Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review.
CONCLUSION: Existing evidence suggest that inpatient palliative care consultations have a positive impact on patient outcomes and transitions to the community, demonstrating the potential to improve patient quality of life and relieve overburdened acute care systems. PMID: 31581888 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - October 4, 2019 Category: Palliative Care Authors: Scott M, Shaver N, Lapenskie J, Isenberg SR, Saunders S, Hsu AT, Tanuseputro P Tags: Palliat Med Source Type: research

Specialist palliative care services for older people in primary care: A systematic review using narrative synthesis.
CONCLUSION: The limited evidence available shows areas for improvement of the quality of and access to specialist services for older people, such as support for family carers. In addition, this review underscores the need for comprehensive reporting of interventions and the use of consensus-based outcome measures. PMID: 31564214 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - September 28, 2019 Category: Palliative Care Authors: de Nooijer K, Penders YW, Pivodic L, Van Den Noortgate NJ, Pype P, Van den Block L Tags: Palliat Med Source Type: research

Predicting survival in patients with advanced cancer in the last weeks of life: How accurate are prognostic models compared to clinicians' estimates?
CONCLUSION: In patients with advanced cancer with days of survival, clinician prediction of survival and Palliative Performance Scale alone were as accurate as Palliative Prognostic Score and Palliative Prognostic Index. These four approaches may be useful for prognostication in acute palliative care units. Our findings highlight how patient population may impact the accuracy of prognostic scores. PMID: 31564218 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - September 28, 2019 Category: Palliative Care Authors: Hui D, Ross J, Park M, Dev R, Vidal M, Liu D, Paiva CE, Bruera E Tags: Palliat Med Source Type: research

Delirium in the palliative care setting: "Sorting" out the confusion.
Delirium in the palliative care setting: "Sorting" out the confusion. Palliat Med. 2019 Sep;33(8):863-864 Authors: Hui D PMID: 31395002 [PubMed - in process] (Source: Palliative Medicine)
Source: Palliative Medicine - August 11, 2019 Category: Palliative Care Authors: Hui D Tags: Palliat Med Source Type: research

Quality use of medicines: Oral corticosteroids in advanced cancer.
PMID: 31378135 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 5, 2019 Category: Palliative Care Authors: Pinkerton E, Good P, Kindl K, Richard R, Fischer A, Hardy JR Tags: Palliat Med Source Type: research

Use of time in people with a life-limiting illness: A longitudinal cohort feasibility pilot study.
CONCLUSION: A repeated-measures time-use study design is feasible and was not unduly burdensome for caregivers and people living with a life-limiting illness. PMID: 31368843 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 1, 2019 Category: Palliative Care Authors: Jones TA, Olds TS, Currow DC, Williams MT Tags: Palliat Med Source Type: research

Family sense of coherence and its associations with hope, anxiety and symptoms of depression in persons with cancer in palliative phase and their family members: A cross-sectional study.
CONCLUSION: Health care providers should strive to identify families with weak family sense of coherence, because of its associations with hope, anxiety and symptoms of depression, in order to offer them professional support and thereby achieve increased well-being during the palliative phase of cancer. Future studies should expand our knowledge of family sense of coherence and how to identify families at risk of lower levels of well-being. PMID: 31368844 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 1, 2019 Category: Palliative Care Authors: Möllerberg ML, Årestedt K, Swahnberg K, Benzein E, Sandgren A Tags: Palliat Med Source Type: research

The use of personal narratives in hospital-based palliative care interventions: An integrative literature review.
CONCLUSION: Various types of systematic palliative care interventions use personal narratives. Common to these is a shared psychotherapeutic theoretical understanding and aim. Clinical application in a hospital setting is both feasible and acceptable but requires flexibility regarding the practices of the setting and the needs of the patient. PMID: 31368845 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 1, 2019 Category: Palliative Care Authors: Roikjær SG, Missel M, Bergenholtz HM, Schønau MN, Timm HU Tags: Palliat Med Source Type: research

