Palliative Care Research 
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 4.
Functional status, life-space mobility, and quality of life: a longitudinal mediation analysis
Conclusions These results support a mediating role for life-space mobility in the relationship between functional status and HRQoL. Functional
status limitations might cause diminished HRQoL in part by limiting mobility. Mobility limitations may precede functional
status limitations in addition to being a consequence thereof.
Content Type Journal ArticlePages 1-12DOI 10.1007/s11136-012-0315-3Authors
John P. Bentley, School of Pharmacy, University of Mississippi, Faser Hall 235, University, MS 38677, USACynthia J. Brown, Birmingham VA Medical Center, University of Alabama at Birmingham, CH19 Suite 20...
Source: Quality of Life Research - November 19, 2012 Category: Health Management Tags: Quality of Life Research Source Type: research
Improving access to specialist multidisciplinary palliative care consultation for rural cancer patients by videoconferencing: report of a pilot project
Conclusion Delivery of specialist multidisciplinary PC consultation by videoconferencing is feasible, may improve symptoms, results in
cost savings to patients and families, and is satisfactory to users.
Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00520-012-1649-7Authors
Sharon M. Watanabe, Department of Symptom Control and Palliative Care, Cross Cancer Institute, Edmonton, Alberta, CanadaAlysa Fairchild, Department of Radiation Oncology, Cross Cancer Institute, 11560 University Avenue, Edmonton, AB T6G 1Z2, CanadaEdith Pituskin, Department of Radiation Oncology, Cross ...
Source: Supportive Care in Cancer - November 19, 2012 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: research
Determinants of anxiety in patients with advanced somatic disease: differences and similarities between patients undergoing renal replacement therapies and patients suffering from cancer
Conclusion In patients with advanced somatic disease (ESRD and end-stage breast cancer), non-constructive strategies of coping with the
disease require further evaluation and possibly psychological support.
Content Type Journal ArticleCategory Nephrology - Original PaperPages 1-9DOI 10.1007/s11255-012-0326-6Authors
Justyna Janiszewska, Department of Palliative Medicine, Medical University of Gdansk, Dębinki 2, 80-211 Gdańsk, PolandMonika Lichodziejewska-Niemierko, Department of Palliative Medicine, Medical University of Gdansk, Dębinki 2, 80-211 Gdańsk, PolandJustyna Gołębiewska, Department of ...
Source: International Urology and Nephrology - November 19, 2012 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: research
Dancing Around Death: Hospitalist-Patient Communication About Serious Illness
Hospital physicians care for most seriously ill patients in the United States. We employed dimensional analysis to describe communication about death and dying in audio-recorded admission encounters between seriously ill patients and hospitalists. Acknowledging or not acknowledging the possibility of dying emerged as a key process. Acknowledgment was rare, and depended on synergistic communication behaviors between patient and physician. Facilitators included patients cuing for information and disclosing emotional distress, and physicians exploring the patient’s understanding of his or her illness and emotional distr...
Source: Qualitative Health Research - November 19, 2012 Category: Global & Universal Authors: Anderson, W. G., Kools, S., Lyndon, A. Tags: Articles Source Type: research
Patterns of paediatric analgesic use in Africa: a systematic review
We conducted a systematic literature review with two objectives: (1) to assess reported patterns of analgesic use in African children and compare these observed patterns to the analgesics given in the WHO Essential Medicines List for Children (EMLc); and (2) to summarise outcomes related to effectiveness, adverse events, cost and accessibility of these analgesics. Eligible participants were children (≤12 years) living in any African country who received an analgesic administered with the intention of relieving pain in any setting. Thirty-four peer-reviewed, observational studies representing 7772 African children were a...
