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Assessing palliative care education in undergraduate medical students - translation and validation of the Self-Efficacy in Palliative Care and Thanatophobia Scales for Brazilian Portuguese

GRYSCHEK, Guilherme ; CECILIO-FERNANDES, Dario ; MASON, Stephen ; DE CARVALHO-FILHO, Marco Antonio
BMJ Open, 06/2020, vol.10, n°6, 7 p.

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Sequential use of the demoralization scale in palliative care - feasibility, strain, and personal benefits of participation for patients at the end of life

MAI, Sandra Stephanie ; VOGT, Annika Renate ; SCHMIDTMANN, Irene ; MAIER, Bernd Oliver ; WAGNER, Bernd ; DVIR, Martina ; WEBER, Martin
Supportive care in cancer, 16/06/2020, Pagination inconnue

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The effectiveness of a modified advance care planning programme

DENG, Renli ; ZHANG, Jianghui ; CHEN, Liuliu ; MIAO, Jiarui ; DUAN, Jiazhong ; QIU, Yeyin ; LEUNG, Doris ; CHAN, Helen ; LEE, Diana TF
Nursing ethics, 26/06/2020, Pagination inconnue

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Thème : Age de la vie, situations spécifiques liées à la fin de vie.

PROJET SOIN ANTICIPE ; CHINE ; PERSONNE AGEE ; VULNERABILITE ; EFFICACITE

Background: Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China.
Research objective: This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people.
Research design: This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach.
Participants and research context: A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China.
Ethical considerations: The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059.
Findings: The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care.
Discussion: This study promoted the participants’ autonomy and broke through the inherent custom of avoiding talking about death in China.
Conclusion: The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society.

Origine : DOI.org (Crossref

La méthadone pour la douleur liée au cancer - l’expérience de Gustave Roussy

TREILLET, Erwan ; LEBEL, Audrey ; LAURENT, Sophie
MEDECINE PALLIATIVE, 06/2020, vol.19, n°3, p. 143-149

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The impacts and effectiveness of support for people bereaved through advanced illness - a systematic review and thematic synthesis

HARROP, Emily ; MORGAN, Fiona ; LONGO, Mirella ; SEMEDO, Lenira ; FITZGIBBON, Jim ; PICKETT, Sara ; SCOTT, Hannah ; SEDDON, Kathy ; SIVELL, Stephanie ; NELSON, Annmarie ; BYRNE, Anthony
PALLIATIVE MEDICINE, 18/05/2020, p. 1-18

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Randomized controlled trial to identify the optimal radiotherapy scheme for palliative treatment of incurable head and neck squamous cell carcinoma

AL-MAMGANI, Abrahim ; KESSELS, Rob ; VERHOEF, Cornelia G. ; NAVRAN, Arash ; HAMMING-VRIEZE, Olga ; KAANDERS, Johannes H. A. M. ; STEENBAKKERS, Roel J. H. M. ; TANS, Lisa ; HOEBERS, Frank ; ONG, Francisca ; VAN WERKHOVEN, Erik ; LANGENDIJK, Johannes A.
Radiotherapy and oncology, 08/2020, vol.149, p. 181-188

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Advance care planning for people living with dementia - an umbrella review of effectiveness and experiences

WENDRICH-VAN DAEL, Annelien ; BUNN, Frances ; LYNCH, Jennifer ; PIVODIC, Lara ; VAN DEN BLOCK, Lieve ; GOODMAN, Claire
International journal of nursing studies, 20/03/2020, vol.107, p. 1-13

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Thème : Soins. Cote : eD02.03.00

