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Annals of Palliative Medicine

Tan Seng Beng, Loh Ai Yun, Liew Xin Yi, Loo Hui Yan, Ng Kok Peng, Lim Soo Kun, Sheriza Izwa Zainuddin, Loh Ee Chin, Lam Chee Loong
BACKGROUND: The population of end-stage renal failure (ESRF) receiving dialysis treatment is increasing worldwide. For most patients with ESRF, dialysis can extend their life. However, treatment can be demanding and time-consuming. Despite dialysis treatment, many patients continue to experience various sufferings. METHODS: A qualitative study was conducted with semi-structured interviews to explore the experiences of suffering of ESRF patients on maintenance dialysis in Malaysia...
April 1, 2019: Annals of Palliative Medicine
Megan Vierhout, Jaymie Varenbut, Elizabeth Amos, Sandy Buchman, Amna Husain, James Meuser, Mark Bernstein
BACKGROUND: Home-based palliative care is care of the patient in their home, while doctors and other healthcare providers (HCPs) make visits as required. Family involvement naturally cultivates a relationship between HCPs and the family. Once the patient dies and home-based palliative care ends, this relationship is abruptly terminated, which may be challenging to both the family and the HCPs. The objective of this study was to understand the thoughts and opinions of HCPs and families on their encountered loss of relationship at the end of home-based palliative care...
April 1, 2019: Annals of Palliative Medicine
Christine Sanderson, Lauren Miller-Lewis, Deb Rawlings, Deborah Parker, Jennifer Tieman
BACKGROUND: Complex social and ethical debates about voluntary assisted dying (euthanasia), palliative care, and advance care planning are presently being worked through in many developed countries, and the policy implications of these discussions for palliative care are potentially very significant. However, community attitudes to death and dying are complex, multilayered, and contain many mixed messages. METHODS: Participants posted comments in a Massive Open Online Course (MOOC) on death and dying, entitled Dying2Learn...
March 28, 2019: Annals of Palliative Medicine
Jared R Robbins, Deepak Kilari, Fabian Johnston
No abstract text is available yet for this article.
March 28, 2019: Annals of Palliative Medicine
Jan Gaertner, Steffen Eychmueller, Thomas Leyhe, Daniel Bueche, Egemen Savaskan, Mathias Schlögl
Delirium is a frequent condition in patients in a palliative care situation and most often associated with substantial burden or even danger for the persons concerned as well as caregivers and health-care-professionals. Despite the lack of randomized-controlled-trials (RCTs) benzodiazepines and neuroleptic agents are used extensively in palliative care for the pharmacological management of delirium. A focused review for RCTs assessing pharmacotherapy with benzodiazepines and neuroleptics for the treatment of delirium in patients treated in a palliative care or hospice setting published in 2017 was performed in PubMed...
March 26, 2019: Annals of Palliative Medicine
Emily J Martin, Shayna E Rich, Joshua A Jones, Kavita V Dharmarajan
Communication is an important part of high-quality care at every step. Communication skills can be learned, practiced, and improved. In this review, we outline the basic frameworks for communication skills training, describe their components, and demonstrate their utility in the context of vignettes. We discuss specific evidence-based roadmaps for approaching the various communication tasks a radiation oncologist might encounter. Each is summarized with an easy to remember mnemonic. These include responding to emotion using NURSE statements, delivering serious news using SPIKES, discussing prognosis using ADAPT, and discussing goals of care using REMAP...
March 25, 2019: Annals of Palliative Medicine
Stephen T Lutz
Radiotherapy has been used to palliate cancer symptoms since shortly after the time that X rays were discovered late in the 1800's. The 20th century witnessed improvements in treatment planning and delivery that permitted radiotherapy to serve as a successful, timely, and cost-efficient palliative intervention. Palliative radiation oncology has risen to the level of its own subspecialty, as evidenced by the formation of palliative radiation oncology clinical services and dedicated palliative radiotherapy guidelines, while additional changes have begun to alter the very definition and goals of palliative radiotherapy...
March 15, 2019: Annals of Palliative Medicine
Vittorio Franciosi, Giuseppe Maglietta, Claudia Degli Esposti, Giuseppe Caruso, Luigi Cavanna, Raffaella Bertè, Gianpaolo Bacchini, Letizia Bocchi, Erico Piva, Michela Monfredo, Valentina Scafuri, Pamela Di Cesare, Barbara Melotti, Manuel Sequino, Anita Rimanti, Cinzia Binovi, Francesco Ghisoni, Caterina Caminiti
BACKGROUND: To compare quality of life (QoL) of patients receiving early palliative care (EPC) vs. standard oncologic care (SOC). METHODS: Pragmatic, multicenter, randomized trial at five University and Community Hospital Cancer Centers in Northern Italy. Advanced non-small cell lung, gastric, pancreatic and biliary tract cancer patients diagnosed within the previous 8 weeks. In the EPC arm, visits were performed systematically by a dedicated physician/nurse palliative care (PC) team, who assessed physical and psychosocial symptoms, and enacted the necessary services...