Source: Archives of Disease in Childhood - November 19, 2012 Category: Pediatrics Authors: Madadi, P., Enato, E. F. O., Fulga, S., Umeoduagu, C. C., MacLeod, S. M., Koren, G., Einarson, T. R. Tags: Journalology, Pain (neurology), Hospice, Pain (palliative care), Unwanted effects / adverse reactions, Pain (anaesthesia) Drug therapy Source Type: research
Needless pain in African children: an affront to human dignity
In Africa the HIV epidemic laid bare the huge need for palliative care and pain control. Families and health workers were faced with looking after the sick in homes and hospitals that were ill prepared and ill equipped to manage chronic symptoms, especially pain. Most clinicians and nurses had little experience or training in palliative care or the use of analgesia. Oral morphine was seldom available, intramuscular pethidine pro re nata (prn) was used, mainly post operatively, and many children suffered silently and stoically. Health workers were demoralised by the inability to relieve suffering. Local individuals, to thei...
Source: Archives of Disease in Childhood - November 19, 2012 Category: Pediatrics Authors: Molyneux, E. Tags: Immunology (including allergy), HIV/AIDS, Pain (neurology), Child abuse, Child health, Hospice, Pain (palliative care), Sexual health Drug therapy Source Type: research
Palliative Care in the Patient-Centered Medical Home.
Abstract
There are few published data on the delivery of palliative care services in the outpatient setting and virtually none on either the integration of palliative care into primary care practice or its applicability to innovative models of health care delivery, such as the patient-centered medical home and accountable care organizations. In this article, new topics for health services delivery research are suggested. Because of the lack of data, the article draws on information collected from inpatient palliative care delivery and includes anecdotal experiences from the outpatient pain medicine and palliative c...
Source: Primary Care - November 16, 2012 Category: Primary Care Authors: Wallenstein DJ Tags: Prim Care Source Type: research
[Editorial] The misrepresentation of palliative care in the UK
The Liverpool Care Pathway for the Dying Patient ( LCP) was developed during the late 1990s at the Royal Liverpool University Hospital in conjunction with the Marie Curie Hospice to provide the best quality palliative care to patients in all care settings. The pathway ensures patients do not receive unnecessary medical procedures and medications that do not confer benefit, as well as consideration of their physical, social, spiritual, and psychological needs. The LCP is widely recognised in the UK and abroad as a model of best practice to ensure access to a dignified, painless, and comfortable death.
Source: LANCET - November 16, 2012 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research
Management of chronic obstructive pulmonary disease in Swiss primary care: room for improvement.
CONCLUSION: Gaps between current care and recommended best practice exist in Swiss primary care COPD management. Promoting and implementing evidence-based frameworks for developing high quality care for patients with COPD are necessary.
PMID: 23114004 [PubMed - in process]
Source: Quality in Primary Care - November 16, 2012 Category: Primary Care Authors: Steurer-Stey C, Dallalana K, Jungi M, Rosemann T Tags: Qual Prim Care Source Type: research
Palliative Sedation: Further Evidence Needs to Be Accompanied by Ethical Guidance to Ensure Professional Practice at the End of Life [CORRESPONDENCE]
Source: Journal of Clinical Oncology - November 16, 2012 Category: Cancer & Oncology Authors: Schildmann, Vollmann, Schildmann Tags: CORRESPONDENCE Source Type: research
Screening Instruments for Depression in Advanced Cancer Patients: What Do We Actually Measure?
ConclusionScreening tools for the detection of depression in patients with advanced cancer may not provide an accurate evaluation of depression. These tools seem to measure physical symptom burden as well, especially when patients suffer from symptoms of the clusters fatigue/anorexia/cachexia, neuropsychology, debility, or pain. In this study, the BDI‐II cognitive subscale seems to differentiate best from somatic symptom burden.
Source: Pain Practice - November 16, 2012 Category: Anesthesiology Authors: Franca Warmenhoven, Chris Weel, Kris Vissers, Judith Prins Tags: Original Article Source Type: research
Selection Bias in Family Reports on End of Life with Dementia in Nursing Homes
Journal of Palliative Medicine , Vol. 0, No. 0.
