Latest & greatest articles for palliative care

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Top results for palliative care

1. The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers. (Abstract)

The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers. Serious illness is often characterised by physical/psychological problems, family support needs, and high healthcare resource use. Hospital-based specialist palliative care (HSPC) has developed to assist in better meeting the needs of patients and their families and potentially reducing hospital care expenditure. There is a need for clarity (...) registers to August 2019, together with checking of reference lists and relevant systematic reviews, citation searching and contact with experts to identify additional studies.We included randomised controlled trials (RCTs) evaluating the impact of HSPC on outcomes for patients or their unpaid caregivers/families, or both. HSPC was defined as specialist palliative care delivered by a palliative care team that is based in a hospital providing holistic care, co-ordination by a multidisciplinary team

2020 Cochrane

2. Immediate versus delayed short-term integrated palliative care for advanced long-term neurological conditions: the OPTCARE Neuro RCT (Full text)

Immediate versus delayed short-term integrated palliative care for advanced long-term neurological conditions: the OPTCARE Neuro RCT Immediate versus delayed short-term integrated palliative care for advanced long-term neurological conditions: the OPTCARE Neuro RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try (...) a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This trial found that immediate short-term integrated palliative care did not lead to a statistically significant improvement in patient-reported physical symptoms compared to standard care after 12 weeks. {{author}} {{($index , , , , , , , , , , , , , , , & . Nilay Hepgul 1 , Rebecca Wilson 1 , Deokhee Yi 1 , Catherine Evans 1, 2 , Sabrina

2020 NIHR HTA programme PubMed abstract

3. Covid-19: Guidelines for Community Palliative Care – which is the ‘Best in Show’?

Covid-19: Guidelines for Community Palliative Care – which is the ‘Best in Show’? Covid-19: Guidelines for Community Palliative Care - which is the ‘Best in Show’? - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Covid-19: Guidelines for Community Palliative Care – which is the ‘Best in Show’? August 10, 2020 Dr Lyn Jenkins, on behalf of Correspondence to Love them or hate them, guidelines (...) are a necessary component of medical practice. And with the arrival of the previously unknown disease of Covid-19, we need guidelines more than ever. This includes guidelines for palliative care, as confirmed by the in urging the early development of protocols in the context of disasters, including pandemics. [Chapter 4] In an ideal world, guidelines would be a distillation of the evidence, a blue-print for treatment, a ‘score’ from which the doctor performs the ‘music’ of medicine. But writing guidelines

2020 Oxford COVID-19 Evidence Service

4. Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study. (Full text)

Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study. To measure the associations between newly initiated palliative care in the last six months of life, healthcare use, and location of death in adults dying from non-cancer illness, and to compare these associations with those in adults who die from cancer at a population level.Population based matched cohort study.Ontario, Canada between 2010 (...) and 2015.113 540 adults dying from cancer and non-cancer illness who were given newly initiated physician delivered palliative care in the last six months of life administered across all healthcare settings. Linked health administrative data were used to directly match patients on cause of death, hospital frailty risk score, presence of metastatic cancer, residential location (according to 1 of 14 local health integration networks that organise all healthcare services in Ontario), and a propensity score

2020 BMJ PubMed abstract

5. End of life and palliative care: the policy landscape

projections and implications for services. BMC Med. 15(1), 102. 4. Bone AE, et al. (2018). What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 5. The Academy of Medical Sciences (2018). Multimorbidity: a priority for global health research. https://acmedsci.ac.uk/file- download/82222577 6. Murtagh FE, et al. (2013). How many people need palliative care? A study developing and comparing methods (...) on the future provision of end-of-life care? Population-based projections of place of death. Palliat. Med. 32(2), 329-336. 10. Barnett K, et al. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380(9836), 37-43. 11. Worldwide Palliative Care Alliance and World Health Organisation (2014). Global Atlas of Palliative Care at the End of Life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf 12. Etkind SN, et al

