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Prolonged grief disorder and positive affect improved by Chinese brush painting group in bereaved parents - a pilot study

XIU, Daiming ; HE, Li ; KILLIKELLY, Clare ; MAERCKER, Andreas
Journal of social work in end-of-life and palliative care, 12/05/2020, p. 1-17

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A multicomponent nonpharmacological intervention to prevent delirium for hospitalized people with advanced cancer - a phase II cluster randomized waitlist controlled trial (the preserve pilot study)

HOSIE, Annmarie ; PHILLIPS, Jane ; LAM, Lawrence ; KOCHOVSKA, Slavica ; NOBLE, Beverly ; BRASSIL, Meg ; KURRLE, Susan ; CUMMING, Anne ; CAPLAN, Gideon A. ; CHYE, Richard ; ELY, Eugene Wesley ; LAWLOR, Peter G. ; BUSH, Shirley H. ; DAVIS, Jan Maree ; LOVELL, Melanie ; PARR, Cynthia ; WILLIAMS, Sally ; HAUSER, Katherine ; MCARDLE, Susan ; JACQUIER, Karen ; PHILLIPSON, Carl ; KUWAHATA, Lynne ; KERFOOT, Jackie ; BROWN, Linda ; FAZEKAS, Belinda ; CHEAH, Seong Leang ; EDWARDS, Layla ; GREEN, Anna ; HUNT, Jane ; ATTWOOD, Robyn ; ASSEN, Teresa ; GARCIA, Maja ; WILCOCK, Julie ; AGAR, Meera
JOURNAL OF PALLIATIVE MEDICINE, 24/04/2020, Pagination inconnue

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Thème : Médecine.

DELIRE ; CANCER ; AUSTRALIE ; PRATIQUE ALTERNATIVE ; ESSAI CONTROLE RANDOMISE

Background: Delirium is a common debilitating complication of advanced cancer.
Objective: To determine if a multicomponent nonpharmacological delirium prevention intervention was feasible for adult patients with advanced cancer, before a phase III (efficacy) trial.
Design: Phase II (feasibility) cluster randomized controlled trial. All sites implemented delirium screening and diagnostic assessment. Strategies within sleep, vision and hearing, hydration, orientation, mobility, and family domains were delivered to enrolled patients at intervention site admission days 1–7. Control sites then implemented the intervention (“waitlist sites”).
Setting: Four Australian palliative care units.
Measurements: The primary outcome was adherence, with an a priori endpoint of at least 60% patients achieving full adherence. Secondary outcomes were interdisciplinary care delivery, delirium measures, and adverse events, analyzed descriptively and inferentially.
Rsults: Sixty-five enrolled patients (25 control, 20 intervention, and 20 waitlist) had 98% delirium screens and 75% diagnostic assessments completed. Nurses (67%), physicians (16%), allied health (8.4%), family (7%), patients (1%), and volunteers (0.5%) delivered the intervention. There was full adherence for 5% patients at intervention sites, partial for 25%. Both full and partial adherence were higher at waitlist sites: 25% and 45%, respectively. One-third of control site patients (32%) became delirious within seven days of admission compared to one-fifth (20%) at both intervention and waitlist sites (p = 0.5). Mean (standard deviation) Delirium Rating Scale-Revised-1998 scores were 16.8 + 12.0 control sites versus 18.4 + 8.2 (p = 0.6) intervention and 18.7 + 7.8 (p = 0.5) waitlist sites. The intervention caused no adverse events.
Conclusion: The intervention requires modification for optimal adherence in a phase III trial.

Origine : PubMed

Defining the roles and research priorities for psychedelic-assisted therapies in patients with serious illness - expert clinicians' and investigators' perspectives

BEAUSSANT, Yvan ; SANDERS, Justin ; SAGER, Zachary ; TULSKY, James A. ; BRAUN, Ilana M. ; BLINDERMAN, Craig D. ; BOSSIS, Anthony P. ; BYOCK, Ira R.
JOURNAL OF PALLIATIVE MEDICINE, 01/04/2020, Pagination inconnue

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Thème : Médecine.