Source: Journal of Palliative Medicine - November 15, 2012 Category: Palliative Care Tags: article Source Type: research
Melatonin as Adjuvant Cancer Care With and Without Chemotherapy: A Systematic Review and Meta-analysis of Randomized Trials
Conclusion. MLT may benefit cancer patients who are also receiving chemotherapy, radiotherapy, supportive therapy, or palliative therapy by improving survival and ameliorating the side effects of chemotherapy.
Source: Integrative Cancer Therapies - November 15, 2012 Category: Cancer & Oncology Authors: Seely, D., Wu, P., Fritz, H., Kennedy, D. A., Tsui, T., Seely, A. J. E., Mills, E. Tags: Articles Source Type: research
GP guide to drugs used in palliative care: psychostimulants
Abstract
This is the third in a short series of articles that focus on what GPs should consider when monitoring and prescribing specialist‐initiated palliative‐care drugs. Here, the authors summarise the key issues around the shortterm use of psychostimulants in palliative care.
Source: Prescriber - November 15, 2012 Category: Primary Care Authors: Rachel Howard, Paul Howard Tags: Drug points Source Type: research
Pros and Cons of Prognostic Disclosure to Japanese Cancer Patients and Their Families from the Family's Point of View
Journal of Palliative Medicine , Vol. 0, No. 0.
Source: Journal of Palliative Medicine - November 14, 2012 Category: Palliative Care Tags: article Source Type: research
Supportive care and not only palliative care in the route of cancer patients
Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s00520-012-1658-6Authors
Andrea Antonuzzo, U.O. Oncologia Medica 1—Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, Via Roma 67, 56126 Pisa, ItalyMaurizio Lucchesi, U.O. Oncologia Medica 2—Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, Pisa, ItalyIsa Maura Brunetti, U.O. Oncologia Medica 1—Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, Via Roma 67, 56126 Pisa, ItalyLuca Galli, U.O. Oncologia Medica 2—Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, Pisa, ItalyEnrico Vasile, U.O. Oncologia Me...
Source: Supportive Care in Cancer - November 14, 2012 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: research
Predictors of high score patient-reported barriers to controlling cancer pain: a preliminary report
Conclusions Depression was associated with high barrier score in patients with cancer pain. Management of cancer pain should include screening
for depression, and management of depression could reduce patient-reported barriers to pain management.
Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s00520-012-1646-xAuthors
Jung Hye Kwon, Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Republic of KoreaSung Yong Oh, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Republic of KoreaGary C...
Source: Supportive Care in Cancer - November 14, 2012 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: research
In search of the sixth vital sign: cancer care in Romania
Conclusions Cancer is an unmet psychosocial challenge to patients and to the specialized services, regardless of care type. The urgency
of psychosocial screening in the Romanian cancer care system is revealed. Based on these findings, there is a need for psychosocial
screening and related supportive care services that need to be integrated into Romania’s cancer care programs. A recommendation
is to pilot psychosocial and supportive care model within the four regional cancer care institutions.
Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00520-012-1657-7Authors
Csaba ...
Source: Supportive Care in Cancer - November 14, 2012 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: research
Gilda's Club WNY ends national tie-in
Gilda’s Club Western New York is giving up its name and national affiliation in the face of ongoing fiscal woes.
The organization announced Tuesday it will merge services with the Life Transitions Center, an affiliate of the Center for Hospice & Palliative Care with which it linked two years ago.
Blaming a funding model through the national organization that prohibits charging for services, local board members said they will end a licensing agreement with the Cancer Support Community.
Effective…
Source: bizjournals.com Health Care:Hospitals headlines - November 14, 2012 Category: Hospital Management Authors: Tracey Drury Source Type: research
Therapeutic advances in non-small cell lung cancer
Despite decades of research, therapeutic advances in non-small cell lung cancer (NSCLC) have progressed at a painstaking slow rate with few improvements in standard surgical resection for early stage disease and chemotherapy or radiotherapy for patients with advanced disease. In the past 18 months, however, we seemed to have reached an inflexion point: therapeutic advances that are centred on improvements in the understanding of patient selection, surgery that is undertaken through smaller incisions, identification of candidate mutations accompanied by the development of targeted anticancer treatments with a focus on ...
