category: Global & Universal Source Type: news

Living and dying well with end‐stage liver disease: Time 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.
(Source: Hepatology)
Source: Hepatology - January 30, 2012 Category: Internal Medicine Authors: Kristy Boyd Tags: Liver Failure, Cirrhosis and Portal Hypertension Source Type: research

Neurolytic transversus abdominis plane block in the palliative treatment of intractable abdominal wall painemail 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: A 45 year old man with metastatic colon cancer presented with uncontrollable abdominal wall pain. Transversus abdominis plane (TAP) block with ropivacaine and methylprednisolone was performed with excellent pain relief, which allowed a significant weaning of the patient's opioid requirements. A second TAP block was performed with a 33% ethanol solution (ethanol and ropivacaine) with excellent pain relief. The neurolytic block appeared to offer better pain control for more than 5 days after placement until the patient finally succumbed to his illness. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 29, 2012 Category: Anesthesiology Authors: Bryan Sakamoto, Sanjay Kuber, Kenneth Gwirtz, Ahmed Elsahy, Michael Stennis Tags: Case Reports Source Type: research

Adapted ice cream as a nutritional supplement in cancer patients: impact on quality of life and nutritional statusemail 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.
Conclusions  The administration of ice cream could cover, in part, the social aspect of food and improve QLQ in malnourished cancer patients. These results are encouraging and deserve further confirmation. Content Type Journal ArticleCategory Research ArticlesPages 66-72DOI 10.1007/s12094-012-0763-9Authors Francesc Casas, Department of Radiation Oncology, Hospital Clinic de Barcelona, IDIBAPS, C/Villarroel, 170, ES-08036 Barcelona, SpainConcha León, Psycho-Oncology Service, Institut Oncològic del Vallès (IOV, Consorci Sanitari de Terrassa), Terrassa, Barcelona, SpainEsther Jovell, Research Service,...
Source: Clinical and Translational Oncology - January 28, 2012 Category: Cancer & Oncology Tags: Clinical and Translational Oncology Source Type: research

Predicting compliance and survival in palliative whole-brain radiotherapy for brain metastasesemail 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.
Conclusions  Results suggest that the geriatric tools analysed could offer information on brain palliative radiotherapy complementary to that offered by the more usual tools. It will be interesting to study if our data could be extrapolated to the general palliative oncological field. Content Type Journal ArticleCategory Research ArticlesPages 43-49DOI 10.1007/s12094-012-0760-zAuthors Sebastià Sabater, Department of Radiation Oncology, Complejo Hospitalario Universitario, C/Hermanos Falcó, 37, ES-02006 Albacete, SpainEncarna Mur, Department of Radiation Oncology, Sant Joan University Hospital, Reus...
Source: Clinical and Translational Oncology - January 28, 2012 Category: Cancer & Oncology Tags: Clinical and Translational Oncology Source Type: research

Authors' replyemail 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.
Andrea Tendas, Luca Cupelli, Laura Scaramucci, Massimiliano Palombi, Malgorzata Monika Trawinska, Marco Giovannini, Gregorio Antonio Brunetti, Claudio Cartoni, Francesco Bondanini, Paolo de Fabritiis, Pasquale NiscolaIndian Journal of Palliative Care 2011 17(3):260-260 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Andrea TendasLuca CupelliLaura ScaramucciMassimiliano PalombiMalgorzata Monika TrawinskaMarco GiovanniniGregorio Antonio BrunettiClaudio CartoniFrancesco BondaniniPaolo de FabritiisPasquale Niscola Source Type: research

Anticoagulants and anti-platelet agents in palliative home healthcareemail 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.
Viroj WiwanitkitIndian Journal of Palliative Care 2011 17(3):260-260 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Viroj Wiwanitkit Source Type: research

Managing pressures ulcers in a resource constrained situation: A holistic approachemail 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.
Abhijit Dam, Nivedita Datta, Usha Rani Mohanty, Chandreyi BandhopadhyayIndian Journal of Palliative Care 2011 17(3):255-259Managing pressure ulcers remain a challenge and call for a multidisciplinary team approach to care. Even more daunting is the management of such patients in remote locations and in resource constrained situations. The management of pressure sores in a patient with progressive muscular atrophy has been discussed using resources that were locally available, accessible, and affordable. Community participation was encouraged. A holistic approach to care was adopted. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Abhijit DamNivedita DattaUsha Rani MohantyChandreyi Bandhopadhyay Source Type: research

