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ATP Daily News - September 24, 2014

posted Oct 1, 2014, 6:02 PM by Pal Daily

 ATP Daily News - September 24, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Recently in Psycho-Oncology:

Recently in Journal of Clinical Oncology

Journal of Oncology Practice: September 2014

Supportive Care in Cancer: Ahead of Print


 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Hospice and Palliative Medicine SmartBrief: September 24, 2014
Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Source:    Pallimed
Author:     Sinclair
Excerpt:   "Increasingly people are chronicling their experiences with life-limiting illness online. They help us understand a phase of life that many find hard to face, making a tough subject slightly less taboo."



Palace of Care - Mate
Source:    Palliverse
Author:     James
Excerpt:   "Some people will really pull on your heart strings. Mate was one of those people. He was really unwell, and his time very limited, but he was still charming the socks off of all of the ladies."



Goodbye to Jumpy: Lessons for the Health System
Source:    Death With Dignity National Center
Author:     Schuster
Excerpt:   "This article by Janice Lynch Schuster was originally published on American Society on Aging's Aging Today, and is republished with permission by the author. Janice will guest host our #DWDchat this Thursday to chat with our Twitter community about the topics in this article more in-depth."



Source:    GeriPal
Author:     Smith
Excerpt:   "As it's early in the year, we usually like to post about some advice for trainees, particularly fellows that are new to our geriatrics and palliative care services."



Source:    AAHPM Blog
Author:     Martin
Excerpt:   "ACPE faculty member William “Marty” Martin presented a focused session on Coaching and Mentoring at the AAHPM Leadership Forum: Ascend program, September 14-16, 2014. AAHPM Ascend is a new intensive program included in the AAHPM’s comprehensive new Leadership Forum."



Source:    AAHPM Blog
Author:     O’Connor
Excerpt:   "ACPE faculty member Kevin E. O’Connor, CSP, presented focused sessions on Relationship Building and Change Management at the AAHPM Leadership Forum: Ascend program, September 14-16, 2014. AAHPM Ascend is a new intensive program included in the AAHPM’s comprehensive new Leadership Forum."



Source:    ALFA
Author:     N/A
Excerpt:   "A person-centered, family-oriented approach honoring individual preferences and promoting quality of life through the end of life should be a national priority, says a new report from the National Academies’ Institute of Medicine."



Source:    Health AGEnda
Author:     Langston
Excerpt:   "I’ve just started scratching the surface of the report and its recommendations. But I am happy to understand from reporting (see the New York Times article End-of-Life Care Needs Sweeping Overhaul, Panel Says) on the report, that the same anonymous donor who funded the IOM study also plans to support its dissemination and I hope it will have long legs and a lot of impact."



Source:    Medscape
Author:     Hackethal
Excerpt:   "The US health system needs major reform to ensure high-quality, affordable, and sustainable end-of-life care for Americans, according to a new Institute of Medicine (IOM) report called Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life."



Early Palliative Care Shows Survival Benefit
Source:    Clinical Oncology News
Author:     Bosworth
Excerpt:   "Expanding the evidence that palliative care has measurable clinical benefits in cancer patients, a new randomized study has found that patients who receive palliative care starting soon after the cancer diagnosis have a reduced risk for death at one year compared with patients whose palliative care is delayed by three months."



Source:    Palliverse
Author:     Chi
Excerpt:   "The 20th International Congress on Palliative Care was held in Montreal, Canada between 9-12 September 2014."



Source:    BMC Palliative Care
Author:     Erlenwein, et al
Excerpt:   "This survey clearly shows that for a consultation service to support patients with incurable or advanced disease, a multi-disciplinary approach is necessary to meet the complex requirements of a needs-adapted palliative care in inpatient or outpatient settings. Timely integration of palliative expertise may support symptom control and may give the required advice to patients, their carers, and their families."



 Hem-Onc 


The Breast: Ahead of Print

Source:    Medscape
Author:     Harrison
Excerpt:   "In patients with malignant spinal cord compression (MSCC), a single high dose of external-beam radiation therapy (EBRT) preserves mobility just as well as the standard approach of several lower doses of EBRT delivered over 5 days."



Electronic cigarette use among patients with cancer: Characteristics of electronic cigarette users and their smoking cessation outcomes
Source:    Cancer
Author:     Borderud, et al
Excerpt:   "The high rate of E-cigarette use observed is consistent with recent articles highlighting increased E-cigarette use in the general population. The current longitudinal findings raise doubts concerning the usefulness of E-cigarettes for facilitating smoking cessation among patients with cancer."



Source:    Current Treatment Options in Oncology
Author:     Sweatt, et al
Excerpt:   "Coordinated care with good patient and family education and support is paramount to maximizing the beneficial potential of the catheter. Complications are minimal, and catheters are easily removed if patients can no longer benefit from drainage, or if pleurodesis has occurred."



Health-related quality of life (HRQL) of advanced prostate cancer and its treatments: Biochemical failure and metastatic disease populations
Source:    Clinical Genitourinary Cancer
Author:     Sartor, et al
Excerpt:   "The conceptual model identified herein describes the impacts of PC and its treatments from the patient’s perspective. The model can be useful in identifying key concepts important to patients that should be measured in trials to capture treatment benefits. The model also can help inform the selection of patient-reported outcomes (PROs) to assess these benefits."



Source:    Clinical Genitourinary Cancer
Author:     Malik, et al
Excerpt:   "Advanced renal cancer patients with select clinical characteristics could consider phase I trials after exhausting standard therapeutic options."



Dignified death from a different perspective
Source:    The Lancet Oncology
Author:     Yaqub
Excerpt:   "According to the results of Karin Jors and colleagues' cross-sectional survey of how physicians and nurses viewed end-of-life care in 16 hospitals belonging to ten cancer centres in Baden-Wuerttemberg, Germany, 564 (50%) respondents in palliative care and other wards rarely or never had enough time to care for patients who were dying."



Source:    British Journal of Cancer
Author:     Chavarri-Guerra, et al
Excerpt:   "Despite suboptimal patient accrual, our results suggest that selected patients with metastatic breast cancer progressing on AI therapy can experience disease stabilisation and a period of observation after AI withdrawal. A randomised phase II trial is planned."



Source:    Cancer Nursing
Author:     Braga, et al
Excerpt:   "The results of this investigation will help nurses and other professionals in selecting the C recutita dosage used to manage oral mucositis in patients undergoing HSCT."



Source:    Current Treatment Options in Oncology
Author:     Attia, et al
Excerpt:   "Radiation-induced cognitive decline in cancer survivors who have received brain radiotherapy is an insidious problem with worsening severity over time. Because of improved survival with modern therapies, an increasing number of long term survivors are affected with limited options for treatment once diagnosed."



Survival Patterns in Squamous Cell Carcinoma of the Head and Neck: Pain as an Independent Prognostic Factor for Survival
Source:    The Journal of Pain
Author:     Reyes-Gibby, et al
Excerpt:   "Pretreatment pain was an independent predictor of survival in a large sample of HNSCC patients even after accounting for tumor node metastasis stage, fatigue, age, race/ethnicity, smoking, and alcohol intake. Therefore, symptoms at presentation and before cancer treatment are important factors to be considered in understanding survival outcomes in HNSCC patients."



 Pediatrics 

Author:     O’Sullivan, et al
Excerpt:   "Using opinions of children with cancer and parents of paediatric cancer patients, we successfully developed a symptom screening tool that is easy to complete, is understandable and demonstrates content validity."



Source:    ICPCN
Author:     N/A
Excerpt:   "Joseph’s story was recently released by Moonshine Movies as part of their Indiegogo campaign. In this short film, Joseph’s mother describes her initial shock at being referred to a children’s hospice until she realised that palliative care is far more than end of life care."



 Other Topics 

Author:     Krebs
Excerpt:   "This article describes primary care perspectives on guideline-recommended opioid management practices. Barriers identified in this study may contribute to underuse of recommended opioid management practices."



Source:    The Journal of Pain
Author:     Katz, et al
Excerpt:   "We applaud the recently published Methadone Safety Guidelines by Chou and colleagues for its comprehensive approach to ensuring patient safety during both initiation and maintenance phases of methadone treatment."










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 22, 2014

posted Sep 24, 2014, 7:22 PM by Pal Daily

 ATP Daily News - September 22, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Journal of the American Geriatrics Society: September 2014

Journal of Pain and Symptom Management: Ahead of Print

Journal of Geriatric Oncology: Ahead of Print


 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Source:    Kaiser Health News
Author:     Washington Post
Excerpt:   "Hospice agencies must subject themselves to government inspections at least once every three years under new legislation approved by Congress, part of a measure that addresses concerns about substandard operators in the booming industry."



Refreshing The Definitive List of Hospice and Pallaitive Blogs
Source:    Pallimed
Author:     Sinclair
Excerpt:   "Just in case you thought Pallimed and GeriPal were the only two hospice and palliative medicine blogs out there, I wanted to let you know I have finally gone back and refreshed our ongoing *UPDATED Hospice and Palliative Medicine Blog List*."



Source:    EAPC Blog
Author:     Van den Block
Excerpt:   "Over the past decade, important policies have been developed concerning ageing, chronic diseases, dementia and long-term care, at national level as well as at international level (e.g. by the European Commission, Council of Europe, World Health Organization, Organisation for Economic Co-operation and Development (OECD), United Nations)."



Media Watch 376
Source:    Palliative Care Network Community
Author:     Ashpole
Excerpt:   N/A - Weekly HPM news compilation.



Source:    Palliverse
Author:     Elissa
Excerpt:   N/A



Call for papers by Palliative Medicine for special edition
Source:    Palliverse
Author:     Fullerton
Excerpt:   "Palliative Medicine have put out a call for papers for a special edition focussing on integrated care for people with palliative care needs."



Source:    Weatherbee Network
Author:     Wilson
Excerpt:   "Am I a party pooper?  A Debbie Downer? You can decide, but I don't think the hospice provisions in the Impact Act of 2014 are going to do much to increase transparency, sort out the "good"  hospices from the "bad," or, sadly, improve the quality of care provided by hospices. Let me explain..."



Source:    Current Opinion in Supportive & Palliative Care
Author:     Marx, et al
Excerpt:   "With respect to the patient's autonomy, healthcare providers need to consider the family structure and its relations."



Source:    Current Opinion in Supportive & Palliative Care
Author:     Costantini, et al
Excerpt:   "The overall amount of evidence supporting the dissemination of end-of-life care pathways is rather poor. One negative randomized trial suggests the pathways have the potential to reduce the gap between hospital and hospices. Further research is needed to understand the potential benefit of end-of-life care pathways."



