Primary Palliative Care Education Programs: Review and Characterization.
CONCLUSIONS:: The wide variety of PPC education programs is both a challenge to and strength of the field. We hope that this report will serve as a call to develop a standard PPC education taxonomy to help define essential components of all PPC programs, while also leaving sufficient room for programs to serve the unique needs of their local learners and patient populations. PMID: 30449125 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - November 18, 2018 Category: Palliative Care Authors: Carroll T, El-Sourady M, Karlekar M, Richeson A Tags: Am J Hosp Palliat Care Source Type: research

Successful Advance Care Planning in a Rural Nursing Home.
CONCLUSION:: Documentation of end-of-life preferences within 10 days of admission was achieved through the incorporation of RPLST during the resident admission process. PMID: 30428679 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - November 14, 2018 Category: Palliative Care Authors: Hold J, Payne C, Lesandrini J, Glover AC Tags: Am J Hosp Palliat Care Source Type: research

Hospice Bereavement Service Delivery to Family Members and Friends With Bereavement-Related Mental Health Symptoms.
DISCUSSION:: The findings suggest that hospices offer a range of services to family members or friends with symptoms of anxiety, depression, and CG, but that there can be a gap between what is offered and in the interest levels of the bereaved. Engagement with symptomatic family members and friends could be enhanced in future work. PMID: 30428680 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - November 14, 2018 Category: Palliative Care Authors: Ghesquiere A, Bagaajav A, Metzendorf M, Bookbinder M, Gardner DS Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care for Inmates in the Hospital Setting.
Abstract The US population of inmates continues to increase along with a rapid escalation in the number of elderly prisoners. Previous studies have demonstrated multiple barriers to providing palliative care for seriously ill inmates. The aim of this study was to assess the frequency of palliative care consultation and nature of consultation requests for inmates who died while hospitalized at a large tertiary care hospital. A retrospective chart review of all inmate decedents over a 10-year time period was conducted. The reason and timing of consultation was noted in addition to symptoms identified and interventio...
Source: The American Journal of Hospice and Palliative Care - November 14, 2018 Category: Palliative Care Authors: Stephens SL, Cassel JB, Noreika D, Del Fabbro E Tags: Am J Hosp Palliat Care Source Type: research

Evaluation of QTc Interval Prolongation Among Patients With Cancer Using Enteral Methadone.
CONCLUSION:: This study found a notably high incidence of QTc prolongation in patients with cancer using enteral methadone. Future studies should aim to determine the risk of adverse cardiac effects in the cancer population and determine appropriate monitoring of methadone for pain management. PMID: 30428683 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - November 14, 2018 Category: Palliative Care Authors: Lovell AG, Protus BM, Saphire ML, Kale SS, Lehman A, Hartman A Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care Consultation Trends Among Hospitalized Patients With Advanced Cancer in the United States, 2005 to 2014.
Abstract BACKGROUND:: Although palliative care services are increasing in the United States, disparities exist in access and utilization. Hence, we explored these factors in hospitalized patients with advanced cancers using the National Inpatient Sample (NIS). METHODS:: This was a retrospective analysis of NIS data, 2005 to 2014, and included patients ≥18 years with advanced cancers with and without palliative care consultations. Both χ2 and independent t tests were used for categorical and continuous variables. Multivariate logistic regressions were used for identifying factors associated with palliat...
Source: The American Journal of Hospice and Palliative Care - November 1, 2018 Category: Palliative Care Authors: Rubens M, Ramamoorthy V, Saxena A, Das S, Appunni S, Rana S, Puebla B, Suarez DT, Khawand-Azoulai M, Medina S, Viamonte-Ros A Tags: Am J Hosp Palliat Care Source Type: research

