Communicating Oncologic Prognosis With Empathy: A Pilot Study of a Novel Communication Guide.
CONCLUSIONS: The communication tool serves as a promising mechanism to enhance patient-centered communication about prognosis for patients with incurable cancer. PMID: 32896172 [PubMed - in process] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - September 10, 2020 Category: Palliative Care Authors: Lippe M, Farya P, Jennifer M, Stanley A, Barbara J, Boone G Tags: Am J Hosp Palliat Care Source Type: research

Ethics Roundtable: Distribution of Critical Care Resources in the Setting of a COVID-19 Surge.
PMID: 32896173 [PubMed - in process] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - September 10, 2020 Category: Palliative Care Authors: Baumrucker SJ, Carter G, Adkins RW, Perkins C, Stolick M, VandeKieft G Tags: Am J Hosp Palliat Care Source Type: research

Reinventing Palliative Care Delivery in the Era of COVID-19: How Telemedicine Can Support End of Life Care.
We describe a case illustrating the successful use of palliative care telehealth in the care of a COVID-19-positive patient at the end of life. Successful use of video telehealth for palliative care involved overcoming inertia to the development of telehealth infrastructure and learning clinical video telehealth skills; and engaging front-line care staff and family members who were open to a trial of telehealth for communication. Information gleaned from family about the patient as a person helped bedside staff to tailor care toward aspects meaningful to the patient and family and informed best practices to incorporate int...
Source: The American Journal of Hospice and Palliative Care - August 13, 2020 Category: Palliative Care Authors: Ritchey KC, Foy A, McArdel E, Gruenewald DA Tags: Am J Hosp Palliat Care Source Type: research

Understanding Hospice Patients' Beliefs About Their Life Expectancy: A Qualitative Interview Study.
CONCLUSIONS: Key findings were that 1) many hospice patients had difficulty estimating life expectancy, and 2) hospice patients' life expectancy estimates were frequently based on their body and not on information from medical providers. These findings have implications for measuring prognostic awareness, as valid assessment is a necessary component of determining whether prognostic awareness is beneficial for patients. Future research should examine how life expectancy estimates are associated with well-being and whether results extend to larger samples of patients with advanced disease not in hospice. PMID: 32772719...
Source: The American Journal of Hospice and Palliative Care - August 10, 2020 Category: Palliative Care Authors: Taber JM, Stacey CL, Sheehan DK Tags: Am J Hosp Palliat Care Source Type: research

Faith Beliefs of African American Church Leaders Are Aligned With the Principles of Palliative and Hospice Care: A Community-Based Assessment and Intervention.
Abstract BACKGROUND: African American (AA) church leaders often advise AAs with serious and life-limiting illnesses (LLIs). OBJECTIVES: 1) determine beliefs of AA church leaders about palliative care and hospice care (PCHC), 2) assess association of participants' attitude about encouraging a loved one to learn about PCHC with whether PC or HC is consistent with faith beliefs and can reduce suffering and bring comfort, and 3) evaluate an interactive, educational intervention. DESIGN: prospective, one group, pre and post assessment of beliefs and attitudes Settings/Subjects: 100 church leaders from 3 AA Ch...
Source: The American Journal of Hospice and Palliative Care - August 7, 2020 Category: Palliative Care Authors: Johnson J, Hayden T, Taylor LA, Arthur Gilbert M Tags: Am J Hosp Palliat Care Source Type: research

Geographic Variation in Knowledge of Palliative Care Among US Adults: Findings From 2018 Health Information National Trends Survey.
CONCLUSIONS: The variation of PC knowledge on census division and state level in 2018 was consistent with the real-world geographic disparities in the availability of PC programs. These findings represent an opportunity for minimizing the gap of geographic disparity by initiating strategic programs and promoting PC programs nationwide. PMID: 32757758 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - August 6, 2020 Category: Palliative Care Authors: Chen G, Hong YR, Wilkie DJ, Kittleson S, Huo J, Bian J Tags: Am J Hosp Palliat Care Source Type: research

