Effectiveness and safety of opioids on breathlessness and exercise endurance in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis of randomised controlled trials
CONCLUSIONS: Sustained-release opioids did not improve dyspnoea and exercise endurance. Short-acting opioids appeared to be safe, have potential to lessen dyspnoea and improve exercise endurance, supporting benefit in managing episodes of breathlessness and providing prophylactic treatment for exertional dyspnoea.PMID:37710987 | DOI:10.1177/02692163231194838 (Source: Palliative Medicine)
Source: Palliative Medicine - September 15, 2023 Category: Palliative Care Authors: Meilu Liu Wei Xiao Longyi Du Yan Yu Xugui Chen Bing Mao Juanjuan Fu Source Type: research

Waking up from fatigue: The hidden burden of fatigue
Palliat Med. 2023 Sep;37(8):1044-1046. doi: 10.1177/02692163231196200.NO ABSTRACTPMID:37706469 | DOI:10.1177/02692163231196200 (Source: Palliative Medicine)
Source: Palliative Medicine - September 14, 2023 Category: Palliative Care Authors: Martin M ücke Source Type: research

Advance care planning for patients with chronic obstructive pulmonary disease on home non-invasive ventilation: A qualitative study exploring barriers, facilitators and patients' and healthcare professionals' recommendations
CONCLUSIONS: Patients and healthcare professionals highlighted the need for individualised and ongoing advance care planning, particularly around prognosis and care preferences. Discussions should be initiated by familiar clinicians. Effective communication between services, clear agreements and protocols and upskilling healthcare professionals may ensure continuity of care.PMID:37698008 | DOI:10.1177/02692163231192130 (Source: Palliative Medicine)
Source: Palliative Medicine - September 12, 2023 Category: Palliative Care Authors: Emily Kavanagh Grace Rowley Lauri Simkiss Elizabeth Woods Craig Gouldthorpe Kate Howorth Max Charles Rachel Kiltie Hannah Billett Francesca Mastaglio Felicity Dewhurst Source Type: research

Advance care planning for patients with chronic obstructive pulmonary disease on home non-invasive ventilation: A qualitative study exploring barriers, facilitators and patients' and healthcare professionals' recommendations
CONCLUSIONS: Patients and healthcare professionals highlighted the need for individualised and ongoing advance care planning, particularly around prognosis and care preferences. Discussions should be initiated by familiar clinicians. Effective communication between services, clear agreements and protocols and upskilling healthcare professionals may ensure continuity of care.PMID:37698008 | DOI:10.1177/02692163231192130 (Source: Palliative Medicine)
Source: Palliative Medicine - September 12, 2023 Category: Palliative Care Authors: Emily Kavanagh Grace Rowley Lauri Simkiss Elizabeth Woods Craig Gouldthorpe Kate Howorth Max Charles Rachel Kiltie Hannah Billett Francesca Mastaglio Felicity Dewhurst Source Type: research

Advance care planning for patients with chronic obstructive pulmonary disease on home non-invasive ventilation: A qualitative study exploring barriers, facilitators and patients' and healthcare professionals' recommendations
CONCLUSIONS: Patients and healthcare professionals highlighted the need for individualised and ongoing advance care planning, particularly around prognosis and care preferences. Discussions should be initiated by familiar clinicians. Effective communication between services, clear agreements and protocols and upskilling healthcare professionals may ensure continuity of care.PMID:37698008 | DOI:10.1177/02692163231192130 (Source: Palliative Medicine)
Source: Palliative Medicine - September 12, 2023 Category: Palliative Care Authors: Emily Kavanagh Grace Rowley Lauri Simkiss Elizabeth Woods Craig Gouldthorpe Kate Howorth Max Charles Rachel Kiltie Hannah Billett Francesca Mastaglio Felicity Dewhurst Source Type: research

A grounded theory of interdependence between specialist and generalist palliative care teams across healthcare settings
CONCLUSIONS: Teams need to explicitly consider and agree their mode of functioning, and enact changes to enhance knowledge of the team, intentional communication and valuing other teams' contributions. Future research is needed to test or expand this theory across a range of cultures and contexts.PMID:37691459 | DOI:10.1177/02692163231195989 (Source: Palliative Medicine)
Source: Palliative Medicine - September 11, 2023 Category: Palliative Care Authors: Mary Thelen Sarah G Brearley Catherine Walshe Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research

More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548 (Source: Palliative Medicine)
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research