MALADIE GRAVE ; RECHERCHE ; RECHERCHE QUALITATIVE ; ROLE ; PRATIQUE ALTERNATIVE

Background: Recent and preprohibition studies show that patients with serious illness might benefit from psychedelic-assisted therapies for a range of symptoms, physical, psychosocial, and existential.
Objective: To explore the potential roles and research priorities of these therapies in patients with serious illness.
Design, Setting, and Participants: Qualitative study based on semistructured interviews with 17 experts in serious illness care and/or psychedelic research from the United States and Canada.
Measurements: The interview guide elicited participants' perspectives on (1) the potential roles of psychedelic-assisted therapies in this setting, (2) research priorities relevant to this population, and (3) the potential for integrating psychedelic-assisted therapies into existing delivery models of serious illness care. We used thematic analysis until thematic saturation.
Results: Domain I: Participants had polar views on the therapeutic potential of psychedelic-assisted therapies, ranging from strong beliefs in their medical utility to reluctance about their use in this patient population. They shared concerns related to the risks of adverse effects, such as delirium or worsening of psychological distress. Domain II: Research priorities primarily concerned patients with clinically diagnosed psychosocial distress, such as depression, anxiety, or demoralization. Participants also articulated potential roles extending beyond traditional medical diagnosis. Domain III: Participants emphasized essential safety and efficacy guidelines relevant to the integration of these therapies into existing models of care.
Conclusion: This qualitative study highlights issues and priorities for research on psychedelic-assisted therapies in patients with serious illness and proposes a conceptual framework for integrating these therapies into existing delivery models of serious illness care.

Origine : DOI.org (Crossref

Bibliotherapy and bereavement - harnessing the power of reading to enhance family coping in pediatric palliative care

RUSCH, Rachel ; GREENMAN, Jennifer ; SCANLON, Caitlin ; HORNE, Kyle ; JONAS, Danielle Faye
Journal of social work in end-of-life and palliative care, 01/04/2020, p. 1-14

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Nurses' experiences of providing non-pharmacological pain management in palliative care - a qualitative study

MUNKOMBWE, Wisdom Muleya ; PETERSSON, Kerstin ; ELGAN, Carina
Journal of clinical nursing, 04/03/2020, p. 1643-1652

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The use of complementary medicine in palliative care in France - an observational cross-sectional study

FILBET, Marilene ; SCHLOSS, Janet ; MARET, Jean-Baptiste ; DIEZEL, Helene ; PALMGREN, Per J. ; STEEL, Amie
Supportive care in cancer, 09/01/2020, Pagination inconnue

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Virtual reality use for symptom management in palliative care - a pilot study to assess user perceptions

JOHNSON, Tracy ; BAULER, Laura ; VOS, Duncan ; HIFKO, Alan ; GARG, Paras ; AHMED, Mohammad ; RAPHELSON, Michael
JOURNAL OF PALLIATIVE MEDICINE, 02/01/2020, Pagination inconnue

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The efficacy of complementary therapy for patients receiving palliative cancer care

CEDAR, S. H. ; WHITE, Melanie ; ATWAL, Anita
International Journal of Palliative Nursing, 02/03/2018, vol.24, n°3, p. 146-151

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Potential use of ayahuasca in grief therapy

GONZALEZ, Débora ; CARVALHO, María ; CANTILLO, Jordi ; AIXALA, Marc ; FARRÉ, Magi
OMEGA JOURNAL OF DEATH AND DYING, 01/08/2019, vol.79, n°3, p. 260-285

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Evaluating the effects of the pharmacological and nonpharmacological interventions to manage delirium symptoms in palliative care patients - systematic review

SKELTON, Luke ; GUO, Ping
Current opinion in supportive and palliative care, 03/09/2019, Pagination inconnue

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Comparison of haloperidol, non-haloperidol antipsychotics, and no pharmacotherapy for the management of delirium in an inpatient geriatric palliative care population

FELTON, Maria A. ; JARRETT, Jennie B. ; HOFFMASTER, Richard ; D'AMICO, Frank J. ; SAKELY, Heather ; PRUSKOWSKI, Jennifer
Journal of pain and palliative care pharmacotherapy, 09/2018, vol.32, n°2-3, p. 141-148

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Prioritizing Chinese medicine clinical research questions in cancer palliative care - international Delphi survey

WONG, Charlene Hl ; WU, Irene Xy ; BALNEAVES, Lynda G. ; LO, Raymond Sk ; WITT, Claudia M. ; WU, Justin Cy ; LEUNG, Ting Hung ; CHUNG, Vincent Ch
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 09/08/2019, Pagination inconnue

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The holistic management of fatigue within palliative care

