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In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Community palliative care use by dementia sufferers may reduce emergency department use at end of life
Commentary on: Rosenwax L, Spilsbury K, Arendts G, et al. Community-based palliative care is associated with reduced emergency department use by people with dementia in their last year of life: a retrospective cohort study. Palliat Med 2015;29:727–36. Implications for practice and research We need to better understand how community palliative care should be organised and delivered to optimise well-being for the dementia population. Research is needed to explore and explain the nature of the relationship between community palliative care and emergency department (ED) use. More work is needed to examine which palliativ...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Wright, D. K., Vandyk, A. D. Tags: End of life decisions (geriatric medicine), Care of the older person, Dementia, Pain (neurology), Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research

Improving End-of-Life Care Prognostic Discussions: Role of Advanced Practice Nurses
This article provides an overview of effective intensive care unit prognostic systems and discusses barriers and opportunities for nurses to use evidence-based knowledge related to disease trajectory and prognosis to improve communication and the quality of palliative and end-of-life care for patients.
Source: AACN Advanced Critical Care - April 1, 2015 Category: Nursing Tags: Symposium Palliative Care for Advanced Practice Nurses Source Type: research

Terminally ill patients who are supported by religious communities are more likely to receive aggressive end-of-life care rather than hospice care; spiritual support from medical teams may reverse this
Commentary on: Balboni TA, Balboni M, Enzinger AC, et al.. Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Intern Med 2013;173:1109–17. Implications for practice and research Patients with cancer in the USA who receive spiritual support from religious communities alone may receive more aggressive end-of-life (EOL) medical interventions and are less likely to access hospice care. Additional spiritual care and EOL discussions by the medical team may reduce aggressive treatments. Research is needed outside the USA to val...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Thune-Boyle, I. C. V. Tags: End of life decisions (geriatric medicine), Nursing issues, Stroke, End of life decisions (palliative care), Hospice, End of life decisions (ethics) Source Type: research

Early ambulatory palliative care visits focus on psychosocial elements such as building rapport and coping, as well as managing symptoms and enhancing illness understanding
This study has had significant impact, but many professionals have asked for more details about palliative care interventions. Findings from the present study will help define what palliative care specifically provides. Context Professional organisations in the fields of oncology, such as the American Society of Clinical Oncology2 and palliative care, including the American Academy of Hospice and Palliative Medicine, have articulated the need for palliative care to be integrated into disease-focused care. There has been a wide international interest in this area as well. Achieving this aim will require a greater understanding...
Source: Evidence-Based Nursing - March 14, 2014 Category: Nursing Authors: Ferrell, B. Tags: End of life decisions (geriatric medicine), Adult nursing, Stroke, Lung cancer (oncology), End of life decisions (palliative care), Hospice, Lung cancer (respiratory medicine), End of life decisions (ethics), Resuscitation, Information management Source Type: research

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