PROJET SOIN ANTICIPE ; DEMENCE ; REVUE SYSTEMATIQUE ; EFFICACITE

BACKGROUND: End of life care is often inadequate for people with dementia. Advanced care planning (ACP) has the potential to improve outcomes for people with dementia. The aim of this review is to establish the strength of the evidence and provide decision makers with a clear understanding of what is known about ACP for people living with dementia.
DESIGN: Evidence synthesis including systematic reviews and primary studies. PROSPERO registration: CRD42018107718.
DATA SOURCES: PubMed, CINAHL Plus, SCOPUS, Social Care Online and Cochrane Library were searched (July 2018). No year limit applied. To be included, reviews had to evaluate effectiveness of ACP for people with dementia or report on views and experiences of ACP from the perspective of people with dementia, carers, or health and care professionals. Additional searches (September 2018) were conducted to identify recent primary studies not included in the reviews.
REVIEW METHODS: Data extraction was undertaken by one reviewer and checked by a second. Methodological quality was assessed using AMSTAR-2 and Joanna Briggs Institute instruments by two authors independently. Outcomes were categorized and tabulated to assess effectiveness. Qualitative data was analysed using thematic synthesis.
RESULTS: Nineteen reviews (163 unique studies) and 11 primary articles with a range of advance care planning definitions and of variable quality were included. Advance care planning was associated with decreased hospitalizations, increased concordance between care received and prior wishes and increased completion of advance care planning documents but quality of primary research was variable. Views of ACP for people with dementia can be clustered around six themes; 1) timing and tailoring, 2) willingness to engage, 3) roles and responsibilities of healthcare professionals, 4) relationships, 5) training and 6) resources needed. Diminishing decision-making capacity over time is a key overarching feature.
CONCLUSIONS: Advance care planning is acceptable for people with dementia and their carers and is associated with improved outcomes. Guidelines on which outcomes and which definition to use are necessary, as is research to test different approaches to ACP. Education on topics related to diminishing decision-making capacity is key to optimize advance care planning for people with dementia and their carers.

Origine : PubMed

Effect of palliative care training on perceived self-efficacy of the nurses

DEHGHANI, Fatemeh ; BARKHORDARI-SHARIFABAD, Maasoumeh ; SEDAGHATI-KASBAKHI, Maryam ; FALLAHZADEH, Hossein
BMC palliative care, 04/05/2020, vol.19, n°1, p. 1-6

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Complementary music therapy for cancer patients in at-home palliative care and their caregivers - protocol for a multicentre randomised controlled trial

VALERO-CANTERO, Inmaculada ; MARTINEZ-VALERO, Francisco Javier ; ESPINAR-TOLEDO, Milagrosa ; CASALS, Cristina ; BARON-LOPEZ, Francisco Javier ; VAZQUEZ-SANCHEZ, Maria Angeles
BMC palliative care, 02/05/2020, vol.19, n°1, p. 1-11

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Measuring the efficacy of occupational therapy in end-of-life care - a scoping review

CHOW, Janice Kishi ; PICKENS, Noralyn Davel
The American journal of occupational therapy, 02/2020, vol.74, n°1, Pagination inconnue

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Safety and efficacy of single-port laparoscopic ileostomy in palliative settings

KANG, Seng-Muk ; CHO, Jung Rae ; OH, Heung-Kwon ; LEE, Eun-Ju ; KIM, Min Hyun ; KIM, Duck-Woo ; KANG, Sung-Bum
Annals of coloproctology, 02/2020, vol.36, n°1, p. 17-21

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How effective is palliative care in improving patient outcomes?

MILAZZO, Sarah ; HANSEN, Eric ; CAROZZA, Desi ; CASE, Amy A.
Current treatment options in oncology, 05/02/2020, vol.21, n°2, Pagination inconnue

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Comparative effectiveness of palliative chemotherapy in metastatic breast cancer - a real-world evidence analysis

FEINBERG, Bruce ; KISH, Jonathan ; DOKUBO, Igoni ; WOJTYNEK, Jeff ; GAJRA, Ajeet ; LORD, Kevin
The oncologist, 17/01/2020, p. 1-8

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Thème : Médecine. Cote : eD03.05.01