Source:    American Journal of Hospice and Palliative Medicine
Author:     Rafferty, et al
Excerpt:   "We used a mixed method approach, involving a content analysis of spouses’ reasons for seeking and avoiding conversations regarding their partners’ EOL care preferences, and examined whether certain demographic factors (eg, income, gender, age) more likely contributed to the initiation of EOL conversations. We situate our findings within the broader cultural discourse about death and dying and highlight the influence of uncertainty in spousal EOL communication."



 Geri | Dementia 

Author:     Cabrera, et al
Excerpt:   "Psychosocial interventions have been shown to have the potential to improve the QoL and QoC of people with dementia in nursing homes. Before implementation of the intervention, it is recommended that activities are adjusted according to residents’ characteristics and external factors controlled to achieve effectiveness and to structure a well-designed intervention. However, there is not enough evidence to support the effectiveness of non-pharmacological interventions in general. Further well-designed research is needed on non-pharmacological interventions in nursing facilities."



 Neuro | Stroke 


Source:    Current Treatment Options in Neurology
Author:     Ondo, et al
Excerpt:   "Restless legs syndrome (RLS) is a complicated sensory-motor syndrome. The pathology is increasingly understood, but a clear physiologic understanding still remains elusive."



Source:    Journal of Neurology
Author:     Demartini, et al
Excerpt:   "Our data suggest that a specialized multidisciplinary inpatient programme for FNS can provide long-lasting benefits in the majority of patients. Good outcome at discharge was exclusively predicted by improvement in the HoNOS which continued to improve over the 1 year following discharge."



 Allied Health 

Author:     Jessica
Excerpt:   "The palliative social work voice is being heard.  With social work services and the social work profession identified and supported throughout the report, it is clear that the importance of the social work role is increasingly recognized by our interdisciplinary palliative care and hospice colleagues."



 Heart | Lungs 









See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 20, 2014

posted Sep 22, 2014, 6:48 PM by Pal Daily

 ATP Daily News - September 20, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Hospice and Palliative Medicine SmartBrief: September 19, 2014
Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Source:    Modern Healthcare
Author:     Associated Press
Excerpt:   "Americans suffer needless discomfort and undergo unwanted and costly care as they die, in part because of a medical system ruled by "perverse incentives" for aggressive care and not enough conversation about what people want, according to a report released Wednesday."



Source:    EAPC Blog
Author:     N/A
Excerpt:   "Welcome to Palliverse, a website and online community designed to connect palliative care researchers, clinicians, ideas and funding sources, with an Australian and New Zealand focus."



In the end, it is about Life
Source:    Sunrise Rounds
Author:     Salwitz
Excerpt:   "The Institute of Medicine of the National Academies has released their long anticipated 500-page report, titled Dying in America – Improving Quality and Honoring Individual Preferences near the End of Life."



Source:    National POLST
Author:     N/A
Excerpt:   "The Institute of Medicine Committee on Approaching Death: Addressing Key End-of-Life Issues has released a new report titled “Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.”"



Source:    GeriPal
Author:     Smith
Excerpt:   "I'd like to draw GeriPal readers attention to the new report issued by the Institute of Medicine titled, "Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.""



Source:    GeriPal
Author:     Smith
Excerpt:   "You may have heard of a new article in the Atlantic by Dr. Ezekiel Emanuel provocatively titled, "Why I Hope to Die at 75"."



Source:    Alberta Hospice Palliative Care Association
Author:     Kurchak
Excerpt:   "Participants at last week’s 20th International Congress of Palliative Care in Montreal were compelled to immediate action by Canadian visionary Stephen Lewis."



Source:    NHPCO Updater
Author:     N/A
Excerpt:   "Hospice provisions added to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) will create increased transparency within the hospice community."



Source:    Journal of Medical Ethics
Author:     Hebron, et al
Excerpt:   "We refute the notion that it is the role of the court to prolong life insofar as it can and argue that withholding and withdrawing life sustaining technologies from patients in a minimally conscious state can be ethically justified."



A simple change? The IOM Report on “Dying in America”
Source:    Bioethics.net
Author:     Klugman
Excerpt:   "Say there was a simple change that could be made to the health care system that would reduce cost, reduce demand, increase patient’s quality of life and satisfaction, address the whole patient and not just the disease, improve care coordination, and increase patient autonomy. All of this is possible, but it requires addressing the problem that in America we do not die as we want to."



Source:    Weatherbee Network
Author:     Brandt
Excerpt:   "It's been 17 years since the Institute of Medicine (IOM) released their original end-of-life focused report,  Approaching Death: Improving Care at the End of Life. Today (September 17, 2014), during a live-streamed event, the IOM released Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life."



Source:    Current Opinion in Critical Care
Author:     Hua, et al
Excerpt:   "Developing a mixed model of palliative care delivery is necessary to meet the palliative care needs of critically ill patients. Efforts focused on improving integrative models and appropriately targeting the use of palliative care consultants are needed."



Source:    BMJ News
Author:     McCarthy
Excerpt:   "The US health system needs to undergo major changes if it is to meet the needs of patients nearing the end of life, a new report from the US Institute of Medicine has said."



Source:    C-TAC
Author:     Broyles
Excerpt:   "The report released today by the Institute of Medicine, Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life, marks a critical milestone in the evolution of how we care for the sickest and most vulnerable people in this country."



Source:    The WPCA
Author:     N/A
Excerpt:   "World Hospice and Palliative Care Day will take place on October 11 2014 with celebrations and activities in over 60 countries around the world."



Developing a best practice model for partnership practice between specialist palliative care and intellectual disability services: A mixed methods study
Source:    Palliative Medicine
Author:     McLaughlin, et al
Excerpt:   "Joint working and learning between intellectual disability and specialist palliative care were seen as key and fundamental. A framework for partnership practice between both services has been developed which could have international applicability and should be explored with other services in end-of-life care."



Patients’ perception of implantable cardioverter defibrillator deactivation at the end of life
Source:    Palliative Medicine
Author:     Hill, et al
Excerpt:   "Patients regard the implantable cardioverter defibrillator as a complex and solely beneficial device, with little insight regarding its potential impact on a peaceful death. This review confirms the need for professionals to discuss with patients and families implantable cardioverter defibrillator functionality and deactivation at appropriate opportunities."



Source:    Journal of Pain and Symptom Management
Author:     Fischer, et al
Excerpt:   "A culturally tailored patient navigator intervention was feasible and suggests improved palliative care outcomes for Latinos facing advanced medical illness, justifying a fully powered randomized controlled trial."



Source:    Journal of Pain and Symptom Management
Author:     Ah, et al
Excerpt:   "Perceived cognitive ability was highly correlated with objective neuropsychological performance and may be clinically useful in identifying problems with verbal memory and executive functioning in BCS."



 Hem-Onc 


Source:    Integrative Cancer Therapies
Author:     Cramer, et al
Excerpt:   "Conclusions. This systematic review found sparse but promising evidence for the effectiveness of hypnosis in breast cancer care."



Aspirin use after diagnosis but not prediagnosis improves established colorectal cancer survival: a meta-analysis
Source:    Gut
Author:     Li, et al
Excerpt:   "These findings provide further indication that postdiagnosis aspirin therapy improved CRC overall survival, especially for patients with positive PTGS2 (COX-2) expression and mutated PIK3CA tumours."



Psychosocial outcomes of e-feedback of radiotherapy for breast cancer patients: a randomized controlled trial
Source:    Psycho-Oncology
Author:     Siekkinen, et al
Excerpt:   "The e-Re-Know seems to have positive effects on psychosocial outcomes for breast cancer patients. They might gain additional value from the e-Re-Know over a longer time period. Further research needs to focus more on development of e-feedback in patient education. "



Source:    Supportive Care in Cancer
Author:     Rabow, et al
Excerpt:   "Among patients with cancer receiving concurrent oncologic and palliative care, spiritual well-being was not associated with patient age, gender, or race, or disease stage. It was correlated with physical and emotional symptoms. Spiritual well-being scores improved from just prior to the initial PC consultation to just prior to the first PC follow-up visit."



Source:    Supportive Care in Cancer
Author:     Myers, et al
Excerpt:   "Given the ongoing challenge of inaccurate survival estimates, this data suggests what may be of greatest clinical utility is to use specific PPS ratings as triggers for key care discussions among patients with incurable and progressive cancer."



 Geri | Dementia 

Author:     Barone
Excerpt:   ""Using a simple assessment tool, we were able to objectively identify the frail at-risk patients, which allowed us to implement a preoperative palliative care strategy to confirm goals of care and alert our teams --OR, anesthesia, ICU -- of a high-risk patient needing attention for potential rescue therapy," Dr. Jason M. Johanning from the Nebraska Western Iowa Veterans Affairs Medical Center told Reuters Health by email."



 Allied Health 

Author:     Siegel
Excerpt:   "You can read chaplains' stories and best practices in this new article Who Decides When to "Pull the Plug" and What is the Chaplain's Responsibility?  http://bit.ly/1uOvlV6"



Journal of Social Work: new issue available now
Source:    Palliative-SW
Author:     Jessica
Excerpt:   "We are enjoying the latest issue of Journal of Social Work in End-of-Life & Palliative Care."



 Heart | Lungs 

Author:     Grolimund, et al
Excerpt:   "In patients hospitalized for COPD exacerbation, discharge ProADM levels appeared to accurately predict 5–7-year all-cause mortality and to improve long-term prognostic accuracy of multidimensional demographic/clinical mortality risk assessment."



Source:    KevinMD
Author:     Widera
Excerpt:   "“He’d feel okay about not replacing the pacemaker’s battery when it ran down, he said. But turning it off, he said, would be ‘too active.’ Later he would tell me that it would have been “like putting a pillow over your father’s head.”"



 Liver | Kidney 

Author:     Tanaka, et al
Excerpt:   "These results suggested that normalization of ALT levels with additional bezafibrate treatment significantly decreased the rate of occurrence of liver-related symptoms in asymptomatic PBC patients with suboptimal response to UDCA."



Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis
Source:    BMC Medicine
Author:     Mokdad, et al
Excerpt:   "Liver cirrhosis is a significant cause of global health burden, with more than one million deaths in 2010. Our study identifies areas with high and/or rapidly increasing mortality where preventive measures to control and reduce liver cirrhosis risk factors should be urgently strengthened."



