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Journal articles on the topic 'Palliative help'

Author: Grafiati

Published: 4 June 2021

Last updated: 6 February 2022

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1

_, _. "Palliative Care." Journal of the National Comprehensive Cancer Network 4, no. 8 (2006): 776. http://dx.doi.org/10.6004/jnccn.2006.0068.

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Over the past 20 years, increasing attention has been paid to quality-of-life issues in oncology. As the hospice movement has grown in this country, palliative care has developed into an integral part (rather than the antithesis) of comprehensive cancer care. Palliative care must be integrated earlier into the continuum of cancer care, and palliative, symptom-modifying therapy should be provided simultaneously with disease-modifying therapy from diagnosis. The goal of the NCCN palliative care guidelines is to help assure that each patient with cancer experiences the best possible quality of li

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2

Meier, Diane E., and Larry Beresford. "Palliative Care Cost Research Can Help Other Palliative Care Programs Make Their Case." Journal of Palliative Medicine 12, no. 1 (2009): 15–20. http://dx.doi.org/10.1089/jpm.2009.9692.

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3

Fisher, John W., and David Brumley. "Palliative Care Doctors Need Help with Spiritual Wellbeing." Journal for the Study of Spirituality 2, no. 1 (2012): 49–60. http://dx.doi.org/10.1558/jss.v2i1.49.

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4

Samson, Kurt. "Outpatient Palliative Care Teams Help Parkinsonʼs Patients, Caregivers". Neurology Today 20, № 6 (2020): 1. http://dx.doi.org/10.1097/01.nt.0000659052.86305.e5.

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5

Cole, Elaine. "‘In palliative care we help children make memories’." Nursing Standard 31, no. 16-18 (2016): 38–39. http://dx.doi.org/10.7748/ns.31.16-18.38.s44.

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Blackburn, Pippa, and Caroline Bulsara. "“You either need help…you feel you don't need help…or you don't feel worthy of asking for it:” Receptivity to bereavement support." Palliative and Supportive Care 17, no. 2 (2018): 172–85. http://dx.doi.org/10.1017/s1478951517001122.

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AbstractObjectiveAlthough the needs of the bereaved have been identified widely in the literature, how these needs translate into meaningful, appropriate, and client-centered programs needs further exploration. The application of receptivity to support is a critical factor in participation by the bereaved in palliative care bereavement programs. Receptivity is a complex multifactorial phenomenon influenced by internal and external factors that ultimately influences engagement in psychosocial support in bereavement. This study explored factors that influence receptivity to bereavement support f

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Goudot, Francois-Xavier, Milena Maglio, and Sandrine Bretonniere. "How to better help cancer patients face their coming death?" Journal of Clinical Oncology 35, no. 15_suppl (2017): e21505-e21505. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e21505.

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e21505 Background: According to literature and medical experience, the doctor-patient relationship becomes strained when oncologists tell their patients that they have no more curative treatments to offer them. Patients often resist when they are told that it is in their best interest to meet with the palliative teams. Little is known about how to meet patients’ expectations at this advanced stage. Methods: We conducted a multicenter qualitative research in an oncology department, a hospital at home service and in an inpatient hospice care center. We met 47 patients (M = 21, F = 27, mean age =

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CAIN, ROY, MICHAEL MACLEAN, and SCOTT SELLICK. "Giving support and getting help: Informal caregivers' experiences with palliative care services." Palliative and Supportive Care 2, no. 3 (2004): 265–72. http://dx.doi.org/10.1017/s1478951504040350.

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Objective: Palliative care services have made significant contributions to those needing end-of-life care, but the effect of these services on informal caregivers is less clear. This article reviews the literature and examines the influences of palliative care services on caregivers of people who are dying of cancer, HIV-related illnesses, and illnesses of later life.Methods: Based on questions that we developed from the literature review, we conducted six focus groups in Toronto, Thunder Bay, and Ottawa, Canada, with informal caregivers about their experiences with caregiving and with palliat

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Geist, Marcus J. P., Jens Kessler, Susanne Frankenhauser, and Hubert J. Bardenheuer. "Bleeding Control in Palliative Care Patients With the Help of Tranexamic Acid." Journal of Palliative Care 32, no. 2 (2017): 47–48. http://dx.doi.org/10.1177/0825859717731701.