Dexmedetomidine infusion to facilitate opioid detoxification and withdrawal in a patient with chronic opioid abuseemail 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.
Surjya Prasad Upadhyay, Piyush Narayan Mallick, Waleed Mohamed Elmatite, Manish Jagia, Salah TaqiIndian Journal of Palliative Care 2011 17(3):251-254Many patients are admitted to the intensive care unit (ICU) for acute intoxication, serious complication of overdose, or withdrawal symptoms of illicit drugs. An acute withdrawal of drugs with addiction potential is associated with a sympathetic overactivity leading to marked psychomimetic disturbances. Acute intoxication or withdrawal of such drugs is often associated with life-threatening complications which require ICU admission and necessitate prolonged sedative analgesic ...
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Surjya Prasad UpadhyayPiyush Narayan MallickWaleed Mohamed ElmatiteManish JagiaSalah Taqi Source Type: research

Providing Palliative Care for a dying teen at home: Perspectives and challengesemail 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.
Malathi Nayak, Naveen SalinsIndian Journal of Palliative Care 2011 17(3):248-250Adolescents and young adults with cancer are a heterogeneous group. Management of this special group requires a broad-based interdisciplinary clinical team, which should include palliative care (PC), psychology, social work, oncology, and nursing representatives. The function of PC is to provide impeccable pain and other symptom control and to coordinate care as the disease progresses. The cure rate of cancer in adolescents is high but between 10% and 40% of them will develop incurable disease depending on tumor type and prognosti...
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Malathi NayakNaveen Salins Source Type: research

Neuropathic pain due to fibromatosis: Does anticancer treatment help?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 a patient with desmoid fibromatosis of the chest wall causing brachial plexus infiltration. As the tumor was locally invasive and unresectable, he was treated with radiation therapy and oral tamoxifen. On follow-up, there was significant pain relief, sustained reduction in the tumor size, and reduced analgesic requirement. Antineoplastic treatments like local radiation therapy and targeted systemic therapy with hormones or other agents can be considered in the management of selected unresectable desmoid fibromatosis to improve symptom control and reduce polypharmacy. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: David MathewReena Mary GeorgeJenifer JebaSunita Susan Varghese Source Type: research

Palliative and Supportive Care in Acrometastasis to the Hand: Case Seriesemail 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.
Narendra Kumar, Ritesh Kumar, Anjan Bera, Pankaj Kumar, Shabab L Angurana, Sushmita Ghosal, Radhika Srinivasan, Suresh Chander SharmaIndian Journal of Palliative Care 2011 17(3):241-244Acrometastasis to the hand is an unusual presentation which might mimic an infectious, inflammatory, or a metabolic pathology. We herein describe a case series of three patients of acrometastasis to the hand. We encountered three cases of acrometastasis to the hand attending the departmental clinics from 2007 to 2010. The median age at presentation was noted to be 55 years. All were males. The primaries included squamous cell carcinoma of th...
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Narendra KumarRitesh KumarAnjan BeraPankaj KumarShabab L AnguranaSushmita GhosalRadhika SrinivasanSuresh Chander Sharma Source Type: research

Speech and swallowing outcomes in buccal mucosa carcinomaemail 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.
Sunila John, Rashida M Hassuji, B RajashekharIndian Journal of Palliative Care 2011 17(3):238-240Buccal carcinoma is one of the most common malignant neoplasms among all oral cancers in India. Understanding the role of speech language pathologists (SLPs) in the domains of evaluation and management strategies of this condition is limited, especially in the Indian context. This is a case report of a young adult with recurrent squamous cell carcinoma of the buccal mucosa with no deleterious habits usually associated with buccal mucosa carcinoma. Following composite resection, pectoralis major myocutaneous flap reconstruction,...
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Sunila JohnRashida M HassujiB Rajashekhar Source Type: research

Pattern of referral of noncancer patients to palliative care in the Eastern province of Saudi Arabiaemail 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.
Conclusions : These findings suggest that the PC needs of noncancer patients are largely unmet in our region. Further efforts are necessary to advance noncancer PC in Saudi Arabia. The PC needs of patients with SCD and PAD need to be addressed in future research. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Hafez M GhanemRawabi M ShaikhAhmad M Abou AliaAmani S Al-ZayirSamy A Alsirafy Source Type: research

