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Pandemic palliative care consultations spanning state and institutional borders

NAKAGAWA, Shunichi ; BERLIN, Ana ; WIDERA, Eric ; PERIYAKOIL, Vyjeyanthi S. ; SMITH, Alexander K. ; BLINDERMAN, Craig D.
Journal of the American Geriatrics Society, 22/05/2020, p. 1-5

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Quelle(s) paroles(s) pour quel(s) sujet(s) ? - consultation de soins palliatifs

ALRIC, Jérôme
Sauramps médical , 05/2020 , 101 p.

Characteristics and outcomes of dementia patients who receive inpatient palliative care consultation

SHARDA, Neema ; ZIETLOW, Kahli ; WONG, Serena ; KUCHIBHATLA, Maragatha ; JOHNSON, Kimberly S.
Journal of the American Geriatrics Society, 16/05/2020, Pagination inconnue

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Thème : Médecine.

DEMENCE ; DEMARCHE PALLIATIVE ; CONSULTATION ; ETUDE RETROSPECTIVE ; PERSONNE AGEE

BACKGROUND/OBJECTIVES: acute hospitalization may be an ideal opportunity to introduce palliative care to dementia patients, who may benefit from symptom management and goals of care discussions. We know little about patients who receive inpatient palliative care consultations (IPCCs).
DESIGN: Retrospective analysis using electronic medical record.
SETTING: Tertiary academic medical center and affiliated community hospital.
PARTICIPANTS: Patients with dementia by International Classification of Diseases diagnosis, 65 years or older, hospitalized between July 1, 2015, and December 31, 2015.
MEASUREMENTS: We used 2 and t -test/Mann-Whitney U test to compare characteristics (living arrangement, advanced dementia markers, diagnoses of delirium and dementia with behavior disturbance, and admitting diagnosis) and outcomes (change in code status, length of stay [LOS], discharge disposition, and discharge medications for symptom management) of patients who did and did not receive IPCC. Patients were matched on sex, age, and race.
RESULTS: Among 927 hospitalized patients with dementia, 17% received IPCC (N = 157). Patients who received IPCC were more likely to be admitted from a nursing facility (35.7% vs 12.7%; P < .0001), experience delirium (71.3% vs 57.3%; P = .01), have behavior disturbance (23.6% vs 13.4%; P = .02), have a pressure ulcer at admission (26.1% vs 11.5%; P = .001), have hypernatremia (12.7% vs 3.2%; P = .002), and be bedbound (20.4% vs 3.2%; P < .000). Patients who received IPCC had a longer LOS (median = 5.9 vs 4.3 days; P = .004) and were more likely to be discharged to hospice (56% vs 3.1%; P < .0001). Patients with IPCC were more likely to have a discharge code status of do not attempt resuscitation (89% vs 46%). There was no significant difference in comfort medications at discharge between groups.
CONCLUSIONS: Patients who received IPCC had evidence of more advanced dementia. These patients were more likely to change their code status and enroll in hospice. IPCC may be useful to prioritize patient-centered care and discuss what matters most to patients and families.

Origine : PubMed

The association of time to palliative medicine consultation on geriatric trauma outcomes

KUPENSKY, Diane T. ; EMERICK, Eric S. ; HILEMAN, Barbara M. ; CHANCE, Elisha A.
Journal of trauma nursing, 06/2020, vol.27, n°3, p. 177-184

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Goals-of-care consultations are associated with lower costs and less acute care use among propensity-matched cohorts of African Americans and whites with serious illness

STARR, Lauren T. ; ULRICH, Connie M. ; APPEL, Scott M. ; JUNKER, Paul ; O'CONNOR, Nina R. ; MEGHANI, Salimah H.
JOURNAL OF PALLIATIVE MEDICINE, 27/04/2020, Pagination inconnue

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Implementation of palliative care consult service in Hungary - integration barriers and facilitators

ZEMPLENYI, Antal T. ; CSIKOS, Agnes ; CSANADI, Marcell ; RUTTEN-VAN MOLKEN, Maureen ; HERNANDEZ, Carmen ; PITTER, Janos G. ; CZYPIONKA, Thomas ; KRAUS, Markus ; KALO, Zoltán
BMC palliative care, 2020, vol.19, n°1, p. 1-12

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Thème : Soins. Cote : eD02.00.03

