scholarly journals Prediction of appropriate timing of palliative care for older adults with non-malignant life-threatening disease: a systematic review

2005 ◽  
Vol 17 (5) ◽  
pp. 33-33
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Palliative Care ◽  
Life Threatening

scholarly journals Prediction of appropriate timing of palliative care for older adults with non-malignant life-threatening disease: a systematic review

2005 ◽  
Vol 34 (3) ◽  
pp. 218-227 ◽  
Author(s):  
Peter A. Coventry ◽  
Gunn E. Grande ◽  
David A. Richards ◽  
Chris J. Todd
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Palliative Care ◽  
Life Threatening

National consensus project for quality palliative care

2015 ◽  
pp. 11-19 ◽  
Author(s):  
Constance M. Dahlin
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Quality Care ◽  
Life Threatening ◽  
National Consensus

The National Consensus Project for Quality Palliative Care’s Clinical Practice Guidelines for Quality Care is a significant resource that offers the nurse a framework for quality care in all settings. The Clinical Practice Guidelines are appropriate to a range of populations from neonates to children to adults and older adults; a range of chronic progressive and serious life-threatening illnesses, injuries, and trauma; and a range of vulnerable and underresourced populations. The Clinical Practice Guidelines are appropriate for any setting because they facilitate partnerships for caring for patients with debilitating and life-limiting illnesses and offer support for the nurse in delivering the care, particularly for long-term patients.

scholarly journals The Role of Physiotherapy in Pediatric Palliative Care: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1043
Author(s):  
Silvia Ortiz-Campoy ◽  
Cristina Lirio-Romero ◽  
Helena Romay-Barrero ◽  
David Martín-Caro Álvarez ◽  
Purificación López-Muñoz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Palliative Care ◽  
Scientific Evidence ◽  
Pediatric Palliative Care ◽  
Cochrane Library ◽  
Her Family ◽  
Life Threatening ◽  
Respiratory Physiotherapy

Pediatric palliative care (PPC) is a set of actions aimed at children who suffer from a severe or life-threatening disease to alleviate the symptoms of the disease and improve the quality of life of both the child and his/her family. One of the tools used to control symptoms is physiotherapy; however, its application in the child population has not been thoroughly studied. The main objective of this study was to gather, analyze, and critically evaluate the available scientific evidence on physiotherapy in children who require palliative care through a systematic review of the studies published in the last 10 years in the following databases: PubMed, Cochrane Library, PEDro, CINAHL, and Scopus. Of a total of 622 studies, the inclusion criteria were only met by seven articles, which were focused on the relationship between physiotherapy and PPC. This study analyzed: (1) the main pathologies treated, with a predominance of cerebral palsy and cancer; (2) the interventions applied, such as respiratory physiotherapy, neurological physiotherapy, therapeutic massage, and virtual reality; (3) the effects achieved in the child and his/her family, highlighting the control of symptoms and the improvement of the quality of life; and (4) the knowledge of the physiotherapists on PPC, observing that most of the professionals had not received training in this scope. The findings of this review indicate a lack of an adequate evidence foundation for physiotherapy in PPC.

scholarly journals Knowledge of Resident Doctors Regarding Palliative Care: A Systematic Review

2020 ◽  
Author(s):  
Arlene Sousa Barcelos Oliveira ◽  
Janete Capel Hernandes ◽  
Viviane Cruvinel Di Castro ◽  
Cristina Celia Almeida Pereira Santana ◽  
Marcos Luis Montagnini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Life Quality ◽  
Geographic Location ◽  
Cochrane Library ◽  
Publication Date ◽  
Cross Sectional ◽  
Public And Private ◽  
Life Threatening ◽  
Teaching Learning