Findings From a Thematic Synthesis of Key Messages From a Palliative Care Research Network: The KINDLE Project.
CONCLUSIONS:: The key themes identified relate to challenges in both practice and research, highlighting the complexity of palliative care provision that aims to support both patients and carers, and research in this area. However, an important implication is the need for a broader approach to dissemination (beyond traditional academic activities) to ensure that research in palliative care is well placed to inform both practice and policy. PMID: 30360632 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 25, 2018 Category: Palliative Care Authors: Nicholson E, Murphy T, Larkin P, Normand C, Guerin S Tags: Am J Hosp Palliat Care Source Type: research

The Role of Primary Care Physicians in Providing End-of-Life Care.
CONCLUSIONS:: Based on the results of this review, PCPs provide a wide range of services to patients at the end of life. Promoting the provision of the full scope of services by PCPs will help ensure improved continuity of care while providing the highest quality of care for patients, both in the United States and around the world. PMID: 30354178 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 24, 2018 Category: Palliative Care Authors: Liu JT, Kovar-Gough I, Farabi N, Animikwam F, Weers SB, Phillips J Tags: Am J Hosp Palliat Care Source Type: research

Dying on Hospice in the Midst of an Opioid Crisis: What Should We Do Now?
Abstract The current opioid crisis in the United States is a major problem facing health-care providers, even at the end of life. Opioids continue to be the mainstay treatment for pain at the end of life, with the prevalence of pain reported in up to 80% of patients and tends to increase as one gets closer toward the end of life. In the past year, 20.2 million Americans had a substance use disorder (SUD) and SUDs are disabling disorders that largely go untreated. In addition, the coexistence of both a mental health and SUD is very common with the use of opioids often as a means of chemical coping. Most hospice pro...
Source: The American Journal of Hospice and Palliative Care - October 23, 2018 Category: Palliative Care Authors: Gabbard J, Jordan A, Mitchell J, Corbett M, White P, Childers J Tags: Am J Hosp Palliat Care Source Type: research

Control Conditions That Are Neither Usual Care Nor No Treatment in Randomized Trials of Psychoeducational Palliative Care Interventions: A Systematic Review.
CONCLUSION: Our review of psychoeducational trials in palliative care calls for researchers' attention to appropriate selection, design, conduct and report of control conditions. PMID: 30343586 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 21, 2018 Category: Palliative Care Authors: Kim H, Park EM, Henry C, Ward SE, Song MK Tags: Am J Hosp Palliat Care Source Type: research

A Retrospective Chart Review of Transfusion Practices in the Palliative Care Unit Setting.
CONCLUSIONS: Transfusions in the palliative care units were infrequent, symptom targeted, and well tolerated, though the lack of standardized pre/post assessment tools limits any ability to draw conclusions about utility. Patients would benefit from additional research in this area and the development of clinical practice guidelines for transfusions in palliative care. PMID: 30336680 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 18, 2018 Category: Palliative Care Authors: Sirianni G, Perri G, Callum J, Gardner S, Berall A, Selby D Tags: Am J Hosp Palliat Care Source Type: research

What Do Chaplains Do: The Views of Palliative Care Physicians, Nurses, and Social Workers.
Abstract It is well accepted that attention to spiritual concerns is a core dimension of palliative care. It is similarly well accepted that chaplains are the spiritual care specialists who should address such concerns. However, what chaplains do when they provide care for patients and families is often poorly understood by their palliative care colleagues. Having a clear understanding of what chaplains do is important because it contributes to improved utilization of the spiritual care and other resources of the palliative care team and thereby to better care for patients and families. The aim of this study was t...
Source: The American Journal of Hospice and Palliative Care - October 18, 2018 Category: Palliative Care Authors: Damen A, Labuschagne D, Fosler L, O'Mahony S, Levine S, Fitchett G Tags: Am J Hosp Palliat Care Source Type: research

Development and Preliminary Evaluation of a Pain Management Manual for Hospice Providers to Support and Educate Family Caregivers.
CONCLUSIONS: The manual has the potential to be integrated into routine hospice care to improve the quality of pain management. PMID: 30304938 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 10, 2018 Category: Palliative Care Authors: Chi NC, Han S, Barani E, Parker Oliver D, Washington KT, Lewis FM, Walker A, Demiris G Tags: Am J Hosp Palliat Care Source Type: research