DEAN, Antonia
International Journal of Palliative Nursing, 08/2019, vol.25, n°8, p. 368-376

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Ginseng - a qualitative review of benefits for palliative clinicians

DAVIS, Mellar P. ; BEHM, Bertrand
The American journal of hospice and palliative care, 07/2019, vol.36, n°7, p. 630-659

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Inclusion, characteristics and outcomes of people requiring palliative care in studies of non-pharmacological interventions for delirium - a systematic review

HOSIE, Annmarie ; SIDDIQI, Najma ; FEATHERSTONE, Imogen ; JOHNSON, Miriam ; LAWLOR, Peter G. ; BUSH, Shirley H. ; AMGARTH-DUFF, Ingrid ; EDWARDS, Layla ; CHEAH, Seong Leang ; PHILLIPS, Jane ; AGAR, Meera
PALLIATIVE MEDICINE, 28/06/2019, Pagination inconnue

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Thème : Médecine.

DEMARCHE PALLIATIVE ; DELIRE ; PRATIQUE ALTERNATIVE

Background: Delirium is common, distressing, serious and under-researched in specialist palliative care settings.
Objectives: To examine whether people requiring palliative care were included in non-pharmacological delirium intervention studies in inpatient settings, how they were characterised and what their outcomes were.
Design: Systematic review (PROSPERO 2017 CRD42017062178).
Data sources: Systematic search in March 2017 for non-pharmacological delirium intervention studies in adult inpatients. Database search terms were ‘delirium’, ‘hospitalisation’, ‘inpatient’, ‘palliative care’, ‘hospice’, ‘critical care’ and ‘geriatrics’. Scottish Intercollegiate Guidelines Network methodological checklists guided risk of bias assessment.
Results: The 29 included studies were conducted between 1994 and 2015 in diverse settings in 15 countries (9136 participants, mean age = 76.5 years (SD = 8.1), 56% women). Most studies tested multicomponent interventions (n = 26) to prevent delirium (n = 19). Three-quarters of the 29 included studies (n = 22) excluded various groups of people requiring palliative care; however, inclusion criteria, participant diagnoses, illness severity and mortality indicated their presence in almost all studies (n = 26). Of these, 21 studies did not characterise participants requiring palliative care or report their specific outcomes (72%), four reported outcomes for older people with frailty, dementia, cancer and comorbidities, and one was explicitly focused on people receiving palliative care. Study heterogeneity and limitations precluded definitive determination of intervention effectiveness and only allowed interpretations of feasibility for people requiring palliative care. Acceptability outcomes (intervention adverse events and patients’ subjective experience) were rarely reported overall.
Conclusion: Non-pharmacological delirium interventions have frequently excluded and under-characterised people requiring palliative care and infrequently reported their outcomes.

Origine : PubMed

Non-oral pharmacotherapy options for depression #372

TAPPER, Corey ; ARNOLD, Robert M. ; PRUSKOWSKI, Jennifer
JOURNAL OF PALLIATIVE MEDICINE, 04/2019, vol.22, n°4, p. 454-455

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Reiki therapy for pain, anxiety and quality of life

BILLOT, Maxime ; DAYCARD, Maeva ; WOOD, Chantal ; TCHALLA, Achille
BMJ supportive and palliative care, 04/04/2019, Pagination inconnue

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Tai Chi for heart attack survivors - qualitative insights

CONBOY, Lisa ; KROL, Julie ; TOMAS, Jose ; YEH, Gloria Y. ; WAYNE, Peter ; SALMOIRAGO-BLOTCHER, Elana
BMJ supportive and palliative care, 04/04/2019, Pagination inconnue

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Photobiomodulation therapy on the palliative care of temporomandibular disorder and orofacial/cervical skull pain - study protocol for a randomized controlled clinical trial

CARVALHO, Fernando Rodrigues ; BARROS, Rafael Queiroz ; GONCALVES, Alyne Simões ; FREITAS, Patrícia Moreira
Trials, 06/04/2019, vol.20, n°1, 8 p.

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Hong Kong Chinese medicine clinical practice guideline for cancer palliative care - pain, constipation, and insomnia

LAM, Wai Ching ; ZHONG, Linda ; LIU, Yuqi ; SHI, Nannan ; NG, Bacon ; ZIEA, Eric ; BIAN, Zhaoxiang ; LU, Aiping
Evidence-based complementary and alternative medicine, 2019, vol.2019, p. 1-13

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