2020 Academy of Medical Sciences

6. EAN guideline on palliative care of people with severe, progressive multiple sclerosis

EAN guideline on palliative care of people with severe, progressive multiple sclerosis EAN guideline on palliative care of people with severe, progressive multiple sclerosis A. Solari a , A. Giordano a,b , J. Sastre-Garriga c ,S.K€ opke d,e , A. C. Rahn e , I. Kleiter f , K. Aleksovska g , M. A. Battaglia h , J. Bay i , M. Copetti j , J. Drulovic k , L. Kooij l , J. Mens l , E. R. Meza Murillo c , I. Milanov m , R. Milo n,o , T. Pekmezovic p , J. Vosburgh q , E. Silber r , S. Veronese s , F (...) Keywords: clinical practice guideline, GRADE assessment, multiple sclerosis, palliative care Received 3 March 2020 Accepted 25 March 2020 European Journal of Neurology 2020, 0: 1–20 doi:10.1111/ene.14248 Background and purpose: Patients with severe, progressive multiple sclerosis (MS) have complex physical and psychosocial needs, typically over several years. Few treatment options are available to prevent or delay further clinical worsen- ing in this population. The objective was to develop an evidence

2020 European Academy of Neurology

7. Scottish Palliative Care Guidelines – temporary COVID-19 guidance

Scottish Palliative Care Guidelines – temporary COVID-19 guidance Scottish Palliative Care Guidelines - Home Scottish Palliative Care Guidelines search Updates 23/06/2020 The weekly research on COVID-19 and Palliative Care is now available. 17/06/2020 The for June is now available. 17/04/2020 has been issued by Scottish Government indicating that Morphine sulfate solution for injection 10mg/mL should be permanently adopted as first line opioid of choice, where clinically appropriate, in place (...) of Diamorphine 5mg and 10mg. The NHS Scotland palliative care guidelines will be amended to reflect this permanent change in due course. 09/04/2020 We need your on the COVID-19 guidelines Home COVID-19 - Our Response The palliative care community will stand with those who are facing suffering related to any illness, those who die during this pandemic, those who face bereavement and all who provide care. Temporary guidelines are now available for symptom management: Guidance for Guidance for supporting end

2020 Covid-19 Ad hoc papers

8. Covid-19: access to out-of-hours palliative and end-of-life care at home

Covid-19: access to out-of-hours palliative and end-of-life care at home Covid-19: access to out-of-hours palliative and end-of-life care at home - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Covid-19: access to out-of-hours palliative and end-of-life care at home June 16, 2020 Dr Lyn Jenkins, on behalf of Correspondence to Five years ago, the James Lind Alliance carried out research using (...) their Priority Setting Partnership protocol to identify the most important national concerns about palliative and end-of-life (EOL) care. Top of their list was the question: ‘What are the best ways of providing palliative care outside working hours to avoid crises and help patients stay in their place of choice?’ Since then, the organisation has instigated several investigations, with some completed and some still ongoing. Findings so far show that in the last year of their lives, patients with known life

2020 Oxford COVID-19 Evidence Service

9. Palliative Care Considerations For Patients With Cardiovascular Disease Under COVID-19

Palliative Care Considerations For Patients With Cardiovascular Disease Under COVID-19 Palliative Care Considerations For Patients With Cardiovascular Disease Under COVID-19 - American College of Cardiology ') Search All Types Search or Menu CBT=cognitive behavioral therapy; IV=intravenous; po=by mouth; SL=sublingually + People with Parkinsonism, Lewy body disease or pre-existing cogwheel rigidity, for whom haloperidol is contraindicated, quetiapine 12.5-25 mg orally up to 4 times daily can (...) in significant consequences for patients who require complex medical decisions in a resource scarce health care environment. Palliative care provides assistance to providers to integrate planning and comfort into care. Telehealth can advance palliative care initiatives especially prior to hospitalization. By providing support to our most vulnerable adult patients, we can minimize pain and suffering and promote dignity. This article was authored by John Mulrow, MD, FACC, FSCAI , Cardiology Clinic of San

2020 American College of Cardiology

10. Summarizing the Evidence Base for Palliative Oncology Care: A Critical Evaluation of the Meta-analyses. (Full text)

Summarizing the Evidence Base for Palliative Oncology Care: A Critical Evaluation of the Meta-analyses. Palliative care is a specialized approach to symptom management that focuses on supporting patients' physical and psychological quality of life throughout the disease course. In oncology, palliative care has been increasing in utilization. The evidence base for such care is also growing through the use of randomized controlled trials (RCTs). In this review, we aim to integrate the findings (...) from 4 meta-analyses of palliative oncology care RCTs to examine the impact of palliative care on physical and psychological quality of life and survival.We considered 4 meta-analyses of palliative oncology care RCTs, which each used slightly different methodologies and analyses. Two of the meta-analyses included both outpatient and inpatient populations, whereas the remaining meta-analyses focused specifically on outpatient palliative oncology care.All 4 meta-analyses reported a robust quality