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Background: Persistent bleeding is a common reason for admitting patients with advanced cancer to a palliative care unit. Several reports show a successful therapeutic use of the antifibrinolytic agent tranexamic acid in palliative care patients having hemorrhages. However, it is not administered routinely in severe bleeding situations in palliative care, and general dosing recommendations are unclear. Case Presentation: We report on 3 patients who were treated with tranexamic acid due to symptomatic hemorrhage complicating different malignant processes. Case Management and Outcome: A dosing r

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10

Adams, James D., and Cecilia Garcia. "Palliative Care Among Chumash People." Evidence-Based Complementary and Alternative Medicine 2, no. 2 (2005): 143–47. http://dx.doi.org/10.1093/ecam/neh090.

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Chumash Healers used breathing therapy and counseling to keep patients involved in daily life and to avoid depression. Heat therapy, massage and pain medications were used to help with pain. Another primary function of the Healer was to help the patient sleep as normally as possible, possibly using mugwort or momoy. Nutrition was considered by Healers in treating their patients. The overall concern of the Healer was to help maintain the daily routine of village life during the normal process of the death of a village member.

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11

Gamlin, Richard. "Breathe easily: help with dyspnoea management and palliative care." International Journal of Palliative Nursing 7, no. 9 (2001): 457. http://dx.doi.org/10.12968/ijpn.2001.7.9.12641.

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12

Ganapathy Sankar U., Monisha R., Christopher Amalraj Vallaba Doss, and Palanivel R. M. "Evaluation of palliative care knowledge among health care students- A pilot study." International Journal of Research in Pharmaceutical Sciences 11, no. 2 (2020): 1433–37. http://dx.doi.org/10.26452/ijrps.v11i2.2015.

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Palliative care is given much importance in the curriculum of medical and health sciences. Before planning a new design and curriculum development, it is mandatory to test the knowledge and awareness of Occupational therapy students on palliative care. Thus it will help the expert’s panel to enhance the syllabus designing methods appropriate to the student’s knowledge. Without paying much attention to enhance knowledge on palliative care among students might lead to failure in providing quality care. To evaluate the knowledge in palliative care among undergraduate occupational therapy students

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13

Capello, Carol F., Diane E. Meier, and Christine K. Cassel. "Payment Code for Hospital-Based Palliative Care: Help or Hindrance?" Journal of Palliative Medicine 1, no. 2 (1998): 155–63. http://dx.doi.org/10.1089/jpm.1998.1.155.

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Head, Barbara, Christine S. Ritchie, and Tonya M. Smoot. "Prognostication in Hospice Care: Can the Palliative Performance Scale Help?" Journal of Palliative Medicine 8, no. 3 (2005): 492–502. http://dx.doi.org/10.1089/jpm.2005.8.492.

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15

&NA;. "Patients with Hilar Lung Tumors: Palliative Help with Robotic Radiosurgery." Oncology Times 32, no. 21 (2010): 27. http://dx.doi.org/10.1097/01.cot.0000390969.81376.7a.

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16

Abernethy, A. P., and D. C. Currow. "Palliative care services help caregivers move on with their lives." Journal of Clinical Oncology 22, no. 14_suppl (2004): 8029. http://dx.doi.org/10.1200/jco.2004.22.14_suppl.8029.

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17

Seymour, Jane. "Using technology to help obtain the goals of palliative care." International Journal of Palliative Nursing 11, no. 5 (2005): 240–41. http://dx.doi.org/10.12968/ijpn.2005.11.5.240.

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Abernethy, A. P., and D. C. Currow. "Palliative care services help caregivers move on with their lives." Journal of Clinical Oncology 22, no. 14_suppl (2004): 8029. http://dx.doi.org/10.1200/jco.2004.22.90140.8029.