What influences patients' decisions regarding palliative care in advance care planning discussions? Perspectives from a qualitative study conducted with advanced cancer patients, families and healthcare professionals.
CONCLUSION: Choice for palliative care among advanced cancer patients in Taiwan is influenced by three decision-making trajectories. Opinions from families are highly influential, and patients often lack information on palliative care options. Strategies to facilitate decision-making require staff confidence in end-of-life discussions, working with the patients and their family while respecting the influence of filial piety. PMID: 31368854 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 1, 2019 Category: Palliative Care Authors: Lin CP, Evans CJ, Koffman J, Sheu SJ, Hsu SH, Harding R Tags: Palliat Med Source Type: research

Hospitalizations of nursing home residents at the end of life: A systematic review.
CONCLUSION: There is a wide variation in end-of-life hospitalizations, even between studies from the same country. Overall, such hospitalizations are common among nursing home residents, which indicates that interventions tailored to each specific health care system are needed to improve end-of-life care. PMID: 31368855 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - August 1, 2019 Category: Palliative Care Authors: Allers K, Hoffmann F, Schnakenberg R Tags: Palliat Med Source Type: research

Hospice nurses request paediatric-specific educational resources and training programs to improve care for children and families in the community: Qualitative data analysis from a population-level survey.
CONCLUSIONS: Hospice nurses self-report inadequate exposure to educational resources and programs, in conjunction with a strong desire for increased paediatric-specific training. Identification of targetable gaps should inform the development of educational resources, policies and other supportive interventions to improve delivery of care to children and families in the community. PMID: 31347446 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 26, 2019 Category: Palliative Care Authors: Kaye EC, Applegarth J, Gattas M, Kiefer A, Reynolds J, Zalud K, Baker JN Tags: Palliat Med Source Type: research

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/:. Palliat Med. 2019 Jul 25;:269216319857496 Authors: 宁晓红 PMID: 31342854 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 25, 2019 Category: Palliative Care Authors: 宁晓红 Tags: Palliat Med Source Type: research

Limited engagement in, yet clear preferences for advance care planning in young-onset dementia: An exploratory interview-study with family caregivers.
CONCLUSION: A gap of knowledge, of information and in care intertwiningly hinder advance care planning. In young-onset dementia, engaging in advance care planning is not an option equally accessible as not doing so. Policy makers, institutions and professionals could reflect on their responsibility in providing these patients and caregivers an actual choice to engage in advance care planning or not. PMID: 31342861 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 25, 2019 Category: Palliative Care Authors: Van Rickstal R, De Vleminck A, Aldridge MD, Morrison SR, Koopmans RT, van der Steen JT, Engelborghs S, Van den Block L Tags: Palliat Med Source Type: research

Hospice and palliative care research in mainland China: Current status and future direction.
PMID: 31328645 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 21, 2019 Category: Palliative Care Authors: Ning X Tags: Palliat Med Source Type: research

Multi-disciplinary palliative care is effective in people with symptomatic heart failure: A systematic review and narrative synthesis.
CONCLUSION: Overall, the results support the use of multi-disciplinary palliative care in people with advanced heart failure but trials do not identify who would benefit most from specialist palliative referral. There are no sufficiently robust multi-centre evaluation phase trials to provide generalisable findings. Use of common population, intervention and outcomes in future research would allow meta-analysis. PMID: 31307276 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 15, 2019 Category: Palliative Care Authors: Datla S, Verberkt CA, Hoye A, Janssen DJA, Johnson MJ Tags: Palliat Med Source Type: research

Comparison of financial support for family caregivers of people at the end of life across six countries: A descriptive study.
CONCLUSION: Numerous barriers exist to the receipt of financial support, welfare and benefits. We identified several areas of concern, including a lack of clarity around eligibility, inconsistent implementation, complexity in process and limited support for working carers. Nonetheless, there is significant potential for policymakers to learn from other countries' experiences, particularly with regard to the scope and operationalisation of financial support. PMID: 31296108 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 12, 2019 Category: Palliative Care Authors: Gardiner C, Taylor B, Robinson J, Gott M Tags: Palliat Med Source Type: research

