Increasing Palliative Care Team Involvement In Pediatric Oncology Patients, 2020 Children's Mercy Hospital
Increasing Palliative Care Team Involvement In Pediatric Oncology Patients, Sana Farooki
No abstract provided.
Goals Of Care 101, 2020 Thomas Jefferson University
Goals Of Care 101, Alexandra Evans, Do, Adam Pennarola, Md, Elham Siddiqui, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Hospice and Palliative Medicine - Alexandra Evans, DO
Approaching Goals of Care in the Outpatient World - Elham Siddiqui, MD
Inpatient Goals of Care Discussion - Adam Pennarola, MD
Incorporating A Clinical Pharmacist In An Outpatient Palliative Care Team, 2020 Providence Milwaukie Hospital
Incorporating A Clinical Pharmacist In An Outpatient Palliative Care Team, Crystal Rim, Sharon Leigh, Linda Desitter, Mary Grant, Dana Nguyen
Providence Pharmacy PGY1 Program at Providence Milwaukie and Providence Newberg Medical Centers
Title: Incorporating a clinical pharmacist in an outpatient palliative care team
Crystal Rim, PharmD; Sharon Leigh, PharmD, BCPS; Linda De Sitter MD, MPH; Mary Grant, ANP; Dana Nguyen, PharmD
Palliative care is a growing field in medicine that focuses on delivering care that improves quality of life for patients with serious illnesses. Often, the goals of palliative care differ from traditional goals of medicine. Currently, there is limited data demonstrating the integration of pharmacists in the palliative care setting. The purpose of this quality improvement is to evaluate the clinical pharmacist’s role within an outpatient palliative care team when ...
Finding Common Threads: How Patients, Physicians And Nurses Perceive The Patient Gown, 2020 Penn State College of Medicine
Finding Common Threads: How Patients, Physicians And Nurses Perceive The Patient Gown, Christy M. Lucas, Cheryl Dellasega
Patient Experience Journal
Evidence-based care is standard practice in medicine, but the patient gown has fallen outside the scope of scholarly research. The current gown renders a patient vulnerable, diminishing patients’ sense of identity, agency, and dignity with its one-size-fits-none design. The impact on providers is similarly neglected. Our objective was to explore how patients and providers derive meaning from patient gowns. A convenience sample at an academic medical center was interviewed utilizing a standardized framework developed by a medical student and two PhD-prepared researchers with experience in qualitative methods. The study was inductive in nature, seeking to understand perceptions of the patient ...
Extra Medullar Granulocytic Sarcoma: A Case Report Of An Exceptional Localization, 2020 SALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIA
Extra Medullar Granulocytic Sarcoma: A Case Report Of An Exceptional Localization, Bouhani Malek, Sakhri Saida, Jaidane Olfa, Adouni Olfa, Chargui Riadh, Rahal Khaled
Journal of Mind and Medical Sciences
Granulocytic sarcoma is a rare type of tumor composed of extramedullary immature cells. The breast location is very rare; it accounts for less than 8% of cases. The present study reports the case of a 36-year-old female with a medical history of myelodysplastic syndrome. She was referred because of a lump in the left breast. We have diagnosed a case of granulocytic sarcoma of the breast by core biopsy. Histology and immunohistochemistry showed hypercellular smears with immature myeloid cells. The blast cells were myeloperoxidase positive.
The patient underwent a lumpectomy. Five months later, she developed a contralateral recurrence, treated by ...
Compassion And Suppression In Caregivers: Twin Masks Of Tragedy And Joy Of Caring, 2020 DEPARTMENT OF COGNITIVE SCIENCES, PSYCHOLOGY, EDUCATIONAL AND CULTURAL STUDIES (COSPECS), UNIVERSITY OF MESSINA, ITALY
Compassion And Suppression In Caregivers: Twin Masks Of Tragedy And Joy Of Caring, Emanuele Maria Merlo, Sean M. Mcnabney, Fabio Frisone, Federica Sicari, Mihai Paunica, Catalina Motofei, Salvatore Settineri
Journal of Mind and Medical Sciences
Background: Compassionate caregiving is a critical skill for workers among the helping professions, but the degree of empathy required by caregivers can place high demands on their mental and emotional resources. While many professionals employ successful coping strategies to mitigate these stressors, others experience compassion fatigue or burnout from emotional exhaustion. The objective of this research was to evaluate the relationships between caregivers’ demographic/career variables, compassion satisfaction, compassion fatigue, and psychodynamic defense mechanisms such as suppression, repressive function, regression in the service of the Ego, and rationalization. Methods: Participants were 250 caregivers with 178 (71,2%) women and 72 ...