Toward a Practice-Informed Agenda for Hospice Intervention Research: What Are Staff Members' Biggest Challenges?
Abstract The translation of evidence-based interventions into routine hospice care is impeded by numerous barriers, including a disconnect between research priorities and clinical care. To inform the development of a more practice-informed agenda for hospice intervention research, our team conducted a qualitative descriptive study, posing the following research questions: 1) How do hospice staff members describe their most significant work-related challenges? and 2) What regulatory changes do hospice staff members report would most improve hospice care? To answer these research questions, we interviewed 22 hospice...
Source: The American Journal of Hospice and Palliative Care - August 6, 2020 Category: Palliative Care Authors: Washington KT, Alaniz Staner LM, Collie BE, Craig KW, Demiris G, Oliver DP Tags: Am J Hosp Palliat Care Source Type: research

Percutaneous CT-Guided Cryoablation of the Bilateral Pudendal Nerves for Palliation of Intractable Pain Related to Pelvic Neoplasms.
CONCLUSION: Computed tomography-guided percutaneous cryoablation of the bilateral pudendal nerves may represent a viable option in the setting of acute hospitalization secondary to intractable pain in patients with pelvic neoplasms. PMID: 32602380 [PubMed - in process] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - July 1, 2020 Category: Palliative Care Authors: Prologo JD, Manyapu S, Bercu ZL, Mittal A, Mitchell JW Tags: Am J Hosp Palliat Care Source Type: research

Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis.
CONCLUSIONS: A majority of patients received PCC close to death. A complex set of variable interactions were associated with PCC timing. A systematic process for engaging patients with PCC earlier in the care continuum, and in intensive care regardless of illness severity, is needed. PMID: 32602349 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 30, 2020 Category: Palliative Care Authors: Starr LT, Ulrich CM, Junker P, Huang L, O'Connor NR, Meghani SH Tags: Am J Hosp Palliat Care Source Type: research

A Retrospective Thematic Analysis of Patient, Family, and Staff Creative Art Tiles Developed on a Tertiary Palliative Care Unit.
Abstract OBJECTIVES: Clinical use of the creative arts in palliative care is well established, yet there are few evaluation studies of these programs. METHODS: In this first phase of a 3-phase evaluation of a creative arts program entitled "Tile Tales," we conducted a retrospective thematic analysis of 85 painted tiles and accompanying stories that were publically displayed on a tertiary palliative care unit. Each story was independently coded, using content analysis. Themes were derived through consensus, using the constant comparative method. RESULTS: Tiles were created by staff (n = 36, 42%)...
Source: The American Journal of Hospice and Palliative Care - June 29, 2020 Category: Palliative Care Authors: Collins A, Ayre S, Brulotte T, Crowe K, Nekolaichuk C Tags: Am J Hosp Palliat Care Source Type: research

Exploring Family Caregiver Communication Difficulties and Caregiver Quality of Life and Anxiety.
CONCLUSION: Involvement of family caregivers in care is likely to require tailored approaches that address caregiver communication and health literacy skills. Findings from this study suggest that hospice and palliative care providers should identify and provide support for caregiver communication difficulties in order to positively influence caregiver quality of life and anxiety. PMID: 32588639 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 26, 2020 Category: Palliative Care Authors: Wittenberg E, Kerr AM, Goldsmith J Tags: Am J Hosp Palliat Care Source Type: research

Hospice Patient Care Goals and Medical Students' Perceptions: Evidence of a Generation Gap?
Abstract BACKGROUND: The ability to perceive care goals of the dying may be an indicator of future quality patient-centered care. Research conducted on end-of-life goals indicates discrepancies between patients and physicians. OBJECTIVE: The aim of this study is to compare end-of-life care goals of hospice patients and medical student perceptions of patient care goals. DESIGN: Hospice patients and medical students were surveyed on their care goals and perceptions, respectively, using an 11-item survey of goals previously identified in palliative care literature. Medical student empathy was measured using...
Source: The American Journal of Hospice and Palliative Care - June 26, 2020 Category: Palliative Care Authors: Levy K, Grant PC, Kerr CW, Byrwa DJ, Depner RM Tags: Am J Hosp Palliat Care Source Type: research

