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Palliative Care Current Events | Palliative Care News | 4

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New study seeks deeper understanding of bereaved families' attitudes to organ donation
Researchers at the University of Southampton are looking for people to take part in a major new study into organ donation. The national study will look at the decision-making and experiences of bereaved people who after the death of a family member chose not to donate organs or tissues of the deceased relative for transplant operations.   view more (2005-04-05)

Older patients with major depression live longer with appropriate treatment, Penn study shows
Older patients with major depression whose primary care physicians team with depression care managers are 45% less likely to die within a 5-year time period than older adults with major depression who receive their care in primary care practices where there are no depression care managers.   view more (2007-05-15)

Elderly care is inadequate, especially in nursing homes
The quality of medical care that elderly patients receive, particularly those in nursing homes, is inadequate, concludes researchers in this week’s BMJ.   view more (2003-03-12)

Insufficient evidence for depression screening in primary care
The latest issue of Effective Health Care focuses on strategies to improve the recognition and management of depression in primary care. Depression is one of the most common reasons for consultation in general practice and is a condition that can be effectively treated. And yet depression often goes unrecognised in up to 50% of attending... view more... (2002-10-11)

How can we know early who will benefit from tumor target therapy?
The precise tailoring of tumor target treatment for patients with cancer is an unmet challenge. The goal is to only administer treatments that have a high probability of being effective.   view more (2007-11-26)

The Coming Crisis Of Long-term Care (p 1755)
Care for the elderly--whose responsibility is it, and who pays for it--is the focus of this week's editorial. Advancement in medical science and improved quality of life means that elderly people are a fast-growing part of the world's population. It is estimated that a quarter of the US population will be over 65 years by 2030; this phenomenon is... view more... (2003-05-21)

Introducing the patient safety series (pp 913, 970)
Health care providers, hospital administrators, and politicians face competing challenges to reduce clinical errors, control expenditure, increase access and throughput, and improve quality of care. The safe management of the acutely ill inpatient presents particular difficulties. In the first of five Lancet articles on this topic, Julian Bion and... view more... (2004-03-17)

Atrial fibrillation linked to increased hospitalization in heart failure patients
Patients with atrial fibrillation, common in those with advanced chronic heart failure, have an increased risk of hospitalization due to heart failure.   view more (2009-07-07)

Successful foster care placements
The researchers studied 127 foster placements involving children and young people aged from birth to 20 years, many of whom had been exposed to dysfunctional parenting. They found that those in care from an early age (up to six years old) were far more likely to experience successful placements. Those placed in care after seven years old, were far... view more... (1999-08-23)

Instanyl sets new standard in management of breakthrough cancer pain
New data presented today further demonstrate the efficacy of Instanyl in management of breakthrough cancer pain. The data which were presented at the 6th congress of the European Federation of Chapters of the International Association for the Study of Pain (EFIC) are from a multinational, crossover trial comparing Instanyl with oral transmucosal... view more... (2009-09-11)

Dementia care in residential homes needs radical improvement
Standards of care given to people with dementia in residential and nursing homes in the UK needs radical improvement, concludes a study in this week's BMJ. The quality of care received by over 200 people with dementia, living in 10 private sector and seven NHS care facilities, was rated using a recognised method known as dementia care mapping. The... view more... (2001-08-22)

Primary care practitioners need to become genetically literate
Increasing availability of DNA based tests and demand by patients for genetic information and advice mean that primary care practitioners will need to become genetically literate. A paper in this week's BMJ discusses the implications of genetic advances for primary care. Currently, the most important elements for primary care are prediction of... view more... (2001-04-24)

Common pain relief medication may encourage cancer growth
Although morphine has been the gold-standard treatment for postoperative and chronic cancer pain for two centuries, a growing body of evidence is showing that opiate-based painkillers can stimulate the growth and spread of cancer cells.   view more (2009-11-19)

A case of post-gastrectomy acute pancreatitis
Gastrectomy is commonly performed for both benign and malignant lesions. Although the incidence of post-gastrectomy acute pancreatitis (PGAP) is low compared to other well-recognized post-operative complications, it has been reported to be associated with a high mortality rate.   view more (2009-10-16)

New disaster preparedness strategy announced
In an unprecedented initiative, US and Canadian experts have developed a comprehensive framework to optimize and manage critical care resources during times of pandemic outbreaks or other mass critical care disasters.   view more (2008-05-05)

Lung volume reduction surgery shown to prolong and improve life for some emphysema patients
Lung volume reduction surgery (LVRS) can have a significantly beneficial effect in patients with severe emphysema, according to the first ever study to randomize emphysema patients to receive either LVRS or non-surgical medical care.   view more (2009-07-24)

Trained nurses can provide 'doctor-quality' primary care
Shifting care from doctors to nurses is one way of meeting the demand caused by ageing populations, rising expectations and reforms that move care from hospitals to primary care. While patient satisfaction can increase, the change may not always save money.   view more (2005-04-15)

Component of red wine quells inflammation in chronic inflammatory lung disease (COPD)
A component of red wine, resveratrol, seems to damp down the inflammatory process in the progressive lung disease COPD, finds a small study in Thorax. So effective was resveratrol in laboratory tests that the authors suggest that the compound could be developed to treat the disease. COPD (chronic obstructive pulmonary disease) is irreversible and... view more... (2003-10-24)

Don't tell mother she has cancer
When family members ask physicians not to disclose bad news to ill loved ones, clinicians often struggle to balance their obligation to be truthful to the patient with the family's belief that the information would be harmful.   view more (2007-11-02)

Mental health treatment extends lives of older patients with diabetes and depression
Researchers at the University of Pennsylvania School of Medicine report that older adults with diabetes and depression are half as likely to die over a 5-year period when they receive depression care management than depressed patients with diabetes who do not receive depression care management.   view more (2007-12-06)
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