 Pediatrics 

Author:     Kath
Excerpt:   "We were thrilled to have been contacted by our friend Mike Hill, of Moonshine Movies, recently to let us know about his newest project – Little Stars. In the one-hour Little Stars film they have captured surprisingly life-affirming stories of children around the world (8 countries to date in the USA, South Africa, India, Australia, Malaysia, Italy, Jordan and Russia) living with life-limiting illnesses."



 Other Topics 

Author:     Buchman, et al
Excerpt:   "This paper argues that opioid contracts represent a misleading appeal to patient–physician trust. Assuming the patient is untrustworthy may wrongfully undermine the credibility of the patient's testimony, which may exacerbate certain vulnerabilities of the person in pain."










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 18, 2014

posted Sep 20, 2014, 6:47 PM by Pal Daily

 ATP Daily News - September 18, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Critical Care Medicine: October 2014

Journal of Palliative Medicine: Ahead of Print

Supportive Care in Cancer: Ahead of Print


 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:

Hospice and Palliative Medicine SmartBrief: September 17, 2014
Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Source:    Pallimed
Author:     Sinclair
Excerpt:   "Today, the Institute of Medicine released a new report called "Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life." I had the pleasure of serving on the committee for the past 18 months*, which makes me so excited to finally share this report publicly."



Source:    EAPC Blog
Author:     Bentley
Excerpt:   "Finding the resources for nurses to complete original research is not always easy but it is achievable. Allison Bentley, Specialist Palliative Care Nurse, St Nicholas Hospice Care, Bury St Edmunds, Suffolk, UK, and doctoral student, explains how and why she persevered."



Wellcome Trust project moves closer to start date - and lots of ideas developing!
Source:    End of Life Studies
Author:     Clark
Excerpt:   "Interventions at the end of life – social, comparative and historical analysis to promote global improvement.  It’s an unwieldy title and it contains a lot of dimensions.  It will be a challenging project to design, to conduct and to deliver. But what an opportunity to invest major time and resources in an issue of such importance!"



News Article : CMS Scales Back Prior-Authorization Policy for Hospices
Source:    American Society of Hospital Pharmacists
Author:     Traynor
Excerpt:   "The Centers for Medicare and Medicaid Services (CMS) on July 18 eased a weeks-old policy that had sent hospice programs scrambling to secure Medicare Part D coverage for medically necessary medications not included in the hospice benefit."



How to participate in #hpmJC - palliative care Twitter journal club
Source:    Palliverse
Author:     Elissa
Excerpt:   "Interested in Twitter journal club but not sure what it’s all about? Keep reading. The next #hpmJC will be held on 29th September 2014, 10pm AEST (noon GMT). "



This Quarter in Health Reform: Summer 2014 Roundup
Source:    Palliative in Practice
Author:     Warner
Excerpt:   "Greetings, Palliative in Practice readers, and welcome to your September edition of This Quarter in Health Reform. It was a mild summer here in the northeast, perfect weather for throwing another hotdog on the grill and abandoning your commitment to take up beach volleyball."



Source:    Kaiser Health News
Author:     Gold
Excerpt:   "It is time for conversations about death to become a part of life. That is one of the themes of a 500-page report, titled "Dying In America," released Tuesday by the Institute of Medicine."



Changes would improve end-of-life care, report says
Source:    Info Long-Term Care
Author:     Bowers
Excerpt:   "A new report from the Institute of Medicine (IOM) recommends several changes to the U.S. healthcare system to meet the needs of people nearing the end of life as well as the needs of their families."



Source:    Annals of Internal Medicine
Author:     Butler, et al
Excerpt:   "The 16 published studies testing decision aids as interventions for adult advance care planning found that most are proprietary or not publicly available. Some are constructed for the general population, whereas others address disease-specific conditions that have more predictable end-of-life scenarios and, therefore, more discrete choices. New decision aids should be designed that are responsive to diverse philosophical perspectives and flexible enough to change as patients gain experience with their personal illness courses."



Source:    American Journal of Hospice and Palliative Care
Author:     Petteys, et al
Excerpt:   "This study supports the feasibility of evaluating NICU PC services. Infants referred for PC typically have higher morbidity/mortality; therefore, higher parental stress scores may be expected. Stress levels were similar in both cohorts, thus PC did not increase stress and may decrease PC parent stress."



 Hem-Onc 


Source:    Seminars in Radiation Oncology
Author:     Ferguson, et al
Excerpt:   "The incidence of glioblastoma (GBM) has been increasing over the past several decades with majority of this increase occurring in patients older than 70 years. In spite of the growing body of evidence in this area, it is still unclear as to the optimal management of elderly patients with GBM."



An Overview of Chemotherapy-Related Cognitive Dysfunction, or ‘Chemobrain’
Source:    Oncology
Author:     Moore
Excerpt:   "Pharmacologic treatments do not have proven value in the management of chemotherapy-related cognitive dysfunction, but patients may benefit from cognitive rehabilitation. Clinical guidelines are needed for assessment and management of chemotherapy-related cognitive dysfunction."



 Geri | Dementia 

Author:     Schrijver, et al
Excerpt:   "The HARPOON study will provide relevant information on the efficacy and safety of prophylactic haloperidol treatment for in-hospital delirium and its effects on relevant clinical outcomes in elderly at-risk medical and surgical patients."



Review: Supervised withdrawal plus other interventions reduces benzodiazepine use in older persons
Source:    Annals of Internal Medicine
Author:     ACP Journal Club
Excerpt:   Re: "In long-term benzodiazepine users, primary care–based, structured, tapering interventions reduced use"



Source:    CMAJ News
Author:     Vogel
Excerpt:   "Canada cannot ignore the threat dementia poses to our health system when it comes to cost and care, Health Minister Rona Ambrose urged at a Sep. 11 legacy event in Ottawa. "



 Allied Health 

Author:     Garschagen, et al
Excerpt:   "Active coping seems beneficial for maintaining positive long-term outcomes of interdisciplinary pain rehabilitation Spiritual care may be conducive to active coping. Further research is warranted to explore the additive value of this spiritual care in the context of a multidimensional care pathway."



 Heart | Lungs 

Author:     N/A
Excerpt:   "Patients in Sweden with an implantable cardioverter defibrillator often have misperceptions about its function at the end of life that could influence decision-making regarding care, according to results presented at the Heart Failure Society of American Annual Scientific Meeting."



Source:    JAMA
Author:     Calverley
Excerpt:   "Evidence-based medicine is central to modern medical practice and relies on the availability of data from appropriately conducted randomized clinical trials (RCTs)."



Source:    JAMA
Author:     Gershon, et al
Excerpt:   "Among older adults with COPD, particularly those with asthma and those not receiving a long-acting anticholinergic medication, newly prescribed LABA and inhaled corticosteroid combination therapy, compared with newly prescribed LABAs alone, was associated with a significantly lower risk of the composite outcome of death or COPD hospitalization."



Impact of anxiety and depression on respiratory symptoms
Source:    Respiratory Medicine
Author:     Leander, et al
Excerpt:   "In conclusion, there is a strong association between respiratory symptoms and psychological status. There is therefore a need for interventional studies designed to improve depression and anxiety in patients with respiratory symptoms."



 Other Topics 


 Lay Press 


Source:    Wall Street Journal
Author:     Sadick
Excerpt:   "Ask most people what palliative care is, and they'll likely say it's where doctors and nurses help people die."



Source:    Forbes
Author:    Gleckman 
Excerpt:   "Hospice is facing unprecedented public criticism. In recent months, The Washington Post has published at least four highly critical articles, alleging widespread instances of poor care and fraud. In June, The Huffington Post published a long investigative piece largely targeting the practices of the for-profit hospice operator  Vitas Healthcare Corp."








See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 16, 2014

posted Sep 18, 2014, 5:04 PM by Pal Daily

 ATP Daily News - September 16, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Recently in Clinical Gastroenterology and Hepatology:

Recently in JAMDA:

  • Call for papers for a SPECIAL EDITION
  • Moving from research generation to knowledge translation in end-of-life care in long term care
  • The challenges of uncertainty and interprofessional collaboration in palliative care for non-cancer patients in the community: A systematic review of views from patients, carers and health-care professionals
  • The effect of using high facilitation when implementing the Gold Standards Framework in Care Homes programme: A cluster randomised controlled trial
  • Hospitalizations of nursing home residents with dementia in the last month of life: Results from a nationwide survey
  • Patterns of dignity-related distress at the end of life: A cross-sectional study of patients with advanced cancer and care home residents
  • Patients’, family caregivers’, and professionals’ perspectives on quality of palliative care: A qualitative study
  • The doctor’s role in helping dying patients with cancer achieve peace: A qualitative study
  • Formal and informal support of family caregivers managing medications for patients who receive end-of-life care at home: A cross-sectional survey of caregivers
  • A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital
  • Physician-assisted death is less frequently performed among women with a lower education: A survey among general practitioners


 Palliative 


Recently at eHospice:

Recently at Medical Futility Blog by Thaddeus Pope:

Recently at GeriPal:


Source:    Pallimed
Author:     Rosenberg 
Excerpt:   "In preparation for the 9/17/14 #hpm Tweetchat, guest host Dr. William Rosenberg summarizes a few of the neurosurgical interventions which may be useful in palliative care."



Source:    Pallimed
Author:     Ingram
Excerpt:   "When Balfour Mount, father of Palliative Medicine in North America, coined the term Palliative Care more than 40 years ago it may have been difficult to envision 1600 people from more than 60 countries making their pilgrimage to Montreal for the biannual celebration of the specialty at the 20th International Congress on Palliative Care."



Different kinds of meaning help us understand what’s going on
Source:    EAPC Blog
Author:     Payne
Excerpt:   "Malcolm Payne, Honorary Professor, Kingston University/St George’s University of London, Faculty of Health, Social Care and Education, UK, explains the background to his longer article that is published in the September/October issue of the European Journal of Palliative Care."



Federal Health Minister says Canada needs better Palliative Care
Source:    Alberta Hospice Palliative Care Association
Author:     N/A
Excerpt:   "The federal health minister says Canada needs to do better when it comes to elderly and Palliative Care. Rona Ambose sat down with CBC News for an exclusive interview."



Source:    AAHPM
Author:     Talebreza
Excerpt:   "In the fall 2014 Quarterly Clinical Pearls Article “Goals-of-Care Discussions for Deprescribing,” Dr. Talebreza shares ways (and even a sample script) for healthcare providers to engage patients in decision making regarding medication deprescribing. The following is a tool, created by Dr. Talebreza, to help hospice professionals to determine the category of the hospice medication and to initiate a conversion with the patient and his or her family about the topic."