The Efficacy of a Single Session of 20-Minute Mindful Breathing in Reducing Dyspnea Among Patients With Acute Decompensated Heart Failure: A Randomized Controlled Trial.
This study aimed to test the efficacy of 20-minute mindful breathing in reducing dyspnea among patients admitted for acute decompensated heart failure. We conducted a parallel-group, non-blinded, randomized controlled trial of a single session of 20-minute mindful breathing plus standard care versus standard care alone among patients admitted for moderate to severe dyspnea due to acute decompensated heart failure, using the dyspnea score based on the Edmonton Symptom Assessment System (ESAS), at the Cardiology Unit of University Malaya Medical Centre in Malaysia. Thirty participants were randomly assigned to a single sessi...
Source: The American Journal of Hospice and Palliative Care - June 26, 2020 Category: Palliative Care Authors: Ng DL, Chai CS, Tan KL, Chee KH, Tung YZ, Wai SY, Teo WJ, Ang BT, Lim MA, Tan SB Tags: Am J Hosp Palliat Care Source Type: research

Corrigendum to Outcomes of Airway Stents in the Palliative Care of Patients With Cancer.
Authors: PMID: 32578434 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 24, 2020 Category: Palliative Care Tags: Am J Hosp Palliat Care Source Type: research

Integrating Culturally Competent Advance Care Planning for Korean Immigrants: An Integrative Review.
CONCLUSION: The findings of this review indicate that culturally-competent ACP resources for KIsare presently quite insufficient. It is determined that much future research is needed on howculturally-competent ACP can best augment the quality of EOL care for KIs, and on howspecific interventions can effectively implement ACP in community settings. Impact: Such ongoing research dedicated to the development of feasible culturally competent practice guidelines is anticipated to markedly reduce health disparities and promote ACP in KIs. The recommendations in this review may support Korean primary HCPs, Korean health care...
Source: The American Journal of Hospice and Palliative Care - June 19, 2020 Category: Palliative Care Authors: Suk S, Kozachik SL, Cotter VT Tags: Am J Hosp Palliat Care Source Type: research

Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review.
CONCLUSIONS: Literature on improving patient and/or caregiver end-of-life care experiences is emerging and focused on palliative care experiences. Evidence on improving hospice care experiences is lacking. Research on strategies for improving end-of-life care experiences should go beyond overall care experiences to include specific aspects of palliative and hospice care experiences. PMID: 32551966 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 19, 2020 Category: Palliative Care Authors: Quigley DD, McCleskey SG Tags: Am J Hosp Palliat Care Source Type: research

The Concerns and Experience of Decision-Making Regarding Do-Not-Resuscitate Orders Among Caregivers in Hospice Palliative Care.
This study aimed to explore the concerns and experiences regarding DNR decisions among caregivers in Taiwan. Qualitative study was conducted. Convenience sampling was used, and 26 caregivers were recruited whose patients had a DNR order and had received hospice care or hospice home care. Semi-structured interviews were used for data collection, including the previous experiences of DNR discussions with the patients and medical staff and their concerns and difficulties in decision-making. The data analysis was based on the principle of thematic analysis. Four themes were identified: (1) Patients: The caregivers respected th...
Source: The American Journal of Hospice and Palliative Care - June 17, 2020 Category: Palliative Care Authors: Chiang CC, Chang SC, Fan SY Tags: Am J Hosp Palliat Care Source Type: research