The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure.
NS Abstract BACKGROUND: The number of adults with heart failure (HF) and HIV infection is increasing. These patients may benefit from palliative care (PC). OBJECTIVES: Determine the association between HIV infection, other HIV characteristics, and PC among hospitalized patients with HF in the Veterans Health Administration (VHA). DESIGN: Nested case-control study of patients with HF hospitalized from 2003 to 2015 and enrolled in the Veterans Aging Cohort Study. SETTING/PATIENTS: Two hundred and ten hospitalized patients with HF who received PC matched to 1042 patients with HF who did not receive PC...
Source: The American Journal of Hospice and Palliative Care - October 10, 2018 Category: Palliative Care Authors: Feder SL, Tate JP, Akgün KM, Womack JA, Jeon S, Funk M, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Redeker NS Tags: Am J Hosp Palliat Care Source Type: research

Home Hospice Caregivers' Perceived Information Needs.
CONCLUSION: Our study indicates that approximately half of the informal caregivers had unmet information needs. Further research is needed to identify efficacious strategies to best meet the information needs of this group. Specific topics that need emphasis include what hospice care is, what to expect at the EoL, and what level of support hospice offers. PMID: 30301363 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 9, 2018 Category: Palliative Care Authors: Shalev A, Phongtankuel V, Reid MC, Czaja SJ, Dignam R, Baughn R, Newmark M, Prigerson HG, Teresi J, Adelman RD Tags: Am J Hosp Palliat Care Source Type: research

Acupuncture for Cancer Pain and Symptom Management in a Palliative Medicine Clinic.
This study determined acupuncture's effect on cancer-related pain and identified variables associated with pain response. METHODS: A retrospective chart review included adult patients with cancer referred to palliative medicine and received acupuncture for pain management. Paired t tests compared differences in pain scores from pre- to postacupuncture. Clinically meaningful pain improvement was defined as ≥2-point reduction in pain score. Logistic regression was used to evaluate associations between patient characteristics and pain improvement. RESULTS: One hundred seventy acupuncture treatments from 68 indivi...
Source: The American Journal of Hospice and Palliative Care - October 4, 2018 Category: Palliative Care Authors: Miller KR, Patel JN, Symanowski JT, Edelen CA, Walsh D Tags: Am J Hosp Palliat Care Source Type: research

Seeing the Patient and Family Through: Nurses and Physicians Experiences With Withdrawal of Life-Sustaining Therapy in the ICU.
Abstract Withdrawal of life-sustaining therapy at the end of life is a complex phenomenon. Intensive care nurses and physicians are faced with caring for patients and supporting families, as these difficult decisions are made. The purpose of this study was to explore and describe the experience of critical care nurses and physicians participating in the process of withdrawal of life-sustaining therapy. A hermeneutic phenomenological approach was used to guide this qualitative investigation. Interviews were conducted with critical care nurses and physicians from 2 medical centers. An inductive approach to data anal...
Source: The American Journal of Hospice and Palliative Care - September 24, 2018 Category: Palliative Care Authors: Wiegand DL, Cheon J, Netzer G Tags: Am J Hosp Palliat Care Source Type: research

I Don't Know.
PMID: 30227730 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - September 19, 2018 Category: Palliative Care Authors: Hilal T Tags: Am J Hosp Palliat Care Source Type: research

Anticholinergic Burden in Hospice Patients With Dementia.
CONCLUSION: Due to the limited benefit and increased harms with the use of DAPs, providers should aim to maximize nonpharmacologic options. By reducing the use of the top 5 DAPs identified in this study, the quality of life and care for EOL patients with dementia can potentially be improved. PMID: 30213190 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - September 13, 2018 Category: Palliative Care Authors: Williams A, Sera L, McPherson ML Tags: Am J Hosp Palliat Care Source Type: research