Latecomers to hospice frequently are male, have certain cancers, Penn researchers find
Source:    McKnight's LTC News
Author:     Mullaney
Excerpt:   "Men and patients with certain types of cancer are among those less likely to enroll in hospice, suggesting that healthcare providers should focus on presenting these groups with all their end-of-life care options, according to newly published findings."



Striving for better research: Transparency, reproducibility, robustness
Source:    Palliverse
Author:     Anna
Excerpt:   "Transparency, reproducibility, and robustness… These are central concepts to undertaking thorough research that, importantly, can be replicated or reliably used by the broader field of science to advance medicine… or whatever field it is that we choose to dabble in."



Media Watch 375
Source:    Palliative Care Network Community
Author:     Ashpole
Excerpt:   N/A - weekly HPM news collection



 Hem-Onc 


Supportive Care in Cancer: Ahead of Print


Source:    Intensive Care Medicine
Author:     Puxty, et al
Excerpt:   "Several factors have been associated with poor survival in ICU cancer patients; however, primary research is still needed to describe outcomes in cancer patients with sufficient case mix and treatment details to be of prognostic value to clinicians."



Patients with hematologic malignancies have many reasons to die during extracorporeal membrane oxygenation
Source:    Critical Care
Author:     Schmidt, et al
Excerpt:   "We read with great interest the article by Wohlfarth and colleagues [1] regarding the use of extracorporeal membrane oxygenation (ECMO) in 14 adult patients with hematological malignancies. We would like to highlight two main points."



Source:    ONS Connect
Author:     McBride
Excerpt:   "Although community-based palliative care teams have been shown to improve symptom management and increase patient satisfaction, the evidence on whether such teams can help avoid acute hospital care and hospital deaths has been mixed."



 Geri | Dementia 

Author:     Gellie, et al
Excerpt:   "Progress being made in Advance Care Planning and palliative care is limited by the existing paradigm of death as a ‘foe to be conquered’. It is time for a shift in this paradigm."



Discussing Physician-Assisted Dying: Physicians’ Experiences in the United States and the Netherlands
Source:    The Gerontologist
Author:     Voorhees, et al
Excerpt:   "Discussion of PAD is an energy-consuming, yet potentially enriching part of the doctor–patient relationship. Legal guidelines may help to provide structure and support for physicians when patients broach the topic of PAD."



Complicated Grief in Older Adults: A Randomized Controlled Trial of Complicated Grief Group Therapy
Source:    The Gerontologist
Author:     Supiano, et al
Excerpt:   "The high level of clinical significance suggests that CGGT participants were effectively treated for CG. This study offers evidence that CGGT holds promise for treatment of CG in older adults and merits inquiry in other populations."



 Heart | Lungs 

Author:     Nordanstig, et al
Excerpt:   "An invasive treatment strategy improves health-related quality of life and intermittent claudication distance after 1 year in patients with stable lifestyle-limiting claudication receiving current medical management."



Source:    Current Opinion in Critical Care
Author:     Khandelwal, et al
Excerpt:   "Advance care planning and palliative care can reduce ICU utilization at the end of life. The degree to which reducing ICU utilization decreases emotional and financial burden of end-of-life care for patients and families is unknown."



 Other Topics 

Author:     N/A
Excerpt:   "The U.S. Food and Drug Administration today approved Movantik (naloxegol), an oral treatment for opioid-induced constipation in adults with chronic non-cancer pain."



Source:    PAIN
Author:     Stein, et al
Excerpt:   N/A










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 13, 2014

posted Sep 16, 2014, 6:33 PM by Pal Daily

 ATP Daily News - September 13, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Journal of Palliative Medicine: Ahead of Print



 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Source:    Pallimed
Author:     Miles
Excerpt:   "One cannot work in end of life care without being challenged by boundary issues. Hospice and palliative care professionals are present during the most intimate time of a person’s life – their death."



A Lesson from Joan
Source:    Death with Dignity National Center
Author:     Barber
Excerpt:   "Joan Rivers—love her or hate her—was a larger than life personality. She bucked the notion that women can't be funny and paved the way for many other female comedians to step into the limelight."



This Week in the Movement
Source:    Death With Dignity National Center
Author:     Barber
Excerpt:   "Throughout the week, we keep people up-to-date about the Death with Dignity movement and other topics related to end-of-life care through Facebook, Twitter and Pinterest. Below are highlights from the last several weeks."



Source:    GeriPal
Author:     Covinsky
Excerpt:   "When I was a resident, it was routine to place urine catheters (a catheter threaded up the urethra, into the bladder) in older patients when they landed in the hospital."



Source:    It's OK to Die
Author:     Williams-Murphy
Excerpt:   "Ultimately, the story of your life is not your own but affects all whom you have ever known. The story of your life carries great power. That’s why we are so moved by the stories of individuals who have overcome unusual odds."



Source:    Weatherbee Resources
Author:     Cooley
Excerpt:   "By now you have hopefully heard about the changes regarding the hospice Notice of Election (NOE), Notice of Termination/Revocation (NOTR), and processes for identifying/changing the attending physician that take effect October 1, 2014. This blog post details these changes and identifies best practices to comply with the changes."



Source:    Fierce Healthcare
Author:     MacDonald
Excerpt:   "The reason Rivers' daughter could make the decision to stop medical artificial intervention was because her mother planned and recorded her wishes ahead of time. She had an advance directive in place to allow her daughter to make the difficult decision on her behalf, Forbes noted."



Source:    Current Opinion in Critical Care
Author:     Romain, et al
Excerpt:   "Through proper open communication and understanding of the patient's and/or family's views on EOL care and involvement of religious leaders, decisions can be made regarding how to further care for the patient."



Continuous palliative sedation therapy
Source:    Canadian Family Physician
Author:     Voeuk, et al
Excerpt:   "Although there are various types of sedation, including intermittent and respite sedation, and sedation as a side effect of medications such as opioids,2 continuous palliative sedation therapy (CPST) at or near the end of life is the focus of this article."



Accompanying our patients at the end of their journey
Source:    Canadian Family Physician
Author:     Lemire, et al
Excerpt:   "The CFPC recently held an invitational colloquium on end-of-life care. Other professional associations (the Canadian Medical Association and the Canadian Society of Palliative Care Physicians, among others) are also engaging their members in discussing these issues."



Source:    American Journal of Hospice and Palliative Medicine
Author:     Lofgren, et al
Excerpt:   "Early palliative care may narrow this gap between providers’ and patients’ perceptions of needs through good communication and targeting barriers, such as housing instability, which are vital to overcome for consistent long-term follow up."



Source:    American Journal of Hospice and Palliative Medicine
Author:     Seaman, et al
Excerpt:   "Caregivers of decedents who utilized hospice reported positive quality outcomes and greater involvement in care. Utilization of hospice services was associated with beneficial outcomes at EOL, but with increased involvement of EOL caregivers."



Improving Access To High Quality Hospice Care: What Is The Optimal Path?
Source:    Health Affairs Blog
Author:     Aldridge, et al
Excerpt:   "High quality hospice care is consistent with the country’s stated health care reform goals: hospice is person-centered, improves clinical outcomes such as pain and satisfaction, is provided by a multidisciplinary care team, is coordinated across care settings, reduces unnecessary hospitalizations, and saves health care dollars."



 Hem-Onc 


Source:    Radiation Oncology
Author:     Foerster, et al
Excerpt:   "RT is capable of improving stability of osteolytic spinal metastases from gynecologic cancer by facilitating re-ossification in survivors. KPS may be a predictor for response."



Alleviating the Crisis in Cancer Care
Source:    Journal of the National Cancer Institute
Author:     Delude, et al
Excerpt:   "A 2013 Institute of Medicine (IOM) report warned that U.S. cancer care is in a state of crisis, for reasons that will worsen in coming decades."



Cognitive function and fatigue after diagnosis of colorectal cancer
Source:    Annals of Oncology
Author:     Vardy, et al
Excerpt:   "The incidence of cognitive impairment was 3-5 times higher in CRC patients than HC, with women having higher impairment rates than men. The cognitive impairment profile suggests dysfunction primarily in fronto-subcortical brain systems."



 Geri | Dementia 

Author:     Klapwijk, et al
Excerpt:   "In these patients with dementia and expected death, a low symptom burden was observed with validated instruments, also in dehydrated patients without aggressive treatment. A good death is possible, but might be enhanced if the symptom burden is regularly assessed with validated instruments."



Multidimensional Prognostic Index Predicts Mortality and Length of Stay During Hospitalization in the Older Patients: A Multicenter Prospective Study
Source:    The Journals of Gerontology: Series A
Author:     Volpato, et al
Excerpt:   "In older acute care inpatients, MPI score assessed at hospital admission is an independent predictor of in-hospital mortality and the length of hospital stay."



Management of dementia-related agitation: between the devil and the deep blue sea
Source:    Evidence-Based Mental Health
Author:     Passmore, et al
Excerpt:   "In care-home dementia residents, training paid caregivers in person-centred care, communication skills and dementia mapping (focusing on patient needs and with supervision of trained caregivers during implementation) significantly reduced agitation at implementation and for up to 6 months afterwards."



 Neuro | Stroke 

Author:     Harashima, et al
Excerpt:   "We find that type 2 diabetes is a possible risk factor for RLS in the Japanese population, and that pramipexole treatment can improve the symptoms of RLS as well as the quality of sleep and glycaemic control in these patients."



 Heart | Lungs 


Source:    Intensive Care Medicine
Author:     De Waele, et al
Excerpt:   "Although reducing antibiotic use is an essential strategy to reduce antimicrobial pressure, it is important that it remains safe from the patient’s perspective."



Efficacy of lower-limb muscle training modalities in severely dyspnoeic individuals with COPD and quadriceps muscle weakness: results from the DICES trial
Source:    Thorax
Author:     Chaplin, et al
Excerpt:   "Finding an effective rehabilitative modality that does not evoke severe dyspnoea is indeed of great interest to clinicians. The DICES trial aims to identify the optimal training modality by studying the efficacy of high-frequency neuromuscular electrical stimulation (NMES), and low-frequency NMES or strength training in severely dyspnoeic individuals with COPD with quadriceps muscle weakness at baseline."



A crossover randomised controlled trial of oral mandibular advancement devices for obstructive sleep apnoea-hypopnoea (TOMADO)
Source:    Thorax
Author:     Quinnell, et al
Excerpt:   "Non-adjustable MADs achieve clinically important improvements in mild to moderate OSAHS and are cost-effective. Of those trialled, the semi-bespoke MAD is an appropriate first choice."



