Palliative Care
Perspective: Assisted Suicide is Controversial, but Palliative Sedation is Legal and Offers Peace
3 Aug, 2018 | 11:32h | UTC
ESMO guideline: Management of Cancer Pain in Adult Patients
3 Aug, 2018 | 03:03h | UTCManagement of cancer pain in adult patients: ESMO Clinical Practice Guidelines – Annals of Oncology (free)
Opinion: How Do You Want to Die?
3 Aug, 2018 | 02:57h | UTCHow Do You Want to Die? – The New York Times (10 articles per month are free)
“Are we turning sudden cardiac death into a longer, winding path? Defibrillators can prevent sudden death but they also can take away the sudden-death option.” (via @RasoiniR see Tweet)
Guideline: Advance Care Planning in Dementia
29 Jun, 2018 | 02:30h | UTCRelated: New Document for Patients: Advanced Health Directive for Dementia (free document and commentaries) AND Alzheimer’s? Your Paperwork May Not Be in Order – The New York Times (free)
Perspective: Breathing Tubes Fail to Save Many Older Patients
24 Jun, 2018 | 19:30h | UTCBreathing Tubes Fail to Save Many Older Patients – The New York Times (10 articles per month are free)
“One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often”.
ASCO Resource-Stratified Practice Guideline: Palliative Care in the Global Setting
18 Jun, 2018 | 00:20h | UTCCommentary: ASCO Guideline Addresses Palliative Care in the Global Setting – ASCO Daily News (free)
Guide: Age-attuned Hospice Care
18 Jun, 2018 | 00:19h | UTCAge-attuned Hospice care: An opportunity to better end of life care for older people – StCristopher’s (free PDF) (via @hospicedoctor see tweet)
“Despite the evidence that more people will die of frailty and multiple long-term conditions than of cancer, our services for those moving towards the end of their life remain focussed on the needs of the latter group”
Perspective: Beyond Legalization — Dilemmas Physicians Confront Regarding Aid in Dying
7 Jun, 2018 | 02:47h | UTC
Meta-Analysis: Pharmacological Therapies for the Treatment of Opioid-induced Constipation
29 May, 2018 | 17:50h | UTCEfficacy of pharmacological therapies for the treatment of opioid-induced constipation: systematic review and network meta-analysis – Gut (link to abstract – $ for full-text)
Commentary: Naloxone, naldemedine appear best for opioid-induced constipation after laxatives – ACP Gastroenterology (free)
Consensus Statement: Cancer Patients Requiring Intensive Care Support
10 May, 2018 | 17:33h | UTCConsensus statement for cancer patients requiring intensive care support – Annals of Hematology (free)
Source: Critical Care Reviews Newsletter
Meta-Analysis: Economics of Palliative Care for Hospitalized Adults With Serious Illness
3 May, 2018 | 20:32h | UTCEconomics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis – JAMA Internal Medicine (free for a limited period)
Commentaries: Study: Palliative Care Reduces Hospital Stay, Cost of Sickest Patients – U.S. News (free) AND Prompt Palliative Care Saves Money, Especially in Sickest Patients – MedPage Today (free registration required)
Viewpoint: Tube Feeding and Deteriorating Patients
25 Apr, 2018 | 12:54h | UTCDavid Oliver: Tube feeding and deteriorating patients—guidelines can take us only so far – The BMJ (free)
Related Guidelines: American Geriatrics Society Feeding Tubes in Advanced Dementia Position Statement (free) AND ESPEN guideline on ethical aspects of artificial nutrition and hydration (free)
Related Reviews: Artificial nutrition and hydration in advanced dementia – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 2: management of poor nutritional intake, dehydration, and pneumonia – Canadian Family Physician (free) AND Advanced Dementia – New England Journal of Medicine (free)
Review: Management of Dyspnea in the Terminally Ill
24 Apr, 2018 | 18:03h | UTCManagement of Dyspnea in the Terminally Ill – CHEST (free PDF)
Source: Hospital Medicine Virtual Journal Club
Cancer treatment in the last 6 months of life: when inaction can outperform action
20 Apr, 2018 | 01:46h | UTC
SEOM position statement: management of older patients with cancer
13 Apr, 2018 | 01:25h | UTC
Guideline: palliative thoracic radiation therapy for non-small cell lung cancer
6 Apr, 2018 | 01:10h | UTCCommentaries: Updated ASTRO guideline for palliative lung radiation now recommends concurrent chemotherapy for some stage III patients – eCancer News (free) AND ASTRO updates lung radiation guideline for non-small cell lung cancer patients – Health Imaging (free)
Perspective: ‘aggressive’ new advance directive would let dementia patients refuse food
3 Apr, 2018 | 17:59h | UTC‘Aggressive’ New Advance Directive Would Let Dementia Patients Refuse Food – Kaiser Health News (free)
See website: End of Life Choices
Related initiatives: This Startup Makes End-Of-Life Planning A Piece Of Cake (free) AND New Document for Patients: Advanced Health Directive for Dementia (free document and commentaries)
Clinical Updates: Palliative radiotherapy
30 Mar, 2018 | 03:49h | UTCClinical Updates: Palliative radiotherapy – The BMJ (free)
Clinical Update for non-specialists on the benefits, practicalities, and side effects of palliative radiotherapy
Research: Outcomes, experiences and palliative care in major stroke
8 Mar, 2018 | 21:32h | UTC““Palliative care” had connotations of treatment withdrawal and imminent death… practicing the principles of palliative care is needed, but the term “palliative care” should be avoided or reframed”.
See related articles on this subject: Palliative care: renaming as supportive care and integration into comprehensive cancer care – CMAJ (free) AND Perceptions of palliative care among patients with advanced cancer and their caregivers (free)
Too Late To Operate? Surgery Near End Of Life Is Common, Costly
2 Mar, 2018 | 01:33h | UTCToo Late To Operate? Surgery Near End Of Life Is Common, Costly – NPR (free)
Commentary: Why Palliative Care Isn’t Just for Older Patients With Cancer
1 Mar, 2018 | 22:06h | UTCWhy Palliative Care Isn’t Just for Older Patients With Cancer – The ASCO Post (free)
Review: Pediatric Palliative Care for Children with Progressive Non-Malignant Diseases
27 Feb, 2018 | 17:17h | UTCPediatric Palliative Care for Children with Progressive Non-Malignant Diseases – Children (free)
Guideline for Prescribing Medical Cannabinoids in Primary Care
22 Feb, 2018 | 23:22h | UTCCommentary: New guideline warns pain benefits of medical cannabis overstated – University of Alberta Faculty of Medicine & Dentistry, via ScienceDaily (free)
Editorial: Animal-Assisted Intervention in the ICU
22 Feb, 2018 | 21:51h | UTCEditorial: Animal-assisted intervention in the ICU: a tool for humanization – Critical Care (free)
Related: Humanizing the ICU: incorporating animal-assisted interventions – On Medicine Blog (free)
Review: Legal and Practical Issues at the End of Life
22 Feb, 2018 | 21:38h | UTCLegal and practical issues at the end of life – Clinical Medicine (free)
Source: Critical Care Reviews Newsletter