Do patients, families, and healthcare teams benefit from the integration of palliative care in burn intensive care units? Results from a systematic review with narrative synthesis.
CONCLUSION: This review reflects the challenging setting of burn intensive care units. Evidence from these articles suggests that the integration of palliative care in burn intensive care units improves patients' comfort, decision-making process, and family care. Further research is needed to better understand how the integration of palliative care in burn intensive care units may be fostered and to identify the outcomes of this integration. PMID: 31296110 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 12, 2019 Category: Palliative Care Authors: Ribeiro AF, Martins Pereira S, Gomes B, Nunes R Tags: Palliat Med Source Type: research

Patterns of comorbidities in hospitalised cancer survivors for palliative care and associated in-hospital mortality risk: A latent class analysis of a statewide all-inclusive inpatient data.
CONCLUSION: Identification of comorbidity patterns and risk factors for in-hospital deaths in cancer patients provides an avenue to further develop appropriate palliative care strategies aimed at improving outcomes in cancer survivors. PMID: 31296123 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 12, 2019 Category: Palliative Care Authors: Luo L, Du W, Chong S, Ji H, Glasgow N Tags: Palliat Med Source Type: research

Validation of a palliative care outcome measurement tool supplemented by neurological symptoms (HOPE+): Identification of palliative concerns of neurological patients.
Abstract BACKGROUND: There is growing interest to integrate palliative care and its structures into the care of neurological patients. However, in Germany there is no comprehensive assessment tool capturing the symptoms of patients with advanced neurological diseases. AIM: To validate a newly developed palliative care measurement tool based on an extension of the validated core documentation system Hospice and Palliative Care Evaluation considering additional neurological issues (HOPE+). DESIGN: Prospective, observational study using HOPE+ and as external criteria, the Eastern Cooperative Oncology Group ...
Source: Palliative Medicine - July 8, 2019 Category: Palliative Care Authors: Dillen K, Ebke M, Koch A, Becker I, Ostgathe C, Voltz R, Golla H Tags: Palliat Med Source Type: research

Building trust and improving communication with parents of children with Trisomy 13 and 18: A mixed-methods study.
CONCLUSION: Realistic and compassionate support of parents living with children with trisomy 13 and 18 is possible. Adversarial interactions that lead to distrust and conflicts can be avoided. Many supportive behaviors that inspire trust can be emulated. PMID: 31280664 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 8, 2019 Category: Palliative Care Authors: Janvier A, Farlow B, Barrington KJ, Bourque CJ, Brazg T, Wilfond B Tags: Palliat Med Source Type: research

A qualitative study of physicians' conscientious objections to medical aid in dying.
CONCLUSION: The originality of this research is based on what the actual perception is of doing medical aid in dying as opposed to merely a conceptual assent. Further explorations are required in order to support policy decisions such as access to better emotional supports for providers and interdisciplinary support. PMID: 31280666 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 8, 2019 Category: Palliative Care Authors: Bouthillier ME, Opatrny L Tags: Palliat Med Source Type: research

Call for Papers for a special issue of Palliative Medicine: "Big Data in Palliative and End-of-Life Care".
Call for Papers for a special issue of Palliative Medicine: "Big Data in Palliative and End-of-Life Care". Palliat Med. 2019 Jul 05;:269216319863657 Authors: PMID: 31272280 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 5, 2019 Category: Palliative Care Tags: Palliat Med Source Type: research

Medication use in older, terminally ill cancer patients: Are all medications appropriate? A longitudinal audit.
PMID: 31272282 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 5, 2019 Category: Palliative Care Authors: Poudel A, Berry R, McCarthy A, Walpole E, Yates P, Nissen L Tags: Palliat Med Source Type: research