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19

Sirianni, Giovanna. "A Public Health Approach to Palliative Care in the Canadian Context." American Journal of Hospice and Palliative Medicine® 37, no. 7 (2019): 492–96. http://dx.doi.org/10.1177/1049909119892591.

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Palliative care helps improve the quality of life of individuals facing life-limiting illness throughout the course of their disease. In Canada, delivery and access to palliative care has been fraught with challenges including differential availability of services based on geography, funding, language, and socioeconomic status. Many groups, including the World Health Organization, have advocated for a public health approach to palliative care as an antidote to fragmented service delivery. Multiple scholars, academics, and public health advocates have suggested that a public health approach to

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20

Matveeva, Natalya Mikhailovna, and Galina Alekseevna Maksimova. "Integrated approach to providing medical and social help for domestic patients." Medsestra (Nurse), no. 3 (March 1, 2021): 50–57. http://dx.doi.org/10.33920/med-05-2103-06.

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The article reflects an innovative approach to the care of ostomy patients, which includes the interaction of three services: psychological, social and medical. Designed for palliative care and long-term care professionals.

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21

McGreevy, Christopher M., Sarah Bryczkowski, Sri Ram Pentakota, Ana Berlin, Sangeeta Lamba, and Anne C. Mosenthal. "Unmet palliative care needs in elderly trauma patients: can the Palliative Performance Scale help close the gap?" American Journal of Surgery 213, no. 4 (2017): 778–84. http://dx.doi.org/10.1016/j.amjsurg.2016.05.013.

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22

Bouleuc, Carole, Alexis Burnod, Paul H. Cottu, Jean-Yves Pierga, and Sylvie Dolbeault. "Questions prompt lists used by palliative care teams help trigger discussions on prognosis and end-of-life issues with advanced cancer patients." Journal of Clinical Oncology 38, no. 15_suppl (2020): 12110. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.12110.

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12110 Background: Accuracy of prognosis perception is a key element to allow advanced cancer patients to make informed decisions and to reflect on their end-of-life priorities. This study aims to explore whether a question prompt list can promote discussions on prognosis and end-of-life issues during palliative care consultations for advanced cancer patients. Methods: In this multicentric randomised study, patients assigned in the interventional arm receive a question prompt list during the first palliative care consultation (T1) after referral by oncologists. The primary endpoint is the numbe

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23

Schenker, Yael, Megan Crowley-Matoka, Daniel Dohan, et al. "Oncologist Factors That Influence Referrals to Subspecialty Palliative Care Clinics." Journal of Oncology Practice 10, no. 2 (2014): e37-e44. http://dx.doi.org/10.1200/jop.2013.001130.

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Improving provision of palliative care in oncology may require efforts beyond increasing service availability. Developing ways for oncologists and palliative care physicians to collaborate and integrate their respective skills may help.

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Rosenberg, John P., Debbie Horsfall, Rosemary Leonard, and Kerrie Noonan. "Informal care networks’ views of palliative care services: Help or hindrance?" Death Studies 42, no. 6 (2017): 362–70. http://dx.doi.org/10.1080/07481187.2017.1350216.

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25

Raymond, Martha, and Margaret-Ann Simonetta. "The caregiver perspective: Advancing the understanding of cancer caregiving in the palliative care setting." Journal of Clinical Oncology 36, no. 34_suppl (2018): 17. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.17.

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17 Background: 2018 data from the National Cancer Institute’s Surveillance, Epidemiology & End Results (SEER) Program estimates there are 15.5 million cancer survivors in the U.S. Throughout the care continuum, cancer caregivers provide invaluable support which greatly impacts and improves patient quality of life. In the palliative care setting caregiver support is vitally important, but many caregivers struggle to take care of their own needs and are not aware of supportive services. Our study explores the unmet needs of cancer caregivers in the palliative care setting. Methods: Over a tw

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26

Hawley, Pippa. "Barriers to Access to Palliative Care." Palliative Care: Research and Treatment 10 (January 1, 2017): 117822421668888. http://dx.doi.org/10.1177/1178224216688887.

