Current Palliative Care News and Events

Current Palliative Care News and Events, Palliative Care News Articles.
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Mexico's poor have little luck obtaining opioids intended for palliative care
Despite a Mexican government initiative to improve access to prescription opioids among palliative care patients, the country has seen only a marginal increase in dispensing levels, and inequities in dispensing have left many of the nation's poorest residents without comfort in their final days. (2021-02-11)

Oncotarget: Melatonin increases overall survival of prostate cancer patients
'The results of the use of melatonin drugs in palliative treatment of patients with end-stage prostate cancer are shown' (2021-02-10)

Cancer-related suicide declined in the US during the past two decades
Despite increases in overall suicide rates in the United States during the past two decades, cancer-related suicides declined by 2.8% per year, according to a new study by the American Cancer Society. (2021-01-19)

Flip the script: cardiac rehabilitation is underused, but a simple change could fix that
Making doctors opt out from prescribing cardiac rehabilitation instead of opting in increased referrals by roughly 70 percent (2021-01-14)

Primary care plays key role in managing COVID-19 in three Asian cities
Despite having some of the densest living spaces and the highest number of international visitors, Hong Kong, Singapore, and Beijing have utilized their respective primary health care systems to keep their COVID-19 cases and deaths relatively low. (2021-01-12)

Perception of palliative care in South Asian populations
The results showed that seventy per cent of participants in the study had a lack of understanding of palliative care and forty-four per cent thought that palliative care went against their values and beliefs. (2021-01-07)

How to talk about death and dying
Our reluctance to think, talk or communicate about death is even more pronounced when we deal with others' loss compared to our own, new research finds, but either way we tend to frame attitudes and emotions in a sad and negative way. Teaching new more positive ways to address these difficult conversations is the focus of a new paper in PLOS ONE journal by palliative care specialists across Australia. (2021-01-06)

Palliative care improves quality of life for patients with advanced blood cancer
A first-of-its-kind intervention integrating palliative care early in the course of cancer therapy for patients with advanced acute myeloid leukemia (AML), a highly aggressive cancer of the blood and bone marrow, resulted in substantial improvements in patients' quality of life, mood and end-of-life care, a team of investigators has found. (2020-12-17)

MGB study finds majority of COVID-19 patients died in hospital
Brigham researchers found that 95.5 percent of individuals who died with a diagnosis of COVID-19 in the MGB health system between February 18 and May 18, 2020 did so in the hospital. To better characterize the intensity of end-of-life care and promote discussions about at-home care, the researchers analyzed specific death settings, determining that roughly 40% of hospital deaths occurred in the ICU. (2020-12-11)

Cost information increases utility of decision aids for shared decision making
Cost information, when paired with information about clinical treatment options, greatly enhances the value of shared decision making, reported a FAIR Health brief released today. This was among the lessons learned from a FAIR Health initiative presenting patient decision aids for shared decision making in palliative care scenarios, as described in the brief Cost Information Enhances Shared Decision Making: Lessons from FAIR Health's Shared Decision-Making Initiative. (2020-12-10)

US state government crisis standards of care guidelines
State crisis standards of care (CSC) guidelines in the U.S. allocate scarce health care resources among patients, and this study examined the implications of these guidelines for patients with cancer, including allocation methods, cancer-related categorical exclusions and deprioritizations, and provisions for blood products and palliative care. (2020-12-03)

NTU Singapore study suggests self-determination as key to avoid caregiver burden
A Singapore study of family caregivers of the terminally ill suggests that self-determination is the key factor that can protect them from caregiver burden -- a negative state impacting a carer's wellbeing. (2020-12-01)

Major differences in palliative care provision across the globe
A major review of palliative care services around the world has highlighted huge inconsistencies in provision, with patients in some countries receiving a fraction of the support provided elsewhere. More than 11 million cases have been reviewed. (2020-11-30)

Review of first wave in Italy concludes using age alone to determine if someone gets COVID-19 intensive care treatment is not fair
Italy was one the countries first hit hard by the COVID-19 pandemic. In a new review presented at this weekend's Euroanaesthesia (the annual meeting of the European Society of Anaesthesiology and Intensive Care [ESAIC]) an Italian doctor on the front line of the pandemic concludes that it is not fair to use age alone as the deciding factor on whether or not someone receives intensive care treatment. (2020-11-27)