Abstract Background: Palliative care aims to improve life quality of patients and their families, preventing and relieving people's suffering in coping life-threatening diseases. Many challenges are linked to palliative care, such as the lack of specific disciplines in doctors training; the scarcity of services and specialized programs in palliative care in public and private health systems and the lack of training for resident doctors. Objective: To identify knowledge of resident doctors regarding palliative care. Method: A systematic review according to PRISMA (2009), with searches carried out in Cochrane Library, MEDLINE / PubMed, Scopus, Web of Science databases and gray literature of Brazilian Digital Library of Theses and Dissertations (BDTD), with the acceptance of articles in English, Portuguese and Spanish, without delimitation of publication date, geographic location and type of study. Only studies with resident doctors were included. Results: During the search, 931 articles were found. Of these, 363 were discarded because they were duplicated and 568 were discarded after reading titles and abstracts, leaving 24 articles for complete reading, which after reading and consensus of the three researchers, only 07 of these articles were included in the comparative synthesis. Three intervention studies, two cross-sectional and two qualitative studies were found. In the observed data, all the analyzed studies had a sample of less than 100 subjects, with a total of 442 subjects, of which 137 (30.99%) were women and 111 (25.12%) men, with average age ranging from 26.6 to 32.1. Conclusions: The studies analyzed in this review indicate that the knowledge of resident doctors was limited and insufficient related to palliative care, what indicates the need of greater investments in training, through teaching-learning methods based on rotation, simulation and others, thus improving not only knowledge, but also the practice in palliative care. PROSPERO record: CRD42020159428

Access Barrier in Rural Older Adults’ Use of Pain Management and Palliative Care Services: A Systematic Review

2020 ◽  
pp. 104990912095963
Author(s):  
Zainab Suntai ◽  
Cho Rong Won ◽  
Hyunjin Noh
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Palliative Care ◽  
Pain Management ◽  
Full Text ◽  
Chronically Ill ◽  
Care Services ◽  
Access Barrier ◽  
Palliative Care Services ◽  
Rural Older Adults

Background: Pain and symptom management is critical in ensuring quality of life for chronically ill older adults. However, while pain management and palliative care have steadily expanded in recent years, many underserved populations, such as rural older adults, experience barriers in accessing such specialty services, in part due to transportation issues. The purpose of this systematic review is to examine the specific types of transportation-related barriers experienced by rural older adults in accessing pain and palliative care. Methods: Studies were searched through the following 10 databases: Abstracts in Social Gerontology, Academic Search Premier, CINAHL, MEDLINE, PsycINFO, SocINDEX with Full Text, Cochrane Database of Systematic Reviews, Nursing & Allied Health Database, Sociological Abstracts, and PubMED. Studies were chosen for initial review if they were written in English, full text, included older adults in the sample, and examined pain/palliative care/hospice, rural areas, and transportation. A total of 174 abstracts were initially screened, 15 articles received full-text reviews and 8 met the inclusion criteria. Results: Findings of the 8 studies identified transportation-related issues as major access barrier to pain and palliative care among rural older adults: specifically, lack of public transportation; lack of wheelchair accessible vehicles; lack of reliable drivers; high cost of transportation services; poor road conditions; and remoteness to the closest pain and palliative care service providers. Conclusion: Results suggest that rural older adults have unique transportation needs due to the urban-centric location of pain and palliative care services. Implications for practice, policy and research with older adults are discussed.

scholarly journals Transportation Barrier in Rural Older Adults’ Use of Pain Management and Palliative Care: Systematic Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 433-433
Author(s):  
Zainab Suntai ◽  
Chorong Won ◽  
Hyunjin Noh
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Palliative Care ◽  
Pain Management ◽  
Public Transportation ◽  
Full Text ◽  
Service Providers ◽  
Underserved Populations ◽  
Palliative Care Service ◽  
Rural Older Adults

Abstract Pain and symptom management is critical in ensuring quality of life for chronically or seriously ill older adults. However, while pain management and palliative care have steadily expanded in recent years, many underserved populations, such as rural older adults, experience barriers in accessing such specialty services, particularly due to transportation issues. The purpose of this systematic review is to examine the specific types of transportation-related barriers experienced by rural older adults in accessing pain and palliative care. Studies were searched through the following 10 databases: Abstracts in Social Gerontology, Academic Search Premier, CINAHL, MEDLINE, PsycINFO, SocINDEX with Full Text, Cochrane Database of Systematic Reviews, Nursing & Allied Health Database, Sociological Abstracts, and PubMED. Studies were chosen for initial review if they were written in English, full-text, included older adults in sample, and examined pain/palliative care/hospice, rural areas, and transportation. A total of 174 abstracts were initially screened, 15 articles received full-text reviews and eight met the inclusion criteria. Findings of the eight studies identified transportation-related issues as major access barrier to pain and palliative care among rural older adults: specifically, lack of public transportation; lack of special needs/wheelchair accessible vehicles; lack of reliable drivers; high cost of transportation services; poor road conditions; and remoteness to the closest pain and palliative care service providers. Results suggest that rural older adults have unique transportation needs due to the urban-centric location of pain and palliative care services. Implications for practice, policy and research with older adults are discussed.

