Open Access. Powered by Scholars. Published by Universities.®

Palliative Care Commons

Open Access. Powered by Scholars. Published by Universities.®

100 Full-Text Articles 216 Authors 9199 Downloads 39 Institutions

All Articles in Palliative Care

Faceted Search

100 full-text articles. Page 1 of 5.

Black-White Disparities In Pain Management Among Nursing Home Residents With Cancer, Deborah Mack, Jacob N. Hunnicutt, William M. Jesdale, Christine M. Ulbricht, Kate L. Lapane 2017 University of Massachusetts Medical School

Black-White Disparities In Pain Management Among Nursing Home Residents With Cancer, Deborah Mack, Jacob N. Hunnicutt, William M. Jesdale, Christine M. Ulbricht, Kate L. Lapane

UMass Center for Clinical and Translational Science Research Retreat

Background: Racial disparities in pain management persist across healthcare settings and likely extend into nursing homes. No studies to-date have thoroughly evaluated racial disparities in cancer pain management in this setting.

Methods: Using a cross-sectional study design, we compared reported pain and pharmacological pain management between non-Hispanic White and Black newly admitted nursing home residents with cancer (n=113,765) using the Minimum Data Set version 3.0. Pain management strategies considered included: use of scheduled analgesics, pro re nata analgesics, and non-pharmacological methods. Presence of pain was based on self-report when residents were able to, or by staff. Logistic ...


Program - Palliative Care Institute 2017 Conference: Helping 'Til It Hurts, Palliative Care Institute 2017 Western Washington University

Program - Palliative Care Institute 2017 Conference: Helping 'Til It Hurts, Palliative Care Institute

Palliative Care Institute

No abstract provided.


Peacehealth Advance Directives & Palliative Care, Scott Foster MD, MPH 2017 PeaceHealth Medical Group

Peacehealth Advance Directives & Palliative Care, Scott Foster Md, Mph

Palliative Care Institute

Dr. Scott Foster, MD., MPH., Chief Medical Executive for PeaceHealth Medical Group, presented at the Your Voice-Your Choice: Let's Talk About It event on March 22, 2017 at St. Luke's Health Education Center.

Dr. Foster highlighted PeaceHealth's commitment to a comprehensive system for understanding, documenting and honoring patient values and goals for care at the end of life in all healthcare settings, including Advance Directives.


Northwest Life Passages Blueprint: Creating A Healing And Caring Community Of Excellence, Marie Eaton 2017 Fairhaven College, Western Washington University

Northwest Life Passages Blueprint: Creating A Healing And Caring Community Of Excellence, Marie Eaton

Palliative Care Institute

Presentation to the Elder Service Providers Network about the Northwest Life Passages Blueprint on March 22, 2017.


It Always Seems Too Early, Until It’S Too Late, Marie Eaton 2017 Western Washington University

It Always Seems Too Early, Until It’S Too Late, Marie Eaton

Palliative Care Institute

What is Palliative Care?

  • Specialized care for people living with chronic and serious illness.
  • Goal is to improve quality of life for both the patient and the family when cure is not possible.
  • Focuses on providing relief from the symptoms and stress of a serious illness
  • Provided by an interdisciplinary team of palliative care doctors, nurses, social workers, chaplains, family members and others who work together to provide an extra layer of support.
  • Appropriate at any age and at any stage in a serious illness and can be provided along with curative treatment


Aging And End-Of-Life Care In China: Cultural Traditions And Modern Practices, Baozhen Luo, Li Xu 2017 Western Washington University

Aging And End-Of-Life Care In China: Cultural Traditions And Modern Practices, Baozhen Luo, Li Xu

Palliative Care Institute

For over 2000 years, Confucianism, Daoism, and Buddhism, three pillars of Chinese traditional culture, have guided Chinese people as they approach questions of how to age and how to die. Although these traditions are still woven in the fabric of everyday life, massive economic and political transformations in recent decades have drastically reshaped Chinese people’s beliefs and practices toward aging and end-of-life care.

In this presentation, Dr. Xu Li and Dr. Baozhen Luo will share insights and stories about cultural practices in the care of the elders in China from the past to the present.


Assessing Depression In Cancer Patients : A Longitudinal Comparison Of Three Questionnaires., Patrick Possel, Kerstin Knopf 2017 University of Louisville

Assessing Depression In Cancer Patients : A Longitudinal Comparison Of Three Questionnaires., Patrick Possel, Kerstin Knopf

Patrick Pössel

The article by Johns et al. (1) compares the Hopkins Symptom Checklist 20-item depression scale (HSCL-20) (2), the Short-Form 36 Mental Health Inventory five-item distress scale (MHI-5) (3), and the Patient Health Questionnaire nine-item depression scale (PHQ-9) (4) in 309 adults with cancer in a longitudinal study.