Source: Thorax - November 14, 2012 Category: Respiratory Medicine Authors: Vallieres, E., Peters, S., Van Houtte, P., Dalal, P., Lim, E. Tags: Reviews Source Type: research
Nonselective Transarterial Chemoperfusion: A Palliative Treatment for Malignant Pleural Mesothelioma [Vascular and Interventional Radiology]
Transarterial chemoperfusion is a potential palliative treatment of pleural mesothelioma in inoperable tumors that fail to respond to systemic chemotherapy; response to treatment was obtained in 36% of tumors, and stable disease was achieved in 49%.
Source: Continuous Publishing articles - November 14, 2012 Category: Radiology Authors: Vogl, T. J., Lindemayr, S., Naguib, N. N. N., Gurung, J., Nour-Eldin, N.-E. A., Zangos, S., Mbalisike, E. C. Tags: Interventional Radiology Vascular and Interventional Radiology Source Type: research
Endoneurial Macrophages Induce Perineural Invasion
Perineural invasion of cancer cells (CPNI) is found in most patients with pancreatic adenocarcinomas (PDA), prostate, or head and neck cancers. These patients undergo palliative rather than curative treatment due to dissemination of cancer along nerves, well beyond the extent of any local invasion. Although CPNI is a common source of distant tumor spread and a cause of significant morbidity, its exact mechanism is undefined. Immunohistochemical analysis of specimens excised from patients with PDAs showed a significant increase in the number of endoneurial macrophages (EMΦ) that lie around nerves invaded by cancer compared...
Source: Cancer Research - November 14, 2012 Category: Cancer & Oncology Authors: Cavel, O., Shomron, O., Shabtay, A., Vital, J., Trejo-Leider, L., Weizman, N., Krelin, Y., Fong, Y., Wong, R. J., Amit, M., Gil, Z. Tags: Microenvironment and Immunology Source Type: research
Hodgkin lymphoma: 2012 update on diagnosis, risk‐stratification, and management
Abstract
Disease overview: Hodgkin lymphoma (HL) is an uncommon B‐cell lymphoid malignancy affecting 9,000 new patients annually and representing approximately 11% of all lymphomas in the United States.
Diagnosis: HL is composed of two distinct disease entities; the more commonly diagnosed classical HL and the rare nodular lymphocyte predominant HL. Nodular sclerosis, mixed cellularity, lymphocyte depletion, and lymphocyte‐rich HL are subgroups under the designation of classical HL.
Risk stratification: An accurate assessment of the stage of disease in patients with HL is critical for the selection of the appropriate t...
Source: American Journal of Hematology - November 14, 2012 Category: Hematology Authors: Stephen M. Ansell Tags: Annual Clinical Updates in Hematological Malignancies Source Type: research
Cases and Culture
Content Type Journal ArticleCategory EditorialPages 1-6DOI 10.1007/s11673-012-9408-5Authors
Michael A. Ashby, Palliative Care Service, Royal Hobart Hospital, Southern Tasmania Area Health Service, and School of Medicine, Faculty of Health Sciences, University of Tasmania, 1st Floor, Peacock Building, Repatriation Centre, 90 Davey Street, Hobart, TAS 7000, AustraliaLeigh E. Rich, Department of Health Sciences (Public Health), Armstrong Atlantic State University, 11935 Abercorn Street, Solms 201, Savannah, GA 31419, USA
Journal Journal of Bioethical InquiryOnline ISSN 1872-4353Print ISSN 1176-7529
Source: Journal of Bioethical Inquiry - November 13, 2012 Category: Medical Ethics Tags: Journal of Bioethical Inquiry Source Type: research
Fall ground-breaking set for T. Boone Pickens hospice center
A fall 2013 ground-breaking has been set for a stand-alone community hospice center backed by two of Dallas’ biggest philanthropists.