Effects of an advance care planning educational programme intervention on the end-of-life care attitudes of multidisciplinary practitioners at an acute hospital: A pre- and post-study.
CONCLUSIONS: Six months post-intervention, participants displayed sustained positive attitudes towards end-of-life care. These results suggest that the present programme was effective at improving practitioners' attitudes towards patients' end-of-life care. PMID: 31257989 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 1, 2019 Category: Palliative Care Authors: Hamayoshi M, Goto S, Matsuoka C, Kono A, Miwa K, Tanizawa K, Evans C, Ikenaga M Tags: Palliat Med Source Type: research

The experiences of family members witnessing the diminishing drinking of a dying relative: An adapted meta-narrative literature review.
CONCLUSION: While some understanding of the topic can be inferred from research in related areas, there is a paucity of information specifically about family members' experiences when witnessing the diminishing drinking of a dying relative. PMID: 31257998 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 1, 2019 Category: Palliative Care Authors: Pettifer A, Froggatt K, Hughes S Tags: Palliat Med Source Type: research

Palliative care provision in long-term care facilities differs across Europe: Results of a cross-sectional study in six European countries (PACE).
CONCLUSION: The late initiation of palliative care (especially when advance care planning is lacking) and palliative care for residents without cancer, dementia or closely involved relatives deserve attention in all countries. Diversity in palliative care organization might be related to different levels of its development. PMID: 31258004 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - July 1, 2019 Category: Palliative Care Authors: Ten Koppel M, Onwuteaka-Philipsen BD, Van den Block L, Deliens L, Gambassi G, Heymans MW, Kylänen M, Oosterveld-Vlug MG, Pasman HRW, Payne S, Smets T, Szczerbińska K, Twisk JW, van der Steen JT, PACE Tags: Palliat Med Source Type: research

Patient and carer involvement in palliative care research: An integrative qualitative evidence synthesis review.
CONCLUSION: Evidence identified suggests that involvement in palliative care research is challenging, but not dissimilar to that elsewhere. The facilitators and barriers identified relate mainly to the conduct of researchers at an individual level; in particular, there exists a reluctance among professionals to undertake involvement, and myths still perpetuate that patients/carers do not want to be involved. A developed infrastructure, more involvement-friendly organisational cultures and a strengthening of the evidence base would also be beneficial. PMID: 31250702 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 28, 2019 Category: Palliative Care Authors: Chambers E, Gardiner C, Thompson J, Seymour J Tags: Palliat Med Source Type: research

Establishing key criteria to define and compare models of specialist palliative care: A mixed-methods study using qualitative interviews and Delphi survey.
CONCLUSION: In this innovative study, we derive 20 criteria to characterise and differentiate models of specialist palliative care - a major paradigm shift to enable accurate reporting and comparison in practice and research. PMID: 31250704 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 28, 2019 Category: Palliative Care Authors: Firth AM, O'Brien SM, Guo P, Seymour J, Richardson H, Bridges C, Hocaoglu MB, Grande G, Dzingina M, Higginson IJ, Murtagh FE Tags: Palliat Med Source Type: research

Inclusion, characteristics and outcomes of people requiring palliative care in studies of non-pharmacological interventions for delirium: A systematic review.
CONCLUSION: Non-pharmacological delirium interventions have frequently excluded and under-characterised people requiring palliative care and infrequently reported their outcomes. PMID: 31250725 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 28, 2019 Category: Palliative Care Authors: Hosie A, Siddiqi N, Featherstone I, Johnson M, Lawlor PG, Bush SH, Amgarth-Duff I, Edwards L, Cheah SL, Phillips J, Agar M Tags: Palliat Med Source Type: research

Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats.
CONCLUSION: Robotics could have a number of potential applications in palliative, supportive and end-of-life care. Future work should evaluate the health-related, economic, societal and ethical implications of using this technology. There is a need for collaborative research to establish use-cases and inform policy, to ensure the appropriate use (or non-use) of robots for people with serious illness. PMID: 31250734 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 28, 2019 Category: Palliative Care Authors: Nwosu AC, Sturgeon B, McGlinchey T, Goodwin CD, Behera A, Mason S, Stanley S, Payne TR Tags: Palliat Med Source Type: research