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Despite significant advances in understanding the benefits of early integration of palliative care with disease management, many people living with a chronic life-threatening illness either do not receive any palliative care service or receive services only in the last phase of their illness. In this article, I explore some of the reasons for failure to provide palliative care services and recommend some strategies to overcome these barriers, emphasizing the importance of describing palliative care accurately. I provide language which I hope will help health care professionals of all disciplin

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27

Cope, Emma, and Patrick Daly. "Palliative Care—What, Who and When?" InnovAiT: Education and inspiration for general practice 4, no. 11 (2011): 624–32. http://dx.doi.org/10.1093/innovait/inr154.

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Palliative care is a speciality which has grown considerably in recent years gaining recognition as its own subspecialty of medicine by the Royal College of Physicians in 1987. GPs have always had a role in providing palliative care, and as our ageing population increases, the number of people living with incurable illnesses will continue to rise. This article aims to provide an understanding of palliative care medicine, the role of the GP in the palliative care team, guidance to help identify those patients who may benefit from palliative care services and when referral to specialist services

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28

Generali, Joyce A. "Fever; Hospice and Palliative Care." Hospital Pharmacy 37, no. 12 (2002): 1351–68. http://dx.doi.org/10.1177/001857870203701201.

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To help readers monitor the most important developments in specialized areas of pharmacy practice in organized health systems, Hospital Pharmacy commissions Basic Bibliographies by guest editors, who have expertise in their respective fields. These guest editors survey the relevant literature and rank approximately 15 to 20 references that represent the most significant research and practice contributions in their areas. The more fundamental are listed first so that persons with limited time can select reading appropriate to their needs.

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29

Valiulienė, Žaneta, and Arvydas Šeškevičius. "PALIATYVIŲJŲ PACIENTŲ, SERGANČIŲ ONKOLOGINĖMIS LIGOMIS, SOCIALINĖS SVEIKATOS SUTRIKIMAI." Sveikatos mokslai 25, no. 1 (2014): 24–28. http://dx.doi.org/10.5200/sm-hs.2015.003.

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Purpose of investigation is ascertain and evaluation of social health disorders of palliative patients, ill oncological diseases. Investigation was performed starting from April 2012 until April 2013. Population of investigation: 100 investigatives, who are palliative patients, ill on oncological diseases. The Karnofsky Performance Scale Index is lower than 50%. Results showed that family participates rarely by taking desicions of palliative help. In mostly cases a help get paliative patients, ill oncological diseases, who are of a younger age. Older patients do not have a person, who could he

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Woods, Anne, Kathleen Willison, Cindy Kington, and Alan Gavin. "Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature." Canadian Journal of Psychiatry 53, no. 11 (2008): 725–36. http://dx.doi.org/10.1177/070674370805301104.

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A systematic overview of the literature on palliative care for people with severe persistent mental illness (SPMI) was conducted to inform clinical practice, research, and education. Empirical studies and nonempirical papers were included. Few empirical studies exist. There is even less information about the palliative care needs of, or the nature of palliative care provided to, people with SPMI. Mental health, primary care, and palliative care providers need to partner with people who have SPMI in developing and providing palliative care. The field of palliative care for people with SPMI is w

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de Raaf, Pleun J., and Carin C. D. van der Rijt. "Can You Help Me Feel Less Exhausted All the Time?" Journal of Clinical Oncology 31, no. 25 (2013): 3056–60. http://dx.doi.org/10.1200/jco.2013.49.3403.

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A 64-year-old woman with metastatic rectal cancer is admitted to the acute palliative care unit of our cancer center because of debilitating fatigue. She had been diagnosed with metastatic disease in 2009, when liver metastases were found 1 year after the primary treatment of her rectal cancer with preoperative radiotherapy and low anterior resection. Since then, she had been treated with resection of liver metastases in 2009 and 2010, palliative combination chemotherapy (oxaliplatin plus capecitabine) after the diagnosis of new liver and lung metastases in 2010, irinotecan in 2011, and then c

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Clarke, Dave F., James W. Wheless, Monica M. Chacon, et al. "Corpus callosotomy: A palliative therapeutic technique may help identify resectable epileptogenic foci." Seizure 16, no. 6 (2007): 545–53. http://dx.doi.org/10.1016/j.seizure.2007.04.004.

