The Hospice Companion

The Hospice Companion is an evidence-based handbook meant to guide hospice teams in the assessment and management of common problems, situations, conditions, and symptoms encountered in the care of advanced illness patients and their families. It addresses and integrates the practical, biomedical, social, and spiritual issues typically experienced in day-to-day management. It also includes guidance on conducting team meetings, how to structure care, and proper documentation. Chapters conclude with listings of contemporary references from peer-review literature sources for additional reading. Appendices provide more detailed information on several topics, such as advanced pain control techniques, including ketamine and lidocaine infusion protocols. This book is meant for real-time use, both during team meetings and “at the bedside.” The material in this book will also be helpful to those in other related disciplines, including palliative care, hospitalist practice, geriatrics, emergency medicine, and intensive care.

Author(s):  
Debi A. LaPlante ◽  
Heather M. Gray ◽  
Pat M. Williams ◽  
Sarah E. Nelson

Abstract. Aims: To discuss and review the latest research related to gambling expansion. Method: We completed a literature review and empirical comparison of peer reviewed findings related to gambling expansion and subsequent gambling-related changes among the population. Results: Although gambling expansion is associated with changes in gambling and gambling-related problems, empirical studies suggest that these effects are mixed and the available literature is limited. For example, the peer review literature suggests that most post-expansion gambling outcomes (i. e., 22 of 34 possible expansion outcomes; 64.7 %) indicate no observable change or a decrease in gambling outcomes, and a minority (i. e., 12 of 34 possible expansion outcomes; 35.3 %) indicate an increase in gambling outcomes. Conclusions: Empirical data related to gambling expansion suggests that its effects are more complex than frequently considered; however, evidence-based intervention might help prepare jurisdictions to deal with potential consequences. Jurisdictions can develop and evaluate responsible gambling programs to try to mitigate the impacts of expanded gambling.


2021 ◽  
pp. 026921632199698
Author(s):  
Slavica Kochovska ◽  
Meera R Agar ◽  
Jane L Phillips ◽  
Jennifer Tieman ◽  
Caitlin Sheehan ◽  
...  

1996 ◽  
Vol 3 (3) ◽  
pp. 204-213 ◽  
Author(s):  
Carla Ripamonti ◽  
Eduardo Bruera

Background Pain, dyspnea, and anorexia are common symptoms experienced by patients with cancer and often are poorly managed. Methods The incidence and causes of these symptoms are described, as well as factors that exacerbate or ameliorate their impact. Results Pharmacologic management of cancer pain is based on the use of a sequential “ladder” that incorporates nonopioid, opioid, and adjuvant drugs, depending on the severity of the pain. This approach usually is effective. Other symptoms of advanced disease may be more difficult to control. Conclusions Adherence to an adequate pain-control strategy will significantly enhance palliation of pain in patients with cancer.


Sign in / Sign up

Export Citation Format

Share Document