 Pediatrics 

Author:     Yang, et al
Excerpt:   "This study provided an objective analysis of all currently available data for pediatric RMS from the SEER cancer registry. A nomogram based on parameters that are measured on a routine basis was developed. The nomogram can be used to predict 5- and 10-year OS with reasonable accuracy."



Source:    ICPCN
Author:     N/A
Excerpt:   "Watch the unreleased short film “Marmaduke’s Story” about childhood cancer and palliative care in Australia from the Little Stars series."



Source:    ICPCN
Author:     N/A
Excerpt:   "On Wednesday 10 September 2014, in Panama City, Professor Julia Downing was awarded the Robert Tiffany Nursing Lectureship which honours those within cancer nursing who have made a significant contribution to cancer practice, education, research or management at a national, regional and/or international level."



 Other Topics 

Author:     PMN Staff
Excerpt:   "The federal government is now recommending that chronic pain patients taking high doses of extended-release/long-acting opioids also be prescribed naloxone to prevent overdose."



 Lay Press 


Source:   New Old Age Blog - New York Times
Author:    Span Graham
Excerpt:  ""



Author:     Doyle
Excerpt:   "When asked what Medicare should cover for cancer patients in their last months of life, many patients and their caregivers choose benefits the federal insurance does not offer, like home-based long term care and concurrent palliative care, according to a new study based on interviews."










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 11, 2014

posted Sep 13, 2014, 5:22 PM by Pal Daily

 ATP Daily News - September 11, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


  • Relationship Between Symptom Burden, Distress, and Sense of Dignity in Terminally Ill Cancer Patients
  • Associations Between Objectively Measured Physical Activity and Quality of Life in Cancer Patients With Brain Metastases
  • Methadone for Pain and the Risk of Adverse Cardiac Outcomes
  • Management of Ethical Issues Related to Care of Seriously Ill Dialysis Patients in Free-Standing Facilities
  • Fatigue in Family Caregivers of Adult Intensive Care Unit Survivors
  • Progressive Development and Enhancement of Palliative Care Services in Japan: Nationwide Surveys of Designated Cancer Care Hospitals for Three Consecutive Years
  • Holding Back Moderates the Association Between Health Symptoms and Social Well-Being in Patients Undergoing Hematopoietic Stem Cell Transplantation
  • A Pilot Study of the Experience of Family Caregivers of Patients With Advanced Pancreatic Cancer Using a Mixed Methods Approach
  • Nurse and Physician Barriers to Spiritual Care Provision at the End of Life
  • Symptom Clusters in Patients With Advanced Cancer: A Systematic Review of Observational Studies
  • Does Adherence to National Comprehensive Cancer Network Guidelines Improve Pain-Related Outcomes? An Evaluation of Inpatient Cancer Pain Management at an Academic Medical Center
  • The Influence of Patients' Quality of Life at the End of Life on Bereaved Caregivers' Suicidal Ideation
  • Dyspnea and Panic Among Patients With Newly Diagnosed Non-Small Cell Lung Cancer
  • Implantable Cardioverter Defibrillator Deactivation: A Hospice Quality Improvement Initiative
  • Reflections on the Sidney Project™: Can We Talk? Can We Give Voice to the Taboo Topics That Are Usually Not Embraced in Residency Medical Education?
  • The Steak Dinner—A Professional Boundary Crossing
  • PC-FACS



 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Recently at Palliverse:


Source:    AAHPM Blog
Author:     Martin
Excerpt:   "ACPE faculty member William “Marty” Martin will present a focused session on Coaching and Mentoring at the AAHPM Leadership Forum: Ascend program, September 14-16, 2014. AAHPM Ascend is a new intensive program included in the AAHPM’s comprehensive new Leadership Forum."



National Center Board Member to Present at Biennial Right to Die Conference
Source:    Death With Dignity National Center
Author:     Barber
Excerpt:   "People the world over desire to control their own end-of-life care. While the Death with Dignity National Center's focus is on supporting and promoting US Death with Dignity laws, there are groups across the globe who work toward developing similar laws in their countries."



Source:    End of Life Studies
Author:     Clark
Excerpt:   "To paraphrase the Beatles, it was 20 years ago this summer that a remarkable  group of clinicians, academics and activists got together under the patronage of the billionaire philanthropist, George Soros, to create an initiative with the disarming goal of transforming the culture of dying – in a society that is perhaps more death denying than any other the world has known."



Source:    Current Opinion in Supportive & Palliative Care
Author:     Nakajima, et al
Excerpt:   "The determinants of the quality of life, dying, and death vary among individuals, and individuality is essential to define what is important for each patient. Clinicians need to make a decision based on the perceived benefits and harms of artificial hydration therapy in individual patient circumstances."



Source:    JAMA Surgery
Author:     Ernst, et al
Excerpt:   "Our data suggest that a systematic frailty-screening program effectively identifies at-risk surgical patients and is associated with a significant reduction in mortality for patients undergoing palliative care consultation. Analysis also suggests that preoperative palliative care consultations ordered by surgeons are associated with reduced mortality rates."



Barriers and facilitators to implementation of the Liverpool Care Pathway in the Netherlands: a qualitative study
Source:    BMJ Supportive & Palliative Care
Author:     Raijmakers, et al
Excerpt:   "The Dutch experience with large-scale implementation of the LCP has identified important barriers and facilitators to the implementation of a quality instrument within palliative care. To successfully implement such a promising instrument, liaison with others is important. The sense of being part of a process of improvement is valuable, while consolidation of this idea contributes to successful implementation."



 Hem-Onc 


Source:    Annals of Surgical Oncology
Author:     Schubart, et al
Excerpt:   "Utilizing the ET, more than one-third of women screened met criteria for psychological distress. Younger age at diagnosis and more extensive surgery were risk factors. The ET is a simple validated screening tool that identifies patients in need of further psychological evaluation without impacting clinic throughput time."



Source:    Medscape
Author:     Castellino
Excerpt:   "A provocative and novel use of the Common Terminology Criteria for Adverse Events (CTCAE) from the National Cancer Institute has been proposed by a clinician who is concerned about the ill effects of the cost of cancer treatment."



Grief reactions and impact of patient death on pediatric oncologists
Source:    Pediatric Blood & Cancer
Author:     Granek, et al
Excerpt:   "Grief over patient death and the emotional labour involved in these losses are a robust part of the pediatric oncology workplace and have major impacts on pediatric oncologist's personal and professional lives."



Cancer caregiving predicts physical impairments: Roles of earlier caregiving stress and being a spousal caregiver
Source:    Cancer
Author:     Kim, et al
Excerpt:   "The current findings suggest that the adverse long-term health effects of earlier caregiving stress and of being a spousal caregiver should be acknowledged and that caregiving-related stress management programs should be incorporated into routine health care for family caregivers of cancer patients."



Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: Results of a randomized pilot trial
Source:    Cancer
Author:     Badr, et al
Excerpt:   "These findings support intervention feasibility, acceptability, and preliminary efficacy. By empowering families with the skills to coordinate care and meet the challenges of LC together, this intervention holds great promise for improving palliative/supportive care services in cancer."



Facilitation of school re-entry and peer acceptance of children with cancer: a review and meta-analysis of intervention studies
Source:    European Journal of Cancer Care
Author:     Helms, et al
Excerpt:   "Due to limited numbers of patients, lack of control groups, and the diversity of intervention strategies used in previous studies, there is a need for intervention programmes exploring the optimal path for the reintegration of children with cancer into the education system and into their peer groups."



Source:    Nature Reviews Clinical Oncology
Author:     Errico
Excerpt:   "Depression is said to be the least noticed symptom in people with cancer and yet it represents a major problem, affecting patients quality of life (QoL) and survival. The psychological medicine research groups of the Universities of Oxford and Edinburgh published three linked papers on major depression and cancer."



Source:    Nature Reviews Clinical Oncology
Author:     Mathew, et al
Excerpt:   "Several clinical trials have investigated the antitumour effect of bisphosphonates when used as adjuvant treatment for early stage breast cancer. Among these, the results of the AZURE trial, although negative, highlight the potential benefit of treatment with zoledronic acid in postmenopausal women with high-risk early stage breast cancer."



Source:    CHEST Journal
Author:     Vedovati, et al
Excerpt:   "DOA seems to be as effective and safe as conventional treatment for prevention of VTE in cancer patients. Further clinical trials in patients with cancer-associated VTE should be performed to confirm these results."



 Geri | Dementia 


Mesh implant reduces fecal incontinence
Source:    Long-Term Living
Author:     Rogoski
Excerpt:   "Citing previous studies that concluded that half of nursing home residents suffer from fecal incontinence, Minneapolis-based American Medical Systems Inc., a subsidiary of Endo International plc, released the results of its TRANSFORM study focused on the use of an implantable mesh technology."



Source:    European Journal of Ageing
Author:     Larsson, et al
Excerpt:   "In summary, the determining factor for home help utilisation seemed to be access to informal care, whereas gender differences in health status could explain women’s higher probability of dying in institutional care."



 Neuro | Stroke 

Author:     Riker, et al
Excerpt:   "Serial clinical examination represents the most fundamental and basic form of neurological monitoring, and is often the first and only form of such monitoring in patients. Even in patients subjected to physiological monitoring using a range of technologies, the clinical examination remains an essential tool to follow neurological progress."



 Nursing 


Source:    Nursing Standard
Author:     Nkechika 
Excerpt:   "Caring for those who are dying and their families is a challenging aspect of nursing practice. The article was interesting and relevant to my work delivering effective care to patients in the last few days of life in the care home setting."



Source:    Off the Charts
Author:     Anderson
Excerpt:   "Nurse and writer Theresa Brown wrote a piece for this past Sunday’s New York Times on the dilemmas physicians face when their patients want to stop aggressive treatment (the latest installment of Brown’s quarterly column, What I’m Reading, is in the September issue of AJN)."



 Allied Health 

Author:     Jasiak, et al
Excerpt:   "Based on the current literature, risk of QT/QTc prolongation with the majority of newer non-SSRI antidepressants at therapeutic doses is low. The highest risk for QT prolongation appears to exist in overdose situations with venlafaxine and bupropion."



 Heart | Lungs 

Author:     Kapadia, et al
Excerpt:   "TAVR resulted in better survival and functional status in inoperable patients with severe AS with durable hemodynamic benefit on long-term follow-up. However, high residual mortality even in successfully treated TAVR patients highlights the need for more strategic patient selection."



