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Current Opinion in Supportive and Palliative Care

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https://read.qxmd.com/read/30664000/best-practices-on-team-communication-interprofessional-practice-in-oncology
#1
Laura D'Alimonte, Elizabeth McLaney, Lisa Di Prospero
PURPOSE OF REVIEW: Good communication is the cornerstone of interprofessional care teams providing optimized quality patient care. Over the last decade, advances in technology have provided tools to improve communication; however, opportunities still exist for innovation and implementation. RECENT FINDINGS: The literature suggests that interprofessional education and assessment of team communication are fundamental in supporting collaborative care. The literature favours an interactive, team-based approach (e...
January 16, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30640740/the-role-of-splanchnic-congestion-and-the-intestinal-microenvironment-in-the-pathogenesis-of-advanced-heart-failure
#2
Vincenzo B Polsinelli, Lara Marteau, Sanjiv J Shah
PURPOSE OF REVIEW: Right-sided heart failure, which is often present in the setting of advanced heart failure, is associated with cardiac cachexia, the cardiorenal syndrome, and adverse outcomes. Improved understanding of venous congestion of the splanchnic circulation, which may play a key role in the pathogenesis of right-sided heart failure, could lead to novel therapeutics to ameliorate heart failure. Here we provide an overview of right-sided heart failure, splanchnic hemodynamics, fluid homeostasis, and the intestinal microenvironment...
January 11, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30632988/communication-in-cancer-its-impact-on-the-experience-of-cancer-care-communicating-with-the-angry-patient-and-the-patient-in-denial
#3
Christopher Tino Hamana Pene, David Kissane
PURPOSE OF REVIEW: This review aims to describe the recent literature on communication between cancer care clinicians and angry patients and patients in denial. RECENT FINDINGS: Clinicians had improved perceived self-efficacy in responding to patient anger after completing anger management training, with a focus on reframing anger as a normative response to unmet needs. Psychosocial and mindfulness programmes for cancer patients were found to be useful for modifying anger response to stressors...
January 9, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30625120/cancer-and-fertility-optimizing-communication-between-patients-and-healthcare-providers
#4
Shiyang Shen, Phyllis Zelkowitz, Zeev Rosberger
PURPOSE OF REVIEW: This article reviews the status of guidelines and recommendations for communication between patients with cancer and healthcare providers (HCPs) concerning fertility issues. RECENT FINDINGS: The timing, the type of information provided, and the openness of HCPs can all affect how patients with cancer perceive discussions regarding fertility concerns and preservation. In addition, whether such discussions occur is associated with intrinsic factors, such as age and sex of the patients as well as HCP's knowledge level...
January 9, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30608242/communication-in-cancer
#5
Elie Isenberg-Grzeda, Janet Ellis
No abstract text is available yet for this article.
January 2, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30608241/culture-treatment-paradigms-and-advanced-heart-failure
#6
James M Beattie
No abstract text is available yet for this article.
January 2, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30608240/oncologists-communicating-with-patients-about-assisted-dying
#7
Debbie Selby, Sally Bean
PURPOSE OF REVIEW: Across all jurisdictions in which assisted dying is legally permissible, cancer is the primary reported underlying diagnosis. Therefore, oncologists are likely to be asked about assisted dying and should be equipped to respond to inquiries or requests for assisted dying. Because Medical Assistance in Dying was legalized in Canada in 2016, it is a relatively new end-of-life practice and has prompted the need to revisit the academic literature to inform communication with patients about assisted dying...
January 2, 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30601188/communication-involving-special-populations-older-adults-with-cancer
#8
Ronald D Adelman, Michele G Greene, Veerawat Phongtankuel, Milagros D Silva
PURPOSE OF REVIEW: Cancer has a high incidence and death rate among older adults. The objective of this article is to summarize current literature about communication between older adults and medical professionals in cancer care. Our article addresses four categories related to communication: first, ageism; second, screening; third, treatment; and fourth, end of life (EoL) care. RECENT FINDINGS: Current literature suggests that cancer treatment for older patients may be influenced by ageist biases...
