scholarly journals The Current Status of Palliative Care for Non-cancer Patients in Japan: Field Survey on the Representatives of the Japanese Society for Palliative Medicine

2018 ◽  
Vol 13 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Iwao Osaka ◽  
Akihiro Sakashita ◽  
Yoshiyuki Kizawa ◽  
Toyoshi Hosokawa
2018 ◽  
Vol 36 (2) ◽  
pp. 154-157 ◽  
Author(s):  
Ariel M. Lyons-Warren

It has long been recognized that patients with neurological conditions, and particularly pediatric neurology patients, are well suited for palliative care because they frequently have a high symptom burden and variable prognoses. In 1996, the American Academy of neurology formally recognized a need for neurologists to “understand and apply the principles of palliative medicine.” Subsequently, some reviews have proposed a simultaneous care model in which palliative care is integrated for all neurology patients from the time of diagnosis. This article will review the current status of palliative care in pediatric neurology and discuss barriers to its integration.


2019 ◽  
Vol 22 (8) ◽  
pp. 986-997 ◽  
Author(s):  
Takayuki Hisanaga ◽  
Takuya Shinjo ◽  
Kengo Imai ◽  
Kanji Katayama ◽  
Keisuke Kaneishi ◽  
...  

2021 ◽  
Vol 27 ◽  
pp. 230-234
Author(s):  
Aanchal Satija ◽  
Karl Lorenz ◽  
Michelle DeNatale ◽  
Jake Mickelsen ◽  
SV Suryanarayana Deo ◽  
...  

Objectives: Oral cancers have high epidemiologic burden in India, and most oral cancer patients at the All India Institute of Medical Sciences present in advanced stages. Their symptomatic needs are often not adequately addressed and the referrals to palliative medicine clinic are for severe pain or terminal stages. Using quality improvement methods, we aimed to provide early referral to palliative care for advanced oral cancer patients. Materials and Methods: Duration (number of days) between registration at the head-and-neck cancer clinic and referral to palliative medicine clinic at baseline and postinterventions. Interventions: Understanding current perceptions of oncologists for referral to palliative medicine clinic, educating them through departmental meetings, fostering clinician and patient-family awareness through pamphlets, defining process and screening guidelines for referral, including symptom burden charts in head-and-neck cancer clinic notes, soliciting regular feedback from oncologists at review meetings. Results: The number of days for the referral to the palliative medicine clinic decreased from an average of 48 days to 13 days in 6 months. Conclusion: A multicomponent intervention included oncologists and patients and families, education, workflow modification, standardized assessment, documentation, and clinician feedback, and succeeded in improving the timeliness of palliative care referrals of advanced oral cancer patients.


2016 ◽  
Vol 19 (9) ◽  
pp. 925-935 ◽  
Author(s):  
Takashi Yamaguchi ◽  
Sho Goya ◽  
Hiroyuki Kohara ◽  
Hiroaki Watanabe ◽  
Masanori Mori ◽  
...  

2021 ◽  
pp. 787-799
Author(s):  
Nathan I. Cherny ◽  
Stein Kaasa

The division of cancer care into initial primary antitumour therapies followed by hospice or palliative care for patients who have progressive disease is anachronistic. Since the goals of medical oncology extend beyond the reduction of tumour burden and the deferral of death and incorporate a quality-of-life dimension, there is need for a continuum in patient care independent of whether the treatment intention is curative, life-prolonging, or symptomatic. Palliative care interventions should be integrated according to the clinical circumstances of the patient. This chapter outlines the oncologist’s role in the delivery of palliative care to cancer patients, emphasizing issues related to communication, interdisciplinary care, and collaborative practice with palliative medicine experts, and emphasizing principles of non-abandonment and continuity of care.


2019 ◽  
Vol 22 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Tomoyasu Tsushima ◽  
Takafumi Miura ◽  
Takahiko Hachiya ◽  
Ichiro Nakamura ◽  
Toyoko Yamato ◽  
...  

2004 ◽  
Vol 2 (2) ◽  
pp. 113-114 ◽  
Author(s):  
WILLIAM BREITBART

Palliative and Supportive Care is an international journal that was begun specifically with the intent of promoting the development and integration of psychiatric, psychosocial, and existential aspects of clinical care into the modern practice of palliative medicine. We hoped to achieve this goal by providing a resource to clinicians and an outlet for clinical researchers interested in the unique interface of palliative care and psychosocial/existential issues in those with life-threatening medical conditions. It is therefore very encouraging to see a growing interest in this particular interface of palliative medicine and psychosocial/existential care. I reported to our readers, in the last issue of Palliative and Supportive Care (PS&C), of the great interest in psychosocial and existential issues in the palliative care community as represented by the June 2004 Research Congress of the European Palliative Care Association held in Stresa, Italy. I have just returned from the 7th World Congress of Psycho-Oncology, sponsored by the International Psycho-Oncology Society (IPOS), held on August 24–27, 2004, in Copenhagen, Denmark. Again, what I bring back to the readers of PS&C is a message of encouragement and a sense that the time has come for our interests and work to take on a more central role in the fields of both palliative care and psycho-oncology (the psychosocial aspects of care of cancer patients). The World Congress of Psycho-oncology featured psychiatric, psychosocial, and existential aspects of palliative care in cancer patients as a prominent part of the program.


2017 ◽  
Vol 2 (3) ◽  

Background: Identification of epidemiological patterns of cancer diagnoses in a health care practice is considered a baseline in assessing needs, planning health services and assess control measures. Aim of Study: To identify epidemiological characteristics and diagnoses of cancer patients referred to palliative care at a tertiary care center. Methodology: Chart review of electronic medical records of patients referred to palliative medicine service at tertiary Hospital in Dammam, between January 2014 and June 2016. Results: Cancer colon, cancer breast & lung canceroccupy the highest proportions among patients referred to palliative care. The proportion of patients with cancer colon referred to palliative care showed a slight decline from 2014 to 2016 (17.3%, 10.4% and 11.5%, respectively), while that for cancer breast showed a slight increase (15.9%, 15.7% and 18.4%, respectively). Toxicity among palliative patients admitted to palliative care service decreased from 12.9% in 2014 to 5.3% in 2015. Most cancer patients admitted to palliative care during 2014 till 2016 could be maintained at no pain levels during their treatment period. However, some patients had exhausting pain, with decreasing proportions from 2014 till 2016 (6.7%, 5.1% and 4.3%, respectively). About half of cancer patients referred to palliative care discharged alive from the unit (45.5%, 43.3% and 38.4%, respectively) compared to those dead in the unit (15.4%, 21.8% and 27.3%, respectively) Conclusions: The highest proportions of cancer patients referred to palliative care are related to colon, breast, lung and pancreas. Control of pain and treatment toxicity is quite successful, whilemost of the patients included in the study who were referred to palliative care discharged home alive compared to those dead in the unit. Recommendations: Exploring the magnitude, pattern and other epidemiological aspects in relation to cancer cases for palliative patient should be extended for the coming years and to investigate the reasons that would explain the high proportions of certain types of cancer among patients referred palliative care unit.


Toukeibu Gan ◽  
2008 ◽  
Vol 34 (3) ◽  
pp. 300-304
Author(s):  
Naohito Shimoyama ◽  
Toru Iizuka ◽  
Megumi Shimoyama

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