End-of-Life Care

CALM: A Depression Intervention for Cancer Patients at the End of Life

CALM: A Depression Intervention for Cancer Patients at the End of Life

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The effectiveness of a novel intervention intended to reduce and/or prevent depression in patients with advanced cancer at the end of life was investigated in a randomized study with more than 300 patients.

PTSD May Increase Symptom Burden in Patients With Cancer

PTSD May Increase Symptom Burden in Patients With Cancer

Post-traumatic stress symptoms are linked to a greater symptom burden in hospitalized cancer patients.

Managing Dyspnea With Fentanyl in Patients With Cancer at End of Life

Managing Dyspnea With Fentanyl in Patients With Cancer at End of Life

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In this retrospective study, researchers sought to determine the effectiveness of fentanyl for dyspnea in dying patients with advanced cancer.

Survey-based priming intervention linked to improved communication and goals-of-care discussions amongst patient-clinician pairs

1. Goals-of-care (GOC) discussions were linked to improved patient outcomes and reduction of intensity in end-of-life care. The current study demonstrated that a survey-based intervention for priming clinicians with communication strategies was linked to increase in the occurrence, documentation, and quality of GOC discussions. 2. The current study was not able to evaluate the effect []

Education May Better Equip Nurses to Hold End-of-Life Conversations in Advanced Cancer

Education May Better Equip Nurses to Hold End-of-Life Conversations in Advanced Cancer

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That better informed patients can make better end-of-life decisions is well-known; however, nurse perception may be a barrier to earlier discussions. This project, presented at the 2018 ONS Annual Congress, sought to determine the effect of better informed nurses.

Dedicated End-of-Life Education Program Improves Nurses' Care, Patient and Family Satisfaction

Dedicated End-of-Life Education Program Improves Nurses' Care, Patient and Family Satisfaction

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A nurse-education program focused on end-of-life care that is compassionate for all involved in the cancer continuum — patients, their families, and the nurses — led to a hospital-wide educational program, introducing extensive changes and collaboration among nurses.

Letter-Writing Project Communicates Care Wishes to Healthcare Team, Family

Letter-Writing Project Communicates Care Wishes to Healthcare Team, Family

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What matters most to me, who matters most to me, and what do I want in my last days? Letter-writing project is a tool for patients to communicate their wishes for their last days.

A Witness to Letting Go: Nursing Care at the End of Life

A Witness to Letting Go: Nursing Care at the End of Life

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A new oncology nurse reflects on the first time she provided comfort care for a patient at the end of life and her family.

Various Aspects of Palliative Care Focus Associated With Different Outcomes In Cancer

Various Aspects of Palliative Care Focus Associated With Different Outcomes In Cancer

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In this evaluation of palliative care use, investigators were able to determine how the focus of palliative care - coping, treatment, or advanced care planning - influenced patients' decisions on quality of life and decisions regarding chemotherapy and hospice care at the end of life.

Sitting With Silence in End-of-Life Cancer Care

Sitting With Silence in End-of-Life Cancer Care

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Modern oncologic care entails actively pursuing treatment and cure; however, at the end of life, the ability to share silence may be the best treatment.

Specialized Pediatric Palliative Care Reduces High-Intensity Care at End of Life

Specialized Pediatric Palliative Care Reduces High-Intensity Care at End of Life

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A retrospective study of data from POGONIS evaluated the effectiveness of specialized pediatric palliative care vs general palliative care or no palliative care in pediatric patients with cancer at the end of life.

Nurses Must Be Experienced, Feel Competent When Providing End-of-Life Care

Nurses Must Be Experienced, Feel Competent When Providing End-of-Life Care

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An analysis of select responses to a survey conducted by researchers from the College of Nursing at South Dakota State University identified oncology nurses' comfort level in handling end-of-life care and patient education.

Outcomes Best With Discharge to Home vs PAC or Hospice in Advanced Cancer

Outcomes Best With Discharge to Home vs PAC or Hospice in Advanced Cancer

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In a prospective study, researchers assessed survival and quality of life measures for patients with advanced cancer in relation to where they are discharged from hospital: postacute care (PAC), hospice, or home without hospice.

Prevalence of Aggressive Cancer Care at End of Life Remains Unchanged

Prevalence of Aggressive Cancer Care at End of Life Remains Unchanged

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Researchers reported trends of aggressiveness of cancer care near the end of life (ACCEoL) have remained unchanged in adult patients despite increasing resources for integrated palliative care in a presentation at ESMO 2017 Congress.

Utilization of Optimal End-of-Life Care for Acute Myeloid Leukemia Often Delayed

Utilization of Optimal End-of-Life Care for Acute Myeloid Leukemia Often Delayed

Hospice services and effective health care strategies are underutilized by patients with AML leading to suboptimal end-of-life care.

Pain Management, Cancer Care at End-of-Life Improved by Caregiver Education, Training Intervention

Pain Management, Cancer Care at End-of-Life Improved by Caregiver Education, Training Intervention

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Novel intervention focuses on caregivers' beliefs, knowledge, and skills regarding home care for patients with cancer resulting in improved pain management and better overall care at the end of life.

Virtual Reality Offers New Experiences to Patients in Hospice

Virtual Reality Offers New Experiences to Patients in Hospice

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A London hospice facility's experiment with virtual reality offers patients at the end of life the chance to explore the world beyond their bed.

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.

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