Keeping the Family in Family Medicine.
Abstract In this personal reflection, as a Family Medicine resident at an Academic Center in Northeast Florida, as well as being a chronic illness patient myself, I explore the notion of dying alone and away from family. Although COVID-19 has changed the practice of medicine in many ways, prior to that, and before the instillation of hospital no-visitor policies and stay at home orders, I experienced a case of a patient dying alone in the hospital. These chronicles that case and the impact it had on me afterward in regard to my own family and how I hope the future of medicine can address this. PMID: 32536190 ...
Source: The American Journal of Hospice and Palliative Care - June 15, 2020 Category: Palliative Care Authors: Woodruff A Tags: Am J Hosp Palliat Care Source Type: research

Improving Student Attitudes Toward Palliative Care.
PMID: 32515201 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 9, 2020 Category: Palliative Care Authors: Pahal A, Bhagalia M, Goonewardena B Tags: Am J Hosp Palliat Care Source Type: research

The Role of Palliative Care in Caring for the Families of Patients With COVID-19.
Abstract In palliative care, we strive to provide care to the whole patient. When we think about the whole patient, we include the people who are important in our patients' lives. Our New York City-based palliative care team has found that caring for patients' loved ones has proven to be an even more important aspect of the care we have provided during the COVID epidemic. In this article, we describe the multicomponenet interdisciplinary interventions we have implemented to enhance our ability to create a therapeutic alliance with family members and facilitate the provision of goal concordant care to patients with...
Source: The American Journal of Hospice and Palliative Care - June 8, 2020 Category: Palliative Care Authors: Bakar M, Capano E, Patterson M, McIntyre B, Walsh CJ Tags: Am J Hosp Palliat Care Source Type: research

An Adapted Conceptual Model Integrating Palliative Care in Serious Illness and Multiple Chronic Conditions.
DISCUSSION: The adapted conceptual model integrates palliative care with serious illness and multiple chronic conditions. The model is intended to guide the development of research studies involving seriously ill adults with MCC and aid researchers in addressing relevant evidence gaps. PMID: 32508110 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 8, 2020 Category: Palliative Care Authors: Murali KP, Merriman JD, Yu G, Vorderstrasse A, Kelley A, Brody AA Tags: Am J Hosp Palliat Care Source Type: research

Comment on: Chaplaincy Care in the MICU: Describing the Spiritual Care Provided to MICU Patients and Families at the End of Life.
Abstract The purpose of the comment on "Chaplaincy Care in the MICU: Describing the Spiritual Care Provided to MICU Patients and Families at the End of Life" was to bring to light more information about spiritual assessments. In addition to bringing more background to what types of assessments are used across the United States, this letter also advocates for a standardized assessment that can be used across disciplines. PMID: 32508114 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 8, 2020 Category: Palliative Care Authors: Goerner G, Siniscarco M Tags: Am J Hosp Palliat Care Source Type: research

Conversations on Cancer Chemotherapy Cessation in Patients With Advanced Cancer: Qualitative Findings From a Multi-Institutional Study.
CONCLUSIONS: Conversations on chemotherapy cessation are complex; multiple factors appear to drive the decision to stop. PMID: 32495676 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 4, 2020 Category: Palliative Care Authors: Stout J, Kumbamu A, Tilburt J, Fernandez C, Geller G, Koenig B, Lenz HJ, Jatoi A Tags: Am J Hosp Palliat Care Source Type: research

A Review and Considerations on Palliative Care Improvements for African Americans With Cancer.
Abstract Hospice and Palliative care benefits are infrequently realized by African American patients with cancer. With the increasing recognition of the critical role of early utilization of palliative services for optimal and quality patient care, it is important to acknowledge disparities and barriers to access that minority patients may face. The purpose of this paper is to discuss the status of palliative care delivery for African American patients within the structure and framework of the clinical practice guideline domains established by the National Consensus Project for Palliative Care. This perspectives p...
Source: The American Journal of Hospice and Palliative Care - June 3, 2020 Category: Palliative Care Authors: Lee KT, George M, Lowry S, Ashing KT Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care for the Asian American Adult Population: A Scoping Review.
CONCLUSION: A culturally inclusive approach is vital to providing appropriate and accessible PC for AAs. Further research is needed concerning core PC components and effective interventions across diverse AA subgroups. PMID: 32489147 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - June 3, 2020 Category: Palliative Care Authors: La IS, Lee MC, Hinderer KA, Chi I, Liu R, Liu M, Fu Y Tags: Am J Hosp Palliat Care Source Type: research