Study evaluates new World Health Organization Labor Care Guide for maternity care providers
The World Health Organization developed the new Labor Care Guide to support clinicians in providing good quality, women-centered care during labor and childbirth. In a study published in Birth, researchers evaluated the usability, feasibility, and acceptability of the new Labor Care Guide for maternity care providers in six countries. (2020-11-20)

Nursing home residents with POLST forms three times more likely to have preferences known
Nursing home residents with medical order forms indicating their treatment preferences were three times more likely to have their current preferences documented in their medical record than residents without the forms, according to a study from Indiana University School of Nursing and IU Center for Aging Research at Regenstrief Institute. (2020-11-20)

Health systems support needed to prevent COVID-19 outbreaks in nursing homes
In ''The Pandemic Creates Urgency around Designing Health System Support Structures for Nursing Homes,'' an editorial published in the Journal of the American Geriatrics Association, Kathleen Unroe, M.D., MHA, of Regenstrief Institute and Indiana University School of Medicine, writes that close associations between nursing homes and health systems can greatly enhance patient care and support for staff. According to the CDC, nursing home residents account for approximately 25 percent of COVID-19 deaths in the US. (2020-11-17)

Patient engagement program for heart failure patients improved outcomes
Nearly half of patients who received support through a patient engagement tool prior to a cardiology clinic visit had a positive change in their medication therapy compared to less than a third among patients who did not receive the engagement tool. The most common medication change was to increase the dose of generic medications already prescribed. (2020-11-17)

New ALS guideline establishes national standard for managing neurodegenerative disease
The first Canadian guideline for the care and management of patients with amyotrophic lateral sclerosis (ALS) -- Lou Gehrig's disease -- recommends a patient-focused approach, with attention to holistic and emotional aspects of well-being. The guideline, published in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/lookup/doi/10.1503/cmaj.191721, is intended for ALS clinicians, allied health professionals and primary care providers, and contains an easy-to-reference table with comprehensive recommendations. (2020-11-16)

Serious disparities in care and outcomes found among Black and non-white heart patients
Adults who are Black or from other underrepresented racial/ethnic groups received up to 10% fewer early treatments for heart problems compared to white patients. When compared to whites, Black patients had longer hospital stays and fewer discharges to home. Hispanics, Asians, Pacific Islanders and Native Americans all had higher in-hospital death rates than white patients. (2020-11-09)

Costs to informal carers for people in the last three months of life are larger than those to formal
Findings from an international study into the costs and outcomes of informal end of life care have today been published BMC Medicine. (2020-11-05)

Study documents racial differences in US hospice use and end-of-life care preferences
In a new medical records analysis of racial disparities in end-of-life care, researchers at Johns Hopkins Medicine and three collaborating institutions report that Black patients voluntarily seek substantially more intensive treatment in the last six months of life, while white patients more often choose hospice services. (2020-10-28)

Palliative care needed across China for everyone who needs it -- study
Palliative care should extend across China and pay more attention to managing non-malignant disease -- integrated within the country's healthcare system and available to everyone who needs it, according to a new study. (2020-10-21)

Nursing home residents with cognitive impairment more likely to be admitted to hospital
Transfers from the nursing home to the emergency department (ED) or the hospital can have negative longer-term impact on the health of older adults. A new study from Regenstrief Institute and Indiana University School of Medicine looked at which residents were most likely to be admitted to the hospital after a trip to the ED with the hope of identifying areas to improve care and reduce unnecessary transfers. (2020-10-19)

Study finds room for improvement when hospital patients transition to hospice care
Terminally ill patients referred to hospice care from a hospital setting tend to be on hospice for shorter periods than those who enter hospice while living at home or in a residential care facility. (2020-10-16)

Emerging field of integrative palliative care highlighted in journal special issue
An emerging field characterized as ''combining the natural synergy between integrative health and palliative medicine (2020-10-06)

New tools improve care for cancers that spread to the brain
The UVA team says its findings will help doctors and patients make better-informed treatment decisions, enhance the care of brain metastases, and enable hospitals to improve the coordination and effectiveness of their interdisciplinary treatment programs. (2020-10-05)