Family Caregivers' Characterization of Conversations Following an ACP Event.
CONCLUSION: The ACP events promote conversation regarding quality of life, general wishes at the end of life, and specific medical wishes. Barriers to conversation following ACP were similar to barriers to ACP in general, suggesting that a more intentional focus on addressing these barriers pre- and post-ACP may be necessary to improve communication. PMID: 30071784 [PubMed - in process] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - August 5, 2018 Category: Palliative Care Authors: Schubart JR, Reading JM, Penrod J, Stewart RR, Sampath R, Lehmann LS, Levi BH, Green MJ Tags: Am J Hosp Palliat Care Source Type: research

Advance Care Planning in a Geriatric Primary Care Clinic: A Retrospective Chart Review.
DISCUSSION: The rate of ACP documentation (34.6%) was lower than the average among US adults aged 65 and over (45.6%); further, most patients with ACP documentation did not have an AD or POA on file. The authors plan to reevaluate ACP statistics in the same office following a future intervention. PMID: 30071753 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - August 2, 2018 Category: Palliative Care Authors: Barkley A, Liquori M, Cunningham A, Liantonio J, Worster B, Parks S Tags: Am J Hosp Palliat Care Source Type: research

Facility Placement as a Barrier to Hospice for Older Adult Patients Discharged From a Palliative Care Unit.
Abstract CONTEXT: Many older adults discharged from an inpatient stay require postacute facility placement, which can be a barrier to hospice enrollment since the Medicare hospice benefit does not cover facility costs for patients under routine hospice care. OBJECTIVES: To evaluate the extent to which need for postdischarge facility care was a barrier to hospice enrollment for older patients with short life expectancy discharged from a palliative care unit. METHODS: Retrospective cohort using a prospectively collected database of patients 65 and older with a life expectancy of
Source: The American Journal of Hospice and Palliative Care - July 31, 2018 Category: Palliative Care Authors: Shinall MC, Wilson JE, Karlekar M, Ely EW Tags: Am J Hosp Palliat Care Source Type: research

Using the LACE Score as a Predictor of Clinical Outcomes in Patients Referred for Inpatient Palliative Care Consultation: A Single-Center Experience.
CONCLUSIONS: Our study demonstrates the LACE score may not be a sensitive predictor of clinical outcomes in our institution's palliative care patients. This may be due to the complexity of the required care in this population; thus, other factors should be investigated to determine accurate predictors of patient outcomes to better allocate resources. PMID: 30064238 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - July 31, 2018 Category: Palliative Care Authors: Dadiomov D, Keefer P, Smith MA Tags: Am J Hosp Palliat Care Source Type: research

Informal Caregiving Networks for Hospice Patients With Cancer and Their Impact on Outcomes: A Brief Report.
Abstract This prospective study investigates informal care networks and their impact on hospice outcomes. Primary caregivers (N = 47) were the main source of data from 2 time points: within a week of enrollment in hospice and bereavement. Data were also collected from 42 secondary caregivers. Intraclass correlation coefficients (ICCs) determined correspondence between primary and secondary caregivers regarding informal care network size. Correlations were used to test associations between variables. Nonparametric paired sample tests were used to analyze change in anger and guilt. The ICC found poor correspondence ...
Source: The American Journal of Hospice and Palliative Care - July 31, 2018 Category: Palliative Care Authors: Ware OD, Cagle JG Tags: Am J Hosp Palliat Care Source Type: research

Role of Amputation in Improving Mobility, Pain Outcomes, and Emotional and Psychological Well-Being in Children With Metastatic Osteosarcoma.
CONCLUSIONS: Patients undergoing limb amputations had reduced pain and improved mobility and emotional and psychological well-being. Amputations are likely to benefit children with limited life expectancy. PMID: 30058346 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - July 29, 2018 Category: Palliative Care Authors: Gil S, Fernandez-Pineda I, Rao B, Neel MD, Baker JN, Wu H, Wu J, Anghelescu DL Tags: Am J Hosp Palliat Care Source Type: research