Pediatric Cardiac Critical Care Transport and Palliative Care: A Case Series.
CONCLUSIONS: Transportation of pediatric cardiac critical care patients for terminal extubation at home is a relatively infrequent practice. It is a feasible alternative for families seeking out of the hospital end-of-life care for their critically ill and technology dependent children. Our single-center experience supports the need for development of formal programs for end-of-life critical care transports. PMID: 32462881 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 28, 2020 Category: Palliative Care Authors: Garcia X, Frazier E, Kane J, Jones A, Brown C, Bryant T, Prodhan P Tags: Am J Hosp Palliat Care Source Type: research

Prevalence and Inpatient Hospital Outcomes of Malignancy-Related Ascites in the United States.
CONCLUSIONS: Our study showed that many demographic, socioeconomic, health care, and geographic factors were associated with hospital length of stay and in-hospital mortality and may suggest disparities in quality of care. These factors could be targeted for preventing unplanned hospitalization, decreasing hospital length of stay, and lowering in-hospital mortality for this population. PMID: 32462883 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 28, 2020 Category: Palliative Care Authors: Ramamoorthy V, Rubens M, Saxena A, Bhatt C, Das S, Appunni S, Veledar E, McGranaghan P, Shehadeh N, Viamonte-Ros A, Linhares Y, Odia Y, Kotecha R, Mehta MP Tags: Am J Hosp Palliat Care Source Type: research

A Systematic Review of Clinical Interventions Facilitating End-of-Life Communication Between Patients and Family Caregivers.
Abstract Communication between patients and family caregivers plays a key role in successful end-of-life (EOL) care. In the majority of cases, health-care providers (HCP) are responsible for leading this communication in clinical settings. This systematic review aimed to examine the evidence for the efficacy of HCP-led interventions in enhancing communication between patients and family caregivers. The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and involved a search of MEDLINE via PubMed, CINAHL, Scopus, Embase, and PsycINFO as well as a manual search for addition...
Source: The American Journal of Hospice and Palliative Care - May 28, 2020 Category: Palliative Care Authors: Jung MY, Matthews AK Tags: Am J Hosp Palliat Care Source Type: research

CORRIGENDUM to Courvoisier's Law (updated to Cheyne-Stokes Breathing).
Authors: PMID: 32462897 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 28, 2020 Category: Palliative Care Tags: Am J Hosp Palliat Care Source Type: research

Role of the Rapid Response System in End-of-Life Care Decisions.
CONCLUSION: The timely intervention of the RRS in EOLC facilitates an objective assessment of the patient's medical conditions, the limitation of treatments that may be minimally beneficial to the patient, and the choice of a higher quality of care. The EOLC decision using the legal process defined in the relevant Korean Act has advantages, wherein patients can clarify their preference, the family can prioritize the patient's preference for EOLC decisions, and physicians can make transparent EOLC decisions based on medical evidence and informed patient consent. PMID: 32452209 [PubMed - as supplied by publisher] (Sourc...
Source: The American Journal of Hospice and Palliative Care - May 26, 2020 Category: Palliative Care Authors: Kim JS, Lee MJ, Park MH, Park JY, Kim AJ Tags: Am J Hosp Palliat Care Source Type: research

Outcomes of Airway Stents in the Palliative Care of Patients With Cancer.
CONCLUSION: Airway stent is a safe and effective procedure that offers rapid palliation of symptoms with no major complications. Therefore, stent placement should be considered as part of the treatment of patients with terminal cancer. PMID: 32452222 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 26, 2020 Category: Palliative Care Authors: Catarata MJP, Saleiro S, Araújo VS Tags: Am J Hosp Palliat Care Source Type: research