Source:    CHEST Journal
Author:     Austin, et al
Excerpt:   "Elevation of eRAP by echocardiography at baseline assessment was strongly associated with increased risk of death or transplant in patients with PAH. This measurement may represent an important prognostic component in the comprehensive echocardiographic evaluation of PAH."



 Other Topics 

Author:     Ubel
Excerpt:   "Thanks to the popularity of medical television shows, most people have witnessed hundreds of fictional cardiac arrests in their lifetime. In most of these scenes, the patient loses consciousness, and the medical team rushes to the bedside:"










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 10, 2014

posted Sep 11, 2014, 6:46 PM by Pal Daily

 ATP Daily News - September 10, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


Journal of Pain and Symptom Management: Ahead of Print


 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Recently at GeriPal:


Hospice and Palliative Medicine SmartBrief: September 10, 2014
Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Does Your Doctor Practice Primary Palliative Care?
Source:    OSF HealthCare
Author:     Sawicki
Excerpt:   "Palliative care works the same way…every doctor, every nurse, and every person in health care needs to understand the basics of good symptom management, routine advance care planning and goals of care discussions, and coordination of care. Palliative care specialists deal with the more complex situations, like discussions about withdrawal of life-sustaining therapies, or complex decision-making, etc."



Source:    EAPC Blog
Author:     Pettus
Excerpt:   "Katherine Pettus, Advocacy Officer, Human Rights and Palliative Care, International Association for Hospice and Palliative Care (IAHPC), explains how she has been working with staff of a children’s hospice in Eastern Europe to help them advance children’s palliative care through closer links with international human rights bodies."



Source:    POLST.org
Author:     N/A
Excerpt:   "On October 20th, from 12:00 pm – 1:00 pm Pacific Time, the National POLST Office will host a webinar titled “Discussing POLST with Persons with Early Alzheimer’s Disease.”"



Source:    AAHPM Blog
Author:     O'Connor
Excerpt:   "ACPE faculty member Kevin E. O’Connor, CSP, will present focused sessions on Relationship Building and Change Management at the AAHPM Leadership Forum: Ascend program, September 14-16, 2014. AAHPM Ascend is a new intensive program included in the AAHPM’s comprehensive new Leadership Forum."



Source:    Jim DeMaine
Author:     KevinMD
Excerpt:   "Much is being made of the AMA’s recommendation to reimburse doctors for the time they take in having end-of-life discussions with their patients."



CAPC News Bites
Source:    Palliative in Practice
Author:     N/A
Excerpt:   "Editor’s note: Health Reform Quarterly will appear in place of CAPC News Bites next week"



AMA encourages broad medical profession and community discussion on End of Life Care
Source:    Australian Medical Association
Author:     N/A
Excerpt:   "AMA Vice President, Dr Stephen Parnis, said today that there should be open and frank discussion in the community about death and dying, including end of life care options, futile treatment, caring and bereavement, and advance care planning."



The extent and cost of potentially avoidable admissions in hospital inpatients with palliative care needs: a cross-sectional study
Source:    BMJ Supportive & Palliative Care
Author:     Robinson, et al
Excerpt:   "A significant proportion of patients with palliative care needs experience a potentially avoidable admission. Although these admissions are relatively short compared to those whose admissions are unavoidable, any hospital admission impacts on the experiences of patients and families and may contribute to unnecessary hospital expenditure."



Health-related quality of life in transfusion-dependent patients with myelodysplastic syndromes: a prospective study to assess the impact of iron chelation therapy
Source:    BMJ Supportive & Palliative Care
Author:     Efficace, et al
Excerpt:   "HRQOL of transfusion-dependent patients with MDS receiving deferasirox therapy remains stable over time. HRQOL assessment might also provide important predictive information on treatment outcomes."



Innovation Can Improve And Expand Aspects Of End-Of-Life Care In Low- And Middle-Income Countries
Source:    Health Affairs
Author:     Steedman, et al
Excerpt:   "Specifically, we examine how opioids have been made more available for the treatment of pain, and how training and education programs have expanded the provision of care to the dying population. Finally, we recommend actions that policy makers and individuals can take to improve end-of-life care, regardless of the income level in a country."



Educating our Patients about Life and the End of Life: Toward a Pedagogy of Dying
Source:    Journal of the American Board of Family Medicine
Author:     Ventres
Excerpt:   "There is an extensive literature on how physicians can best educate their patients about living healthier—one might call it a “pedagogy of living.” In this essay, I suggests that physicians develop a “pedagogy of dying” for their adult patients: educating them about how they can approach death with some measure of grace and dignity, as consistent with their wants as possible, and cognizant of the final reality we all face."



The Family Physician’s Role in End-of-Life Care
Source:    Annals of Family Medicine
Author:     Rohrberg
Excerpt:   "This article provides a qualitative look at how family physicians in Belgium perceive their roles in preventing and guiding hospitalization near the end of patients’ lives."



The Family Physician’s Perceived Role in Preventing and Guiding Hospital Admissions at the End of Life: A Focus Group Study
Source:    Annals of Family Medicine
Author:     Reyniers, et al
Excerpt:   "Family physicians face many different and complex roles and difficulties in preventing and guiding hospital admissions at the end of life."



Source:    BMC Palliative Care
Author:     Nordly, et al
Excerpt:   "Programs that facilitate transition from hospital treatment to SPC at home for patients with incurable cancer can be a powerful tool to improve patients' quality of life and support family/caregivers during the disease trajectory. The present study offers a model for achieving optimal delivery of palliative care in the patient's preferred place of care and attempt to clarify challenges."



Source:    American Journal of Hospice and Palliative Medicine
Author:     Karam, et al
Excerpt:   "This article provides an evidenced-based review of palliative care options not usually addressed in national and international ALS guidelines."



Measuring social support in patients with advanced medical illnesses: An analysis of the Duke–UNC Functional Social Support Questionnaire
Source:    Palliative and Supportive Care
Author:     Saracino, et al
Excerpt:   "Both the DUFSS and the abbreviated DUFSS-5 appear to have adequate reliability and validity in this setting. Moreover, the DUFSS-5 represents a potentially important option for healthcare researchers, particularly for those working in palliative care settings where issues of patient burden are paramount."



 Hem-Onc 


Source:    Pain Medicine News
Author:     Based on a press release from the Journal of Clinical Oncology
Excerpt:   "Pain in ambulatory cancer patients with solid tumors is complex and dynamic, and adequate pain management requires constant monitoring and therapeutic intervention when needed."



Source:    Journal of Clinical Oncology
Author:     Partridge, et al
Excerpt:   "This article presents the findings of the LDP group. The group focused on the process of palliative care delivery in the oncology setting."



Source:    Journal of Clinical Oncology
Author:     Miller, et al
Excerpt:   "Hopes and goals other than cure or longer life were infrequently mentioned, and a minority of physicians communicated that the disease was incurable and that no treatment and/or palliative care were options."



Source:    Supportive Care in Cancer
Author:     Cagle, et al
Excerpt:   "Enhanced provider training/communication, referrals to hospice and greater attention to symptom management may facilitate improved quality of dying. Additionally, the cultural relevance of the concept of a “good death” warrants further research."



Source:    Supportive Care in Cancer
Author:     Ellingsen, et al
Excerpt:   "The diversity of the experience of time is oscillating between going fast or slow, being busy or calm, being unpredictable but predictable, safe or unsafe and between being good or bad, depending on the embodied situation of the individual."



Cancer-related fatigue and depression in breast cancer patients postchemotherapy: Different associations with optimism and stress appraisals
Source:    Palliative and Supportive Care
Author:     Levkovich, et al
Excerpt:   "Although CRF and depression were often experienced simultaneously and both were found to be higher among individuals who gave higher appraisals of cancer as a threat, only depression was related to optimism and challenge appraisals, while CRF was related mainly to intensity of physical symptoms."



 Geri | Dementia 

Author:     Ehlenbach
Excerpt:   "This study raises the important question about the contributors to this association, and the authors raise the possibility that physician or surrogate bias may be contributing to decisions for older patients. While this is unlikely to be the only contributor to the association between age and end-of-life decisions, the mere possibility should prompt reflection on the part of clinicians caring for critically ill patients."



Source:    Long-Term Living
Author:     Bowers
Excerpt:   "When it comes to caring for those with advanced dementia, changing to a person-centered approach that focuses on resident comfort can be difficult for entrenched professional caregivers and family members, but skilled nursing facilities and their staff members—and, most importantly, residents and their families—can reap satisfaction and many other rewards from doing so."



The relationship between patients’ age and prognosis outcome after cardiopulmonary resuscitation in adults: A meta-analysis
Source:    European Geriatric Medicine
Author:     Zhu, et al
Excerpt:   "Old age is an important pre-arrest predictor for poor prognosis after CPR in adults. When patients’ age over 70 years, the survival to discharge risk decreased rapidly along with the patients’ age increase."



Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review
Source:    European Geriatric Medicine
Author:     Cabrera, et al
Excerpt:   "Psychosocial interventions have been shown to have the potential to improve the QoL and QoC of people with dementia in nursing homes. Before implementation of the intervention, it is recommended that activities are adjusted according to residents’ characteristics and external factors controlled to achieve effectiveness and to structure a well-designed intervention."



 Heart | Lungs 

Author:     Magnussen, et al
Excerpt:   "In patients with severe COPD receiving tiotropium plus salmeterol, the risk of moderate or severe exacerbations was similar among those who discontinued inhaled glucocorticoids and those who continued glucocorticoid therapy. However, there was a greater decrease in lung function during the final step of glucocorticoid withdrawal."



 Other Topics 

Author:     Skeptical Scalpel
Excerpt:   "Contrary to what you may have heard, pain is not the fifth vital sign. It’s not a sign at all."