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33

Koh, Mervyn, Allyn Hum, and X̃iang Wenwei. "Clinical Variety May Help Prevent Burnout After a Decade in Palliative Care." Journal of Pain and Symptom Management 55, no. 2 (2018): e3-e5. http://dx.doi.org/10.1016/j.jpainsymman.2017.10.001.

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34

Sutton, John E. "The Palliative Care Triangle: A Strategy to Help Make Difficult Surgical Decisions." Archives of Surgery 146, no. 5 (2011): 522. http://dx.doi.org/10.1001/archsurg.2011.68.

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35

Badgwell, Brian, Eduardo Bruera, and Suzanne V. Klimberg. "Can patient reported outcomes help identify the optimal outcome in palliative surgery?" Journal of Surgical Oncology 109, no. 2 (2013): 145–50. http://dx.doi.org/10.1002/jso.23466.

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36

Silva, Leonel dos Santos, Bruna Eloise Lenhani, Dabna Hellen Tomim, Paulo Ricardo Bittencourt Guimarães, and Luciana Puchalski Kalinke. "Quality of Life of Patients with Advanced Cancer in Palliative Therapy and in Palliative Care." Aquichan 19, no. 3 (2019): 1–14. http://dx.doi.org/10.5294/aqui.2019.19.3.7.

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Objective: To assess the quality of life of patients with advanced cancer in palliative therapy and in palliative care. Materials and Methods: Quantitative, observational, cross-sectional, and analytic study conducted in a teaching hospital in Paraná, Brazil, from January to June 2018, with 126 patients: 107 in palliative therapy; 19 in exclusive palliative care. The questionnaires for data collection were: Quality of Life Questionnaire-Core 15-Palliative, Functional Assessment of Chronic Illness Therapy-Palliative Care 14, and Edmonton Symptom Assessment System. The Spearman non-parametric co

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Zuniga-Villanueva, Gregorio, Jose Luis Ramirez-GarciaLuna, and Kevin Weingarten. "Factors Associated With Knowledge and Comfort Providing Palliative Care: A Survey of Pediatricians in Mexico." Journal of Palliative Care 34, no. 2 (2019): 132–38. http://dx.doi.org/10.1177/0825859719827021.

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Background: Lack of education and training in palliative care has been described to be one of the most important barriers to pediatric palliative care implementation. Objective: To examine what factors determine the degree of knowledge and level of comfort Mexican pediatricians have providing pediatric palliative care. Methods: A questionnaire that assessed palliative care concepts was developed and applied online to Mexican pediatricians, both generalists and specialists. Results: A total of 242 pediatricians responded. The majority had not received palliative care education (92.6%) and felt

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Ofosu-Poku, Rasheed, Michael Owusu-Ansah, and John Antwi. "Referral of Patients with Nonmalignant Chronic Diseases to Specialist Palliative Care: A Study in a Teaching Hospital in Ghana." International Journal of Chronic Diseases 2020 (March 16, 2020): 1–11. http://dx.doi.org/10.1155/2020/8432956.

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Ghana’s chronic disease burden is on the rise. An essential aspect of clinical care in chronic disease management is to improve the quality of life of both patients and their families and to help them cope with the experience of life-limiting illness. Specialist palliative care services help reach this objective, especially in the context of complex psychosocial challenges and high symptom burden. It is, therefore, necessary that as many patients as possible get access to available specialist palliative care services. This paper explores the factors influencing referral of patients with nonmal

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39

Jacobsen, Paul B., and William Breitbart. "Psychosocial Aspects of Palliative Care." Cancer Control 3, no. 3 (1996): 214–22. http://dx.doi.org/10.1177/107327489600300303.