Early Integrated Palliative Care Bundle Impacts Location of Death in Interstitial Lung Disease: A Pilot Retrospective Study.
CONCLUSIONS: Home and hospice deaths are feasible in ILD. Early initiation of palliative care bundle components such as ACP discussions, symptom self-management, caregiver engagement, and close collaboration with allied health home care supports can promote adherence to patient preference for home or hospice deaths. PMID: 32431183 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 20, 2020 Category: Palliative Care Authors: Archibald N, Bakal JA, Richman-Eisenstat J, Kalluri M Tags: Am J Hosp Palliat Care Source Type: research

Characteristics and Outcomes of Patients Referred to an Emergency Department-Based End-of-Life Care Service in Hong Kong: A Retrospective Cohort Study.
This study describes the characteristics and outcomes of patients referred to an emergency department (ED)-based end-of-life (EOL) service in a tertiary acute hospital in Hong Kong. We examine how emergency physicians (EPs) perform in recognizing and managing dying patients. METHODS: From September 2010 to April 2018, patients referred to this EOL service in this hospital were included. A group of 5 EPs assessed whether the referred patient would die within a few days. Dying patients (EOL group) were admitted to ED-based EOL service whereas those not likely dying within few days (non-EOL group) would continue manageme...
Source: The American Journal of Hospice and Palliative Care - May 19, 2020 Category: Palliative Care Authors: Chan CY, Yang MLC, Ho HF Tags: Am J Hosp Palliat Care Source Type: research

The Development and Implementation of a Cardiac Home Hospice Program: Results of a RE-AIM Analysis.
CONCLUSION: The cardiac home hospice program strengthened hospice clinicians' ability to confidently provide care for patients with heart failure, expanded awareness of their symptoms among clinicians, and was associated with increased enrollment of patients with heart failure over the study period. This RE-AIM evaluation provides lessons learned and strategies for future adoption, implementation, and maintenance of a cardiac home hospice program. PMID: 32421373 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 18, 2020 Category: Palliative Care Authors: Jordan L, Russell D, Baik D, Dooley F, Masterson Creber RM Tags: Am J Hosp Palliat Care Source Type: research

Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness.
CONCLUSION: The pilot demonstrated that standardizing practices for eliciting and documenting GoCCs resulted in customized documentation of goals of care and LST decisions of a large number of seriously ill patients and established the feasibility of spreading standardized practices throughout a large integrated health care system. PMID: 32383388 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 8, 2020 Category: Palliative Care Authors: Giannitrapani KF, Walling AM, Garcia A, Foglia M, Lowery JS, Lo N, Bekelman D, Brown-Johnson C, Haverfield M, Festa N, Shreve ST, Gale RC, Lehmann LS, Lorenz KA Tags: Am J Hosp Palliat Care Source Type: research

Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.
CONCLUSIONS: Death during hospitalization was a significant modifier of the relationship between race and receipt of palliative care consultation. There are significant racial disparities in the utilization of IPCC for patients with advanced cancer. PMID: 32372699 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 6, 2020 Category: Palliative Care Authors: Lee K, Gani F, Canner JK, Johnston FM Tags: Am J Hosp Palliat Care Source Type: research

Supporting Pediatric Patients and Their Families at the End of Life: Perspectives From Bereaved Parents.
CONCLUSIONS: Health care providers should strive to participate in decision-making models that align with the preferences of the patient and family and provide excellent communication. Additional resources to support families following the death of a child should be identified for families or developed and funded if a gap in available services is identified. PMID: 32372700 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 6, 2020 Category: Palliative Care Authors: Sedig LK, Spruit JL, Paul TK, Cousino MK, McCaffery H, Pituch K, Hutchinson R Tags: Am J Hosp Palliat Care Source Type: research