2020 Clinical Medicine Insights. Oncology PubMed abstract

11. A Systematic Review of Nursing Home Palliative Care Interventions: Characteristics and Outcomes. (Abstract)

A Systematic Review of Nursing Home Palliative Care Interventions: Characteristics and Outcomes. Despite recommendations to integrate palliative care into nursing home care, little is known about the most effective ways to meet this goal.To examine the characteristics and effectiveness of nursing home interventions that incorporated multiple palliative care domains (eg, physical aspects of care-symptom management, and ethical aspects-advance care planning).Systematic review.We searched MEDLINE (...) via PubMed, Embase, CINAHL, and Cochrane Library's CENTRAL from inception through January 2019. We included all randomized and nonrandomized trials that compared palliative care to usual care and an active comparator. We assessed the type of intervention, outcomes, and the risk of bias.We screened 1167 records for eligibility and included 13 articles. Most interventions focused on staff education and training strategies and on implementing a palliative care team. Many interventions integrated

2020 Journal of the American Medical Directors Association

12. The Effect of Prognostic Communication on Patient Outcomes in Palliative Cancer Care: a Systematic Review. (Full text)

The Effect of Prognostic Communication on Patient Outcomes in Palliative Cancer Care: a Systematic Review. While prognostic information is considered important for treatment decision-making, physicians struggle to communicate prognosis to advanced cancer patients. This systematic review aimed to offer up-to-date, evidence-based guidance on prognostic communication in palliative oncology.PubMed and PsycInfo were searched until September 2019 for literature on the association between prognostic (...) disclosure (strategies) and patient outcomes in palliative cancer care, and its moderators. Methodological quality was reported.Eighteen studies were included. Concerning prognostic disclosure, results revealed a positive association with patients' prognostic awareness. Findings showed no or positive associations between prognostic disclosure and the physician-patient relationship or the discussion of care preferences. Evidence for an association with the documentation of care preferences or physical

2020 Current Treatment Options in Oncology PubMed abstract

13. Specialized Pediatric Palliative Care in Neonates with Life-Limiting Illness: A Systematic Review. (Abstract)

Specialized Pediatric Palliative Care in Neonates with Life-Limiting Illness: A Systematic Review.  The aim of this study is to assess the impact of specialized pediatric palliative care (PPC) on neonates with life-limiting conditions compared to standard care. MEDLINE, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Scopus, and Embase databases were searched from January 2000 to September 2018. Randomized clinical trials, experimental or observational studies (...) was possible; organizing outcomes into eight different categories: psychological, social and spiritual support; communication; location of care; symptom management; bereavement care; predicted versus actual neonatal outcomes; and parental coping, stress, and satisfaction. Specialized versus may have an impact on neonates with life-limiting conditions and their families. More studies that evaluate the impact of specialized versus in neonates with sound statistical analysis is warranted.Thieme Medical

2020 American journal of perinatology

14. Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews. (Full text)

Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews. Despite the significant benefits of palliative care (PC) services for cancer patients, multiple challenges hinder the provision of PC services for these patients. Low- and middle-income countries (LMICs) are witnessing a sharp growth in the burden of non-communicable diseases. There is a significant gap between demand and supply of PC in LMICs in current (...) published between 2000 and 2018 that considered challenges and possible facilitators to PC provision. A modified socioecological model was used as a framework for analysing and summarising findings.Fourteen reviews were included. The reviews varied in terms of aim, settings, and detail of the challenges and possible facilitators. The main challenges of personal and health care systems included knowledge deficits and misunderstandings from patients, families, the general public, and health care providers

2020 BMC palliative care PubMed abstract

15. Palliative care initiation in pediatric oncology patients: A systematic review. (Full text)

Palliative care initiation in pediatric oncology patients: A systematic review. Palliative care (PC) aims to improve quality of life for patients and their families. The World Health Organization and American Academy of Pediatrics recommend that PC starts at diagnosis for children with cancer. This systematic review describes studies that reported PC timing in the pediatric oncology population. The following databases were searched: PubMed, Web of Science, CINAHL, and PsycInfo databases (...) palliative service prior to death. Data revealed PC discussion does not occur until late in the illness trajectory, and PC does not begin until close to time of death. Despite efforts to spur earlier initiation, many pediatric oncology patients do not receive any palliative care service, and those who do, predominantly receive it near the time of death. Delays occur both at first PC discussion and at PC initiation. Efforts for early PC integration must recognize the complex determinants of PC utilization