CHIMIOTHERAPIE ; CANCER SEIN ; EFFICACITE

BACKGROUND: In the absence of randomized controlled trials, real-world evidence may aid practitioners in optimizing the selection of therapy for patients with cancer. The study's aim was to determine real-word use, as well as compare effectiveness, of single-agent and combination chemotherapy as palliative treatment for female patients with metastatic breast cancer (mBC).
MATERIALS AND METHODS: Using administrative claims data from the Symphony Health's Integrated Oncology Dataverse, female patients with mBC treated with at least one chemotherapy-only treatment (COT) between January 1, 2013, and December 31, 2017 were selected. The frequency of use of single-agent versus combination chemotherapy overall and by line of therapy (LOT) was calculated whereas effectiveness was measured using time to next treatment (TNT).
RESULTS: A total of 12,381 patients with mBC were identified, and 3,777 (31%) received at least one line of COT. Of the 5,586 observed LOTs among the 3,777 patients, 66.5% were single-agent and 33.5% combination chemotherapy. Combination chemotherapy was most frequently used in first-line (45%) and least frequently in fifth-line (16%). Across all LOTs, median TNT was significantly longer for single-agent versus combination chemotherapy (5.3 months vs. 4.1 months, p < .0001). Comparison of median TNT by LOT showed significance in third-line and greater but not in first-line or second-line. Among single agents, the median TNT for patients receiving capecitabine was longest in comparison to all other single agents.
CONCLUSIONS: The frequency of combination COT use, particularly in first-line, warrants further research given published guideline recommendations. The observed TNT difference favoring single-agent treatment in later lines supports guideline recommendations. Variance between single-agent preference and observed TNT was noteworthy.
IMPLICATIONS FOR PRACTICE: Although published data from evidence- and consensus-based guidelines recommend single-agent over combination chemotherapy, the extensive list of agents available for use and a gap in the comparative effectiveness research of these agents have resulted in significant variances in patterns of care. The aim of this study was to assess real-world treatment patterns and their effectiveness during palliative therapy of metastatic breast cancer. The objective was to understand when and how chemotherapy-only treatment is used in metastatic breast cancer and whether comparative effectiveness analysis supports the observed patterns of care.

Origine : PubMed

A systematic review of the effectiveness of oral baclofen in the management of hiccups in adult palliative care patients

ADAM, Emily
Journal of pain and palliative care pharmacotherapy, 07/01/2020, p. 1-12

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Towards successful implementation of advance care planning in nursing homes

GILISSEN, Joni
Vubpress , 12/2019 , 285 p.

Opioid utility for dyspnea in chronic obstructive pulmonary disease - a complicated and controversial story

VOZORIS, Nicholas T.
Annals of palliative medicine, 15/12/2019, Pagination inconnue

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Cultural adaptation, validation, and analysis of the self-efficacy in palliative care scale for use with Spanish nurses

HERRERO-HAHN, Raquel ; MONTOYA-JUÁREZ, Rafael ; HUESO-MONTORO, César ; MARTÍ-GARCÍA, Celia ; SALAZAR-BLANDÓN, Diego Alejandro ; GARCÍA-CARO, María Paz
International journal of environmental research and public health, 02/12/2019, vol.16, n°23, p. 1-15

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Is inpatient hospice care clinically effective? - using phase of illness to evaluate care outcomes for patients admitted to a specialist palliative care unit in Ireland

LUCEY, Michael ; O'REILLY, Martina ; CURROW, David ; EAGAR, Kathy ; WALSH, Declan ; CONROY, Marian ; TWOMEY, Feargal ; O'REILLY, Val ; DOHERTY, Mairéad ; COFFEY, Siobhain ; SHERIDAN, John ; MORAN, Sue
JOURNAL OF PALLIATIVE MEDICINE, 19/12/2019, Pagination inconnue

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Olanzapine versus haloperidol for treatment of delirium in patients with advanced cancer - a phase III randomized clinical trial

VAN DER VORST, Maurice J. D. L. ; NEEFJES, Elisabeth C. W. ; BODDAERT, Manon S. A. ; VERDEGAAL, Bea A. T. T. ; BEEKER, Aart ; TEUNISSEN, Saskia C. C. ; BEEKMAN, Aartjan T. F. ; WILSCHUT, Janneke A. ; BERKHOF, Johannes ; ZUURMOND, Wouter W. A. ; VERHEUL, Henk M. W.
The oncologist, 04/12/2019, p. 1-8

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End-of-life nursing education - enhancing nurse knowledge and attitudes

O'SHEA, Eileen R. ; MAGER, Diana
Applied nursing research, 07/11/2019, Pagination inconnue

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