Medical Student Perspective on Palliative Care Teaching.
PMID: 32356459 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - May 1, 2020 Category: Palliative Care Authors: Pahal A, Bhagalia M, Desai S, Goonewardena B Tags: Am J Hosp Palliat Care Source Type: research

Courvoisier's Law.
PMID: 32351117 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 30, 2020 Category: Palliative Care Authors: Niburski K Tags: Am J Hosp Palliat Care Source Type: research

General Practitioners' Perspectives on General and Specialized Palliative Home Care in North Rhine, Germany: An Explorative Focus Group Study.
CONCLUSIONS: Participating GPs see themselves as important PHC providers as well as referrers and coordinators. Complexity and discontinuity in PC arrangements create challenges for their provision. Therefore, they long for reduced bureaucratic burdens. PMID: 32342700 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 28, 2020 Category: Palliative Care Authors: Peter S, Volkert AM, Pfaff H, Radbruch L, Rolke R, Voltz R, Scholten N, APVEL Consortium Tags: Am J Hosp Palliat Care Source Type: research

Perceptions of Facilitators and Barriers to Measuring and Improving Quality in Palliative Care Programs.
CONCLUSIONS: Although participants rated quality improvement focus and environment highly, key barriers included lack of infrastructure, especially for quality measurement. Building on these facilitators and measuring and addressing these barriers might help programs enhance palliative care quality initiatives' acceptability, particularly for physicians and nurses. PMID: 32336104 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 27, 2020 Category: Palliative Care Authors: Kuchinad K, Sharma R, Isenberg SR, Hamayel NAA, Weaver SJ, Zhu J, Hannum SM, Kamal AH, Walling AM, Lorenz KA, Ailon J, Dy SM Tags: Am J Hosp Palliat Care Source Type: research

Pediatric Palliative Care During End of Life: A Privilege of a Few in a Tertiary Referral Hospital From Colombia.
CONCLUSION: In this study, only 10 of 87 patients were treated by the pediatric PC team at the end of life. The latter finding is concerning and is a call to action to improve access to pediatric PC at our institution. PMID: 32323561 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 23, 2020 Category: Palliative Care Authors: Cuervo-Suarez MI, Claros-Hulbert A, Manzano-Nunez R, Muñoz M, García X Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care Consultations in Trauma Patients and Role of Do-Not-Resuscitate Orders: Propensity-Matched Study.
Abstract OBJECTIVE: To delineate characteristics of trauma patients associated with a palliative care consultation (PCC) and to analyze the role of do-not-resuscitate (DNR) orders and related outcomes. METHODS: Retrospective study included 864 patients from 2 level one trauma centers admitted between 2012 and 2019.  Level 1 trauma centers are designated for admission of the most severe injured patients. Palliative care consultation group of 432 patients who received PCC and were compared to matched control (MC) group of 432 patients without PCC. Propensity matching covariates included Injury Severity Sco...
Source: The American Journal of Hospice and Palliative Care - April 22, 2020 Category: Palliative Care Authors: Fokin AA, Wycech J, Katz JK, Tymchak A, Teitzman RL, Koff S, Puente I Tags: Am J Hosp Palliat Care Source Type: research

Palliative Care in a Death-Denying Culture: Exploring Barriers to Timely Palliative Efforts for Heart Failure Patients in the Primary Care Setting.
CONCLUSION: The results of this review highlight a lack of communication, time, and knowledge as barriers to delivering PC. Primary care providers caring for patients with HF need to establish an Annual Heart Failure Review to meticulously evaluate symptoms and allow the time for communication involving prognosis, utilize a PC referral screening tool such as the Needs Assessment Tool: Progressive Disease-Heart Failure, and thoroughly understand the benefits and appropriate integration of PC. PMID: 32319317 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 22, 2020 Category: Palliative Care Authors: Crimmins RM, Elliott L, Absher DT Tags: Am J Hosp Palliat Care Source Type: research