 Lay Press 


Near Death, and Overmedicated
Source:   New Old Age Blog - New York Times
Author:    Span
Excerpt:  N/A










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 8, 2014

posted Sep 10, 2014, 6:26 PM by Pal Daily

 ATP Daily News - September 8, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


  • Cancer-related fatigue: can it be due to adrenal suppression secondary to high-dose steroids used as antiemetic?
  • Cancer-related fatigue, the role of adrenal suppression and steroids: reply to the comments of Eren et al.
  • Motor disability, clinical complications, quality of life, and survival in patients with cancer: a plausible scenario
  • Response to letter to the editor, “Predictors of falls among community-dwelling older adults with cancer: results from the health and retirement study”
  • Response to “Safety profile of intravenous patient-controlled analgesia for breathrough pain in cancer patients: a case series study”
  • Response to Letter to the Editor: “Safety profile of intravenous patient-controlled analgesia for breakthrough pain in cancer patients: a case series study”
  • Mandatory communication skills training for oncologists: enforcement does not substantially impact satisfaction
  • Holistic needs assessment in advanced, intensively treated multiple myeloma patients
  • The EAPC framework on palliative sedation and clinical practice—a questionnaire-based survey in Germany
  • A cross-sectional survey of the diagnosis and management of bone metastasis in breast cancer patients in Turkey
  • Characteristics of taste and smell alterations reported by patients after starting treatment for lung cancer
  • Oral evaluation and procedures performed by dentists in patients admitted to the intensive care unit of a cancer center
  • Perceived information needs and social support of Chinese-Australian breast cancer survivors
  • “I know it when I see it.” The complexities of measuring resilience among parents of children with cancer
  • Impact of dose modification on intravenous Bortezomib-induced peripheral neuropathy in multiple myeloma patients
  • A pilot study: dose adaptation of capecitabine using mobile phone toxicity monitoring — supporting patients in their homes
  • Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care
  • Patients with bone metastases from solid tumors initiating treatment with a bone-targeted agent in 2011: a descriptive analysis using oncology clinic data in the US
  • Nationwide population-based cohort study on the association of acute coronary syndrome in patients with malignancies
  • Predictors of sexual well-being after endometrial cancer: results of a national self-report survey
  • Magnitude of score change for the palliative prognostic index for survival prediction in patients with poor prognostic terminal cancer
  • Technological preferences of aging cancer patients for delivery services and devices to solve drug-related problems in oncology
  • Low-level laser therapy for osteonecrotic lesions: effects on osteoblasts treated with zoledronic acid
  • A qualitative study investigating chemotherapy-induced nausea as a symptom cluster
  • Correlates of resistance training in post-treatment breast cancer survivors
  • Evaluation of the Semmes–Weinstein filaments and a questionnaire to assess chemotherapy-induced peripheral neuropathy
  • Psychological distress and quality of life of palliative cancer patients and their caring relatives during home care
  • Validation of the “Quality of Life in Life-Threatening Illness—Family Carer Version” (QOLLTI-F) in German-speaking carers of advanced cancer patients
  • Bridging cross-cultural gaps: monitoring herbal use during chemotherapy in patients referred to integrative medicine consultation in Israel
  • Desire for children, difficulties achieving a pregnancy, and infertility distress 3 to 7 years after cancer diagnosis
  • Active treatment given in the last weeks of life: poor quality cancer care or justifiable behavior?
  • A controlled cohort study of long-term income in colorectal cancer patients
  • Efficacy and safety of early G-CSF administration in patients with head and neck cancer treated by docetaxel-cisplatin and 5-fluorouracil (DCF protocol): a retrospective study
  • Psychometric properties of scale constructed from the International Classification of Functioning, Disability and Health (ICF) core set for breast cancer based on Rasch analysis
  • Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy
  • Evaluation of multiplex PCR in first episodes of febrile neutropenia as a tool to improve early yeast diagnosis in leukemic/preleukemic patients
  • Erratum to: Evaluation of multiplex PCR in first episodes of febrile neutropenia as a tool to improve early yeast diagnosis in leukemic/preleukemic patients
  • Characteristics and outcomes of advanced cancer patients who miss outpatient supportive care consult appointments
  • Erratum to: Characteristics and outcomes of advanced cancer patients who miss outpatient supportive care consult appointments
  • Erratum to: “We all talk about it as though we’re thinking about the same thing.” Healthcare professionals’ goals in the management of pain due to advanced cancer: a qualitative study

Supportive Care in Cancer: Ahead of Print



 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:

Source:    EAPC Blog
Author:     Proot 
Excerpt:   "Catherine Proot PhD, Bereavement Coordinator, St Nicholas Hospice Care, Bury St Edmunds, UK, explains how bereavement activity groups are helping participants to learn new skills, feel more confident and renew their taste for life."



Media Watch 374
Source:    Palliative Care Network Community
Author:     Ashpole
Excerpt:   N/A - Weekly HPM news report



Homelessness in palliative care
Source:    Palliverse
Author:     Bramwell
Excerpt:   "Thanks to Michael Bramwell, from Melbourne City Mission, for the following slides:"



Source:    KevinMD
Author:     Williams-Murphy
Excerpt:   "I never cease to be amazed that most doctors cannot speak straightforwardly and compassionately about the reality of death and dying."



Source:    Medscape
Author:     Hackethal
Excerpt:   "Physicians have more positive perceptions about end-of-life care than nurses, according to a survey conducted among healthcare professionals at hospitals and cancer clinics in Germany and published online September 8 in Cancer."



Dying in cancer centers: Do the circumstances allow for a dignified death?
Source:    Cancer
Author:     Jors, et al
Excerpt:   "Only about half of the respondents perceived that a dignified death is possible on their ward. We recommend that cancer centers invest more in staffing, adequate rooms for dying patients, training in end-of-life care, advance-care planning standards, and the early integration of specialist palliative care services."



Source:    Journal of Pain and Symptom Management
Author:     Zimmerman, et al
Excerpt:   "Despite these recommendations, measurement selection should be informed not only on the basis of psychometric properties, but also by specific clinical and research needs. The data in this manuscript will help researchers, clinicians, and administrators understand the implications of choosing various measures for their work."



Source:    TheONC
Author:     Booms
Excerpt:   "A 56-year-old male diagnosed with end-stage small-cell lung cancer presented to the emergency department with increased shortness of breath (SOB). Following assessment, it was found that his disease had progressed and that the dyspnea was caused due to bulky disease. How would you manage this patient's shortness of breath?"



 Geri | Dementia 

Author:     Bowers
Excerpt:   "More than half of nursing home residents with advanced dementia continue to receive medications of questionable benefit, and at substantial financial cost, finds a study newly published by JAMA Internal Medicine."



Source:    Annals of Internal Medicine
Author:     Crandall, et al
Excerpt:   "Good-quality evidence supports that several medications for bone density in osteoporotic range and/or preexisting hip or vertebral fracture reduce fracture risk. Side effects vary among drugs, and the comparative effectiveness of the drugs is unclear."



Source:    JAMA Internal Medicine
Author:     Tjia, et al
Excerpt:   "Most nursing home residents with advanced dementia receive medications with questionable benefit that incur substantial associated costs."



 Neuro | Stroke 

Author:     Chiò, et al
Excerpt:   "In ALS, serum albumin and creatinine are independent markers of outcome in both sexes. Creatinine reflects the muscle waste whereas albumin is connected with inflammatory state. Both creatinine and albumin are reliable markers of the severity of clinical status in patients with ALS and can be used in defining prognosis at the time of diagnosis."



 Heart | Lungs 


Source:    Current Opinion in Critical Care
Author:     Salluh, et al
Excerpt:   "ICU scoring systems provide a valuable framework to characterize patients’ severity of illness for the evaluation of ICU performance, for quality improvement initiatives and for benchmarking purposes. However, to ensure the best accuracy, constant updates as well as regional customizations are required."



Source:    JACC
Author:     Kusumoto, et al
Excerpt:   "Although the resulting guidelines are of great value, clinicians are often asked to make decisions regarding ICD therapy in patient populations who were not included or who were poorly represented in prior clinical trials. For these patients, there are no specific indications for ICD therapy."



 Pediatrics 

Author:     Schechter
Excerpt:   "In the past 30 years, a major shift has occurred in the way that pediatric pain is conceptualized and treated. Although pain management was widely viewed as inadequate in adults in the 1970s, the classic report by Eland and Anderson1 documented that children’s pain management was far worse, with an almost total disregard of procedural and postoperative pain."



 Other Topics 

Author:     Kalder, et al
Excerpt:   "Patients with UI demonstrate high discontinuation rates for anticholinergics with only slight variations between the various drugs in this category."



 Lay Press 


Source:   New York Times
Author:    Brown
Excerpt:  N/A










See the Lay Press page for more 
news from non-medical press.






Please click here to learn more about All Things Palliative. Click here for this week's news archive, and for links to previous weeks' archives.





ATP Daily News - September 7, 2014

posted Sep 8, 2014, 5:42 PM by Pal Daily

 ATP Daily News - September 7, 2014 

Announcements:
1. Upcoming events (please see the Calendar for details):









 Top Stories 


  • In This Issue
  • Where Will Palliative Care Go Next?
  • RDOS-Family: A Guided Learning Tool for Layperson Assessment of Respiratory Distress
  • Cancer Survivorship and Palliative Care?
  • Defining “Serious Illness”
  • Experiences with End-of-Life Care in Paraguay
  • World Health Organization Authorities Promote Greater Attention and Action on Palliative Care
  • Response to Pain Management among Patients with Active Cancer, No Evidence of Disease, or Chronic Nonmalignant Pain in an Outpatient Palliative Care Clinic
  • Translating and Testing the ENABLE: CHF-PC Concurrent Palliative Care Model for Older Adults with Heart Failure and Their Family Caregivers
  • A Hospice-Hospital Partnership: Reducing Hospitalization Costs and 30-Day Readmissions among Seriously Ill Adults
  • Sharing Life-Altering Information: Development of Pediatric Hospital Guidelines and Team Training
  • Reframing the Goals of Care Conversation: “We're in a Different Place”
  • Association between Quality of End-of-Life Care and Possible Complicated Grief among Bereaved Family Members
  • Prescribing for Nausea in Palliative Care: A Cross-Sectional National Survey of Australian Palliative Medicine Doctors
  • The Volume of Hydration in Terminally Ill Cancer Patients with Hydration-Related Symptoms: A Prospective Study
  • Transdermal Clonidine in Patients with Swallowing Dysfunction
  • Delirium in Advanced Cancer: Screening for the Incidence on Admission to an Inpatient Hospice Unit
  • Advance Care Planning: Challenges and Approaches for Pediatricians
  • Economic Impact of Hospital Inpatient Palliative Care Consultation: Review of Current Evidence and Directions for Future Research
  • Akathisia #282
  • Conversations
  • “Вода”
  • Physicians, Tears, and the Feeling of Shame
  • A Weekend Call
  • Living by Grace
  • Diltiazem for the Management of Malignancy-Associated Perineal Pain and Tenesmus
  • The Nature of Healing: The Modern Practice of Medicine

Journal of Palliative Medicine: Ahead of Print


  • From the Editor
  • Association News
  • Caring for the Infant With Trisomy 18: The Bioethical Implications of Treatment Decisions on Nurses
  • Persistent Hiccups in Advanced Neuro-oncology Patients: Findings From a Descriptive Phenomenological Study
  • Caring for the Infant With Trisomy 18: The Bioethical Implications of Treatment Decisions on Nurses
  • Persistent Hiccups in Advanced Neuro-oncology Patients: Findings From a Descriptive Phenomenological Study
  • American Indians’ Experiences of Life-Threatening Illness and End of Life
  • An Evaluation of Time and Cost Variability in Hospice Interdisciplinary Group Meetings and Comparative Clinical Quality Outcomes
  • Pilot of an Online Introduction to Palliative Care for Nurses
  • Identification and Validation of Premortem Surge: A Delphi Study
  • Nursing Home Nurses’ Ways of Knowing About Peaceful Deaths in End-of-Life Care of Residents: Personal Knowledge and Strategies


Palliative and Supportive Care: Ahead of Print


CHEST Journal: September 2014


 Palliative 


Recently at eHospice:


Recently at Medical Futility Blog by Thaddeus Pope:


Hospice and Palliative Medicine SmartBrief: September 5, 2014
Source:    AAHPM and SmartBrief
Author:     N/A
Excerpt:   N/A - Biweekly HPM news report



Source:    Pallimed
Author:     Sinclair
Excerpt:   "If you have not been on any social media channels, watching TV, listening to the radio, or picking up a newspaper or magazine in the past week, you may have missed that tonight Friday September 5th is the Stand Up to Cancer (SU2C) concert/fundraiser."



