Palliative Care
Palliative care for older people with dementia—we need a paradigm shift in our approach – “Advance care planning (ACP) is a central tenet of good dementia palliative care”.
19 Apr, 2022 | 01:30h | UTC
Cluster RCT: BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes.
19 Apr, 2022 | 01:26h | UTC
State of the Art Review: Prognostication and shared decision making in neurocritical care.
8 Apr, 2022 | 10:53h | UTCPrognostication and shared decision making in neurocritical care – The BMJ
Commentary on Twitter
It's out TODAY: Thank you @bmj_latest for this opportunity as an invited 'State of the Art Review'? on such an important topic‼️ Great job @K_Goostrey ??. Proud of this product: ?Prognostication and Shared Decision Making in #NCC https://t.co/VeFUlRe0xG @UMassChanNeuro
— S Muehlschlegel MD MPH, FNCS, FCCM, FAAN (@SMuehlschMD) April 7, 2022
Practice review: Evidence-based and effective management of anemia in palliative care patients.
1 Apr, 2022 | 08:21h | UTC
Practice review: Evidence-based management approaches for patients with severe chronic obstructive pulmonary disease (COPD).
1 Apr, 2022 | 08:29h | UTC
Practice review: Evidence-based and effective management of fatigue in patients with advanced cancer.
1 Apr, 2022 | 08:26h | UTC
Review | Advanced heart failure: guideline-directed medical therapy, diuretics, inotropes, and palliative care.
31 Mar, 2022 | 08:09h | UTC
End-of-life care in the cardiac intensive care unit: a contemporary view from the Critical Care Cardiology Trials Network (CCCTN) Registry.
30 Mar, 2022 | 10:08h | UTC
Commentary on Twitter
#EHJACVC Editors Choice:
End-of-life care in the cardiac intensive care unit: a contemporary view from the Critical Care Cardiology Trials Network (CCCTN) RegistryBig thank you to the @TIMIStudyGroup #CCCTN group for this important analysis! https://t.co/QJaPoTurLc pic.twitter.com/leOZRBNGTB
— EHJACVC Editor-in-Chief (@EHJACVCEiC) March 29, 2022
Multidisciplinary evidence-based recommendations for the management of malignant bowel obstruction in advanced cancer.
24 Mar, 2022 | 08:45h | UTC
Enabling patient choice: the “deciding not to decide” option for older adults facing dialysis decisions.
22 Mar, 2022 | 08:25h | UTCCommentary: The “Deciding Not to Decide” Option Can Improve Older Adult Patient Care – Rutgers University-New Brunswick
Systematic Review: Long-term outcomes among patients with advanced kidney disease who forgo maintenance dialysis.
15 Mar, 2022 | 08:11h | UTCCommentaries:
Conservative Care for Kidney Failure—The Other Side of the Coin – JAMA Network Open
Study: Advanced kidney disease patients can survive, with quality life, without dialysis – UPI
Guideline: Implementing advance care plans in the peri-operative period, including plans for cardiopulmonary resuscitation.
10 Mar, 2022 | 10:40h | UTC
AAN Position Statement: Clinical guidance in neuropalliative care.
9 Mar, 2022 | 09:56h | UTCClinical Guidance in Neuropalliative Care: An AAN Position Statement – Neurology
Veno-venous extracorporeal membrane oxygenation (vv-ECMO) for severe respiratory failure in adult cancer patients: a retrospective multicenter analysis.
16 Feb, 2022 | 08:30h | UTC
Commentary on Twitter
VV #ECMO in adults with cancer developing severe respiratory failure: survival remains poor, no significant advantage, carefully select! Low PLT, elevated lactate, disease status: adverse prognostic factors to be considered as deciding to provide #ECLS.
?️ https://t.co/igatEJH3VS pic.twitter.com/vl7UQKauB0— Intensive Care Medicine (@yourICM) February 12, 2022
Perspective: Providing compassionate care in the intensive care unit.
16 Feb, 2022 | 08:19h | UTC
Expert panel consensus on management of advanced cancer–related pain in individuals with opioid use disorder.
8 Feb, 2022 | 08:49h | UTCCommentaries:
Guidance Offered for Managing Pain in Patients With Cancer and OUD – HealthDay
AASLD Practice Guidance: Palliative care and symptom-based management in decompensated cirrhosis.
8 Feb, 2022 | 08:51h | UTCRelated: Meta-Analysis: Symptom Prevalence and Quality of Life of Patients with End-stage Liver Disease
Perspective: The origins, development, and context of the Lancet Commission on the Value of Death – “Death has turned from being a family, social, and cultural event to primarily a medical event”.
3 Feb, 2022 | 08:51h | UTCThe origins, development, and context of the Lancet Commission on the Value of Death – The BMJ
Review: Advance care planning and goals of care discussions in advanced liver disease.
2 Feb, 2022 | 08:17h | UTC
The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.
1 Feb, 2022 | 09:55h | UTCHomepage: Lancet Commission on the Value of Death (free registration required for all articles)
Report of the Lancet Commission on the Value of Death: bringing death back into life
The precariousness of balancing life and death
Ros Taylor: seeing palliative care as relational
Commentary on Twitter (thread – click for more)
Increasing overmedicalisation at the end of life is denying people & their families a good death.
Towards a compassionate community model: The Lancet #ValueofDeath Commission calls for a radical rethink of care for the dying & attitudes to death. https://t.co/DpJiu1tOcV pic.twitter.com/FU9MgCO1J6
— The Lancet (@TheLancet) January 31, 2022
Study shows many patients with metastatic cancer near the end of life still receive guideline-nonconcordant radiotherapy.
18 Jan, 2022 | 09:35h | UTCCommentary: Study: Cancer patients given high-dose radiation treatments even near end of life – UPI
Raising awareness for time-limited trial discussion upon ICU triage and admission.
8 Dec, 2021 | 09:57h | UTCRaising awareness for time-limited trial discussion upon ICU triage and admission – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Enhancing situational awareness/prompt time-limited trial discussion vs burden/harm of inappropriate #ICU admission
F functional impairment
R recurrent hospitalisations
A advanced malignancy/chronic diseases
I irreversible organ failure
L long ? stayhttps://t.co/C3aR2lbZtt pic.twitter.com/IB0xjSGVup— Intens Care Med (@yourICM) December 6, 2021
Care of older people and people requiring palliative care with COVID-19: guidance from the Australian National COVID-19 Clinical Evidence Taskforce.
7 Dec, 2021 | 10:12h | UTC
Real-world ethics in palliative care: A systematic review of the ethical challenges reported by specialist palliative care practitioners in their clinical practice.
17 Nov, 2021 | 08:18h | UTC
Commentary on Twitter
The range of ethical challenges faced by specialist palliative care practitioners exceeds the breadth of those detailed in palliative care textbooks and ethics resources. #hpm #hapc https://t.co/pvwkYrJmIo pic.twitter.com/qb5803oQg1
— Palliative Medicine (@PalliativeMedJ) March 3, 2021
Among patients with cancer who received decompressive G-tubes for nutrition or malignant bowel obstruction, nearly half presented with stage IV disease and died within one month of placement.
12 Nov, 2021 | 09:55h | UTCCommentary: Risks and Benefits Associated With Gastrostomy Tubes for Patients With Cancer – The ASCO Post