December 28, 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30507630/structural-heart-disease-one-valve-does-not-fit-all
#9
Konstantin S German, Ankur Kalra
PURPOSE OF REVIEW: Highlight the difficulties patients, physicians, and the global economy face in relation to treatment of structural heart diseases. It is easy to be carried away by the excitement of medical advancement; however, it is difficult to demonstrate restraint. Transcatheter aortic valve replacement (TAVR) is a modern marvel that can help many patients when utilized appropriately. This article highlights the work that has been done to facilitate decision-making in this challenging patient population...
December 4, 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30507631/can-a-complex-adaptive-systems-perspective-support-the-resiliency-of-the-heart-failure-patient-informal-caregiver-dyad
#10
Laura Nimmon, Gil Kimel, Lorelei Lingard, Joanna Bates
PURPOSE OF REVIEW: A holistic palliative approach for heart failure care emphasizes supporting nonprofessional informal caregivers. Informal caregivers play a vital role caring for heart failure patients. However, caregiving negatively affects informal caregivers' well being, and in turn heart failure patients' health outcomes. This opinion article proposes that complex adaptive systems (CAS) theory applied to heart failure models of care can support the resiliency of the heart failure patient - informal caregiver dyad...
November 30, 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30507629/the-lived-experience-of-breathlessness-for-people-diagnosed-with-heart-failure-a-qualitative-synthesis-of-the-literature
#11
Helen Walthall, Theresa Floegel
PURPOSE OF REVIEW: The experience of breathlessness in patients with heart failure is understudied. This review was aimed at evaluating the most recent qualitative findings regarding the experience of breathlessness in persons diagnosed with heart failure. RECENT FINDINGS: A literature search was conducted using Pubmed, Psycinfo, BNI, Cinahl and Google Scholar including studies on breathlessness experience in patients with heart failure, published between 2017 and 2018...
November 30, 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30562180/communication-skills-training-for-healthcare-professionals-in-oncology-over-the-past-decade-a-systematic-review-of-reviews
#12
Danique W Bos-van den Hoek, Leonie N C Visser, Richard F Brown, Ellen M A Smets, Inge Henselmans
PURPOSE OF REVIEW: Effective communication in cancer care requires complex communication skills of healthcare professionals (HCPs), which can be advanced by communication skills training (CST). The number of empirical studies on CST has grown steadily over the last decade. However, controversies on CST abound. The aim of this review of reviews is to summarize evidence for the effectiveness of CST in oncology as well as for effective CST features (intensity, format and content) and to synthesize the current opinion on CST...
March 2019: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30382948/nutrition-support-for-treating-cancer-associated-weight-loss-an-update
#13
Alessio Molfino, Maria Ida Amabile, Maurizio Muscaritoli
PURPOSE OF REVIEW: Patients with cancer present high risk for involuntary body weight loss and reduced food intake, which, contributing to progressive tissue wasting and affecting the nutritional status, are often under-estimated in the clinical practice. In this article, we aimed at focusing on cancer-associated weight loss and investigating recent evidences on the indications of nutritional interventions to treat this condition. RECENT FINDINGS: During the last few years, increased emphasis has been addressed on the mechanisms underlying body weight loss in cancer that can be induced by either cancer metabolism and inflammation, either several side-effects of the anticancer treatments...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30382947/targeting-the-divergent-tgf%C3%AE-superfamily-cytokine-mic-1-gdf15-for-therapy-of-anorexia-cachexia-syndromes
#14
Vicky Wang-Wei Tsai, David A Brown, Samuel N Breit
PURPOSE OF REVIEW: To review recent finding on MIC-1/GDF15 and re-evaluate it as a potential target for the therapy of anorexia/cachexia syndromes. RECENT FINDINGS: MIC-1/GDF15 consistently induces anorexia/cachexia in animal models. Its actions on brainstem feeding centers leads to anorexia, inducing prolonged undernutrition and consequent loss of both lean and fat mass. Epidemiological studies by multiple groups have linked substantially elevated serum levels of this cytokine to anorexia/cachexia syndromes in diverse diseases such as cancer, chronic renal and cardiac failure, and chronic obstructive lung disease...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30379755/hemato-oncology-and-palliative-care-teams-is-it-time-for-an-integrated-approach-to-patient-care