A Systematic Review - The Effect Of Hospice And Palliative Care, Justin M. Brown, David J. Havener, Jeffrey T. Byrne 2017 The University of Akron

A Systematic Review - The Effect Of Hospice And Palliative Care, Justin M. Brown, David J. Havener, Jeffrey T. Byrne

Honors Research Projects

Many older adults nearing death experience unnecessarily invasive and costly healthcare treatments, often causing more harm than good. Hospice and palliative care interventions offer a possible solution to this problem by prioritizing high-quality and cost-effective care with a strong focus on comfort and satisfaction. The authors of this paper seek to answer the following question: Do hospice and palliative care interventions directed toward older adults at the end of life improve quality of life, cost of care, and satisfaction? This paper thoroughly reviews and critically appraises existing research related to the effect of hospice and palliative care directed toward older ...


Increasing Advance Directive Knowledge Among Healthcare Professionals, Laura K. Donnelly 2017 University of Vermont

Increasing Advance Directive Knowledge Among Healthcare Professionals, Laura K. Donnelly

Family Medicine Block Clerkship, Student Projects

Advance Directives (ADs) have been shown to be associated with increased patient satisfaction with end-of-life care, decreased in-hospital deaths, and decreased end-of-life costs in high-cost regions. Nationally, prevalence of ADs has increased over the last 20 years, but the majority of patients still have not completed an AD. A significant obstacle to completion is lack of awareness. A presentation to increase knowledge regarding ADs among primary care staff was created to address this.


Program - Palliative Care Institute: Death Happens: Let's Talk About Your Choices, Palliative Care Institute 2016 Western Washington University

Program - Palliative Care Institute: Death Happens: Let's Talk About Your Choices, Palliative Care Institute

Palliative Care Institute

No abstract provided.


Avoiding Overtreatment At The End Of Life: Physician-Patient Communication And Truly Informed Consent, Barbara A. Noah, Neal R. Feigenson 2016 Western New England University School of Law

Avoiding Overtreatment At The End Of Life: Physician-Patient Communication And Truly Informed Consent, Barbara A. Noah, Neal R. Feigenson

Pace Law Review

This paper’s primary focus will be on considering how best to ensure that patients have the tools to make both informed and authentic choices about their care at the end of life. We will argue that truly informed decision making can help to reduce excessive end-of-life care by any measure. Most importantly for dying patients, better informed decisions can help reduce unnecessary suffering and result in care that aligns with their well-considered values and preferences.

In the first part of this paper, we will explain that, by any of these measures, many dying patients are receiving too much therapy ...


“It Makes You Feel That You Are Not Just A Thing - You Are A Person”: The Role Of Touch Therapies In Enhancing The Patient Experience, Leila Kozak PhD 2016 VA Puget Sound Health Care System; Palliative Care for Paliativos Sin Fronteras

“It Makes You Feel That You Are Not Just A Thing - You Are A Person”: The Role Of Touch Therapies In Enhancing The Patient Experience, Leila Kozak Phd

Palliative Care Institute

This session will introduce participants to different types of touch therapies, describe the evidence for these non-pharmacological interventions in promoting comfort and relaxation, and discuss the role of these modalities in symptom management and quality of life. The goal of this session is to support organizations in shifting from a typical barrier-driven attitude [“this cannot be done at our organization”] into a solution-driven attitude [“how can we get this done at our organization.”] The session will emphasize family caregivers and volunteer engagement, staff training, sustainable cost models, as well as appropriateness of modalities for diverse settings.

At the end of ...


Biofeedback, John Jordy LMHC 2016 Western Washington University

Biofeedback, John Jordy Lmhc

Palliative Care Institute

Clinical applications of biofeedback can assist in the management of emotional and physical health, including relaxation, stress reduction, pain management and developing acceptance and effective coping strategies for what can’t be changed.

At the end of the workshop, participants will able to:

  1. Articulate how the biofeedback process works physiologically
  2. Identify the benefits and limitations of biofeedback as a clinical tool to assist individuals in learning more effective ways to improve health and wellbeing
  3. Explore strategies for incorporating this modality into personal or clinical practice


Acupuncture, Sara Bowling MD 2016 Bellingham Bay Family Medicine

Acupuncture, Sara Bowling Md

Palliative Care Institute

At the end of the session, participants will be able to:

  1. Articulate how acupuncture works physiologically
  2. Identify the benefits and limitations of using acupuncture as a clinical tool in the management of pain
  3. Explore strategies for incorporating this modality into personal or clinical practice.


