Articles: palliative-care.
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J Pain Symptom Manage · Feb 2019
Randomized Controlled Trial Multicenter StudyDid a goals-of-care discussion happen? Differences in the occurrence of goals-of-care discussions as reported by patients, clinicians, and in the electronic health record.
Goals-of-care discussions are associated with improved end-of-life care for patients and therefore may be used as a process measure in quality improvement, research, and reimbursement programs. ⋯ Different approaches to assess goals-of-care discussions give differing results, yet each may have advantages. Patient report is most likely to correlate with patient-reported receipt of goal-concordant care.
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J Pain Symptom Manage · Jan 2019
Randomized Controlled TrialTriggered Palliative Care for Late-stage Dementia: a Pilot Randomized Trial.
Persons with late-stage dementia have limited access to palliative care. ⋯ Specialty palliative care consultation for hospitalized patients with late-stage dementia is feasible and promising to improve decision-making and some treatment outcomes.
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J Pain Symptom Manage · Jan 2019
Letter Randomized Controlled Trial Multicenter Study Comparative StudyComparability of the Australian national Cancer Symptom Trials (CST) group's study populations to national referrals to non-CST specialist palliative care services participating in the Palliative Care Outcomes Collaboration (PCOC).
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J Pain Symptom Manage · Dec 2018
Randomized Controlled Trial Multicenter Study Comparative StudyHyoscine Butylbromide for the Management of Death Rattle: Sooner Rather Than Later.
Death rattle (DR) is a dramatic sign in the dying patient. Existing studies with anticholinergic agents are controversial, as this class of drugs has been commonly administered without considering the rationale of the mechanism of action. A meaningful use of these drugs may provide a better outcome. ⋯ The prophylactic use of HB is an efficient method to prevent DR, whereas the late administration produces a limited response, confirming data from traditional studies performed with anticholinergics. This could be considered a new paradigm to manage a difficult and dramatic sign, such as DR.