More research is needed to understand how to provide optimal palliative dementia care to people living at home
Dementia is a leading cause of death,1 and keeping people with dementia at home for longer is a key governmental goal. There is growing recognition that dementia is a terminal illness and a palliative care approach may be appropriate. The EAPC provides a comprehensive definition of palliative dementia care and a framework for outcomes of good end-of-life care.2 Palliative dementia care should be continuous, proactive person-centred care with timely recognition of the dying phase while providing comfort, psychosocial and spiritual support and avoiding unnecessary burdensome treatments. Despite this recommendation, people li...
Source: Current Awareness Service for Health (CASH) - September 25, 2020 Category: Consumer Health News Source Type: news

To Drill or Not to Drill: Management of Endodontic Emergencies and In-Process Patients during the COVID-19 Pandemic
Conclusions: Palliative care for management of endodontic emergencies is a successful option when aerosol-generating procedures are restricted. This treatment approach maybe be considered in an effort to reduce risk of transmission of COVID-19 infection during subsequent shutdowns. Prolonged Ca(OH)2 medicament due to COVID-19 related delays in treatment completion appeared to have minimal effect on survival of teeth.  (Source: Dental Technology Blog)
Source: Dental Technology Blog - September 8, 2020 Category: Dentistry Source Type: news

In pandemic era, the term palliative care is even more scary for some. So specialists want to rename it.
People erroneously think that they are being sent to physicians who will help them die. (Source: Washington Post: To Your Health)
Source: Washington Post: To Your Health - September 7, 2020 Category: Consumer Health News Authors: Haider J. Warraich Source Type: news

Palliative Care Explored for Long-Term Neurological Conditions
MONDAY, Aug. 31, 2020 -- For patients with long-term neurological conditions, a short-term integrated palliative care (SIPC) intervention does not alter palliative care outcomes or patient-reported outcomes compared with standard care, according to... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - August 31, 2020 Category: Pharmaceuticals Source Type: news

New palliative care model shown to reduce costs without compromising on quality of care
(King's College London) Findings from a large-scale clinical trial testing a new palliative care model have shown to be lower cost, viewed positively by patients and their carers while showing no difference in patient-reported outcomes when compared with standard care. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - August 28, 2020 Category: International Medicine & Public Health Source Type: news

Epidemiology of fear, sadness and anger expression in palliative care conversations - Gramling R, Straton J, Ingersoll LT, Clarfeld LA, Hirsch L, Gramling CJ, Durieux BN, Rizzo DM, Eppstein MJ, Alexander SC.
CONTEXT: Advancing the science of serious illness communication requires methods for measuring characteristics of conversations in large studies. Understanding which characteristics predict clinically important outcomes can help prioritize attention to sca... (Source: SafetyLit)
Source: SafetyLit - August 24, 2020 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Developing a replicable model to provide palliative care in nursing homes
(Regenstrief Institute) Research scientists from Regenstrief Institute, Indiana University School of Medicine and University of Maryland are working to develop a model for delivering palliative care (focused on providing comfort and relief) to people living in nursing homes to improve their quality of life. While access to palliative care has become the standard of care in the hospital setting, it is not routinely available in nursing homes. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - August 17, 2020 Category: International Medicine & Public Health Source Type: news

Healing moral injury of seriously ill Vietnam veterans: a Veterans Affairs (VA) and National Hospice Palliative Care Organization (NHPCO) collaboration (FR456) - Blackstone K, Dinescu A, Currie-Gill B, Ramsey-Lucas CA, Wilson MS, Laramie JA, Morgan R, Watson P.
Approximately 2.7 million Americans served in the military during the Vietnam War (1961-1975). 58,000 died, and many others endured traumatic experiences in combat. Soldiers returning home after the war often faced scorn in the popular press and in their c... (Source: SafetyLit)
Source: SafetyLit - August 13, 2020 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Covid-19: Guidelines for Community Palliative Care which is the'Best in Show'?, CEBM
This blog compares some of the guidelines for palliative care at home that have been produced in response to this pandemic, focusing mainly on symptom relief. It aims to identify which are the best, and highlight areas requiring further clarification. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - August 10, 2020 Category: Consumer Health News Source Type: news

Early Palliative Care Fails to Improve QOL in Advanced Heart Failure Early Palliative Care Fails to Improve QOL in Advanced Heart Failure
Benefits were seen, however, in patients starting with poor quality of life, suggesting a need for dynamic palliative care interventions that can readily adapt to the patient's needs.Medscape Medical News (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - August 3, 2020 Category: Cardiology Tags: Cardiology News Source Type: news