Hospital-based specialist palliative care may slightly improve patient experience and increase their chances of dying in their preferred place (measured by home death)
A Cochrane Review into the effectiveness of hospital-based specialist palliative care has found evidence that when compared to usual care, it may slightly improve patient satisfaction and depression, and increase the chances of patients dying in their preferred place (measured by home death). (2020-09-30)

Telehealth supports collaborative mental health care in the needs of rural patients
Traditionally, primary care clinics connect patients who have mental health care needs to specialists like psychiatrists in a collaborative care model. However, rural clinics often lack the workforce capacity to provide collaborative behavioral health services. In a new qualitative study, rural Washington primary care clinics adopted telehealth methods to connect remotely with specialists. The study found that telepsychiatric collaboration prepared primary care physicians and rural clinic staff to deliver high quality mental health care in underserved areas. (2020-09-15)

New palliative care model shown to reduce costs without compromising on quality of care
Findings from a large-scale clinical trial testing a new palliative care model have shown to be lower cost, viewed positively by patients and their carers while showing no difference in patient-reported outcomes when compared with standard care. (2020-08-28)

New treatment possibilities for young women diagnosed with rare form of ovarian cancer
A recent finding by researchers at the BC Cancer Research Institute and the University of British Columbia (UBC) may offer a new treatment possibility for people diagnosed with a rare and aggressive form of ovarian cancer. (2020-08-26)

CPR choices of dialysis patients suggest many lack context
Globally some 2 million people with failed kidneys undergo hemodialysis treatment. Researchers queried 876 dialysis patients about whether, in the event of a cardiac arrest, they would want to be resuscitated. Nearly 85% said they definitely or probably would want CPR. The study's lead author said the findings raise concern that many patients are unaware that their likely outcomes of cardiac arrest, even with resuscitation, are poor, relative to the general population. (2020-08-24)

Telemedicine may well outlast the pandemic, say mental health care staff
The Covid-19 pandemic has brought about rapid innovation in mental health care, and the move to telemedicine is likely here to stay to at least some degree, but new research led by UCL and King's College London cautions that serious barriers still need to be overcome. (2020-08-19)

ASH releases new clinical practice guidelines on acute myeloid leukemia in older adults
Today, ASH published new guidelines to help older adults with acute myeloid leukemia (AML) and their health care providers make critical care decisions, including if and how to proceed with cancer treatment and the need for blood transfusions for those in hospice care. (2020-08-06)

Patients who lived longer with cancer at greater risk of severe COVID-19 infection
Cancer patients diagnosed more than 24 months ago are more likely to have a severe COVID-19 infection, research has found. Cancer patients of Asian ethnicity or who were receiving palliative treatment for cancer were also at a higher risk of death from COVID-19. (2020-07-22)

Designed a new model to predict the life expectancy of a severe neurodegenerative disease
Researchers from IDIBELL, the University of Göttingen and the University of Münster, designed six tables, using data available at the time of diagnosis, where easily extrapolate patient's life expectancy. This model has been created with the world's largest cohort of patients with this disease, up to 1,200 patients registered since 1993. (2020-07-15)

The five phases of pandemic care for primary care
The authors present a roadmap for necessary primary care practice transformations to care for patients and communities during the COVID-19 pandemic. (2020-07-14)

Palliative nursing's role during COVID-19 and beyond
As a rapid influx of patients overwhelmed health systems during the coronavirus pandemic, palliative nurses played dual roles supporting patients, patient families, and colleagues. Two researchers at the University of Pennsylvania School of Nursing (Penn Nursing) are among those detailing the important role palliative care has in responding during the COVID-19 pandemic and in future public health crises. (2020-07-14)

New in the Hastings Center Report: Health, race, and society during Covid-19
The latest issue is devoted to essays that examine how the pandemic has highlighted connections between health and social structures--concerning not just access to health care but also conditions of living that affect health, from inequality to political and environmental conditions. (2020-07-09)

UBC research shows hearing persists at end of life
Hearing is widely thought to be the last sense to go in the dying process. Now, the first study to investigate hearing in palliative care patients who are close to death provides evidence that some may still be able to hear while in an unresponsive state. Electroencephalography (EEG) was used to measure the dying brain's response to sound. The findings may help family and friends bring comfort to a person in their final moments. (2020-07-08)

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