Including Everything: Mindfulness And Transforming Suffering In Palliative Care, Andrea Thach MD 2016 PeaceHealth Hospital; Buddhist Priest

Including Everything: Mindfulness And Transforming Suffering In Palliative Care, Andrea Thach Md

Palliative Care Institute

After over 35 years, the medical benefits of mindfulness are well documented and accepted in a wide range of clinical practice. After reviewing the better known clinical effects of mindfulness training, we will look ahead at the growing research and experience of the salvific nature of this practice.

At the end of this session, participants will be able to:

  1. Discuss the concept of mindfulness
  2. Identify situations in which mindfulness has been proven to be effective
  3. Reflect on how suffering can be addressed by mindfulness


Cannabis And Psychedelics, Leanna J. Standish ND, Phd 2016 Bastyr Integrative Oncology Research Center; Anderson Medical Specialty Associates

Cannabis And Psychedelics, Leanna J. Standish Nd, Phd

Palliative Care Institute

At the end of this session, participants will be able to:

  1. Identify the appropriate uses of cannabis and psychedelics in the treatment of pain and end of life symptoms
  2. Define the concerns and legal challenges of integrating this complementary therapy with traditional treatments


Integrative Oncology: A Local Perspective, Jennie Crews MD, Traci Pantuso N.D. 2016 PeaceHealth St. Joseph Cancer Center

Integrative Oncology: A Local Perspective, Jennie Crews Md, Traci Pantuso N.D.

Palliative Care Institute

Drs. Crews and Pantuso will describe their collaborations in the treatment of patients with cancer.

At the end of this session, participants will be able to:

  1. Understand our patients’ preferences regarding Integrative Oncology
  2. Define allopathic physicians’ concerns and support of integrating complementary therapy with traditional cancer treatment
  3. Identify patient resources in our community for evidence-based integrative oncology
  4. Explore the potential opportunities for increased collaboration between allopathic and naturopathic providers


Evidence-Based Integrative Approaches In Palliative Care: Challenges And Opportunities, Leila Kozak PhD 2016 VA Puget Sound Health Care System; Palliative Care for Paliativos Sin Fronteras

Evidence-Based Integrative Approaches In Palliative Care: Challenges And Opportunities, Leila Kozak Phd

Palliative Care Institute

Palliative care providers are increasingly seeking non-pharmacological supportive interventions to increase comfort and quality of life, which has led to the integration of complementary therapies within palliative care environments. This emerging field of integrative care brings wonderful opportunities as well as challenges. Among the opportunities, the ability to actively engage family caregivers in comfort care modalities, the ability to enhance comfort regardless of the care environment, and self-care opportunities for caregivers and professional staff to decrease stress and burnout. Among the challenges, the lack of education for professional staff regarding complementary therapies may deter professionals from recommending or facilitating access ...


Transformation In Service Delivery For Older Adults: Policy Strategies And The Role Of The Community, Anne Montgomery MS 2016 Altarum Institute’s Center for Elder Care and Advanced Illness

Transformation In Service Delivery For Older Adults: Policy Strategies And The Role Of The Community, Anne Montgomery Ms

Palliative Care Institute

This session will address key developments occurring at the national level as policymakers in Congress and the executive branch work to develop and refine models of value-based care delivery for rapidly-growing numbers of Medicare beneficiaries with complex chronic conditions. Montgomery will present the conceptual design, and the evidence that supports it, for a model of integrative care that spans medical care and long-term services and supports (LTSS) for a vulnerable population of frail older adults. This model, MediCaring Communities, is well-positioned to be piloted by willing communities across the country. Montgomery also will explore the existing Medicare financing platforms that ...


Ethical Challenges In Balancing The Needs Of Caregivers, Patients, And Providers, Bree Johnston MD, Ross Fewing 2016 PeaceHealth

Ethical Challenges In Balancing The Needs Of Caregivers, Patients, And Providers, Bree Johnston Md, Ross Fewing

Palliative Care Institute

Conflict is common in end-of-life situations. This session will be an interactive session in which we explore common conflicts that emerge between caregivers, patients, and care providers, and apply ethical principles to trying to approach these conflicts.

At the end of the session, participants will be able to:

  1. Discuss an ethical framework for approaching conflict in health care
  2. Discuss the ethical challenges in balancing a patient or family’s hope for a miracle with health care providers’ concerns about providing care that is likely to be non-beneficial
  3. Discuss an approach to addressing families’ request not to provide pain medication to ...


Digital Commons powered by bepress