Can We Survive the Elder Care Crisis in the Age of COVID-19?
I have spent a lifetime in medicine caring and advocating for aging patients, and worrying about them. Meanwhile, medicine has changed from a profession centered on the relationship between one doctor and one patient, into a highly profitable industry centered on expensive procedures and pharmaceuticals — on technology over touch. There has been one major exception to this trend: the subspecialty area of geriatrics, notably long-term care (LTC) medicine and palliative care. Our older citizens are dying by the tens of thousands, yet who does CMS blame for the disgraceful number of COVID-19 deaths in LTC? The facilitie...
Source: Caring for the Ages - July 30, 2020 Category: Health Management Authors: Jerald Winakur Tags: Meditations on Geriatric medicine Source Type: news

Palliative Care Amid the Pandemic: Resources for PALTC Providers and Families
As the devastation of the COVID-19 pandemic continues to unfold and the death rate begins to take shape with accurate reporting and more frequent testing, David Grabowski, Ph.D., a researcher at Harvard Medical School ’s Health Care Policy Department who studies nursing homes, says that when the final data are in, nursing homes will probably account for about half of all COVID-19 deaths in every state — as they already do in Massachusetts, New Jersey, and Pennsylvania, among others (New York Times, May 5, 202 0, https://nyti.ms/3cwZGC5). (Source: Caring for the Ages)
Source: Caring for the Ages - July 30, 2020 Category: Health Management Authors: Melissa McClean, Victoria Nalls Source Type: news

Dementia care: The one thing you can do to help a loved one with the condition
DEMENTIA is a debilitating condition. Alzheimer's Research UK predicts the number of people living with dementia who need palliative care will almost quadruple by 2040. Here's one thing you can do now to help a loved one with the brain disease. (Source: Daily Express - Health)
Source: Daily Express - Health - July 23, 2020 Category: Consumer Health News Source Type: news

Psychiatry Trainees Drive COVID-19 Palliative Care in New York Psychiatry Trainees Drive COVID-19 Palliative Care in New York
In New York this past spring, one hospital system met the growing demand for palliative care for COVID-19 patients in acute care and emergency settings by training and redeploying psychiatry trainees.Medscape Medical News (Source: Medscape Med Students Headlines)
Source: Medscape Med Students Headlines - July 22, 2020 Category: Universities & Medical Training Tags: Psychiatry News Source Type: news

Will COVID-19 Permanently Change Cancer Care?
COVID-19 cases are surging again in parts of the U.S., but that doesn ’t mean other medical issues can be put on hold. Cancer care is particularly complex in the age of COVID-19, said panelists during a July 13 and 14 National Academies webinar, Opportunities and Challenges for Using Digital Health Applications in Oncology. It involves a spectrum of services — inc luding screening, diagnostics, surgery, radiation, palliative care, and survivorship care. (Source: News from the National Academies)
Source: News from the National Academies - July 20, 2020 Category: Science Source Type: news

Palliative care for patients with severe covid-19, BMJ
Viewpoint highlights that many patients with severe covid-19 experience distressing symptoms, including breathlessness and agitation; and that palliation of suffering is an important part of care irrespective of prognosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 15, 2020 Category: Consumer Health News Source Type: news

Palliative nursing's role during COVID-19 and beyond
(University of Pennsylvania School of Nursing) As a rapid influx of patients overwhelmed health systems during the coronavirus pandemic, palliative nurses played dual roles supporting patients, patient families, and colleagues. Two researchers at the University of Pennsylvania School of Nursing (Penn Nursing) are among those detailing the important role palliative care has in responding during the COVID-19 pandemic and in future public health crises. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - July 14, 2020 Category: Infectious Diseases Source Type: news

Psychological insights for cancer services recovery planning, BPS
Like all in our society and our colleagues in health services, psychological care specialists in cancer and palliative care have been trying to make sense of our recent experiences of the pandemic and to anticipate and prepare for what might come next for patients and ourselves. This document is for healthcare professionals working in psychological services for people with cancer or receiving palliative care, who are preparing for the'next normal'. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - July 9, 2020 Category: Consumer Health News Source Type: news

UBC research shows hearing persists at end of life
(University of British Columbia) Hearing is widely thought to be the last sense to go in the dying process. Now, the first study to investigate hearing in palliative care patients who are close to death provides evidence that some may still be able to hear while in an unresponsive state. Electroencephalography (EEG) was used to measure the dying brain's response to sound. The findings may help family and friends bring comfort to a person in their final moments. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - July 8, 2020 Category: International Medicine & Public Health Source Type: news