Music Intervention as a Tool in Improving Patient Experience in Palliative Care.
CONCLUSIONS: This project demonstrated the beneficial effects of music in a patient population that struggles with symptom management when only pharmacologic management is used. These data elucidate biological and psychosocial factors that are positively impacted by the intervention. With additional evidence in music as well as other artistic modalities, it is promising that arts-based programs in inpatient hospice and palliative care settings will continue to expand and flourish. PMID: 30045627 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - July 25, 2018 Category: Palliative Care Authors: Peng CS, Baxter K, Lally KM Tags: Am J Hosp Palliat Care Source Type: research

Operationalization of the Transition to Comfort Measures Only in the Neurocritical Care Unit: A Quality Improvement Project.
Abstract INTRODUCTION: Transition to comfort measures only (CMO) is common in the neurocritical care unit, and close communication between interdisciplinary health-care teams is vital to a smooth transition. We developed and implemented a CMO huddle in an effort to reduce inconsistencies during the process of CMO transition. METHODS: The CMO huddle was a multiphase quality improvement project in a neurocritical care unit of a level-1 trauma and comprehensive stroke center. Interdisciplinary critical care clinicians engaged in a huddle during CMO processes and participated in a pre- and postimplementation surv...
Source: The American Journal of Hospice and Palliative Care - July 24, 2018 Category: Palliative Care Authors: Lele A, Cheever C, Healey L, Hurley K, Kim LJ, Creutzfeldt CJ Tags: Am J Hosp Palliat Care Source Type: research

German Version of the Inventory of Motivations for Hospice Palliative Care Volunteerism: Are There Gender Differences?
d S Abstract The present study examined gender differences in motivations for volunteering for hospice using a German version of the Inventory of Motivations for Hospice Palliative Care Volunteerism (IMHPCV). The IMHPCV was translated into German and back-translated into English following the World Health Organization's guidelines for the translation and adaptation of instruments. In an online survey, 599 female and 127 male hospice volunteers from hospice organizations throughout Germany completed the translated version of the IMHPCV, the Scales of the Attitude Structure of Volunteers as well as questions pertain...
Source: The American Journal of Hospice and Palliative Care - January 13, 2018 Category: Palliative Care Authors: Stelzer EM, Lang FR, Hörl M, Kamin ST, Claxton-Oldfield S Tags: Am J Hosp Palliat Care Source Type: research

Case-Mix Adjustment of the Bereaved Family Survey.
The objective of this study was to develop a case-mix adjustment model for the BFS and to examine changes in facility-level scores following adjustment, in order to provide fair comparisons across facilities. We conducted a cross-sectional secondary analysis of medical record and survey data from veterans and their family members across 146 VA medical centers. Following adjustment using model-based propensity weighting, the mean change in the BFS-Performance Measure score across facilities was -0.6 with a range of -2.6 to 0.6. Fifty-five (38%) facilities changed within ±0.5 percentage points of their unadjusted scor...
Source: The American Journal of Hospice and Palliative Care - January 1, 2018 Category: Palliative Care Authors: Kutney-Lee A, Carpenter J, Smith D, Thorpe J, Tudose A, Ersek M Tags: Am J Hosp Palliat Care Source Type: research

Five-Year Experience of an Inpatient Palliative Care Unit at an Academic Referral Center.
CONCLUSION: These data show that a successful PCU is enabled by buy in from a wide variety of referring specialists and by a multidisciplinary palliative care team focused on care of the actively dying patient as well as pain and symptom management, advance care planning, and hospice referral since a large proportion of referred patients do not die in house. PMID: 29325441 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2018 Category: Palliative Care Authors: Shinall MC, Martin SF, Nelson J, Miller RS, Semler MW, Zimmerman EE, Noblit CC, Ely EW, Karlekar M Tags: Am J Hosp Palliat Care Source Type: research