Challenges and support needs of parents and children when a parent is at end of life: A systematic review.
CONCLUSION: Lack of understanding in relation to the parent's prognosis, denial and feeling ill-equipped were suggested as barriers for parents to share the news with their children. Engagement with social networks, including extended family relatives and peers, and maintaining routines such as attending school were suggested supportive by parents and children. Findings are limited primarily to White, middle-class two-parent families. A number of areas for future research are identified. PMID: 31244381 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 27, 2019 Category: Palliative Care Authors: Hanna JR, McCaughan E, Semple CJ Tags: Palliat Med Source Type: research

Family members' experiences of assisted dying: A systematic literature review with thematic synthesis.
CONCLUSION: Our data confirm that families across all jurisdictions are involved in assisted suicide decision and enactment. Family needs are under-researched, and clinical guidelines should incorporate recommendations about how to consider family needs and how to provide them with evidence-based tailored interventions. PMID: 31244384 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 27, 2019 Category: Palliative Care Authors: Gamondi C, Fusi-Schmidhauser T, Oriani A, Payne S, Preston N Tags: Palliat Med Source Type: research

Consumer and carer leadership in palliative care academia and practice: A systematic review with narrative synthesis.
CONCLUSION: The findings suggest that more could be done to support consumer leadership within palliative care. Academics and clinicians might improve the relevance of their work if they are able to more meaningfully partner with consumers in systemic roles in palliative care. PMID: 31199194 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 14, 2019 Category: Palliative Care Authors: Scholz B, Bevan A, Georgousopoulou E, Collier A, Mitchell I Tags: Palliat Med Source Type: research

Do published patient decision aids for end-of-life care address patients' decision-making needs? A systematic review and critical appraisal.
CONCLUSION: Patient decision-making needs are broad and varied. Currently developed patient decision aids are insufficiently addressing patient decision-making needs. Improving future end-of-life patient decision aid content through five key suggestions could improve patient-focused decision-making support at the end of life. PMID: 31199197 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 14, 2019 Category: Palliative Care Authors: Phillips G, Lifford K, Edwards A, Poolman M, Joseph-Williams N Tags: Palliat Med Source Type: research

A brief, patient- and proxy-reported outcome measure in advanced illness: Validity, reliability and responsiveness of the Integrated Palliative care Outcome Scale (IPOS).
CONCLUSION: The Integrated Palliative care Outcome Scale is a valid and reliable outcome measure, both in patient self-report and staff proxy-report versions. It can assess and monitor symptoms and concerns in advanced illness, determine the impact of healthcare interventions, and demonstrate quality of care. This represents a major step forward internationally for palliative care outcome measurement. PMID: 31185804 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 12, 2019 Category: Palliative Care Authors: Murtagh FE, Ramsenthaler C, Firth A, Groeneveld EI, Lovell N, Simon ST, Denzel J, Guo P, Bernhardt F, Schildmann E, van Oorschot B, Hodiamont F, Streitwieser S, Higginson IJ, Bausewein C Tags: Palliat Med Source Type: research

Which outcome domains are important in palliative care and when? An international expert consensus workshop, using the nominal group technique.
CONCLUSION: The domains of 'overall wellbeing/quality of life', 'pain', and 'information needs/preferences' are recommended for regular measurement, assessed using 'Phase of Illness'. International adoption of these recommendations will help standardise approaches to improving the quality of palliative care. PMID: 31185812 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 12, 2019 Category: Palliative Care Authors: de Wolf-Linder S, Dawkins M, Wicks F, Pask S, Eagar K, Evans CJ, Higginson IJ, Murtagh FEM Tags: Palliat Med Source Type: research