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Background Relief of suffering is a central goal for palliative care. Achievement of this goal can be difficult, however, due to the complex nature of suffering. Methods A psychosocial perspective is used to understand suffering and to identify interventions to relieve suffering in patients with advanced disease. Results Clinical experience and research suggest that attending to the psychosocial aspects as well as the medical aspects of palliative care has the potential of further reducing the suffering experienced by patients with advanced disease. Conclusions Suffering is best viewed as a su

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Ahluwalia, Sangeeta C., Fukai L. Chuang, Anna Liza M. Antonio, Jennifer L. Malin, Karl A. Lorenz, and Anne M. Walling. "Documentation and Discussion of Preferences for Care Among Patients With Advanced Cancer." Journal of Oncology Practice 7, no. 6 (2011): 361–66. http://dx.doi.org/10.1200/jop.2011.000364.

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Mukharovska, Inna. "The psychological distress and psychic phenomena in cancer patients during palliative care." Psychosomatic Medicine and General Practice 1, no. 1 (2016): 010113. http://dx.doi.org/10.26766/pmgp.v1i1.13.

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Background The diagnostic cancer in incurable stages, the transition to palliative care because of disease progression are significant psychological challenge for the patient. Psychological help for cancer patients during palliative treatment are no less important than medical therapy. Methods The study conducted at the Kyiv City Clinical Cancer Center during the 2012 - 2013 years in two phases. In first phase provided psychological investigation psychological condition of incurable cancer patients and its dynamics during palliative therapy with followed qualitative analysis of the data – part

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Thoonsen, Bregje, Stefanie H. M. Gerritzen, Kris C. P. Vissers, et al. "Training general practitioners contributes to the identification of palliative patients and to multidimensional care provision: secondary outcomes of an RCT." BMJ Supportive & Palliative Care 9, no. 1 (2016): e18-e18. http://dx.doi.org/10.1136/bmjspcare-2015-001031.

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IntroductionTo support general practitioners (GPs) in providing early palliative care to patients with cancer, chronic obstructive pulmonary disease or heart failure, the RADboud university medical centre indicators for PAlliative Care needs tool (RADPAC) and a training programme were developed to identify such patients and to facilitate anticipatory palliative care planning. We studied whether GPs, after 1 year of training, identified more palliative patients, and provided multidimensional and multidisciplinary care more often than untrained GPs.MethodsWe performed a survey 1 year after GPs i

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Chuah, Pei Fen, Mei Ling Lim, Seow Ling Choo, et al. "A qualitative study on oncology nurses’ experiences of providing palliative care in the acute care setting." Proceedings of Singapore Healthcare 26, no. 1 (2016): 17–25. http://dx.doi.org/10.1177/2010105816660322.

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Background: With the renewed emphasis on palliative care in Singapore, coupled with a dearth of studies on provision of palliative care in acute services, it is timely to explore the experiences, barriers and challenges faced by oncology nurses in the acute care setting. Aim: This study aimed to explore nurses’ experiences of providing palliative care in the acute oncology care unit. Method: An exploratory descriptive research methodology was adopted. Focus group interviews, involving a total of 24 nurses, were conducted. Interviews were audio-taped and transcribed verbatim. Data was analyzed

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Fliedner, Monica C., Sofia C. Zambrano, and Steffen Eychmueller. "Public perception of palliative care: a survey of the general population." Palliative Care and Social Practice 15 (January 2021): 263235242110175. http://dx.doi.org/10.1177/26323524211017546.

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Background: The public’s view of palliative care often involves its potential to improve of quality-of-life as well as its use as a last resource prior to death. Objective: To obtain an idea of the image of palliative care held by the public in the German-speaking part of Switzerland, the authors sought to understand (1) the perceptions of palliative care and the (2) elements important when thinking about their own end of life. Methods and Sample: A qualitative design with an inductive reasoning approach based on Mayring (2014) was chosen. Visitors at an exhibition about palliative care in six

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Davies, Elizabeth A. "Why we need more poetry in palliative care." BMJ Supportive & Palliative Care 8, no. 3 (2018): 266–70. http://dx.doi.org/10.1136/bmjspcare-2017-001477.