Earlier this year, the T. Boone Pickens Foundation committed $18.4 million and the Harold Simmons Foundation committed $10 million and toward a $54.6 million goal to create the T. Boone Pickens Hospice and Palliative Care Center.
Presbyterian Communities and Services, the parent company of Faith Presbyterian Hospice and two smaller hospices in Dallas, are running…
Source: bizjournals.com Health Care:Hospitals headlines - November 13, 2012 Category: Hospital Management Authors: Bill Hethcock Source Type: research
Palliative care: Chemotherapy and hope of cancer cure: dying expectations
Nature Reviews Clinical Oncology 9, 668 (2012).
doi:10.1038/nrclinonc.2012.199
Author: Lisa Hutchinson
Receiving a cancer diagnosis fills most people with dread and many consider it as the number one fear. However, patients who are diagnosed with advanced-stage disease often overestimate their life expectancy. Several small studies have indicated that patients can have high expectations, including those who
Source: Nature Clinical Practice Oncology - November 13, 2012 Category: Cancer & Oncology Authors: Lisa Hutchinson Tags: Research Highlight Source Type: research
Assessment of Patient Dignity in Geriatric Palliative Care
Source: Journal of the American Geriatrics Society - November 13, 2012 Category: Geriatrics Authors: Linda Mah, Cindy Grief, Daphna Grossman, Mark Rootenberg Tags: Letter to the Editor Source Type: research
Carbon Dioxide Laser Treatment of Epidermal Nevi: Response and Long-Term Follow-Up.
CONCLUSIONS: We consider CO(2) laser therapy to be the treatment of choice for epidermal nevi as it is well tolerated and has proven to be safe and effective in the long term. While the response in patients with ILVEN was limited, CO(2) laser therapy might be a good option for selected cases or for palliative treatment since no other treatments have yet proven effective in this setting.
PMID: 23154248 [PubMed - as supplied by publisher]
Source: Actas Dermo-Sifiliograficas - November 12, 2012 Category: Dermatology Authors: Alonso-Castro L, Boixeda P, Reig I, de Daniel-Rodríguez C, Fleta-Asín B, Jaén-Olasolo P Tags: Actas Dermosifiliogr Source Type: research
Osteosarcoma of the jaws: a review of literature and a case report on synchronous multicentric osteosarcomas
Conclusion:
Osteosarcomas of the jaw remain enigmatic, and a number of difficulties related to their diagnosis and treatment are yet to be resolved. True synchronous multicentric osteosarcomas of the jaws are extremely rare but, like other osteosarcomas of the jaws, have a favorable outcome, and palliative resection of such lesions, though challenging, can therefore lead to an enormously improved quality of life and self-image, and may even offer the opportunity for cure.
Source: World Journal of Surgical Oncology - November 12, 2012 Category: Cancer & Oncology Authors: Peter Nthumba Source Type: research
Outcome of surgery for ileojejunal neuroendocrine tumors
Conclusions Localized and regionally restricted ileojejunal NETs have an excellent prognosis after surgical treatment. Although stage
IV tumors cannot be cured, an aggressive surgical approach in combination with medical or interventional treatment can provide
long-term survival.
Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00595-012-0408-1Authors
Nils Habbe, Department of Surgery, University Hospital Marburg, Baldingerstraße, 35043 Marburg, GermanyVolker Fendrich, Department of Surgery, University Hospital Marburg, Baldingerstraße, 35043 Marburg, GermanyAnna Heverhag...
Source: Surgery Today - November 11, 2012 Category: Surgery Tags: Surgery Today Source Type: research
Use of injectable spasticity management agents in a cancer center
This study aims to analyze the utilization and effectiveness of injectable spasticity medications by the physiatry team at
a referral-based tertiary cancer center.