South Africa: Palliative Care Needed Now More Than Ever
[spotlight] For mother of two, Ningi Mfeka from Amanzimtoti in Durban, looking after her terminally ill child has at times brought her to her knees but the help of palliative care doctors has been her saving grace, she says. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - July 7, 2020 Category: African Health Source Type: news

Vericiguat Success in HFrEF May Not Apply to Sickest: VICTORIA Vericiguat Success in HFrEF May Not Apply to Sickest: VICTORIA
Natriuretic peptide levels may have forecast who would benefit on the novel agent vs who might be more appropriate for'nonpharmacological treatment or palliative care,'said an expert observer.Medscape Medical News (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - June 24, 2020 Category: Cardiology Tags: Cardiology News Source Type: news

Receptivity of hospitalized older adults and family caregivers to prognostic information about aging, injury, and frailty: a qualitative study - Maxwell CA, Mixon AS, Conner E, Phillippi JC.
BACKGROUND: Frailty is the leading prognosticator for poor outcomes and palliative care among older adults. Delivery of negative prognostic information entails potentially difficult conversations about decline and death. OBJECTIVE: The study aims were ... (Source: SafetyLit)
Source: SafetyLit - June 18, 2020 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Covid-19: access to out-of-hours palliative and end-of-life care at home, CEBM
Five years ago, the James Lind Alliance carried out research using their Priority Setting Partnership protocol to identify the most important national concerns about palliative and end-of-life (EOL) care. Top of their list was the question:'What are the best ways of providing palliative care outside working hours to avoid crises and help patients stay in their place of choice?'(Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - June 16, 2020 Category: Consumer Health News Source Type: news

Palliative Care Consult for COVID-19 Patients May Reduce Unwanted Treatment Palliative Care Consult for COVID-19 Patients May Reduce Unwanted Treatment
An emergency department-based palliative-care intervention focused on clarifying COVID-19 patients'goals of care (GOC) may help reduce unwanted use of life-sustaining treatment, according to new findings.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - June 15, 2020 Category: Intensive Care Tags: Infectious Diseases News Source Type: news

Time to increase the involvement of persons with intellectual disability in palliative care and research (Commentary)
The study focused on advance care planning in the palliative phase for people with ID. Interestingly, the views of people with ID were not included in this study. Rather the views of healthcare professionals and relatives were explored alongside data from medical records. To improve and promote the relevance, effectiveness and translation of research people with ID should be actively involved in research.4 This is a weakness of the study that should be considered in future research. However, the results highlight that the palliative care needs of this client group were seldom documented or only documented when they were cl...
Source: Current Awareness Service for Health (CASH) - June 15, 2020 Category: Consumer Health News Source Type: news

End of life care during the coronavirus pandemic, BPS
This is a guide for psychologists working in palliative care, who need to think about the End of Life Care pathway for patients, relatives and healthcare staff during Covid-19. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - June 8, 2020 Category: Consumer Health News Source Type: news

Palliative Care in emergency departments during COVID-19 pandemic
(JAMA Network) The clinical characteristics and outcomes of patients who received intervention by a COVID-19 palliative care response team are examined in this case series. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - June 5, 2020 Category: Infectious Diseases Source Type: news

The role and response of primary care and community nursing in the delivery of palliative care in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic, CEBM
The provision of palliative care to patients, families and communities is core to the role and identity of primary care physicians. General practitioners (GPs) or family physicians (FPs), and community nurses, have the potential and skills to deliver palliative and end-of-life care integrated into every encounter in the community when their working environment allows this, and with the support of specialist colleagues. Prior to the COVID-19 pandemic, barriers to effective palliative and end of life care in the community by GPs included a lack of time with patients and families, inadequate support services in the community,...
Source: Current Awareness Service for Health (CASH) - June 4, 2020 Category: Consumer Health News Source Type: news

Neuroleptic strategies for terminal agitation in patients with cancer and delirium at an acute palliative care unit: a single-centre, double-blind, parallel-group, randomised trial
Study reported reductions from baseline in Richmond Agitation Sedation Scale scores in haloperidol escalation group (n=10; −3.6), haloperidol/chlorpromazine rotation group (11; −3.3), and haloperidol/chlorpromazine combination group (10; −3.0), with no difference among groups. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - June 2, 2020 Category: Consumer Health News Source Type: news

