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PalliativeCare

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Around the clock care for dying 'not good enough' - BBC News

A national review of end-of-life care has found many hospitals are failing to provide face-to-face palliative care specialists around the clock.  
bbc.co.uk
over 3 years ago
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Helping Terminally Ill Patients Do a 'Life Review'

Palliative care expert explains what a 'life review' is, who can benefit, and how to proceed.  
medscape.com
over 3 years ago
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6

Palliative care in patients with heart failure

Despite advances in cardiac therapy, heart failure (HF) remains a progressive, highly symptomatic, and deadly disease that places great demands on patients, caregivers, and healthcare systems. Palliative care is a multidisciplinary approach to care that focuses on communication, shared decision making, and advance care planning; provides relief from pain and other distressing symptoms; integrates psychological and spiritual aspects of care; and offers a support system to help families cope during illness and bereavement. Palliative care has applications across the stages of heart failure, including early in the course of illness, often in conjunction with other therapies that are intended to prolong life. However, the incorporation of palliative care into the management of heart failure has been suboptimal for several reasons: uncertainty in the disease trajectory, failure to reward communication between healthcare providers and patients, siloed care, lack of knowledge, overlay of comorbidity and frailty, life saving devices with complex trade-offs, and a limited evidence base. This review will summarize the current literature on the emerging role of palliative care in patients with heart failure and the challenges and opportunities for its integration into routine care. It will discuss current initiatives and future directions of the collaborative relationship between the palliative care and heart failure disciplines.  
feeds.bmj.com
over 3 years ago
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6

Palliative care in patients with heart failure

Despite advances in cardiac therapy, heart failure (HF) remains a progressive, highly symptomatic, and deadly disease that places great demands on patients, caregivers, and healthcare systems. Palliative care is a multidisciplinary approach to care that focuses on communication, shared decision making, and advance care planning; provides relief from pain and other distressing symptoms; integrates psychological and spiritual aspects of care; and offers a support system to help families cope during illness and bereavement. Palliative care has applications across the stages of heart failure, including early in the course of illness, often in conjunction with other therapies that are intended to prolong life. However, the incorporation of palliative care into the management of heart failure has been suboptimal for several reasons: uncertainty in the disease trajectory, failure to reward communication between healthcare providers and patients, siloed care, lack of knowledge, overlay of comorbidity and frailty, life saving devices with complex trade-offs, and a limited evidence base. This review will summarize the current literature on the emerging role of palliative care in patients with heart failure and the challenges and opportunities for its integration into routine care. It will discuss current initiatives and future directions of the collaborative relationship between the palliative care and heart failure disciplines.  
feeds.bmj.com
over 3 years ago
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7

More Providers Needed to Meet Outpatient Palliative Care Demand

The success of palliative care programs in the outpatient setting exposes a shortage in the palliative care workforce.  
medscape.com
over 3 years ago
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6

Conflict Management Strategies in the ICU Differ

A new study provides some insight into the differences in conflict management styles between palliative care specialists and intensivists over end-of-life care in the ICU.  
medscape.com
over 3 years ago
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7

PTSD and Palliative Care

A woman's delay of cancer treatment is related to her history of sexual abuse.  
medscape.com
over 3 years ago
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How Much Palliative Care Breast Cancer Patients Get May Depend on Race

When women have advanced breast cancer, the amount of comfort-oriented care they receive at the end of life may depend on the color of their skin, a small U.S. study suggests.  
medscape.com
over 3 years ago
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Metastatic spinal cord compression: diagnosis and management

Timely referral for neurosurgery or radiotherapy, or both, provides better outcomes longer term, but palliative care is the treatment of choice for some patients  
feeds.bmj.com
over 3 years ago
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6

Metastatic spinal cord compression: diagnosis and management

Timely referral for neurosurgery or radiotherapy, or both, provides better outcomes longer term, but palliative care is the treatment of choice for some patients  
feeds.bmj.com
over 3 years ago
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Palliative Care Bonus: Families Feel Better Too

The loved ones of patients with incurable cancers can go on a downward spiral themselves, but early palliative care can benefit them as well, a new study suggests.  
medscape.com
over 3 years ago
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Palliative Care Does Not Necessarily Mean End-of-Life Care

What is palliative care? Dr Maurie Markman talks about the importance of changing perceptions so that 'palliative care' is not immediately associated with end-of-life care.  
medscape.com
over 3 years ago