It's All About Communication: A Mixed-Methods Approach to Collaboration Between Volunteers and Staff in Pediatric Palliative Care.
CONCLUSION: Communication can be considered a key factor in successful collaboration between volunteers and staff. Because many patients in pediatric palliative care units are not able to communicate verbally, good information flow between volunteers and staff is crucial for ensuring quality patient care. Moreover, communication is the key to establishing a team philosophy by clarifying roles and building relationships between volunteers and staff. PMID: 29316802 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2018 Category: Palliative Care Authors: Meyer D, Schmidt P, Zernikow B, Wager J Tags: Am J Hosp Palliat Care Source Type: research

Development of a Community-Based Palliative Care Screening Tool for Underserved Older Adults With Chronic Illnesses.
Abstract Although they experience high rates of chronic illness, low-income minority communities have traditionally underutilized palliative care services compared to whites and those with higher incomes. One reason for this trend is lack of screening by community providers. We utilized a community-based participatory research approach to develop and implement an innovative multidomain palliative care screening tool in aging service agencies. Participants were aging service providers and clients in the East and Central Harlem neighborhoods of New York City, which are characterized by high poverty, largely African ...
Source: The American Journal of Hospice and Palliative Care - January 1, 2018 Category: Palliative Care Authors: Ghesquiere A, Gardner DS, McAfee C, Kenien C, Capezuti E, Kozlov E, Sirey JA, Reid MC Tags: Am J Hosp Palliat Care Source Type: research

"Life Within the Person Comes to The Fore": Pastoral Workers' Practice Wisdom on Using Arts in Palliative Care.
CONCLUSION: Pastoral workers interpret that offering art-based modalities in palliative care can help patients and families to symbolically deal with painful memories and experiences, creatively engage with that deemed significant, and/or encounter a sense of transcendence. Training in generalist art-based care needs to be offered in pastoral education. PMID: 29284277 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: O'Callaghan C, Byrne L, Cokalis E, Glenister D, Santilli M, Clark R, McCarthy T, Michael N Tags: Am J Hosp Palliat Care Source Type: research

Clinical Excellence in Palliative Care: Examples From the Published Literature.
CONCLUSIONS: The domains of excellence are relevant and applicable to the field of palliative care. This article aims to inspire clinicians-and advance the field-by promoting thoughtful reflection on what clinical excellence in palliative care entails. PMID: 29277108 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Wu DS, Wright SM Tags: Am J Hosp Palliat Care Source Type: research

Experiences of Female and Male Medical Students With Death, Dying, and Palliative Care: One Size Does Not Fit All.
Abstract BACKGROUND: Medical students learn about death, dying, and palliative care (DDPC) through formal curricular offerings and informal clinical experiences; however, the lessons learned in the clinic may be at odds with the formal curriculum. Reflective writing is a means for students to "bracket" their DDPC experiences and reconcile conflicts between the formal and informal curriculum. OBJECTIVES: The aim of this study is to compare the level of reflection demonstrated in medical students' narratives on DDPC with other experiences and to examine the domains of professionalism that students per...
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Hoffman LA, Mehta R, Vu TR, Frankel RM Tags: Am J Hosp Palliat Care Source Type: research

Bridging the Cultural Divide Between Oncology and Palliative Care Subspecialties: Clinicians' Perceptions on Team Integration.
CONCLUSIONS: Integration between oncology and palliative care among the 6 VA medical centers varies considerably. Nurses delivering palliative care embedded in oncology teams may facilitate the integration of these subspecialties. PMID: 29258319 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Tartaglione EV, Vig EK, Reinke LF Tags: Am J Hosp Palliat Care Source Type: research