CONSULTATION ; DEMARCHE PALLIATIVE ; HONGRIE

Background: The Palliative Care Consult Service (PCCS) programme was among the first initiations in Hungary to provide palliative care for patients admitted to hospital. The PCCS team provides palliative care for mainly cancer patients and their family members and manages the patient pathway after being discharged from the hospital. The service started in 2014 with 300–400 patient visits per year. The aim of this study is to give a comprehensive overview of the PCCS programme guided by a conceptual framework designed by SELFIE (“Sustainable intEgrated chronic care modeLs for multi-morbidity: delivery, FInancing, and performancE”), a Horizon2020 funded EU project and to identify the facilitators and barriers to its wider implementation.
Methods: PCCS has been selected by the SELFIE consortium for in-depth evaluation as one of the Hungarian integrated care models for persons with multi-morbidity. The qualitative analysis of the PCCS programme was based on available documents of the care provider and interviews with different stakeholders related to the programme.
Results: The integrated, multidisciplinary and patient-centred approach was well-received among the patients, family members and clinical departments, as verified by the increasing number of requests for consultations. As a result of the patient pathway management across providers (e.g. from inpatient care to homecare) a higher level of coordination could be achieved in the continuity of care for seriously-ill patients. The regulatory framework has only partially been established, policies to integrate care across organizations and sectors and adequate financial mechanism to support the enhancement and sustainability of the PCCS are still missing.
Conclusions: The service integration of palliative care could be implemented successfully in an academic hospital in Hungary. However, the continuation and enhancement of the programme will require further evidence on the performance of the integrated model of palliative care and a more systematic approach particularly regarding the evaluation, financing and implementation process.

Origine : DOI.org (Crossref

Use of palliative care consultation services for infants with life-threatening conditions in a metropolitan hospital

MCLAUGHLIN, S. Nicole ; SONG, Mi-Kyung ; HERTZBERG, Vicki ; PIAZZA, Anthony J.
Advances in neonatal care, 04/2020, vol.20, n°2, p. 136-141

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Impact of a palliative care education module in patients with heart failure

THOMPSON, Shelley L. ; WARD, Cary ; GALANOS, Anthony ; BOWERS, Margaret
American journal of hospice and palliative medicine, 09/04/2020, Pagination inconnue

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Effectiveness of palliative care consultation service on caregiver burden over time between terminally ill cancer and non-cancer family caregivers

WU, Li-Fen ; LIN, Chin ; HUNG, Yu-Chun ; CHANG, Li-Fang ; HO, Ching-Liang ; PAN, Hsueh-Hsing
Supportive care in cancer, 15/04/2020, Pagination inconnue

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Initiating palliative care consultation for acute critically ill patients in the emergency department (ED) intensive care unit

YANG, Che ; YANG, Tsu-Te ; TSOU, Yu-Ju ; LIN, Ming-Hui ; FAN, Ju-Sing ; HUANG, Hsien-Hao ; TSAI, Ming-Che ; YEN, David Hung-Tsang
Journal of the Chinese Medical Association, 09/03/2020, p. 1-32

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Palliative care consultations in primary care - a cross-sectional survey among Dutch general practitioners

HOEK, Patrick D. ; SCHERS, Henk J. ; HENDRIKS, Jan C. M. ; VISSERS, Kris C. P. ; HASSELAAR, Jeroen G. J.
BMJ supportive and palliative care, 12/2019, vol.9, n°4, Pagination inconnue

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National trends in palliative care use among older adults with cardiopulmonary and malignant conditions

FEDER, Shelli L. ; JEAN, Raymond A. ; BASTIAN, Lori ; AKGUN, Kathleen M.
Heart and lung, 27/02/2020, Pagination inconnue

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A comparison of hospitalized patients with heart failure and cancer referred to palliative care

LIU, Albert Y. ; O'RIORDAN, David L. ; MARKS, Angela K. ; BISCHOFF, Kara E. ; PANTILAT, Steven Z.
JAMA network open, 05/02/2020, vol.3, n°2, p. 1-8

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Palliative care in children with heart disease treated in an ICU

DELGADO-CORCORAN, Claudia ; WAWRZYNSKI, Sarah E. ; BENNETT, Erin E. ; GREEN, Danielle ; BODILY, Stephanie ; MOORE, Dominic ; COOK, Lawrence J. ; OLSON, Lenora M.
Pediatric critical care medicine, 04/03/2020, Pagination inconnue

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Provider perspective on the role of palliative care in hypoplastic left heart syndrome

LOWENSTEIN, Sarah ; MACAULEY, Robert ; PERKO, Kathleen ; RONAI, Christina
Cardiology in the young, 03/2020, vol.30, n°3, p. 377-382

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Case series of introducing palliative care consultation in psychiatry

ETGEN, Thorleif
PALLIATIVE MEDICINE, 17/02/2020, Pagination inconnue

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Analysis of inpatient palliative care consultations for patients with metastatic prostate cancer

MISTRY, Neil A. ; RAZA, Syed Johar ; SIDDIQUI, Sameer A.
The American journal of hospice and palliative care, 02/2020, vol.37, n°2, p. 136-141

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Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians

COYM, Anja ; OECHSLE, Karin ; KANITZ, Alena ; PULS, Nora ; BLUM, David ; BOKEMEYER, Carsten ; ULLRICH, Anneke
BMC health services research, 04/02/2020, vol.20, n°1, p. 1-10

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Models of palliative care delivery for patients with cancer

HUI, David ; BRUERA, Eduardo
Journal of clinical oncology, 05/02/2020, Pagination inconnue

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