End-of-Life Care

Accurate View of Prognosis Ensures Terminally Ill Make Value-Consistent EOL-Care Decisions

Accurate View of Prognosis Ensures Terminally Ill Make Value-Consistent EOL-Care Decisions

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Most terminally ill patients have accurate prognostic awareness of their condition and tend to become more aware as their condition deteriorates.

The Great Cancer Masquerade: When Grief Manifests as Anxiety, Control, Anger

The Great Cancer Masquerade: When Grief Manifests as Anxiety, Control, Anger

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Grief over a loved one's impending death may manifest as other emotions or difficult-to-manage behavior. This month's column describes how families may express their grief as anxiety about their loved one's care, an attempt to take control of the situation, or anger toward the clinicians involved in their loved one's care.

Multifaceted Role of the Nurse Navigator Includes Palliative, Supportive Care

Multifaceted Role of the Nurse Navigator Includes Palliative, Supportive Care

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Nurse navigators have the education, experience, and skill set to provide patients with effective palliative care, and to provide the family with the support they need.

Lack of Transfusion Services a Barrier to Hospice Care for Patients With Blood Cancers

Lack of Transfusion Services a Barrier to Hospice Care for Patients With Blood Cancers

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A lack of needed transfusion services was cited as why many hematologic oncologists are less likely to refer their patients with blood cancers to home hospice care.

Patients Often Prescribed Ineffectual Drugs in Last Months of Life

Patients Often Prescribed Ineffectual Drugs in Last Months of Life

Researchers find many still prescribed long-term disease-preventing medications

Nursing Protocol Enhances Care of the Family at End of Life in the Hospital Setting

Nursing Protocol Enhances Care of the Family at End of Life in the Hospital Setting

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A pilot project of a protocol for optimizing care of the family at end-of-life.

Survey Reveals Research Priorities for Cancer Patients, Oncology Nurses

Survey Reveals Research Priorities for Cancer Patients, Oncology Nurses

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Palliative care and end-of-life care are top research priorities for oncology patients and nurses.

Discharge Events Improved With Standardized Inpatient Palliative Care Consultation

Discharge Events Improved With Standardized Inpatient Palliative Care Consultation

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Standardized palliative care consultations for patients with advanced cancer improved postdischarge activities and use of services.

Screening Increases Early Palliative Care, Reduces Aggressive EOL Measures

Screening Increases Early Palliative Care, Reduces Aggressive EOL Measures

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Universal screening of women with gynecologic malignancies for early palliative care decreased the use of aggressive measures at the end of life.

Live-streamed Videos Address End-of-Life Planning, Decision-making

Live-streamed Videos Address End-of-Life Planning, Decision-making

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Live-streamed videos are a novel and forward-thinking approach for individuals to learn about end-of-life (EOL) planning and decision-making, according a study presented at the 2016 San Antonio Breast Cancer Symposium.

Pediatric Patients Continue to Experience High-Intensity EOL Care

Pediatric Patients Continue to Experience High-Intensity EOL Care

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Studies of end-of-life (EOL) care for pediatric patients have been limited to single institutions or lacked detailed clinical data. Therefore, researchers conducted a retrospective cohort study to examine predictor of, and trends in, high-intensity EOL care in this patient population.

Making End of Life Discussions Easier on Patients and Caregivers

Making End of Life Discussions Easier on Patients and Caregivers

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A new card game helps patients and caregivers broach the difficult subject of end-of-life wishes and prioritize what's most important in their planning.

Fee-for-service Medicare Plans Linked to Improved Care During Last Year of Life

Fee-for-service Medicare Plans Linked to Improved Care During Last Year of Life

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Sociodemographic, insurance, and clinical characteristics are associated with experience with physicians and medical care among patients with cancer in their last year before death.

Early Palliative Care Improves Quality of Life for Terminal Cancer Patients

Early Palliative Care Improves Quality of Life for Terminal Cancer Patients

Early care after an incurable cancer diagnosis improves quality of life and also increases the chances of having end-of-life discussions.

