Development of a Pediatric Palliative Care Curriculum and Dissemination Model: Education in Palliative and End-of-Life Care (EPEC) Pediatrics

Most children living and dying with serious illnesses experience high burden of distressing symptoms. Many seriously ill children and their families do not have access to subspecialist pediatric palliative care (PPC) services nor to clinicians trained in primary PPC. Lack of PPC education appears to be a significant barrier to PPC implementation.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research

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Authors: Basri DS, DiScala SL, Brooks AT, Vartan CM, Silverman MA, Quellhorst J Abstract Clinical pharmacy interventions have been shown to improve medication therapy, prevent undesirable side effects, and improve patients' clinical outcomes in a number of settings; however, limited data exist to characterize clinical pharmacy specialist (CPS) providers' interventions in an inpatient hospice Veteran Affairs (VA) setting. The primary objective of this quality improvement (QI) project was to quantify the number and types of pharmacy interventions implemented from the Pharmacists Achieve Results with Medications Docum...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Access to internationally controlled essential medicines is a problem worldwide. More than 5 billion people cannot access opioids for pain and palliative care or do not have access to surgical care or anesthetics, 36 million people living with epilepsy do not have access to their medicines, and 120.000 women die annually due to post-partum hemorrhage. In Uganda access to controlled medicines is also problematic, but a lack of data on factors that influence access exists.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
We read with interest the paper by Lee et al reporting the use of continuous positive airway pressure (CPAP) as a means of non-invasive ventilation in the palliative management of stridor at the end of life in a patient with head and neck cancer.1
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Dyspnea is a frequent and distressing symptom among terminal cancer patients (1, 2). Oxygen therapy is often used to alleviate dyspnea in this population. However, the efficacy of oxygen therapy for dyspnea in patients without hypoxemia has not been proven (3, 6), and several guidelines are against its use in such patients (4, 5). In addition, oxygen therapy may worsen the quality of life (QOL) due to adverse events such as oral dryness and feeling of restriction (7). It is, therefore, important to explore the daily provision of oxygen therapy for cancer dyspnea by palliative care physicians and determine their criteria fo...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Delirium has a high prevalence in the medically ill, especially in inpatient palliative care (1). The fluctuation in clinical features of delirium over time has been a strong argument for developing rapid delirium assessment tools, particularly for use by nurses. Nurses ’ continuity of closer patient contact means they are ideally placed to observe and report on the presence and severity of the clinical features of delirium (2). However, many existing delirium severity rating tools validated in palliative populations are potentially burdensome for patients, and n ot suited to repeated administration within a 24-hour period.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
This study developed an end-of-life (EOL) care nursing knowledge scale for Japanese geriatric nurses (ELNKS-JG) to measure nurse knowledge of EOL care for older adults. It also was used to evaluate the quality of The End-of-Life Nursing Education Consortium–Japan Geriatric. Participants were 1168 nurses employed in 32 institutions across Japan. The items of our measure were developed to cover 8 important topics: principles of EOL care for older adults; pain management; symptom management; ethics of care; cultural and spiritual considerations; communication; loss, grief, and bereavement; and caring for final days. The...
Source: Journal of Hospice and Palliative Nursing - Category: Nursing Tags: Online-Only Article Source Type: research
This article provides an overview of cytochrome P450 and uses an unfolding case study approach to explore interactions that may occur within a patient’s medication profile or in combination with medications commonly used by palliative care and hospice.
Source: Journal of Hospice and Palliative Nursing - Category: Nursing Tags: Feature Articles Source Type: research
Publication date: Available online 2 July 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Christopher JG. Green, Somnath BagchiAbstractOpiates remain the mainstay of the management of severe pain in acute, chronic and palliative settings across all population ages. Pharmacological advancement allows alternative routes of drug delivery best suited to individual patients and their conditions, with improved efficacy and safety. The different approaches to administration vary in their convenience, both to staff and patients, which can translate to differences in prescription compliance. Furthermore, the choice o...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
This article describes a novel approach to methadone conversion, with case studies providing preliminary validation. PMID: 31260376 [PubMed - as supplied by publisher]
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Authors: Chatterjee A, Nimje G, Jain PN Abstract The study aimed to identify patterns of patient referral from oncology services, including pain severity, prior analgesics, impact of patient's literacy on referral, and adequacy of pain relief offered by the pain clinic. A retrospective analysis of pain clinic data from August 2014 to February 2015 at the Tata Memorial Hospital was carried out, wherein adult cancer patients referred for the first time to the pain clinic were included. Two thousand patients were included: 38.1% of the referred were at pretreatment stage, 28.8% advanced. Most referrals were from head ...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
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