#15
Thomas W LeBlanc, Areej El-Jawahri
PURPOSE OF REVIEW: Integrated palliative care for those with advanced solid tumors yields significant benefits in patient and caregiver outcomes. However, most palliative care clinical trials have excluded patients with hematologic malignancies. There is growing interest in whether integrated palliative care may yield similar benefits in hematologic malignancy patients and caregivers, but there has been little direct evidence of benefit in this population. This review summarizes new data on palliative care issues in hematologic malignancies, published in the preceding 12 months...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30320622/instruments-to-evaluate-complexity-in-end-of-life-care
#16
Maria Luisa Martin-Rosello, Maria Reyes Sanz-Amores, Maria Rosa Salvador-Comino
PURPOSE OF REVIEW: The growing number of patients with terminal and chronic conditions and co-morbidities constitutes a challenge for any healthcare system, to provide effective and efficient patient-centred care at the end of life. Resources are limited, and complexity is rising within patients' situations and healthcare professionals interventions. This review presents the state of art of the role of complexity in specialist palliative care provision. RECENT FINDINGS: Although studies related to complexity in palliative care are still limited, interesting reviews on complexity frameworks in co-morbidity conditions and palliative care are growing more present in current literature...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30300156/-the-shoulders-clavicles-chest-and-thighs-melt-away-a-compilation-of-reviews-on-cachexia
#17
Barry J A Laird, Aminah Jatoi
No abstract text is available yet for this article.
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30300155/targeting-il-1%C3%AE-in-cancer-cachexia-a-narrative-review
#18
James J McDonald, Donald C McMillan, Barry J A Laird
PURPOSE OF REVIEW: Cachexia is defined as ongoing loss of skeletal muscle mass, with or without depletion of adipose tissue and is a common syndrome in cancer patients, affecting 50% of those diagnosed. Cachexia, which cannot be fully reversed and causes significant functional impairment is caused by various mechanisms such as an altered energy balance and disruption of homeostatic control by the central nervous system. This central nervous system deregulation involves hypothalamic pituitary adrenal (HPA) axis stimulation, which can be triggered by IL-1R1 engagement on neuronal processes and endothelium in the microvasculature of the hypothalamus...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30300154/the-role-of-day-care-in-supporting-older-people-living-with-long-term-conditions
#19
Catherine Lunt, Christopher Dowrick, Mari Lloyd-Williams
PURPOSE OF REVIEW: For older people with long-term conditions, regular structured activities within a community setting meeting others are thought to improve well being and quality of life. Historically local authority-run day care centres were widely available, but austerity measures have meant that in many areas, such provision has been markedly reduced and different models of day care services are being developed. There is little known about outcomes of day care provision for older people with long-term conditions...
December 2018: Current Opinion in Supportive and Palliative Care
https://read.qxmd.com/read/30300153/palliative-care-teaching-shapes-medical-undergraduate-students-professional-development-a-scoping-review
#20
Antonio Noguera, Ramón Robledano, Eduardo Garralda
PURPOSE OF REVIEW: The aim of this review is to understand how palliative care teaching (PCT) as a patient-centered learning model, influences medical undergraduate students' professional development. RECENT FINDINGS: To study PCT medical undergraduate students' learning experiences, we have employed the medical teaching concept, 'hidden curriculum,' as a way of describing attitudes and behavior conveyed implicitly by palliative care educators. Fifteen studies were selected: ten of those studies used a qualitative approach; two are theoretical explanations of the topic explored, one guideline, one review and just one quantitative study, made up the review...
December 2018: Current Opinion in Supportive and Palliative Care
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