Yonder: domestic violence, norovirus, palliative care referrals, and quarantine adherence - Rashid A.
The United Nations Secretary-General Ant ónio Guterres recently warned of a 'horrifying global surge' in domestic violence and abuse (DVA) during the pandemic lockdown period and urged governments to step up efforts to prevent violence against women.1 Worl... (Source: SafetyLit)
Source: SafetyLit - June 1, 2020 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Cancer doctors call for more training in palliative care and delivery of 'bad news'
(Johns Hopkins Medicine) Oncologists who practice and teach at the Johns Hopkins Kimmel Cancer Center are calling on medical oncology training programs to invest substantially more time educating physicians about palliative care and how to talk to patients about 'bad news.' (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - May 28, 2020 Category: Cancer & Oncology Source Type: news

Covid-19 and the role of oxygen in palliative care at home, CEBM
If I were to come down with severe Covid-19 and choose to stay at home rather than go into hospital, would I benefit from receiving oxygen? Among the many questions surrounding palliative care at home, that's the one that persistently nags at me. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

In My Own Bed Please: Staying at home with Covid-19, CEBM
In My Own Bed Please is an independent group of medical practitioners and researchers campaigning on behalf of those who would choose to stay in their own homes, rather than go into hospital, should they develop severe Covid-19 disease. The group also includes laymen who represent the point of view of patients. We are particularly concerned about the availability of palliative care for our elderly relatives who have expressed their considered wish to stay at home. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 27, 2020 Category: Consumer Health News Source Type: news

Palliative Care Linked to Fewer Readmissions for Heart Failure
WEDNESDAY, May 27, 2020 -- For patients admitted with heart failure, palliative care is associated with fewer readmissions and less mechanical ventilation, according to a study published online May 27 in the Journal of the American Heart... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 27, 2020 Category: Pharmaceuticals Source Type: news

End of life care pathway during coronavirus, BPS
This is a guide for psychologists working in palliative care, who need to think about the End of Life Care pathway for patients, relatives and healthcare staff during Covid-19. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - May 21, 2020 Category: Consumer Health News Source Type: news

Lonely COVID-19 Deaths Lead to Repositioning Palliative Care Lonely COVID-19 Deaths Lead to Repositioning Palliative Care
The surge of deaths from COVID-19 has left clinicians often having to comfort both the dying patient and their socially distanced family, highlighting a need for more palliative care guidance.Medscape Medical News (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - May 21, 2020 Category: Intensive Care Tags: Critical Care News Source Type: news

Palliative Care for Patients with Cancer During the COVID-19 Pandemic
Ambereen K. Mehta, MD, MPH, and Thomas J. Smith, MD, highlighted the necessity for palliative care services for patients with cancer to continue amidst the COVID-19 pandemic. (Source: CancerNetwork)
Source: CancerNetwork - May 19, 2020 Category: Cancer & Oncology Authors: Hannah Slater Source Type: news

Cancer patient dies alone in Winnipeg hospital after family denied palliative visits
A terminally ill woman died alone last week after St. Boniface hospital staff appear to have misinterpreted Manitoba's COVID-19 restrictions, preventing family from staying by her bedside, despite her being in palliative care. (Source: CBC | Health)
Source: CBC | Health - May 13, 2020 Category: Consumer Health News Tags: News/Canada/Manitoba Source Type: news

Is oxygen an effective treatment option to alleviate the symptoms of breathlessness for patients dying with COVID-19 and what are the potential harms?, CEBM
There is no existing research evidence involving patients with COVID-19 to directly inform the use of oxygen therapy in the management of breathlessness for dying patients. For patients with COVID-19, there is no evidence of benefit of oxygen therapy in the absence of hypoxemia. There may be a role for its use to wean patients with COVID-19 from ventilator support.If oxygen therapy is used, existing guidelines contain recommendations for the management of oronasal face masks, the potential adverse effects of oxygen therapy in the palliative care setting (e.g. impaired communication between patient and family) and the need ...
Source: Current Awareness Service for Health (CASH) - May 12, 2020 Category: Consumer Health News Source Type: news