Accurate prognostic awareness and preference states influence the concordance between terminally ill cancer patients' states of preferred and received life-sustaining treatments in the last 6  months of life.
CONCLUSION: Prognostic awareness and preferred states of life-sustaining treatments were significantly associated with concordance between preferred and received life-sustaining-treatment states. Personalized interventions should be developed to cultivate terminally ill cancer patients' accurate prognostic awareness, allowing them to formulate realistic life-sustaining-treatment preferences and facilitating their receiving value-concordant end-of-life care. PMID: 31185815 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 12, 2019 Category: Palliative Care Authors: Wen FH, Chen JS, Chang WC, Chou WC, Hsieh CH, Tang ST Tags: Palliat Med Source Type: research

What socio-economic factors determine place of death for people with life-limiting illness? A systematic review and appraisal of methodological rigour.
CONCLUSION: Inequalities concerning place of death were found, and attention towards socio-economic inequality concerning place of death is necessary, especially in patients with a poor financial status, patients living in deprived and metropolitan areas and patients who are employed. Furthermore, we found a low degree of assessment for collinearity and adjustment of socio-economic variables. These issues should be considered in planning of future studies of socio-economic determinants for place of death. PMID: 31187687 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 12, 2019 Category: Palliative Care Authors: Neergaard MA, Brunoe AH, Skorstengaard MH, Nielsen MK Tags: Palliat Med Source Type: research

Video consultations in palliative care: A systematic integrative review.
CONCLUSION: Using video technology in palliative care has both advantages and disadvantages. However, evidence beyond the focus on specialized palliative care and patients with cancer is limited. Future research should focus on how and when video consultations might replace in-person specialized palliative care and video consultations in general palliative care, in low and middle income countries; and involve patients with a non-cancer diagnosis. PMID: 31187688 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 12, 2019 Category: Palliative Care Authors: Jess M, Timm H, Dieperink KB Tags: Palliat Med Source Type: research

Communication between healthcare professionals and relatives of patients approaching the end-of-life: A systematic review of qualitative evidence.
CONCLUSION: Findings suggest training could provide healthcare professionals with these strategies to improve communication. Interventions such as question prompt lists could help relatives overcome barriers to involvement in decision-making. Further research is needed to understand communication with relatives in different settings and with different healthcare professionals. PMID: 31184529 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 11, 2019 Category: Palliative Care Authors: Anderson RJ, Bloch S, Armstrong M, Stone PC, Low JT Tags: Palliat Med Source Type: research

The incidence and prevalence of delirium across palliative care settings: A systematic review.
CONCLUSION: Delirium is prevalent across all palliative care settings, with one-third of patients delirious at the time of admission to inpatient palliative care. Study heterogeneity limits meta-analyses and highlights the future need for rigorous studies. PMID: 31184538 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 11, 2019 Category: Palliative Care Authors: Watt CL, Momoli F, Ansari MT, Sikora L, Bush SH, Hosie A, Kabir M, Rosenberg E, Kanji S, Lawlor PG Tags: Palliat Med Source Type: research

How many older adults receive drugs of questionable clinical benefit near the end of life? A cohort study.
CONCLUSION: A substantial share of older persons with life-limiting diseases receive drugs of questionable clinical benefit during their last months of life. Adequate training, guidance and resources are needed to rationalize and deprescribe drug treatments for older adults near the end of life. PMID: 31172885 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - June 7, 2019 Category: Palliative Care Authors: Morin L, Wastesson JW, Laroche ML, Fastbom J, Johnell K Tags: Palliat Med Source Type: research

How should palliative care respond to increasing legislation for assisted dying?
PMID: 31084422 [PubMed - in process] (Source: Palliative Medicine)
Source: Palliative Medicine - May 17, 2019 Category: Palliative Care Authors: Preston N Tags: Palliat Med Source Type: research

