Public Policy: An Analgesia for Opioid Diversion.
In conclusion, appropriate policies and guidelines are necessary to support the entire health care body in executing a coordinated approach and exercising vigilance to better manage the opioid diversion problem. PMID: 30676178 [PubMed - as supplied by publisher]
Evidence-based resource allocation is receiving increasing attention as we strive for equity, transparency and cost-effectiveness across health care. In the context of finite resources, which of our patients with terminal illness should be prioritised for urgent palliative care?
We write to express our appreciation for the many tributaries of care and concern around pediatric palliative care research that are reflected in the paper Challenges and Priorities for Pediatric Palliative Care Research (submitted for publication by Drs. Chris Feudtner and Joanne Wolfe – July 2019). We are caregivers whose children and families have been the beneficiaries of pediatric palliative care, and we are dedicated to building awareness of its critical value in our roles as staff and parent members of Courageous Parents Network, a national non-profit whose mission it is t o empower, orient and support parents...
Palliative care (PC) is associated with increased quality of life for individuals with life-limiting illnesses. Despite growing recognition of the need for public advocacy and involvement, data on public perception of PC is limited. We sought to examine patterns of beliefs, socio-demographic differences, and the impact of information source on perceptions of PC.
Specialized pediatric palliative care (SPPC) is increasingly involved in the care of seriously ill children, yet the evidence on its impact has not been comprehensively reviewed.
Spiritual care refers to practices and rituals addressing spiritual/religious concerns. It supports coping with loss and finding hope, meaning, and peace. Although integral to palliative care, its implementation is challenging.
Palliative care (PC) for seriously ill surgical patients, including aligning treatments with patients ’ goals and managing symptoms, is associated with improved patient-oriented outcomes and decreased healthcare utilization. However, efforts to integrate PC alongside restorative surgical care are limited by the lack of a consensus definition for serious illness in the perioperative context.
Chinese medicine modalities, including acupuncture and Chinese herbal medicine (CHM), have been used as palliative interventions among cancer patients. More research should be conducted to confirm their effectiveness.
Little is known about advance care planning (ACP) and palliative care needs among adults with congenital heart disease (ACHD).
CONCLUSION: Patients' struggles with illness, chronic pain, and their life situations resulted in many challenges to recruitment and completion of study visits. Important to overcoming challenges was gaining the trust of patients with SCD and a participant-centered approach. Early identification of potential problems allowed strategies to be instituted proactively, leading to success. PMID: 31394904 [PubMed - as supplied by publisher]
CONCLUSIONS: As most patients in our study presented pain, there is a need of strengthening public policy about opioid treatments. PMID: 31379254 [PubMed - as supplied by publisher]