Improving Tools for Managing Pain and Monitoring Sedation Among Patients With Cancer

Improving Tools for Managing Pain and Monitoring Sedation Among Patients With Cancer

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Managing pain with opioids and keeping a close eye on adverse effects is an important part of cancer care. But there is room for improvement in pain management tools, and nurses play a key role in their evolution.

Unrealistic Patient Expectations Top Barrier to Quality EOL Care

Unrealistic Patient Expectations Top Barrier to Quality EOL Care

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In a large cohort of hematologic oncologists surveyed in the United States, standard end-of-life quality measures were highly acceptable, but unrealistic patient expectations are the greatest impediment to quality end-of-life care.

Type of End-of-Life Care Received Varies Based on Type of Disease

Type of End-of-Life Care Received Varies Based on Type of Disease

Cancer and dementia patients get more access to palliative care than do patients with many other chronic conditions, recent research indicates.

End-of-life Care Intensity for Patients With MDS May Be Suboptimal

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The intensity of end-of-life care for patients with myelodysplastic syndromes may be optimal in terms of hospice use, a recently published study has shown.

Treatment Goals Separate From Life Goals Among Patients With Advanced Cancer

Treatment Goals Separate From Life Goals Among Patients With Advanced Cancer

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Patients with advanced cancer view life goals as distinct from and less important than treatment goals, according to a recent study.

Families Prefer Hospice Over Hospital Intensive Care Unit for Those Dying of Cancer

Families Prefer Hospice Over Hospital Intensive Care Unit for Those Dying of Cancer

Families of patients dying of cancer believe their loved one had better care when they died in a hospice rather than in a hospital's intensive care unit, according to new research.

Study Identifies Factors Associated With Perceptions of Better End-of-Life Care

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Earlier hospice enrollment, avoidance of ICU admissions within 30 days of death, and death occurring outside the hospital were associated with perceptions of better end-of-life care.

Experiences, Dreams, and Visions: Easing the Patient With Cancer Toward End of Life

Experiences, Dreams, and Visions: Easing the Patient With Cancer Toward End of Life

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Cancer patients in their last weeks of life may have end-of-life experiences, including dreams and visions. A study from researchers at a hospice found that these events are an important part of a patient's dying process.

Doctors May Convey Racial Bias Through Body Language

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Hospital-based physicians exhibit significantly fewer positive, rapport-building nonverbal cues with black patients than with white patients when discussing end-of-life care.

Survey Shows Clinician Opinions on Timing of End-of-life Discussions for Patients With Blood Cancers

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In a survey on end-of-life (EOL) discussions, hematologic oncologists reported that these discussions with patients who have blood cancers occur too late, according to a recent report.

Advanced Cancer Patients and General Population Older Adults Differ in Preferences for a Good End-of-Life Experience

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Patients with advanced cancer are willing to pay more for all aspects of a good end-of-life experience compared with healthy older adults. Both groups are willing to pay more to be pain free and to die at home.

Religion, physicians, and surrogate decision-makers in the ICU

Religion, physicians, and surrogate decision-makers in the ICU

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Religious or spiritual considerations were discussed in 16% of family meetings in ICUs, but health care professionals only rarely explored the patient's or family's religious or spiritual ideas.

More patients with cancer assigning durable power of attorney

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In recent years, an increasing number of cancer patients were found to be assigning durable power of attorney.

End-of-life care for teens and young adults with cancer studied

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Investigators examined the intensity of end-of-life care for teens and young adults who died between the ages of 15 and 39 years of age.

Majority of younger patients dying of cancer use aggressive interventions in last month of life

Majority of younger patients dying of cancer use aggressive interventions in last month of life

More than two-thirds of adolescents and young adults dying as a result of cancer underwent at least one aggressive intervention during the last month of life.

The Nurse-Patient Relationship: When It's Time to Be Brave Enough to Let Go

The Nurse-Patient Relationship: When It's Time to Be Brave Enough to Let Go

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Patients at a crossroads in their care may struggle with the decision to change the course of their care. Nurses need to find the balance between offering support and letting the patient go forward.

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