Source:    Pallimed
Author:     Sinclair
Excerpt:   "October 2nd is fast approaching and many eager doctors will be brushing up on their Medicare Hospice regulations, ethical dilemmas, and opioid conversions as they prepare for the 2014 Hospice and Palliative Medicine Board Certification."



One Hospitalist’s Surprising Advance Directive
Source:    It's OK to Die
Author:     Williams-Murphy
Excerpt:   "One of my favorite hospitalist was in the ER today when I arrived, and somehow (of course) we got on the subject of advanced directives. He told me that his own living will says that when he cannot wipe his own ass, then doesn’t want to be kept alive by any medical interventions."



Source:    GeriTech
Author:     Kernisan
Excerpt:   "I'd actually never heard of this service, but that's not so surprising...new healthcare services for consumers emerge and evolve so quickly that even if I followed tech for aging adults full-time, I'd have difficulty keeping up."



#ANZSPM14 Conference Transcript
Source:    Palliverse
Author:     Elissa
Excerpt:   "Team Palliverse are working on a post about the excellent content presented at the Australian and New Zealand Society of Palliative Medicine 2014 Conference that wrapped up yesterday."



Elsewhere in the Palliverse - weekend reads
Source:    Palliverse
Author:     Elissa
Excerpt:   "If you’d like further reading for your weekend*, browse the Palliverse archives or check out some of the blogs we recommend at our links page, like ehospice, Pallimed, GeriPal, EAPCnet and End of Life Studies."



Changes to California POLST Form Effective October 1, 2014
Source:    Children's Hospice and Palliative Care Coalition
Author:     Thomas, et al
Excerpt:   "The new California POLST goes into effect on October 1, 2014, and healthcare professionals must take note of key changes to the form."



Using a public health approach to improve end-of-life care: results and discussion of a health needs assessment undertaken in a large city in northern England
Source:    BMJ Supportive & Palliative Care
Author:     Ingold, et al
Excerpt:   "A detailed health needs assessment (HNA) for end-of-life care (EoLC) services was led by public health in Leeds to inform a commissioning strategy. To answer the question: are we delivering the best possible EoLC services within the resources available?"



Quality indicators for palliative care services: Mixed-method study testing for face validity, feasibility, discriminative power and usefulness
Source:    Palliative Medicine
Author:     Leemans, et al
Excerpt:   "Based on the results, minor adjustments were made to individual indicators, to the measurement tools and to the procedure used; the quality indicators are now ready for further evaluation and use across palliative care services in Belgium."



Source:    BMC Palliative Care
Author:     Slota, et al
Excerpt:   "Our findings suggest the importance of qualitative inquiry methods to explore patient perceptions regarding the efficacy of palliative care services for cancer patients enrolled in a cancer clinical trial."




The State of Palliative Oncology Care in the U.S.
Source:    Anesthesiology News
Author:     Hutchinson
Excerpt:   "“On the Spot” is an occasional feature in which a panel of experts is asked to agree or disagree with a series of questions. This time we focus on palliative care, which has evolved considerably over the past 20 years."



Palliative Care is not just for Hospice
Source:    The Last Visit
Author:     Mary Ann
Excerpt:   "More and more teaching hospitals and medical student programs are incorporating the teaching and training for Palliative Care. Palliative care is comprehensive, interdisciplinary treatment of the physical and emotional suffering of people who are seriously ill. Sometimes confused with hospice, palliative care is not exclusively for people at the end of their lives."



Healing the Healer
Source:    Hospice Physician's Blog
Author:     hpmfellow
Excerpt:   "Later that evening, however, as if some higher part of my brain knew that it was safe to let my guard down – I did. And I was crushed again – though years had separated us from our former roles, I knew I’d be losing a teacher soon, and that still affected me."



 Hem-Onc 


Supportive Care in Cancer: Ahead of Print


Source:    International Journal of Gynecological Cancer
Author:     Brown, et al
Excerpt:   "Conversations regarding goals of treatment are an important component of caring for cancer patients. Death anxiety may contribute to decreased communication between patients and their family members regarding the patient's end-of-life care wishes."



Source:    Annals of Surgical Oncology
Author:     Swanson, et al
Excerpt:   "Mortality rates within 90 days after pancreatic resection are double those at 30 days. The volume–outcome relationship persists in the NCDB. Reporting mortality rates 90 days after pancreatectomy is important."



Source:    Journal of Clinical Oncology
Author:     Lutz, et al
Excerpt:   "Radiotherapy is a successful, time-efficient, well-tolerated, and cost-effective intervention that is crucial for the appropriate delivery of palliative oncology care."



Source:    Oncology
Author:     Lukas, et al
Excerpt:   "he role of surgery, particularly for single brain metastases, is discussed. This is followed by an overview of radiation, both whole brain and focal, in the treatment of brain metastases. "



Source:    CopeLink
Author:     N/A
Excerpt:   "Most teens and young adults face the everyday challenges of school, jobs and relationships. But if you are a teen or young adult who is also caring for a loved one with cancer, you know firsthand how a cancer diagnosis can bring on a whole new set of concerns."



Quality of care in the oncology outpatient setting from patients' perspective: a systematic review of questionnaires' content and psychometric performance
Source:    Psycho-Oncology
Author:     Brédart, et al
Excerpt:   "Important aspects of care may be missed by current patient satisfaction questionnaires for use in the cancer outpatient setting. Additional evidence is needed of their psychometric performance, especially for cross-cultural comparative assessments."



Source:    Pain Management Nursing
Author:     Liang, et al
Excerpt:   "The current results support the observation that cancer pain substantially affects a patient's quality of life. The findings provide empirical support for the need for better programmatic efforts to improve pain management in Taiwanese oncology outpatients."



Pan-European, open-label dose titration study of fentanyl buccal tablet in patients with breakthrough cancer pain
Source:    European Journal of Pain
Author:     Kleeberg, et al
Excerpt:   "This study involving a real clinical practice setting showed a similar percentage of patients safely achieving an effective dose by titration starting with 100 versus 200 μg of FBT."



Source:    ONC Connect
Author:     Merenda
Excerpt:   "Pain is a loyal companion for many patients with cancer. As oncology nurses, we don’t hesitate to advocate for our patients’ pain relief. But what if there’s a high risk of abuse or diversion?"



Simple Tool Predicts Survival in Advanced Cancer
Source:    Cancer Network
Author:     Colwell
Excerpt:   "Using a simple tool to measure performance status can help physicians accurately predict survival and facilitate end-of-life planning in outpatients with advanced cancer, a recent study reported."



 Geri | Dementia 

Author:     Blanco, et al
Excerpt:   "Most patients with non-small-cell lung cancer (NSCLC) are elderly but evidence to guide appropriate treatment decisions for this age group is generally scant."



Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial
Source:    Age and Ageing
Author:     Henderson, et al
Excerpt:   "While QALY gain in the intervention group was similar to that for controls, social and health services costs were higher. Second-generation telecare did not appear to be a cost-effective addition to usual care, assuming a commonly accepted willingness to pay for QALYs."



Source:    PAIN
Author:     Gnjidic, et al
Excerpt:   "In community-dwelling older people, the nonsteroidal anti-inflammatory drug prescribing practices do not align with clinical guideline recommendations."



 Nursing 

Author:     Lees
Excerpt:   "Scientists from the Shalgrenska Academy interviewed 22 nursing students at the University of Gothenburg, the University of Skövde and the Estrada Skondal University College in Sweden to find that caring for fatally ill patients often brought difficult and trying times."



 Allied Health 


Source:    ONS Connect Blog
Author:     Donnelly
Excerpt:   "When we first began this practice, the nurses grumbled at the inconvenience of interrupting the medicine pass, but we quickly embraced the time set apart for nurses to collaborate with social workers, physical therapists, pharmacists, nurse managers, and other staff members."



 Heart | Lungs 

Author:     Ward
Excerpt:   "Because of the high prevalence of both OSA and pain, it is very likely that an individual will have both conditions. Opioid analgesics used to treat pain may cause sedation and respiratory depression by themselves."



Source:    Society of Critical Care Medicine eNewsletter
Author:     N/A
Excerpt:   "The recently broadcast Palliative Sedation in the ICU webcast is now available for purchase On Demand."



 Liver | Kidney 

Author:     Weisbord, et al
Excerpt:   "Depressive symptoms and pain are independently associated with dialysis nonadherence and health services utilization. Depressive symptoms are also associated with mortality."



 Pediatrics 

Author:     Slooff, et al
Excerpt:   "The objective of this study was to investigate the frequency and nature of haloperidol-related AE in critically ill children with PD and to explore a possible dose–AE relationship."



 Lay Press 


Source:   New Old Age Blog - New York Times
Author:    Span
Excerpt:  N/A



Encouraging End-of-Life Talks
Source:    New York Times
Author:     The Editorial Board
Excerpt:   N/A



Is one hospice the same as any other? No. Why it’s important to choose carefully.
Source:    Washington Post
Author:     Whoriskey
Excerpt:   "After The Washington Post reported last month about a North Carolina hospice accused of over-medicating a patient, Peter Brunnick, the chief of the largest nonprofit hospice in the state, warned readers in a Charlotte Observer opinion piece that “all hospices are not created equal.”"








See the Lay Press page for more 
news from non-medical press.






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