Religion & its Discontents: Considerations Around COVID-19 & Africa
Credit: United NationsBy Dr. Azza Karam and Dr. Mustafa Y. AliNEW YORK, May 8 2020 (IPS) COVID-19 has spread to many nations around the world, and has been declared a pandemic by the World Health Organization. In the global south, the COVID-19 pandemic has stretched the available medical and health resources, triggered economic shocks, and caused social upheavals and insecurity in many countries and localities. While the pandemic has caused huge numbers of infections and deaths in the global north, the consequences in the poorer nations in the global south is acute. Serious challenges arising from responses from authoriti...
Source: IPS Inter Press Service - Health - May 8, 2020 Category: International Medicine & Public Health Authors: Prof. Dr. Azza Karam and Dr. Mustafa Y. Ali Tags: Civil Society Economy & Trade Featured Global Headlines Health Human Rights Humanitarian Emergencies Inequity Religion TerraViva United Nations Source Type: news

Palliative care for patients with cancer in COVID-19 era
(JAMA Network) The considerations and challenges affecting the palliative care specialty and delivery of palliative care in the COVID-19 era, as well as potential solutions, are discussed in this Viewpoint. (Source: EurekAlert! - Cancer)
Source: EurekAlert! - Cancer - May 7, 2020 Category: Cancer & Oncology Source Type: news

Palliative Care Is Less Often Offered to Surgical Oncology Patients for Symptom Management Palliative Care Is Less Often Offered to Surgical Oncology Patients for Symptom Management
Surgical oncology patients are less likely to receive palliative care consultations for symptom management than medical oncology patients, a recent study suggests.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 6, 2020 Category: Consumer Health News Tags: Hematology-Oncology News Source Type: news

To face coronavirus disease 2019, surgeons must embrace palliative care
(JAMA Network) This Viewpoint describes the relevance of a palliative care approach to surgery during the coronavirus disease 2019 pandemic. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - April 28, 2020 Category: Infectious Diseases Source Type: news

Clinical guidelines for children and young people with palliative care needs in all care settings during the COVID19 pandemic, NHS England (updated 24th April 2020)
This clinical guidance, produced by the Association of Paediatric Palliative Medicine (APPM), is aimed at all professionals looking after children and young people with palliative care needs who are infected with COVID-19, potentially entering their end of life phase and the decision is not for medical escalation into paediatric intensive care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 24, 2020 Category: Consumer Health News Source Type: news

Palliative care principles can ease COVID-19 challenges
Principles like alleviating symptoms and patient-centered care, can help improve COVID-19 care, argue nursing faculty Dena Schulman-Green and Shelli Feder. (Source: Yale Science and Health News)
Source: Yale Science and Health News - April 23, 2020 Category: Universities & Medical Training Source Type: news

Management of palliative care in hospital during the coronavirus pandemic, NHS England (updated 22nd April 2020)
Where coronavirus has been confirmed or, if the patient has been tested and no results are available yet, they will need to be treated as high risk when they die. Mementoes or keepsakes (for example, locks of hair, handprints, etc.) may be offered and taken at the time of care after death. These cannot be offered or undertaken at a later date. They must be placed in a sealed bag and the relatives must not open these for at least 72 hours. Full PPE should be worn for performing physical care after death. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 22, 2020 Category: Consumer Health News Source Type: news

Clinical guidelines for children and young people with palliative care needs in all care settings during the COVID19 pandemic, APPM
This clinical guidance, produced by the Association of Paediatric Palliative Medicine (APPM), is aimed at all professionals looking after children and young people with palliative care needs who are infected with COVID-19, potentially entering their end of life phase and the decision is not for medical escalation into paediatric intensive care. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 17, 2020 Category: Consumer Health News Source Type: news

Call for palliative care to be adapted for severely ill COVID-19 patients
(Lancaster University) Emergency-style palliative care needs to implemented to meet the needs of COVID-19 patients who wouldn't benefit from a ventilator say researchers.This is the first time that palliative care has been examined in the light of the current global pandemic. The researchers describe the challenges of providing palliative care where resources are stretched and demand is high, based on their experiences at a hospital. (Source: EurekAlert! - Infectious and Emerging Diseases)
Source: EurekAlert! - Infectious and Emerging Diseases - April 16, 2020 Category: Infectious Diseases Source Type: news

Doctors call for relaxation of ‘Shipman’ end-of-life drugs rules
Palliative care treatments delayed by regulations and supply shortages (Source: FT.com - Drugs and Healthcare)
Source: FT.com - Drugs and Healthcare - April 9, 2020 Category: Pharmaceuticals Source Type: news

Coronavirus: Hospices warn they could close as virus hits fundraising
Charities are warning they will need government and public support to provide palliative care. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - April 7, 2020 Category: Consumer Health News Source Type: news