2020 Cancer medicine PubMed abstract

16. Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families. (Full text)

Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families. Despite the high potential to improve the quality of life of patients and families, palliative care services face significant obstacles to their use. In countries with high-resource health systems, the nonfinancial and nonstructural obstacles to palliative care services are particularly (...) prominent. These are the cognitive barriers -knowledge and communication barriers- to the use of palliative care. To date no systematic review has given the deserved attention to the cognitive barriers and facilitators to palliative care services utilization. This study aims to synthesize knowledge on cognitive barriers and facilitators to palliative care use in oncology and hemato-oncology from the experiences of health professionals, patients, and their families.A systematic review was conducted

2020 BMC palliative care PubMed abstract

17. The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review. (Full text)

The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review. Aromatherapy, massage and reflexology are widely used in palliative care. Despite this, there are questions about their suitability for inclusion in clinical guidelines. The need to understand their benefits is a public priority, especially in light of funding pressures.To synthesise current evidence on the effectiveness of aromatherapy, massage and reflexology in people (...) with palliative care needs.A systematic review of randomised controlled trials (PROSPERO CRD42017081409) was undertaken following international standards including Cochrane guidelines. The quality of trials and their pooled evidence were appraised. Primary outcomes on effect were anxiety, pain and quality-of-life.Eight citation databases and three trial registries were searched to June 2018.Twenty-two trials, involving 1956 participants were identified. Compared with a control, four evaluated aromatherapy

2020 Palliative medicine PubMed abstract

18. The experiences of, and need for, palliative care for people with motor neurone disease and their informal caregivers: A qualitative systematic review. (Full text)

The experiences of, and need for, palliative care for people with motor neurone disease and their informal caregivers: A qualitative systematic review. Despite being a terminal neurodegenerative disease, the role of palliative care is less recognised for motor neurone disease than for other life-limiting conditions. Understanding the experiences of, and need for, palliative care for patients and carers is key to configuring optimal policy and healthcare services.To explore the experiences (...) of, and need for, palliative care of people with motor neurone disease and their informal carers across the disease trajectory.A systematic review of qualitative research conducted using Thematic Synthesis - PROSPERO registration CRD42017075311.Four electronic databases were searched (MEDLINE, CINAHL, PsycINFO, Social Science Citation Index) using terms for motor neurone disease, amyotrophic lateral sclerosis, palliative care, and qualitative research, from inception to November 2018. Included papers were

2020 Palliative medicine PubMed abstract

19. PLISSIT Interventions and Sexual Functioning: Useful Tools for Social Work in Palliative Care? (Abstract)

PLISSIT Interventions and Sexual Functioning: Useful Tools for Social Work in Palliative Care? Discussing sexual health with healthcare patients and their partners is difficult and often avoided. The PLISSIT model is a framework to effectively initiate the conversation about sexual concerns. This rapid review and small meta-analysis explores and clarifies knowledge about the effectiveness of PLISSIT in resolving sexual dysfunction and glean insight into its utility as a social work intervention (...) in a palliative care setting. Evidence from 15 interventional studies was synthesized. Cohen's d-index served as the meta-analytic effect size statistic for each individual study. Significant ds were converted to Cohen's U3 statistic to aid in practical interpretations. Between-study heterogeneity was evaluated with Cochran's Q statistic to examine possible relationships between effect sizes and moderator variables. Statistically and practically significant evidence revealed that PLISSIT is effective

2020 Journal of social work in end-of-life & palliative care

20. Components of palliative care interventions addressing the needs of people with dementia living in long-term care: A systematic review. (Full text)

Components of palliative care interventions addressing the needs of people with dementia living in long-term care: A systematic review. People with dementia requiring palliative care have multiple needs, which are amplified in long-term care settings. The European Association for Palliative Care White Paper offers recommendations for optimal palliative care in dementia integral for this population, providing useful guidance to inform interventions addressing their specific needs.The aim (...) of this study is to describe the components of palliative care interventions for people with dementia in long-term care focusing on shared decision-making and examine their alignment to the European Association for Palliative Care domains of care.Systematic review with narrative synthesis (PROSPERO ID: CRD42018095649).Four databases (MEDLINE, CINAHL, PsycINFO and CENTRAL) were searched (earliest records - July 2019) for peer-reviewed articles and protocols in English, reporting on palliative care

2020 Palliative medicine PubMed abstract