Attitudes and beliefs about chronic pain among nurses- biomedical or behavioral? A cross-sectional surveyemail 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.
Conclusions: Nurses had a greater orientation toward the biomedical dimension of chronic pain than the behavioral dimension. This difference was more pronounced in female nurses and those nurses who reported "very good" general health had higher behavioral dimension scores than those who had "good" general health. The study findings have important curricular implications for nurses and practical implications in palliative care. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Venkatesan PremHarikesavan KarvannanRD ChakravarthyB BinukumarSaroja JaykumarSenthil P Kumar Source Type: research

Opioid-prescribing practices in chronic cancer pain in a tertiary care pain clinicemail 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: This study shows that the under treatment of pain and under dosing of opioids coupled with improper side effect management are major issues. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Raghu S ThotaPN JainSumitra G BakshiChhaya N Dhanve Source Type: research

Hypofractionated radiotherapy as local hemostatic agent in 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.
Conclusion : Of 25 patients, 22 (88%) responded, and there was complete cessation of bleeding. Both 15 Gray and 20 Gray dose schedule had equal efficacy. Treatment was well tolerated without any intermission. Radiotherapy is a safe and effective option in controlling tumor bleeding. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Malik Tariq RasoolNajmi Arshad ManzoorSyed Arshad MustafaLone Mohammad MaqboolFir Afroz Source Type: research

A randomized controlled trial to compare the efficacy of bisphosphonates in the management of painful bone metastasisemail 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 use of bisphosphonates for 6 months or more results in a statistical significant improvement in bone pain, more so with zoledronic acid. Hypercalcemia, an SRE, was significantly less in the zoledronic acid arm. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Krishnangshu Bhanja ChoudhuryChandrani MallikShyam SharmaDebangshu Bhanja ChoudhurySumana MaitiChhaya Roy Source Type: research

Reporting of pediatric palliative care: A systematic review and quantitative analysis of research publications in palliative care journalsemail 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.
Conclusions: The overall reporting rate for pediatric palliative care articles in palliative care journals was very low and there were no randomized clinical trials and systematic reviews found. The study findings indicate a lack of adequate evidence base for pediatric palliative care. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Senthil P Kumar Source Type: research

Attitudes toward euthanasia among doctors in a tertiary care hospital in South India: A cross sectional studyemail 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.
Conclusions: A majority of the doctors in this study supported euthanasia for the relief of unbearable pain and suffering. Religion and speciality appear to be significant in determining attitudes toward euthanasia. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Sneha KamathPriya BhateGinu MathewSrijith SashidharanAnjali B Daniel Source Type: research

What does the informal caregiver of a terminally ill cancer patient need? A study from a cancer centreemail 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.
Conclusions: informal caregivers provide most of the nursing and psychological support to the patient. However, palliative care services need to recognize that the caregiver too may need psychological and technical support. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Anjum S Khan JoadTC MayamolMohita Chaturvedi Source Type: research

Quality of life in cancer patients with disfigurement due to cancer and its treatmentsemail 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: Living with a disfiguring body which is visibly different is not always easy. A sudden change either due to cancer or its treatment or due to side effects leads to significant social maladjustment, elevated anxiety, depression, and poor quality of life among the cancer survivors with body disfigurement which calls for multiprofessional involvement in addressing various psychosocial issues. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Duraipandi ArunachalamAmmapattian ThirumoorthySaraswathi DeviThennarasu Source Type: research

Pain in blood cancersemail 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.
Pasquale Niscola, Andrea Tendas, Laura Scaramucci, Marco Giovannini, Vitaliana De SanctisIndian Journal of Palliative Care 2011 17(3):175-183Patients with blood-related cancers (BRC) suffer from a substantial symptom burden, including several pain syndromes sustained by different causes and pathogenetic mechanisms. So, with regard to pain, a multifaceted clinical scenario may be observed in this setting. Indeed, pain may be correlated to disease itself, to disease-associated complications, to iatrogenic causes or may be due to unrelated clinical conditions. A close diagnostic procedure for the assessment of the underlying ...
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Pasquale NiscolaAndrea TendasLaura ScaramucciMarco GiovanniniVitaliana De Sanctis Source Type: research

Palliative care of young adults: An issue which needs higher and better awarenessemail 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.
Sushma Bhatnagar, Saurabh JoshiIndian Journal of Palliative Care 2011 17(3):173-174 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 28, 2012 Category: Palliative Care Authors: Sushma BhatnagarSaurabh Joshi Source Type: research

Withdrawal of Invasive Home Mechanical Ventilation in Patients with Advanced Amyotrophic Lateral Sclerosis: Ten Years of Danish Experienceemail 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 - January 27, 2012 Category: Palliative Care Tags: article Source Type: research