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ObjectivesAlthough many well-known poems consider illness, loss and bereavement, medicine tends to view poetry more as an extracurricular than as a mainstream pursuit. Within palliative care, however, there has been a long-standing interest in how poetry may help patients and health professionals find meaning, solace and enjoyment. The objective of this paper is to identify the different ways in which poetry has been used in palliative care and reflect on their further potential for education, practice and research.MethodsA narrative review approach was used, drawing on searches of the academi

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Tang, Xiaofang, Qiancheng Hu, Ye Chen, et al. "Optimal dose-fractionation schedule of palliative radiotherapy for patients with bone metastases: a protocol for systematic review and network meta-analysis." BMJ Open 10, no. 1 (2020): e033120. http://dx.doi.org/10.1136/bmjopen-2019-033120.

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IntroductionThe optimal dose-fractionation schedule of palliative radiotherapy has been debated in patients with bone metastases. Our objective is to comprehensively compare multiple fraction schedules with single fraction radiotherapy in terms of efficacy and toxicities by performing a systematic review and network meta-analysis.Methods and analysisElectronic searches of titles/abstracts of palliative radiotherapy for bone metastases will be performed, using PubMed, Cochrane Library, Embase,clinical trials, American Society for Therapeutic Radiology and Oncology and European Society of Radiot

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Urowitz, Sara, Denise Marshall, Jeff Myers, and Deanna Bryant. "Development of provincial clinical standards for the province of Ontario." Journal of Clinical Oncology 33, no. 29_suppl (2015): 117. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.117.

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117 Background: The province of Ontario is committed to improving palliative care services. This commitment to change is outlined in The Declaration of Partnership, the provincial roadmap for improving palliative care. To help drive this change in the clinical environment, a Clinical Council for Palliative Care was established to be responsible for providing direction on clinical implications of policy, and advancing clinical improvement in palliative care in Ontario. To this end, Clinical Council has articulated a set of 12 interrelated provincial clinical standards which outline priority are

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Paudel, B. D., G. Dangal, and D. Munday. "Overview of Palliative Care." Nepal Journal of Obstetrics and Gynaecology 9, no. 2 (2014): 3–10. http://dx.doi.org/10.3126/njog.v9i2.11724.

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Patients diagnosed with a life threatening condition like cancer suffer physically, socially and mentally. Their quality of life can be improved by effective communication and good symptom control even when the disease is incurable. Pain is the most common symptom and can be controlled by optimal use of analgesics especially oral morphine if severe. Psychosocial issues like depression and anxiety can be minimized by counseling and use of medicines. Death is more painful than birth but can be minimized by understanding the reality and by honest sharing which will help to minimize unnecessary su

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Nickolich, Myles S., Areej El-Jawahri, Jennifer S. Temel, and Thomas W. LeBlanc. "Discussing the Evidence for Upstream Palliative Care in Improving Outcomes in Advanced Cancer." American Society of Clinical Oncology Educational Book, no. 36 (May 2016): e534-e538. http://dx.doi.org/10.1200/edbk_159224.

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Palliative care has received increasing attention at the American Society of Clinical Oncology (ASCO) Annual Meeting since the publication of its provisional clinical opinion on the topic in 2012. Despite frequent discussion, palliative care remains a source of some controversy and confusion in clinical practice, especially concerning who should provide it, what it encompasses, and when and how it can help patients and their families. In this article, we provide a formal definition of palliative care and review the state of the science of palliative care in oncology. Several randomized control

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Fury, Matthew G., and David G. Pfister. "Current Recommendations for Systemic Therapy of Recurrent and/or Metastatic Head and Neck Squamous Cell Cancer." Journal of the National Comprehensive Cancer Network 9, no. 6 (2011): 681–89. http://dx.doi.org/10.6004/jnccn.2011.0056.

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For palliation of patients with recurrent and/or metastatic head and neck squamous cell cancer (R/M HNSCC), the major classes of commonly used cytotoxic chemotherapeutic agents are platinum agents (cisplatin, carboplatin), taxanes (paclitaxel, docetaxel), and antimetabolic agents (methotrexate, 5-fluorouracil). Cetuximab, a monoclonal antibody directed against the extracellular domain of the epidermal growth factor receptor, also shows modest activity against R/M HNSCC. Because the overall management of patients with R/M HNSCC often involves multidisciplinary input, this review focuses on data

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