The Serine/Threonine Protein Kinase (Akt)/ Protein Kinase B (Pkb) Signaling Pathway In Breast Cancer, 2020 FACULTY OF DENTAL MEDICINE, DEPARTMENT OF BIOCHEMISTRY, BUCHAREST, ROMANIA
The Serine/Threonine Protein Kinase (Akt)/ Protein Kinase B (Pkb) Signaling Pathway In Breast Cancer, Daniela Miricescu, Camelia Cristina Diaconu, Constantin Stefani, Ana Maria Alexandra Stanescu, Alexandra Totan, Ioana Ruxandra Rusu, Ovidiu Gabriel Bratu, Dan Spinu, Maria Greabu
Journal of Mind and Medical Sciences
According to statistical data published in 2019, breast cancer is among the leading causes of death in women worldwide. The serine/threonine kinase (AKT) or protein kinase B (PkB) signaling pathway is activated by phosphorylation processes, which further is associated with cell growth, proliferation, and survival, but also with activation of glucose metabolism. Mutations of the AKT signaling pathway components (especially PI3KCA and PTEN) have been observed in breast cancer patients, which are associated with resistance to hormonal treatment. Many clinical trials are testing the effect of AKT inhibition in order to block the growth and proliferation of breast cancer ...
The Realities Of Advanced Medical Interventions, 2020 Western Washington University
The Realities Of Advanced Medical Interventions, Bill Lombard Md, Palliative Care Institute, Western Washington University
Palliative Care Institute
Click the Download Button to access Dr. Lombard's slides. An Information Sheet / Glossary of Terms is available at the bottom of this page.
Lecture: Realities of Advanced Medical Intervention by Dr. Bill Lombard.
In frank layperson's terms Dr. Bill Lombard, a nephrologist, discusses the meaning of advanced medical interventions (such as ventilators, pressers, CPR) focusing on what these "interventions" mean to average people and their families, and on patient outcomes when these interventions are employed. This information should help you can make informed decisions about your own choices for care. This presentation also addresses advance care planning, advance ...
End-Of-Life Healthcare Use Of Medicare Patients With Melanoma Based On Patient Characteristics And Year Of Death, Rebecca N. Hutchinson, F. Lee Lucas, Kathleen Fairfield
Journal of Maine Medical Center
Background: Many cancer patients receive overly-intensive care at end-of-life (EOL), despite recognition that this is a marker of poor quality. There is limited knowledge about care received by patients dying with melanoma.
Objective: We characterized healthcare utilization during EOL and patient characteristics associated with variations in care. We also described how utilization changed over time.
Methods: We used the Surveillance, Epidemiology, and End Results-Medicare database to identify 9099 melanoma patients aged 65+ at diagnosis between 2000 and 2009, who died by 12/31/2010. We included patients enrolled in Medicare part A and B six-months prior to diagnosis and not ...
Hoping To Die Well: An Exploration Of The Good Death, 2020 Thomas Jefferson University
Hoping To Die Well: An Exploration Of The Good Death, Emily Folse, Thomas Smith, Phd
Introduction: Many healthcare providers are uncomfortable and ill-equipped to talk about death with terminally ill patients and their families. This often results in unnecessary, aggressive medical interventions at the end of life and deaths discordant with patients’ wishes. In order to help patients die better deaths, it is first necessary to determine the character of a good death.
Methods: The good death was considered from secular and Catholic perspectives because religion is personally important to the author and many patients in the US. Features of a good death were elucidated by careful reading of scientific and humanistic literature and conversing ...
Home Health Care Resource Binder: A User-Friendly Guide For Crossroads Hospice And Palliative Care, 2020 The University of Akron
Home Health Care Resource Binder: A User-Friendly Guide For Crossroads Hospice And Palliative Care, Deanna Eder
Williams Honors College, Honors Research Projects
Patients and families searching for home health care need accurate information regarding the community resources available to them to promote aging in place and to maintain their quality of life. In connection to the social workers at Crossroads Hospice and Palliative Care, the researcher identified a need for a centralized source of up-to-date information regarding local home health care agencies due to the current resource deficit. Social workers and other health care professionals are expected to benefit from a concise list of resources readily available to provide their patients and families with adequate support to make informed decisions about a ...
