Creation and Implementation of a Palliative Sedation Policy: Foundational Aspects and Lessons Learned (QI610)

The goal of palliative care is to provide optimal quality of life for persons with serious illnesses. Nearing end of life, refractory physical symptoms are devastating. These are associated with complicated grieving, posttraumatic stress disorder (PTSD), and staff compassion fatigue. In some cases, PS is appropriate but no such PS policy existed for our palliative care team and local VHA facility.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research

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CONCLUSIONS: These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population. PMID: 32060553 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Authors: Hardy MS, Kennedy JE, Cooper DB Abstract OBJECTIVE: Persistent cognitive, somatic, and neuropsychiatric symptoms following mild traumatic brain injury (TBI) are influenced by posttraumatic stress disorder (PTSD), particularly in military patients. The authors evaluated the degree to which military service members with a history of mild TBI attributed posttraumatic symptoms to TBI versus PTSD. METHODS: Service members (N=372) with mild TBI were surveyed about the severity of posttraumatic symptoms across four symptom clusters (cognitive, affective, somatosensory, and vestibular) with the Neurobehavioral...
Source: Journal of Neuropsychiatry and Clinical Neurosciences - Category: Psychiatry Tags: J Neuropsychiatry Clin Neurosci Source Type: research
Synovitis is implicated in the severity and progression of pain and structural pathology of osteoarthritis (OA). Increases in inflammatory or immune cell subpopulations including macrophages and lymphocytes ha...
Source: Arthritis Research and Therapy - Category: Rheumatology Authors: Tags: Research article Source Type: research
BACKGROUND: Instability of the sternoclavicular (SC) joint is a rare but potentially devastating pathologic condition, particularly when it occurs in young or active patients, where it can lead to persistent pain and impairment of shoulder function. SC joi...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
At Delta Air Lines’ Atlanta headquarters in late January, 24 employees are arguing over which of them has the worst disease. Half of them had been given cards naming a physical or mental health diagnosis and were told to line up, from the least debilitating to the most. The woman holding “gingivitis” quickly takes a place at the far left of the line. But everyone further down to the right—low back pain, moderate depression, paraplegia, severe PTSD—keeps switching spots. “Severe vision loss,” someone says to the man holding the corresponding card, “are you a pilot?” He d...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Mental Health/Psychology microsoftfutureofwork Source Type: news
ConclusionsHistory of mental health conditions and duration of the initial opioid prescription were associated with an increased risk of chronic opioid therapy among patients with RA.Key Points•Approximately a third of patients with RA are exposed to opioid analgesics.•Patients with RA and history of mental health disease, especially substance use disorders, who initiate opioid use have an increased risk of chronic opioid therapy.•This study provides insight in an underrepresented population of mainly male patients with RA.
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Despite the well-known co-occurrence of posttraumatic stress disorder (PTSD) and chronic pain, large gaps remain in understanding how these two conditions influence each other. The aim of the present study was to examine the association between trauma-rela...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain and dysfunction in athletes, which can impair their ability to perform and compete in sports. Hip arthroscopy has become a popular and successful treatment option for the management...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
AbstractObjectiveTo explore naturally occurring clinical subgroups of post-traumatic headache.BackgroundPersistent post-traumatic headache (PTH) is defined as a headache developing within 7  days of an injury that lasts for greater than 3 months. However, there is no evidence available from the International Classification of Headache Disorders (ICHD) based classification between persistent and acute PTH based on clinical phenotypes.MethodsWe conducted a retrospective study using the Stanford Research Repository Cohort Discovery Tool. We reviewed 500 electronic patient charts between January 2015 to September...
Source: The Journal of Headache and Pain - Category: Neurology Source Type: research
CONCLUSIONS: Future studies should correlate screen-positive findings with clinical diagnosis; consider adjusting the timing of screening to include the antepartum period, early postpartum, and late postpartum periods; and consider the degree of labour pain relief and the specific pharmacologic labour analgesia used when evaluating postpartum psychiatric disorders. PMID: 32020416 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
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