Family's Difficulty Scale in End-of-Life Home Care: A New Measure of the Family's Difficulties in Caring for Patients with Cancer at the End of Life at Home from Bereaved Family's Perspectiveemail 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 - January 27, 2012 Category: Palliative Care Tags: article Source Type: research

The Factors Associated with the Quality of Life of the Spouse Caregivers of Patients with Cancer: A Cross-Sectional Studyemail 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 - January 27, 2012 Category: Palliative Care Tags: article Source Type: research

The Palliative Prognostic Index for the Prediction of Survival and In-Hospital Mortality of Patients with Advanced Cancer in Kuwaitemail 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 - January 27, 2012 Category: Palliative Care Tags: article Source Type: research

Editorial: Safer prescribing for prisonersemail 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: BMJ Area: News The author of this editorial discusses the recently published guideline on prescribing in prisons from the Royal College of General Practitioners (RCGP) and the Royal Pharmaceutical Society (RPS). He welcomes the guideline, however, also identifies areas which could have been further expanded on or given more attention, for example, the author notes that the guidelines "offer no advice on palliative care".  (Source: NeLM - News)
Source: NeLM - News - January 27, 2012 Category: Drugs & Pharmacology Source Type: news

Effect of Early Palliative Care on Chemotherapy Use and End-of-Life Care in Patients With Metastatic Non-Small-Cell Lung Cancer [Palliative and Supportive 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.
Conclusion Although patients with metastatic NSCLC received similar numbers of chemotherapy regimens in the sample, early palliative care optimized the timing of final chemotherapy administration and transition to hospice services, key measures of quality end-of-life care. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - January 27, 2012 Category: Cancer & Oncology Authors: Greer, Pirl, Jackson, Muzikansky, Lennes, Heist, Gallagher, Temel Tags: End of Life, Quality of Life, Quality of Care, Supportive Care, Palliative Care Palliative and Supportive Care Source Type: research

It Takes a Village [EDITORIALS]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 Clinical Oncology)
Source: Journal of Clinical Oncology - January 27, 2012 Category: Cancer & Oncology Authors: Earle Tags: Supportive Care, Palliative Care EDITORIALS Source Type: research

Massage in Supportive Cancer 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: The massage profession and the disciplines of clinical oncology have experienced a rapprochement in recent decades over questions of safety and efficacy. However, there is now significant recognition of the potential contributions of massage in supportive care, as well as greater understanding of the modifications needed in offering massage to cancer patients.Implications for Nursing Practice: Massage offers significant potential for benefiting quality of life when applied with proper understanding of the adaptations needed to accommodate the needs and vulnerabilities of cancer patients. (Source: Seminars in Oncology Nursing)
Source: Seminars in Oncology Nursing - January 26, 2012 Category: Nursing Authors: William Collinge, Gayle MacDonald, Tracy Walton Source Type: research

Palliative Care in the ICUemail 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 - January 26, 2012 Category: Palliative Care Tags: article Source Type: research

Evaluation of prognostic factors and the role of chemotherapy in unfavorable carcinoma of unknown primary site: A 10-year cohort studyemail 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.
Conclusions: Certain patients with unfavorable CUP will have better survival. Identification of patients with unfavorable CUP who could benefit from palliative chemotherapy warrants future prospective studies. (Source: BMC Research Notes)
Source: BMC Research Notes - January 26, 2012 Category: Research Authors: Kuo-Wei ChenChia-Jen LiuHsueh-Ju LuCheng-Hwai TzengJin-Hwang LiuTzeon-Jye ChiouChueh-Chuan YenWei-Shu WangTa-Chung ChaoHao-Wei TengMing-Huang ChenChun-Yu LiuPeter ChangMuh-Hwa Yang Source Type: research

Management of Myeloproliferative Neoplasms: From Academic Guidelines to Clinical Practiceemail 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  Myeloproliferative neoplasms (MPNs) are clonal disorders characterized by excessive production of mature cells. In most of the classic Philadelphia-negative MPNs—polycythemia vera (PV), essential thrombocythemia (ET), and MPN-associated myelofibrosis (MPN-MF)—oncogenic mutations affecting JAK2 or MPL lead to constitutive activation of cytokine-regulated intracellular signalling pathways. The traditional therapy for PV and ET is the prevention of thrombotic events with antiproliferative agents in association with aspirin. New drugs such as pegylated interferon and anti-JAK agents are candidates f...
Source: Current Hematologic Malignancy Reports - January 25, 2012 Category: Hematology Tags: Current Hematologic Malignancy Reports Source Type: research