Advance Care Planning for African American Caregivers of Relatives With Dementias: Cluster Randomized Controlled Trial.
This study evaluated efficacy of the intervention compared to attention control. RESEARCH DESIGN AND METHODS: In a theoretically based, 2-group, cluster randomized controlled trial, 4 similar Midwestern urban megachurches were randomized to experimental or control conditions. Each church recruited African-American caregivers, enrolling concurrent waves of 5 to 9 participants in 4 weekly 1-hour sessions (358 total: ACT-Plan n = 173, control n = 185). Dementia, cardiopulmonary resuscitation (CPR), mechanical ventilation (MV), and tube feeding (TF) treatments were discussed in ACT-Plan classes. Participants completed ass...
Source: The American Journal of Hospice and Palliative Care - April 20, 2020 Category: Palliative Care Authors: Bonner GJ, Freels S, Ferrans C, Steffen A, Suarez ML, Dancy BL, Watkins YJ, Collinge W, Hart AS, Aggarwal NT, Wilkie DJ Tags: Am J Hosp Palliat Care Source Type: research

The Impact of Varying Levels of Advance Care Planning Engagement on Perceptions of the End-of-Life Experience Among Caregivers of Deceased Patients With Cancer.
CONCLUSION: Partial ACP engagement, not just nonengagement, serves as an important clinically modifiable target to improve the end-of-life care experience among patients with cancer and the perceptions of those experiences among bereaved caregivers. PMID: 32281390 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 13, 2020 Category: Palliative Care Authors: Levoy K, Buck H, Behar-Zusman V Tags: Am J Hosp Palliat Care Source Type: research

Generalist Palliative Care in the California Safety Net: A Structured Assessment to Design Interventions for a Range of Care Settings.
CONCLUSION: This structured assessment helped busy clinicians develop theory-based generalist palliative care interventions. PMID: 32281414 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 13, 2020 Category: Palliative Care Authors: Anderson WG, Parrish M, Kerr K, Kinderman A, Rabow M, Schoen M, Meyers K Tags: Am J Hosp Palliat Care Source Type: research

Impact of a Palliative Care Education Module in Patients With Heart Failure.
CONCLUSIONS: Palliative care education increases the likelihood of PC utilization but in this short-term project was not found to statistically impact mortality, re-admissions, or transfers to higher levels of care. PMID: 32270683 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 9, 2020 Category: Palliative Care Authors: Thompson SL, Ward C, Galanos A, Bowers M Tags: Am J Hosp Palliat Care Source Type: research

Identifying End-of-Life Preferences Among Chinese Patients With Cancer Using the Heart to Heart Card Game.
CONCLUSION: The HHCG can be used as a communication tool to encourage EOL discussions between cancer patients and health-care providers in China. Moreover, Chinese patients with cancer attach significant importance to their family and maintaining dignity at the EOL. PMID: 32270684 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - April 9, 2020 Category: Palliative Care Authors: Li T, Pei X, Chen X, Zhang S Tags: Am J Hosp Palliat Care Source Type: research

Students Practicing Interprofessional Collaboration in the Context of Hospice and Palliative Care.
Abstract Interprofessional education allows students to collaborate with students and professionals of multiple disciplines. An Interdisciplinary Palliative Care (IPC) Seminar, held in the Midwest, involves students from disciplines of medicine, nursing, pharmacy, social work, and chaplaincy. The curriculum of the seminar incorporates asynchronous and synchronous didactic presentations, experiential learning through group exercises and discussion, along with home visits by students in interdisciplinary dyads. The purpose of this study was to determine whether students' participation in a 3-week IPC seminar would p...
Source: The American Journal of Hospice and Palliative Care - April 9, 2020 Category: Palliative Care Authors: Gierach M, Brechtelsbauer D, Serfling J, Bloom K, Strickland G, Heins J Tags: Am J Hosp Palliat Care Source Type: research