Methods A retrospective review and analysis of patient and injection characteristics were obtained from patients who had received
onabotulinum toxin or phenol nerve block injections from December 1, 2007 through January 31, 2012. Out of 3,724 physiatry
consultations during this period, 20 (less than 1 %) different cancer patients received a total of 54 total procedures.
Results The majority of patients (17/20, 85&n...
Source: Supportive Care in Cancer - November 11, 2012 Category: Cancer & Oncology Tags: Supportive Care in Cancer Source Type: research
Longitudinal Changes in Function, Symptom Burden, and Quality of Life in Patients with Early-Stage Lung Cancer
Conclusions Patients with early-stage NSCLC report a significant longitudinal decrease in physical QOL, and fluctuations in objective
and subjective measures of physical function over time were observed regardless of disease stage category. An interdisciplinary
palliative care intervention is currently being tested to decrease symptom burden and improve QOL.
Content Type Journal ArticleCategory Healthcare Policy and OutcomesPages 1-10DOI 10.1245/s10434-012-2741-4Authors
Marianna Koczywas, Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USAAnna Cathy Williams, Nursing Research &...
Source: Annals of Surgical Oncology - November 10, 2012 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: research
Errors in Palliative Care: Kinds, Causes, and Consequences: A Pilot Survey of Experiences and Attitudes of Palliative Care Professionals
Journal of Palliative Medicine , Vol. 0, No. 0.
Source: Journal of Palliative Medicine - November 9, 2012 Category: Palliative Care Tags: article Source Type: research
Cartographers in an uncharted terrain—the importance of going the extra mile
Content Type Journal ArticleCategory EditorialPages 1-3DOI 10.1007/s00431-012-1881-7Authors
Saskia Jünger, Department of Palliative Medicine, University Hospital Bonn, Bonn, GermanyLukas Radbruch, Department of Palliative Medicine, University Hospital Bonn, Bonn, Germany
Journal European Journal of PediatricsOnline ISSN 1432-1076Print ISSN 0340-6199
Source: European Journal of Pediatrics - November 9, 2012 Category: Pediatrics Tags: European Journal of Pediatrics Source Type: research
Ergebnisse einer randomisierten Phase-III-Studie zur Behandlung rezidivierter Glioblastome
Content Type Journal ArticleCategory Literatur kommentiertPages 1-2DOI 10.1007/s00066-012-0251-8Authors
C. Nieder, Department of Oncology and Palliative Medicine, Nordland Hospital, 8092 Bodø, Norwegen
Journal Strahlentherapie und OnkologieOnline ISSN 1439-099XPrint ISSN 0179-7158
Source: Strahlentherapie und Onkologie - November 9, 2012 Category: Cancer & Oncology Tags: Strahlentherapie und Onkologie Source Type: research
Recent trends in the management of achalasia.
Abstract
Radical treatment for achalasia is currently unavailable. At present, most palliative procedures are designed improve the passage of food through the gastroesophageal junction and thereby alleviate symptoms. Drug therapy is of limited, transient effectiveness. Pneumatic dilation (PD) is considered superior to endoscopic botulinum toxin injection (EBTI). The mainstay of surgical treatment for achalasia is laparoscopic Heller myotomy (LHM) with fundoplication, currently considered superior to PD. Per oral endoscopic myotomy (POEM), a "state-of-the-art" procedure for minimally invasive surgery, holds great pr...
Source: Annals of Thoracic and Cardiovascular Surgery - November 9, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Katada N, Sakuramoto S, Yamashita K, Shibata T, Moriya H, Kikuchi S, Watanabe M Tags: Ann Thorac Cardiovasc Surg Source Type: research
Impact of Hospital Case Volume on Quality of End-of-Life Care in Terminal Cancer Patients
Journal of Palliative Medicine , Vol. 0, No. 0.
