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More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

Dermatological Issues Among Individuals Receiving Palliative Care - A Review
Am J Hosp Palliat Care. 2023 Aug 25:10499091231198752. doi: 10.1177/10499091231198752. Online ahead of print.ABSTRACTSkin disorders among individuals receiving palliative care may be associated with the primary condition or underlying comorbidities and patients may experience pruritus, discomfort or pain. Common conditions include xerosis, pressure ulcers, intertrigo, superficial fungal infections, telogen effluvium, pruritus, herpes zoster, eczematous disorders and edema. During end-of-life care, there is reduced skin perfusion and metabolism hence leading to susceptibility to infection, pressure and injury. Other factors...
Source: The American Journal of Hospice and Palliative Care - August 25, 2023 Category: Palliative Care Authors: Zhenli Kwan Winn Hui Han Shin Shen Yong Nik Aimee Azizah Faheem Rebecca Kai Jan Choong Sheriza Izwa Zainuddin Chee Loong Lam Maw Pin Tan David Paul Capelle Source Type: research

End-of-Life Symptoms in Adult Patients With Stroke in the Last Two Years of Life: An Integrative Review
CONCLUSIONS: There is a need for better assessment and management of EOL symptoms in patients with stroke. Established palliative and EOL care guidelines need to be incorporated into clinical practice to ensure access to high-quality care.PMID:37615127 | DOI:10.1177/10499091231197657
Source: The American Journal of Hospice and Palliative Care - August 24, 2023 Category: Palliative Care Authors: Hanna Ramsburg Helene J Moriarty Meredith MacKenzie Greenle Source Type: research

“Natural Attorneys of the Poor:” A Case Study on a Community-Based Palliative Care Model to Address Socioeconomic Causes of Suffering
On an early fall morning, I set out for a coastal town in Kerala, India, with Pallium India's dedicated home care team. The road was narrow and tortuous as it contoured the coast. I joined them as part of my research exploring how community-based organizations like Pallium mobilized to meet the enormous primary care and palliative care needs of populations at the margins of health care access. Our next patient, Mathew, was due for a urinary catheter change.
Source: Journal of Pain and Symptom Management - August 23, 2023 Category: Palliative Care Authors: Ramya Sampath Tags: Letter Source Type: research

"Natural Attorneys of the Poor: ” a case study on a community-based palliative care model to address socioeconomic causes of suffering
On an early fall morning, I set out for a coastal town in Kerala, India, with Pallium India's dedicated home care team. The road was narrow and tortuous as it contoured the coast. I joined them as part of my research exploring how community-based organizations like Pallium mobilized to meet the enormous primary care and palliative care needs of populations at the margins of health care access. Our next patient, Mathew, was due for a urinary catheter change.
Source: Journal of Pain and Symptom Management - August 23, 2023 Category: Palliative Care Authors: Ramya Sampath Tags: Letter Source Type: research

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