March 14, 2019: Annals of Palliative Medicine
Amelia Barwise, Andrea Cheville, Mark L Wieland, Ognjen Gajic, Alexandra J Greenberg-Worisek
BACKGROUND: Immigrants to North America receive more interventions at end of life potentially due to knowledge gaps. The primary objective of this study was to measure and describe levels of perceived knowledge about palliative care among immigrants to the United States (US) compared to those born in the US. Our secondary objective was to identify trusted sources for seeking information about palliative care among immigrants and compare these trusted sources with those born in the US...
March 13, 2019: Annals of Palliative Medicine
Candice Johnstone
The palliation of symptoms caused by advanced cancer is one of the most common indications for radiation therapy. Radiation therapy is an efficient and effective treatment for the palliation of pain, bleeding, obstruction, compression of nerves or the spinal cord and other local symptoms caused by tumors. The general principles of palliative radiation therapy are to use the shortest course of palliative radiation therapy needed to achieve the desired goal. It can typically be effective in a convenient single treatment (fraction) or over a small number of fractions...
March 11, 2019: Annals of Palliative Medicine
Qingyuan Zhuang, Ru Xin Wong, Wei Xiang Lian, You Quan Li, Fuh Yong Wong
BACKGROUND: Breast cancer (BC) patients with brain metastases (BM) are heterogeneous with markedly variable survival. The Breast Graded Prognostic Assessment (B-GPA) and Modified B-GPA (mB-GPA) have been proposed as useful tools for stratifying survival in this population. However, extra-cranial disease progression, a clinically important variable, is not incorporated into the final model. We undertook the validation of B-GPA and mB-GPA in an Asian cohort and further explore extra-cranial disease progression as a prognostic factor...
March 8, 2019: Annals of Palliative Medicine
Pieter E Postmus
No abstract text is available yet for this article.
March 1, 2019: Annals of Palliative Medicine
Shekinah N C Elmore, Surbhi Grover, Jean-Marc Bourque, Supriya Chopra, Anna Mary Nyakabau, Christian Ntizimira, Eric L Krakauer, Tracy A Balboni, Mary K Gospodarowicz, Danielle Rodin
Radiotherapy is an essential component of cancer therapy. Lack of access to radiotherapy in less-developed countries prevents its use for both cure and symptom relief, resulting in a significant disparity in patient suffering. Several recent initiatives have highlighted the need for expanded access to both palliative medicine and radiotherapy globally. Yet, these efforts have remained largely independent, without attention to overlap and integration. This review provides an update on the progress toward global palliative radiotherapy access and proposes a strategic framework to address further scale-up...
February 23, 2019: Annals of Palliative Medicine
Pericles J Ioannides, Randy L Wei
Palliative and supportive care education for radiation oncologists in training is essential to deliver comprehensive care to patients. Surveys on palliative care education among radiation oncology program directors and residents demonstrate a disparity in formal teaching and didactics. Integration of formal didactics, communications skills programs, and teaching modules are being piloted at academic centers. A dedicated palliative radiation oncology service has been implemented and the experience evaluated...
February 18, 2019: Annals of Palliative Medicine
Claude Cyr, Maria Fernanda Arboleda, Sunil Kumar Aggarwal, Lynda G Balneaves, Paul Daeninck, Andrée Néron, Erin Prosk, Antonio Vigano
No abstract text is available yet for this article.
February 13, 2019: Annals of Palliative Medicine
Candice Johnstone, Emily Martin, Timur Mitin, Yolanda Tseng, Charles B Simone
No abstract text is available yet for this article.
February 2019: Annals of Palliative Medicine
Theresa Tze-Kwan Lai, Oi-Mei Yip, Michael M K Sham
BACKGROUND: Pressure injury is a common clinical parameter of patient care outcome. Various risk factors increase the risk of palliative care patients to pressure injuries and difficult wound healing. Healthcare professionals are aware that wound healing is difficult, but they still focus on this process instead of providing the needs of patients with unhealed wounds. METHODS: This study aims to identify the clinical parameters of pressure injuries in relation to patients with advanced illness...
February 2019: Annals of Palliative Medicine
Charles B Simone
No abstract text is available yet for this article.
February 2019: Annals of Palliative Medicine
Amy Beasley, Marie A Bakitas, Rebecca Edwards, Dio Kavalieratos
Palliative care offers patients with a serious illness and their families access to services that can improve quality of life, mood, and symptoms. However, the term palliative care is often confused with end of life or hospice services limiting its application to persons with chronic illnesses who might benefit. Non-hospice palliative care is a term that is emerging to more accurately reflect the broader care model that palliative care represents. The aim of this review was to identify the characteristics of published nonhospice palliative care interventions...
February 2019: Annals of Palliative Medicine
Margaret L Campbell, Theresa Tze-Kwan Lai
No abstract text is available yet for this article.
January 25, 2019: Annals of Palliative Medicine
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