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Total 14316 results found since Jan 2013.
Continuous Tunneled Infraclavicular Nerve Catheter for Palliative Management of Critical Limb Ischemia: A Case Report
We describe the successful use of a continuous local anesthetic infusion via an infraclavicular nerve catheter to control severe refractory ischemic upper limb pain in a patient with metastatic lung cancer for whom surgical and pharmacological intervention was unsuccessful. As her opioid requirements increased due to worsening ischemic pain, she subsequently developed opioid toxicity, hence prompting the palliative use of a tunneled infraclavicular nerve catheter under ultrasound guidance to minimize opioid requirements. Her opioid requirements tailed down subsequently with the successful insertion of the infraclavicular n...
Source: Cancer Control - September 12, 2023 Category: Cancer & Oncology Authors: Jia Lin Jacklyn Yek Nicodemus Oey Amit Jain Christopher Liu Nithia Angamuthu Source Type: research
Trauma-Informed Care for Inpatient Palliative Care Social Work: Applying Existing Models at the Bedside
J Soc Work End Life Palliat Care. 2023 Sep 12:1-17. doi: 10.1080/15524256.2023.2256479. Online ahead of print.ABSTRACTCoexisting serious illness and posttraumatic stress place hospitalized individuals at risk for complex pain, anxiety, and retraumatization. Hospital palliative care social workers increasingly recognize the value of trauma-informed care (TIC) for reducing harm in the inpatient setting. Despite this recognition, there is limited operationalization of TIC principles for inpatient interventions. This paper integrates each TIC principle with inpatient psychosocial interventions to advance trauma-informed compet...
Source: Journal of Social Work in End-of-Life and Palliative Care - September 12, 2023 Category: Palliative Care Authors: Chelsea K Brown Jennifer DiBiase Abigail Nathanson Tamara J Cadet Source Type: research
We Care: A Wellness Intervention Project for Palliative Care Physicians
There is growing concern about the burnout rate among physicians in the United States, particularly amongst palliative care physicians. Kamal, et al. found the burnout rate to be 38.7% in 2020 among palliative care physicians (1). Reddy, et al. found that amongst palliative care physicians enrolled in a continuing education course, the burnout rate was also 38% (2). When asked to answer, “I feel burned out from my work,” 24% of the participants answered with a four or higher on the six-point Likert scale.
Source: Journal of Pain and Symptom Management - September 11, 2023 Category: Palliative Care Authors: Christa Burke, Stephanie Clark, Katie L. Gholson, Josh Mazur Tags: Education Exchange Source Type: research
Opioid-induced Neurotoxicity in Patients with Cancer Pain
Opinion statementOpioid-induced neurotoxicity (OINT) is a neuropsychiatric syndrome observed with opioid therapy. The mechanism of OINT is thought to be multifactorial, and many risk factors may facilitate its development. If symptoms of OINT are seen, the prescriber should consider hydration, discontinuation of the offending opioid drug, or switching of opioid medication, or the use of some adjuvants. Multiple factors like inter- and intraindividual differences in opioid pharmacology may influence the accuracy of dose calculations for opioid switching. Experience and clinical judgment in a specialistic palliative care set...
Source: Current Treatment Options in Oncology - September 9, 2023 Category: Cancer & Oncology Source Type: research
Oxygen Therapy in the Last Days and Hours of Life: From Evidence to Practice
J Pain Palliat Care Pharmacother. 2023 Sep 7:1-2. doi: 10.1080/15360288.2023.2250332. Online ahead of print.NO ABSTRACTPMID:37676717 | DOI:10.1080/15360288.2023.2250332
Source: Journal of Pain and Palliative Care Pharmacotherapy - September 7, 2023 Category: Palliative Care Authors: M ónica Carqueijó Source Type: research
Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia?
J Hosp Palliat Care. 2022 Sep 1;25(3):133-137. doi: 10.14475/jhpc.2022.25.3.133.ABSTRACTA 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to...
Source: Cancer Control - September 7, 2023 Category: Cancer & Oncology Authors: Yoke Yeng Leong Ednin Hamzah Sylvia McCarthy Zee Nee Lim Source Type: research
Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients
CONCLUSION: This study provides meaningful clinical evidence to help make decisions on HPC use more easily at an appropriate time.PMID:37674561 | PMC:PMC10180062 | DOI:10.14475/jhpc.2021.24.3.184
Source: Cancer Control - September 7, 2023 Category: Cancer & Oncology Authors: Hee-Ja Lee Im-Il Na Kyung-Ah Kang Source Type: research
The Italian versions of the This Is ME Questionnaire and the Patient Dignity Question: Understanding personhood and supporting dignity in patients with terminal cancer
The objective of this study was to translate and validate the TIME Questionnaire, which contains the PDQ, into Italian to evaluate patient satisfaction of the Italian version of these tools and to identify essential themes elicited by the tools.METHODS: The validation process consisted of a forward and back translation stage, data collection from a sample of 60 patients with terminal cancer, and a final consultation with a panel of experts to identify patient themes using the results of the tool.RESULTS: Overall, participants felt that the PDQ/TIME questionnaire captured their essence as a person, allowed them to express t...
Source: Palliative and Supportive Care - September 6, 2023 Category: Palliative Care Authors: Andrea Bovero Francesca Cotardo Alessandra Loreta Cito Alexa Victoria Pidinchedda Sara Pesce Harvey Max Chochinov Sara Carletto Source Type: research
Challenges for Developing Palliative Care Services in Resource- Limited Settings of Kazakhstan
Conclusion: This study presents an analysis of challenges, recent developments, and needs of palliative care in Kazakhstan, including funding, policy, workforce, education, and infrastructure, providing an evidence base and recommendations for future development of palliative care in Kazakhstan and in other LMICs.PMID:37671066 | PMC:PMC10476099 | DOI:10.3389/phrs.2023.1605672
Source: Public Health Reviews - September 6, 2023 Category: International Medicine & Public Health Authors: Islam Salikhanov Stephen R Connor Gulnara Kunirova Fatima Khashagulgova Gulzhaina Nazarova Byron Lawrence Crape Maria C Katapodi Source Type: research
The Italian versions of the This Is ME Questionnaire and the Patient Dignity Question: Understanding personhood and supporting dignity in patients with terminal cancer
The objective of this study was to translate and validate the TIME Questionnaire, which contains the PDQ, into Italian to evaluate patient satisfaction of the Italian version of these tools and to identify essential themes elicited by the tools.METHODS: The validation process consisted of a forward and back translation stage, data collection from a sample of 60 patients with terminal cancer, and a final consultation with a panel of experts to identify patient themes using the results of the tool.RESULTS: Overall, participants felt that the PDQ/TIME questionnaire captured their essence as a person, allowed them to express t...
Source: Palliative and Supportive Care - September 6, 2023 Category: Palliative Care Authors: Andrea Bovero Francesca Cotardo Alessandra Loreta Cito Alexa Victoria Pidinchedda Sara Pesce Harvey Max Chochinov Sara Carletto Source Type: research