Respecting Choices and Related Models of Advance Care Planning: A Systematic Review of Published Evidence.
Abstract All individuals should receive care consistent with their expressed preferences during serious and chronic illnesses. Respecting Choices (RC) is a well-known model of advance care planning intended to assist individuals consider, choose, and communicate these preferences to health-care providers. In this systematic review, we evaluated the published literature on the outcomes of the RC and derivative models utilizing criteria developed by the Cochrane Collaborative. Eighteen articles from 16 studies were included, of which 9 were randomized controlled trials, 6 were observational, and 1 was a pre-posttest...
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: MacKenzie MA, Smith-Howell E, Bomba PA, Meghani SH Tags: Am J Hosp Palliat Care Source Type: research

Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration.
CONCLUSION: The ICD-9 code V66.7 identifies specialist palliative care for hospitalized patients with HF in the VHA. Replication of findings in other data sources and populations is needed. PMID: 29254358 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Feder SL, Redeker NS, Jeon S, Schulman-Green D, Womack JA, Tate JP, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Akgün KM Tags: Am J Hosp Palliat Care Source Type: research

Impact of Palliative Chemotherapy and Travel Distance on Hospice Referral in Patients With Stage IV Pancreatic Cancer: A Retrospective Analysis Within a Veterans Administration Medical Center.
Abstract BACKGROUND: Metastatic pancreatic ductal adenocarcinoma (mPDAC) has a poor prognosis despite chemotherapy advancements. Although hospice utilization has increased, timing of referral is not always optimal. AIM: To investigate whether palliative chemotherapy and travel distance to the treatment center impact hospice referral patterns in veterans of the US military in order to identify potential areas for improving referral timing. DESIGN: Demographic and clinical data were collected retrospectively according to the timing of hospice referral. Settings/Participants: Patients with mPDAC within a Ve...
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Duff JM, Thomas RM Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care Providers' Practices Surrounding Psychological Distress Screening and Treatment: A National Survey.
CONCLUSIONS: This study revealed significant variability and redundancy in how palliative care teams currently manage psychological distress. The lack of consistency potentially stems from the variability in the composition of palliative care teams across care settings and the lack of scientific evidence for best practices in psychological care in palliative care. Future research is needed to establish best practices in the screening and treatment of psychological distress for patients receiving palliative care. PMID: 29212346 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Kozlov E, Eghan C, Moran S, Herr K, Reid MC Tags: Am J Hosp Palliat Care Source Type: research

Bereaved Parents' Health Status During the First 6 Months After Their Child's Death.
Abstract PURPOSE: To examine bereaved parents' physical, mental, and social health during the first 6 months after their child's (
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Dias N, Brandon D, Haase JE, Tanabe P Tags: Am J Hosp Palliat Care Source Type: research

When and Why Do Neonatal and Pediatric Critical Care Physicians Consult Palliative Care?
CONCLUSIONS: Palliative care was most beneficial for families at risk of experiencing communication problems that resulted from organizational factors, including those with long lengths of stay and medical complexity. The ability of palliative care consultants to bridge communication was limited by some of these same organizational factors. Physicians valued the involvement of palliative care consultants when they improved efficiency and promoted harmony. Given the increasing number of children with complex chronic conditions, it is important to support the capacity of ICU clinical teams to provide primary palliative care....
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Richards CA, Starks H, O'Connor MR, Bourget E, Lindhorst T, Hays R, Doorenbos AZ Tags: Am J Hosp Palliat Care Source Type: research

The Value of Rehabilitation Medicine for Patients Receiving Palliative Care.
CONCLUSION: Current available literature supports the use of exercise programs and rehabilitation interventions to improve fatigue, mood, functional independence, breathlessness, and pain. Rehabilitation and palliative care practitioners share many goals in their approach to patient care and augment one another well. Palliative care providers should consider referral to physiatry (physical medicine and rehabilitation) to help optimize patients' quality of life. PMID: 29179573 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Wittry SA, Lam NY, McNalley T Tags: Am J Hosp Palliat Care Source Type: research

