Machine learning can help us understand conversations about death

(University of Vermont) Researchers at the University of Vermont's Vermont Conversation Lab have used machine learning and natural language processing to better understand what end-of-life conversations look like. Borrowing techniques used to study fiction, where machine learning algorithms analyze manuscripts to identify story types, the researchers identified several common elements in these conversations. That knowledge could eventually help healthcare practitioners understand what makes a 'good' conversation about palliative care.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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CONCLUSIONS: A sustainable palliative care service can be built in a Tanzanian rural hospital if an advanced planning and budgeting are made. In Tanzania, the biggest group of palliative care patients are still HIV-infected individuals. There is a lack of opioids in the country. PMID: 31973645 [PubMed - as supplied by publisher]
Source: Journal of Palliative Care - Category: Palliative Care Tags: J Palliat Care Source Type: research
Publication date: Available online 25 January 2020Source: The Annals of Thoracic SurgeryAuthor(s): Driss Raissi, Qian Yu, Victor A. Ferraris, Michael WinklerAbstractEndobronchial stenting is a well-established palliative approach in lung cancer patients with airway obstruction secondary to tumor burden. However, endobronchial stenting can be complicated by stent erosion into adjacent vessels. While most cases of endobronchial stent related hemoptysis can be treated by stent revision and/or surgical resection, here, we present a case managed by endovascular pulmonary arterial stent placement as a last resort option in the m...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Authors: Haese N, Powers J, Streblow DN Abstract Chikungunya virus (CHIKV) infection in humans is rarely fatal but is often associated with chronic joint and muscle pain. Chronic CHIKV disease is highly debilitating and is associated with viral persistence. To date, there are no approved vaccines or therapeutics to prevent or treat CHIKV infections once they are established. Current palliative treatments aim to reduce joint inflammation and pain associated with acute and chronic CHIKV disease. Development of novel therapeutics that reduces viral loads should positively impact virus inflammatory disease and improve ...
Source: Current Topics in Microbiology and Immunology - Category: Microbiology Tags: Curr Top Microbiol Immunol Source Type: research
Conclusions: Endovascular brachytherapy is a novel, safe and effective therapeutic modality for non-resectable primary cardiac sarcomas either for palliation of obstruction, or tumor mass reduction to allow complete resection. PMID: 31969917 [PubMed]
Source: Journal of Contemporary Brachytherapy - Category: Cancer & Oncology Tags: J Contemp Brachytherapy Source Type: research
Authors: Burchardt W, Chyrek A, Burchardt E, Bielęda G, Trojanowski M, Chicheł A Abstract Purpose: The goal of this study was to assess the effectiveness of dysphagia relief and overall survival in patients with advanced esophageal cancer treated with palliative high-dose-rate (HDR) brachytherapy (BT) without computed tomography-based planning. Material and methods: Palliative 2D HDR-BT was used to treat 93 patients with advanced or incurable esophageal cancer in a regional cancer center from October 2010 to December 2016. Before the treatment patients presented the following grades of dysphagia: 0 - 0%, I - ...
Source: Journal of Contemporary Brachytherapy - Category: Cancer & Oncology Tags: J Contemp Brachytherapy Source Type: research
Among seriously ill patients, those with advanced chronic kidney disease (CKD) and end-stage kidney disease (ESKD) arguably receive among the worst end-of-life care. These patients frequently die in the hospital, often after an intensive procedure like cardiopulmonary resuscitation, and with a low referral rate to hospice. There is now a concerted effort in the nephrology and palliative care communities to integrate palliative care into the treatment of these seriously ill patients. The Pathways Project is a national demonstration, funded by the Gordon and Betty Moore Foundation, to develop scalable innovations in kidney supportive care.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Antipsychotics are widely used off-label in clinical practice, especially within palliative care. Palliative care and hospice clinicians often prescribe antipsychotics for off-label uses such as delirium, nausea, agitation, and insomnia even though controversial evidence exists for their use for these indications, given antipsychotics daunting side effect profile. A review of literature of antipsychotics for off-label uses will be completed and supplemented by expert opinion in a debate format as there are known risks and benefits to antipsychotic use, even when used more liberally in the palliative care world.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
The palliative care landscape is evolving with new market entrants, growing program sophistication, and increasing interest in implementation strategies from the state and federal level. With the advent of value-based care, this approach to patient care is becoming ever so important to health providers, payers, and patients alike. How can organizations most effectively develop programs around serious illness care when there is change around every corner of our industry? How can we learn from one another to avoid common pitfalls and well-known, but not well-navigated paths forward? Through two separate convenings, one being...
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Traditional outpatient clinics can present insurmountable challenges for seriously ill patients resulting in a high no-show rate and limited touch-points with palliative providers. To prevent lapses in care, we will describe how we harnessed video-based telehealth to redefine the boundaries of our PC team to provide effective and efficient patient care outside the walls of our hospitals. Our PATCH (Palliative Telehealth Connecting Hospital to Home) program addresses issues patients face after hospitalization, including symptom and medication management, coordination of care, and psychosocial support.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
A hallmark of comprehensive palliative care is an intra-professional team which is expert in addressing physical, spiritual and psycho-social distress. Funding this team can be challenging. Many essential team members are unable to bill insurance for their services, and the structure of insurance payments may not adequately compensate team members, such as nurses and doctors who bill. Therefore, palliative care programs rely on direct financial support from hospitals and philanthropy. Given budgetary challenges facing both community and academic medical centers, the need to maximize relationships with potential donors is paramount.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
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