Showing posts with label palliative care. Show all posts
Showing posts with label palliative care. Show all posts
Monday, February 06, 2012
Monday, January 23, 2012
abstract: Interviews with patients with advanced cancer—another step towards an international cancer pain classification system - European Palliative
Conclusions
Previously identified pain domains were confirmed to be relevant to the patients; however, the ranking differed from the experts’ ranking. Sleep disturbances may be added as a domain in a future classification system.
Friday, January 20, 2012
Stein Kaasa (Norway): Let me show you what integrated palliative care can do - Cover Story - Issues 46 - Articles - Cancer World (open access)
"One aspect of his field particularly annoys Kaasa, and that is terminology. As far as he is concerned, it is called ‘palliative care’ or ‘palliative medicine’ and should cover the vast majority of the advanced cancer journey. But he says confusion can be spread by the use of ‘end of life care’ and ‘supportive care’. “In some cancer centres this is often about competing for resources, with some focusing on what they call earlier symptom control in ‘supportive care’, while leaving others to do the ‘end of life’. Yes, if you have a large palliative care team you can have people focusing more on early symptoms, but really this is often about a resources battle and not integrated care, and of course again it is the patients who fall into the gaps.”"
Wednesday, January 18, 2012
Palliative Care in Advanced Cancer Patients: How and When? The Oncologist
Blogger's Note: requires subscription ($$$) to view full text
Thursday, March 31, 2011
Thursday, March 17, 2011
journal index: Surgical Clinics of North America - Current Issue surgical palliative care papers
Tuesday, March 15, 2011
Sunday, February 06, 2011
Saturday, February 05, 2011
Tuesday, January 25, 2011
Association Between a Name Change from Palliative to Supportive Care and the Timing of Patient Referrals -- The Oncologist
"....Because of the nature of our institution as a comprehensive cancer center
with a large patient volume, the results might not be generalizable to smaller cancer centers and oncology programs in other areas. However, the findings
of our study regarding a higher overall number of referrals and earlier
referrals in the outpatient setting confirm the findings of our previous
survey study on the attitudes and beliefs of medical oncologists and
midlevel providers regarding the term palliative care. We believe
that these findings and the difference in referral pattern after the
name change are not center specific but rather reflect perceptions
among health care professionals in the U.S. regarding the strong
associations among palliative care, hospice, and end of life."
Conclusion The name change to supportive care was associated with more inpatient referrals and earlier referrals in the outpatient setting. The outpatient setting facilitates earlier access to supportive/palliative care and should be established in more centers.
Saturday, January 01, 2011
Wednesday, September 29, 2010
free full access: Integrating Supportive and Palliative Care in the Trajectory of Cancer: Establishing Goals and Models of Care — JCO
"......One of the key barriers to early referral is the misunderstanding that palliative care is only provided at the end of life once patients have exhausted all cancer treatment options. Some oncologists have expressed the concern that a referral to palliative care would destroy a patient's hope. It is important to recognize that patients do not need to choose between cancer treatments and supportive/palliative care. Rather, they can take advantage of the expertise of both the oncology and the palliative care teams in optimizing quantity and quality of life under a simultaneous care model......"
Tuesday, September 07, 2010
Palliative Care — A Shifting Paradigm — NEJM
"....Despite the increasing availability of palliative care services in U.S. hospitals and the body of evidence showing the great distress to patients caused by symptoms of the illness,3 the burdens on family caregivers,4 and the overuse of costly, ineffective therapies during advanced chronic illness,5 the use of palliative care services by physicians for their patients remains low. Physicians tend to perceive palliative care as the alternative to life-prolonging or curative care — what we do when there is nothing more that we can do — rather than as a simultaneously delivered adjunct to disease-focused treatment.6...."
Monday, September 06, 2010
'Heated political dynamics exist . . .': examining the politics of palliative care in rural British Columbia, Canada — Palliat Med
Blogger's Note: see prior blog post on palliative care/Vancouver for more insight into the 'lived' experience on this issue
Wednesday, August 18, 2010
Monday, August 09, 2010
Hospice enrollment for terminally ill patients with gynecologic malignancies: Impact on outcomes and interventions (abstract)
Objective
To determine survival and interventions for patients with non-curative gynecologic malignancies based on supportive care enrollment.
Conclusions
While retrospective reviews evaluating hospice are challenging, our data suggest no detrimental impact on survival for hospice patients. Continued evaluation for patients at the end-of-life is necessary in order to optimize resource utilization.
Tuesday, June 29, 2010
Acupuncture as Palliative Therapy for Physical Symptoms and Quality of Life for Advanced Cancer Patients -- Dean-Clower et al. 9 (2): 158 -- Integrative Cancer Therapies
"Ambulatory patients with advanced ovarian or breast cancer were enrolled to receive treatments at an outpatient academic oncology center."
Conclusions.
This pilot study demonstrates that an 8-week outpatient acupuncture course is feasible for advanced cancer patients and produces a measurable benefit that should be evaluated in controlled trials.
Tuesday, June 15, 2010
ASCO: Continuity of care for cancer patients at the end of life (EoL). -- Bascioni et al. 28 (15): 6145 -- ASCO Meeting Abstracts
Conclusion: Continuity of care at the EoL is a priority issue for the families of cancer pts. The daily routine of palliative care and hospice facilities should involve the oncologist to improve the experience of care. Patients' families expect a commitment by the oncologist in bereavement activities.
Thursday, June 03, 2010
Friday, May 14, 2010
abstract/free full access: A proposed systems approach to the evaluation of integrated palliative care
"The provision of palliative care that is client focused needs to be the grounding objective in service integration to help refocus some of the territoriality that arises as individual organizations try to protect their own interests."
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