Life-Sustaining Treatment Status at the Time of Death in a Japanese Pediatric Intensive Care Unit.
CONCLUSIONS: Although limiting LST was a common practice in end-of-life care in a Japanese PICU, a severe limitation of LST such as withdrawal from the ventilator was hardly practiced, and a considerable LST was still provided at the time of death. PMID: 29179574 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Suzuki F, Takeuchi M, Tachibana K, Isaka K, Inata Y, Kinouchi K Tags: Am J Hosp Palliat Care Source Type: research

A Randomized Controlled Trial of Strategies to Improve Family Members' Preparedness for Surrogate Decision-Making.
CONCLUSION: The disconnect between confidence and performance raises questions about how to prepare family members to be surrogate decision-makers. PMID: 29186982 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Green MJ, Van Scoy LJ, Foy AJ, Stewart RR, Sampath R, Schubart JR, Lehman EB, Dimmock AEF, Bucher AM, Lehmann LS, Harlow AF, Yang C, Levi BH Tags: Am J Hosp Palliat Care Source Type: research

The Accuracy of the Edmonton Symptom Assessment System for the Assessment of Depression in Patients With Cancer: A Systematic Review and Meta-Analysis.
Abstract BACKGROUND: Depression is a common health problem among patients with cancer. The Edmonton Symptom Assessment System (ESAS) is one of many tools that have been used to evaluate depression in these patients. Nevertheless, the diagnostic performance and the appropriate cutoff point of the ESAS for the assessment of depression in these patients have varied in the studies. PURPOSE: To determine the diagnostic accuracy and the optimal cutoff point for the ESAS for the assessment of depression in patients with cancer. DATA SOURCES: PubMed, Scopus, CINAHL, and Cochrane library databases from inception ...
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Boonyathee S, Nagaviroj K, Anothaisintawee T Tags: Am J Hosp Palliat Care Source Type: research

Patient and Provider Perspectives on a Mind-Body Program for Grieving Older Adults.
CONCLUSIONS: Our findings suggest that the SMART-3RP may be helpful in decreasing somatic and psychological distress in older adults who have lost a spouse. PMID: 29172636 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Bui E, Chad-Friedman E, Wieman S, Grasfield RH, Rolfe A, Dong M, Park ER, Denninger JW Tags: Am J Hosp Palliat Care Source Type: research

Discrepancies Between the Supports Needed for Discharge of Patients With Terminal Cancer to Family Caregivers and What Supports Were Actually Provided in Japan: Assessment of Palliative Care Unit Nurses.
This study aimed to investigate in Japan the discrepancies between the supports needed by and actually provided by palliative care unit nurses (PCUNs) to the family caregivers for discharge of patients with terminal cancer. METHODS: In this cross-sectional study, self-administered questionnaires including 6-point Likert-type scales assessing the reasons for difficulties in transition to home-based care were distributed to 1227 PCUNs. Using paired t tests, the differences between the scores on perceived importance and actual supports to family caregivers were examined. The supports actually provided were classified by ...
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Oosono Y, Yokoyama K, Itoh H, Enomoto M, Ishiwata M Tags: Am J Hosp Palliat Care Source Type: research

Children With Intellectual Disability and Hospice Utilization: The Moderating Effect of Residential Care.
CONCLUSIONS: The findings highlight the important role of residential care in facilitating hospice enrollment for children with intellectual disability. More research is needed to understand the capability of residential care staff to identify children with intellectual disability earlier in their end-of-life trajectory and initiate longer hospice length of stays. PMID: 29169246 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Lindley LC Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care Consultation for Goals of Care and Future Acute Care Costs: A Propensity-Matched Study.
CONCLUSION: Palliative care consultations for goals of care may decrease future health-care utilization with cost savings that persist into future hospitalizations. PMID: 29169247 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: O'Connor NR, Junker P, Appel SM, Stetson RL, Rohrbach J, Meghani SH Tags: Am J Hosp Palliat Care Source Type: research