Source: Journal of Palliative Medicine - November 9, 2012 Category: Palliative Care Tags: article Source Type: research
Chronic lung allograft dysfunction after lung transplantation: the moving target
Abstract Chronic lung allograft dysfunction is a major challenge in long-term management of lung transplant recipients. Both alloimmune-dependent
factors (rejection) and alloimmune-independent factors contribute to the development of chronic lung allograft dysfunction.
Thus, use of the term “chronic rejection” tends to be intentionally avoided among specialists in the field, although “chronic
rejection” is still an acceptable lay word understood by many patients. Several different phenotypes have been identified
in chronic lung allograft dysfunction, including restrictive allograft syndrome, neutroph...
Source: General Thoracic and Cardiovascular Surgery - November 9, 2012 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: research
Longitudinal analysis of pain in patients with metastatic prostate cancer using natural language processing of medical record text.
CONCLUSIONS: We have established the feasibility of tracking longitudinal patterns of pain by text mining of free text clinical records. These methods may be useful for monitoring pain management and identifying novel cancer phenotypes.
PMID: 23144336 [PubMed - as supplied by publisher]
Source: Journal of the American Medical Informatics Association - November 9, 2012 Category: Information Technology Authors: Heintzelman NH, Taylor RJ, Simonsen L, Lustig R, Anderko D, Haythornthwaite JA, Childs LC, Bova GS Tags: J Am Med Inform Assoc Source Type: research
Integrating palliative care within acute stroke services: developing a programme theory of patient and family needs, preferences and staff perspectives
Conclusions:
Our framework is the first, empirical explanation of the integration of palliative and acute stroke care. The specification in the framework of factors that mediate integration can inform service development to improve the outcomes and experiences of patients and families.
Source: BMC Palliative Care - Latest articles - November 9, 2012 Category: Palliative Care Authors: Christopher BurtonSheila Payne Source Type: research
A call to the field: complicated grief in the DSM-5.
Abstract
While complicated grief has been addressed in part through some recommendations for modifications in the upcoming fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), there remain reasons for substantial concern about its scope therein and within clinical practice. The authors issue a call to the field, reiterating that complicated grief is complicated and cannot be confined to just one syndrome or disorder. Continued research is urged, and specific caveats are identified for exploring the complex dimensions of loss and grief. The authors advocate for ongoing dialogue about a...
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Rando TA, Doka KJ, Fleming S, Franco MH, Lobb EA, Parkes CM, Steele R Tags: Omega (Westport) Source Type: research
Honoring patient care preferences: surrogates speak.
This study (N = 59) asked surrogates to speak about their experiences immediately after having made a life-sustaining treatment decision. Grounded theory analysis revealed four themes: (1) the emotional impact of the decision-making process on the surrogate; (2) the difficulty of watching a loved one's health deteriorate; (3) the importance of having a Living Will (LW) or other written/verbal instructions; and (4) the reliance on spirituality as a means of coping with the surrogate experience. Findings of this study suggest that engaging surrogates at the time of patient admission may be essential in order to clarify patie...
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Buckey JW, Molina O Tags: Omega (Westport) Source Type: research
Socio-economic transformation of Akan funeral rites in Ghana: the changing process.
This article examines the contemporary Akan funeral practices in Ghana. Akan lineage members, from birth through puberty, marriage, maturity, old age, go through various rites of passage that bond them culturally and spiritually to others in society. One such ritual is funeral celebration. Funeral celebration, an old practice, has always been at the heart of public social events of Akan people. However, the changes in Ghanaian Akan funerals over the past 4 decades, and their impact on the people, make this an important topic. The article describes the Akan belief of life after death, the respect accorded to the dead, the p...
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Boateng A Tags: Omega (Westport) Source Type: research
A psychological profile of a serial killer: a case report.
