scholarly journals Antimicrobial Use for Symptom Management in Patients Receiving Hospice and Palliative Care: A Systematic Review

2013 ◽  
Vol 16 (12) ◽  
pp. 1568-1574 ◽  
Author(s):  
Joseph H. Rosenberg ◽  
Jennifer S. Albrecht ◽  
Erik K. Fromme ◽  
Brie N. Noble ◽  
Jessina C. McGregor ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Symptom Management ◽  
Antimicrobial Use ◽  
Hospice And Palliative Care

scholarly journals A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums

2019 ◽  
Vol 57 (1) ◽  
pp. 156-170.e4 ◽  
Author(s):  
Pamela Turrillas ◽  
Maria Joao Teixeira ◽  
Matthew Maddocks
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Symptom Management

The effectiveness of a non-physician provider-led palliative care intervention to improve outcomes in patients with cancer.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24110-e24110
Author(s):  
Audrey Ready ◽  
Alexander Knee ◽  
Vida Rastegar ◽  
Mihaela Stefan
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Palliative Care ◽  
Symptom Management ◽  
Care Delivery ◽  
Outcome Data ◽  
Risk Of Bias ◽  
Advanced Illness ◽  
Management Interventions

e24110 Background: Palliative care (PC) improves symptom burden, patient and family distress and quality of life of patients with advanced illnesses. Previous evidence has shown that non-physician providers (NPP) can be effective in delivering care with minimal physician support. NPP-led PC interventions could potentially address gaps in the workforce and provide access to PC services. The overall objective of this systematic review is to evaluate the effectiveness of NPP-led PC interventions in the management of adults with cancer. Methods: We searched ten electronic databases up to October 2018 for randomized or cluster control trials that evaluated NPP-led interventions in both adults receiving end of life care for advanced malignancies and/or their caregivers. NPPs included nurses, advanced practitioners, social workers or case-worker. Interventions included symptom management, hospice care, advance care planning (ACP) or decision support. We recorded the following outcomes: quality of life, patient symptoms (anxiety, depression, pain or distress), satisfaction with care and ACP. Study quality was assessed using the Cochrane risk of bias tool version 2.0. Results: Overall 5,241 publications were screened, resulting in 207 publications that underwent full text review. 13 studies (n = 2,007 participants) included only patients with diagnoses of cancer and an additional 2 studies (n = 396 participants) focused on mixed diagnoses of advanced illness, including cancer. Only 2 studies focused on both caregivers and patients. A nurse was the lead provider in 13 studies, and an advance practitioner in 2 studies. The NPP-led interventions were mostly psychosocial with four also providing symptom management. Interventions mostly consisted of education, care coordination information and support. A total of 3 studies focused solely on ACP, while 2 additional studies addressed this as part of the planned intervention. Nine studies reported quality of life outcomes and seven studies reported on anxiety and depression. There was considerable heterogeneity among the studies with respect to the nature of the intervention and the diagnoses of the study participants. All but one of the studies examined had high risk of bias, mostly due to issues related to missing outcome data or measurement of the outcome. Conclusions: In the setting of changing models of population health care delivery, the results of this systematic review could provide evidence for implementation of non-physician-led palliative care services outside of clinical trials.

A systematic review of the integration of palliative care in dementia management

2019 ◽  
Vol 18 (4) ◽  
pp. 495-506 ◽  
Author(s):  
Helen Senderovich ◽  
Sivarajini Retnasothie
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
End Of Life ◽  
Symptom Management ◽  
Healthcare Providers ◽  
Cross Sectional ◽  
Prescribing Behavior ◽  
Palliative Care Consultation ◽  
Palliative Care Teams ◽  
The Impact

AbstractObjectiveDementia is a progressive illness with a complex biopsychosocial constellation of symptoms faced by millions of individuals and families worldwide. Palliative care teams have specialized in symptom management and end-of-life care for decades; however, the role of palliative care in dementia management is not yet well elucidated. The aim of this systematic review was to understand the impact of palliative care in dementia management.MethodThis systematic review was conducted using a prospective study protocol. Medline and PubMed were searched from January 1, 1998 to October 2017. Eligible studies included single-blind cluster, two-arm parallel cluster, or unblinded randomized controlled trials (RCTs), observational studies, retrospective cohort studies, cross-sectional studies, concurrent mixed methods study, qualitative study, and Delphi studies.ResultsFour key themes were identified in this review: goals of care and end-of-life conversations, symptom management, emergency room visits, and prescribing behavior. In each domain, palliative care consultation either showed benefit or was postulated to have benefit if implemented.Significance of resultsAlthough the literature to support or refute thematic conclusions is not large, there was a trend toward patient care benefit across several domains. Large RCTs with longer follow-up across different settings should be undertaken to solidify the themes and trends outlined in this review. Understanding the views of healthcare providers including referral sources (i.e., general practitioners and specialists) through qualitative research could optimize palliative care referrals, implement palliative care recommendations, and improve a targeted palliative care education curriculum.

Interventions to Improve Hospice and Palliative Care Referral: A Systematic Review

2014 ◽  
Vol 17 (8) ◽  
pp. 957-964 ◽  
Author(s):  
Irene Kirolos ◽  
Leonardo Tamariz ◽  
Elizabeth A. Schultz ◽  
Yvonne Diaz ◽  
Barbara A. Wood ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Hospice And Palliative Care

Saunders, Cicely

2013 ◽  
Author(s):  
Shirley Otis-Green
Keyword(s):  
Palliative Care ◽  
Social Worker ◽  
Symptom Management ◽  
Systematic Approach ◽  
Terminally Ill ◽  
Hospice And Palliative Care

Dame Cicely Saunders (1918–2005) was the founder of the modern hospice and palliative care movement. As a nurse, social worker, and eventually a physician, she developed a systematic approach to studying the symptom management needs of the terminally ill.

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