Journal of palliative medicine
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Health care providers' lack of education on spiritual care is a significant barrier to the integration of spiritual care into health care services. ⋯ This study suggests that CPE-HP is an effective approach for training health care providers in spiritual care. Dissemination of this training may improve integration of spiritual care into health care, thereby strengthening comprehensive patient-centered care.
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Care in nursing homes (NHs) often overlooks individual values and preferences. Residents' voices are critical to discussions about preferences, yet there remains limited research on conversations about the end of life (EOL) from the perspective of older adults who reside in NHs. ⋯ Not all residents wanted to have conversations, but many wanted to be asked about their preferences. Missed conversations may adversely affect the quality of EOL care. Conversations with residents can be initiated by asking residents who they would like involved in the conversation and drawing upon the experience of others.
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The development of palliative care (PC) in Latin America (LA) has been slow compared to other regions. A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis may contribute to the identification of barriers and successful strategies. ⋯ A SWOT framework is applicable in a situational analysis and helps to identify common aspects among the countries and key elements in the development of PC in Latin America.
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Prior risk prediction models have included a selective group of broad comorbidities in scoring prognosis of heart failure (HF) patients. ⋯ Inclusion of additional comorbidities improves the accuracy of HF prognostic indices. Future studies are needed to drive HF prognostic indices with the MM index as a component.