Transitional palliative care interventions for older adults with advanced non-malignant diseases and frailty: a systematic review

2020 ◽  
Vol 28 (4) ◽  
pp. 387-403 ◽  
Author(s):  
Duygu Sezgin ◽  
Anne Hendry ◽  
Aaron Liew ◽  
Mark O'Donovan ◽  
Mohamed Salem ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Older Adults ◽  
Decision Making ◽  
Palliative Care ◽  
Cochrane Library ◽  
Malignant Diseases ◽  
Content Type ◽  
Ed Visits

PurposeTo identify transitional palliative care (TPC) interventions for older adults with non-malignant chronic diseases and complex conditions.Design/methodology/approachA systematic review of the literature was conducted. CINAHL, Cochrane Library, Embase and Pubmed databases were searched for studies reporting TPC interventions for older adults, published between 2002 and 2019. The Crowe Critical Appraisal Tool was used for quality appraisal.FindingsA total of six studies were included. Outcomes related to TPC interventions were grouped into three categories: healthcare system-related outcomes (rehospitalisation, length of stay [LOS] and emergency department [ED] visits), patient-related outcomes and family/carer important outcomes. Overall, TPC interventions were associated with lower readmission rates and LOS, improved quality of life and better decision-making concerning hospice care among families. Outcomes for ED visits were unclear.Research limitations/implicationsPositive outcomes related to healthcare services (including readmissions and LOS), patients (quality of life) and families (decision-making) were reported. However, the number of studies supporting the evidence were limited.Originality/valueStudies examining the effectiveness of existing care models to support transitions for those in need of palliative care are limited. This systematic literature review identified and appraised interventions aimed at improving transitions to palliative care in older adults with advanced non-malignant diseases or frailty.

scholarly journals Life review on psycho-spiritual outcomes among older adults with life-threatening illness: A systematic review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 900-901
Author(s):  
Mandong Liu ◽  
Ying Wang ◽  
Iris Chi
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meaning In Life ◽  
Meta Analysis ◽  
Grey Literature ◽  
Well Being ◽  
Life Review ◽  
Cochrane Library ◽  
Spiritual Well Being ◽  
Life Threatening

Abstract Life review has been widely conducted to help older adults enhance well-being and cope with burdens. Spirituality is an important part of an older adult’s overall well-being, especially for those with life-threatening illnesses. However, there is no review study examining the effectiveness of life review interventions on psycho-spiritual outcomes among this population. The aim of the study was to examine the effectiveness of life review on psycho-spiritual well-being among older adults with life-threatening illnesses. A systematic review with meta-analysis consistent with the recommendations of the Cochrane Collaboration was conducted. Database searches included PubMed, PsycINFO, the Cochrane Library, the Campbell Library, EBSCO, CNKI, and the Airiti Library up to March 2020. Grey literature and reference lists from relevant articles were also searched and reviewed. 34 studies were included in the systematic review and 33 were included in the meta-analysis for outcomes of anxiety, depression, and quality of life. Other psycho-spiritual outcome measures that were not included in the meta-analysis due to the small number of studies included mood, apathy, life satisfaction, meaning in life, spiritual well-being, and some multi-dimensional instruments. The studies greatly varied in program design, content, format, length, interventionist, and more. The meta-analyses demonstrated standardized mean differences in favor of life review compared with the control with small to moderate effect sizes. The reviewers call for including more psycho-spiritual well-being measures among interventions for older adults with life-limiting illnesses, as well as studies with adequate sample size and rigorous designs in future research.

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