We present, to the best of our knowledge, the first Indian case in the literature. The present case is of a 28-year-old man, Surinder Koli. The Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, New Delphi handled the forensic study. We present a most unique psychological investigation into the mind of a serial killer.
PMID: 23115894 [PubMed - in process]
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Dogra TD, Leenaars AA, Chadha RK, Manju M, Lalwani S, Sood M, Lester D, Raina A, Behera C Tags: Omega (Westport) Source Type: research
Accounts of suicidality in the Huntington disease community.
This article engages with these issues by presenting the accounts of 20 individuals with Huntington disease (HD), a fatal degenerative condition, and 10 informal caregivers (e.g., spouses). Suicide is a leading cause of death amongst people with HD, with an incidence rate many times higher than the general population. In contrast to the majority of the academic literature on HD suicidality, study participants did not connect suicide with mental pathology. Instead, they perceived suicide as a response to the realities of living with HD, such as prolonged physiological degeneration and the need for long-term intensive health...
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Halpin M Tags: Omega (Westport) Source Type: research
Parental interest in a bereavement support visit when a child dies from cancer.
In conclusion, a home visit program may satisfy needs for additional support while alleviating barriers to other types of bereavement care.
PMID: 23115896 [PubMed - in process]
Source: Omega - November 8, 2012 Category: Palliative Care Authors: Welch JG, Mannix MM, Boergers J, Jelalian E, Barbosa F, Fujii-Rios H, Forman EN Tags: Omega (Westport) Source Type: research
Communication Skills Training for Dialysis Decision-Making and End-of-Life Care in Nephrology.
Abstract
Nephrology fellows often face difficult conversations about dialysis initiation or withdrawal but are frequently unprepared for these discussions. Despite evidence that communication skills are teachable, few fellowship programs include such training. A communication skills workshop for nephrology fellows (NephroTalk) focused on delivering bad news and helping patients define care goals, including end-of-life preferences. This 4-hour workshop, held in October and November 2011, included didactics and practice sessions with standardized patients. Participants were nephrology fellows at Duke University and t...
Source: Clinical Journal of the American Society of Nephrology : CJASN - November 8, 2012 Category: Urology & Nephrology Authors: Schell JO, Green JA, Tulsky JA, Arnold RM Tags: Clin J Am Soc Nephrol Source Type: research
Clinically Based Palliative Care Training Is Needed Urgently for All Oncologists [CORRESPONDENCE]
Source: Journal of Clinical Oncology - November 8, 2012 Category: Cancer & Oncology Authors: Charalambous, Silbermann Tags: CORRESPONDENCE Source Type: research
Tanshinone IIA inhibits metastasis after palliative
resection of hepatocellular carcinoma and prolongs
survival in part via vascular normalization
Conclusions:
Our results demonstrate that tanshinone IIA can inhibit the enhanced HCC metastasis associated with PR. Inhibition results from promoting VEGFR1/PDGFR-related vascular normalization. This application demonstrates the potential clinical benefit of preventing postsurgical recurrence.
Source: Journal of Hematology and Oncology - November 8, 2012 Category: Hematology Authors: Wen-Quan WangLiang LiuHui-Chuan SunYan-Ling FuHua-Xiang XuZong-Tao ChaiQiang-Bo ZhangLing-Qun KongXiao-Dong ZhuLu LuZheng-Gang RenZhao-You Tang Source Type: research
Intermittent Subcutaneous Furosemide: Parentral Diuretic Rescue for Hospice Patients with Congestive Heart Failure Resistant to Oral Diuretic.
We report 2 cases of CHF resistant to oral diuretic and examine the clinical utility of subcutaneous furosemide in an inpatient palliative care unit and a home hospice setting. Our case series supports the use of subcutaneous therapy as a potential alternative in palliative care and hospice patients.
PMID: 23136114 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - November 6, 2012 Category: Palliative Care Authors: Farless LB, Steil N, Williams BR, Bailey FA Tags: Am J Hosp Palliat Care Source Type: research