An early palliative care intervention can be confronting but reassuring: A qualitative study on the experiences of patients with advanced cancer.
CONCLUSION: Early palliative care interventions like "Symptoms, End-of-life decisions, Network, Support" may provoke emotions and feel "confrontational" often because this is the first time when issues about one's end of life are openly discussed; yet, advanced cancer patients found it beneficial and felt it should be incorporated into routine care. PMID: 31068119 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - May 9, 2019 Category: Palliative Care Authors: Fliedner M, Zambrano S, Schols JM, Bakitas M, Lohrmann C, Halfens RJ, Eychmüller S Tags: Palliat Med Source Type: research

Aromatherapy, massage and reflexology: A systematic review and thematic synthesis of the perspectives from people with palliative care needs.
CONCLUSIONS: People with advanced cancer experience benefits from aromatherapy, reflexology and massage including enhanced well-being, respite, and escapism from their disease. Complementary therapy interventions should be developed in consultation with the target population to ensure they are delivered and evaluated, where feasible, as they wish. PMID: 31060455 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - May 6, 2019 Category: Palliative Care Authors: Armstrong M, Flemming K, Kupeli N, Stone P, Wilkinson S, Candy B Tags: Palliat Med Source Type: research

Implementing advance care planning with community-dwelling frail elders requires a system-wide approach: An integrative review applying a behaviour change model.
CONCLUSION: Implementing advance care planning for frail elders requires a system-wide approach, including providing relevant resources and clarifying responsibilities. Early engagement is key for frail elders, as is a shift from the current advance care planning model focussed on future ceilings of care to one that promotes living well now alongside planning for the future. The proposed conceptual model can be used as a starting point for professionals, organisations and policymakers looking to improve advance care planning for frail elders. PMID: 31057042 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - May 6, 2019 Category: Palliative Care Authors: Combes S, Nicholson CJ, Gillett K, Norton C Tags: Palliat Med Source Type: research

Palliative care for people with dementia living at home: A systematic review of interventions.
CONCLUSIONS: The review highlights the paucity of high-quality dementia-specific research in this area and recommends key areas for future work, for example, the need for process evaluation to identify facilitators and barriers to implementing interventions. PMID: 31057088 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - May 6, 2019 Category: Palliative Care Authors: Miranda R, Bunn F, Lynch J, Van den Block L, Goodman C Tags: Palliat Med Source Type: research

'It all depends!': A qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers.
CONCLUSIONS: These findings suggest that in many cases end-of-life decision-making does not conclude with a clear and stable choice. Understanding the reasons for the malleability of preferences and the process of how they are formed has implications for both clinicians and researchers. PMID: 31046580 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - May 3, 2019 Category: Palliative Care Authors: Gerber K, Hayes B, Bryant C Tags: Palliat Med Source Type: research

'It was peaceful, it was beautiful': A qualitative study of family understandings of good end-of-life care in hospital for people dying in advanced age.
CONCLUSION: We identify concrete actions that clinicians working in acute hospitals can integrate into their practice to deliver end-of-life care with which families are highly satisfied. Further research is required to support the implementation of the relation-centred compassionate care model within hospitals, with suitable adaptations for local context, and explore the subsequent impact on patients, families and staff. PMID: 31027476 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - April 26, 2019 Category: Palliative Care Authors: Gott M, Robinson J, Moeke-Maxwell T, Black S, Williams L, Wharemate R, Wiles J Tags: Palliat Med Source Type: research

Pilot testing of the first version of the European Association for Palliative Care basic dataset: A mixed methods study.
CONCLUSION: Pilot testing of the first version of the European Association for Palliative Care basic data set confirmed that patients and health care personnel understand the questions in a consistent manner and can answer within an acceptable timeframe. The pilot testing has led to improvement, and the new version is now subject to further testing. PMID: 31023149 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Source: Palliative Medicine - April 26, 2019 Category: Palliative Care Authors: Sigurdardottir KR, Hjermstad MJ, Filbet M, Tricou C, McQuillan R, Costantini M, Autelitano C, Bennett MI, Haugen DF Tags: Palliat Med Source Type: research