Chapter 14: Hospice And End-Of-Life Care, 2019 Grand Valley State University
Chapter 14: Hospice And End-Of-Life Care, Sally Pelon, Brandon Youker, M. Paola Leon
Books and Contributions to Books
This chapter explores end-of-life issues and concerns as well as the hospice movement’s role in assisting terminally ill individuals. Specific social work assessment and interventions tools are offered considered as well as controversial issues in end-of-life care.
"Farewell" To Prognosis In Shared Decision-Making, 2019 Grand Valley State University
"Farewell" To Prognosis In Shared Decision-Making, Robert F. Johnson
Peer Reviewed Articles
Whether because of a cultural pattern or personal preference, palliative care clinicians encounter persons approaching the end of life who wish to limit or forego prognostic information relating to their situation. This scenario has received attention in a recent motion picture as well as a newly available advance directive modification—the Prognosis Declaration form. The ordinary expectation for end-of-life shared decision-making with a capable person is clinician disclosure of the best effort at prognostic assessment. The optimal match between the expressed values, goals, and preferences of the person with available clinician expertise is hopefully achieved. For the clinician, a person ...
Pharmacologic And Nonpharmacologic Approaches To Palliative Care In Oncology, 2019 Ohio Northern University
Pharmacologic And Nonpharmacologic Approaches To Palliative Care In Oncology, Daniel Powell, Sunitha Johns, Samia Alam, Isabel E. Cwikla, Brendan Rasor, David W. Koh
Pharmacy and Wellness Review
In recent decades, few fields have changed as drastically as oncology. A wide variety of approaches must be taken in order to best care for cancer patients. With the globalization of health care and modern society, nontraditional management of cancer symptoms is once again increasing in popularity. The National Comprehensive Cancer Network (NCCN) has also recently updated their palliative care guidelines. These guidelines provide a detailed approach for the care of a wide range of cancer patients but largely focus on traditional pharmacotherapy. An increasing number of studies are being conducted on nonpharmacologic approaches to care for patients with cancer ...
Impact Of Palliative Care Consultation On End Of Life Care Measures: A Retrospective Analysis Of Patients In The Oncology Care Model, 2019 Thomas Jefferson University
Impact Of Palliative Care Consultation On End Of Life Care Measures: A Retrospective Analysis Of Patients In The Oncology Care Model, Alison Greidinger, Md, Maria Vershvovsky, Md, Evan Lapinsky, Md, Alison Rhoades, Md, Amy Leader, Drph, Vittorio Maio, Pharmd, Jared Minetola, Karen Walsh, Ms, Mba, Valerie Csik, Mph, Cpps, Ruben Rhoades, Md
Department of Medical Oncology Posters
- In 2016 ASCO recommended that patients with advanced cancer receive dedicated palliative care (PC) services1. Early PC involvement is associated with lower spending, fewer 30-day readmission rates, decreased chemotherapy administration at the end of life (EOL) and increased hospice referrals2.
- Many patients are not referred and continue to receive chemotherapy and utilize high-acuity services near the EOL.
- The Oncology Care Model (OCM) is a CMS episode-based alternative payment model promoting high-value care.
- We evaluated the effect of PC visits on EOL outcomes including code status (CS) and spending in the last 30 days of life.
Development Of An Outpatient Palliative Care Protocol To Monitor Fidelity In The Emergency Medicine Palliative Care Access Trial., Corita R. Grudzen, Abigail M. Schmucker, Deborah J. Shim, Aminat Ibikunle, Jeanne Cho, Frank R. Chung, Susan E. Cohen
Student Papers & Posters
Introduction: Palliative care is recommended for patients with life-limiting illnesses; however, there are few standardized protocols for outpatient palliative care visits. To address the paucity of data, this article aims to: (1) describe the elements of outpatient palliative care that are generalizable across clinical sites; (2) achieve consensus about standardized instruments used to assess domains within outpatient palliative care; and (3) develop a protocol and intervention checklist for palliative care clinicians to document outpatient visit elements that might not normally be recorded in the electronic heath record.
Methods: As part of a randomized control trial of nurse-led telephonic case management ...
Advance Care Planning In Whatcom County, Wa: Opportunities For Evaluation And Expansion, 2019 Western Washington University
Advance Care Planning In Whatcom County, Wa: Opportunities For Evaluation And Expansion, Palliative Care Institute, Western Washington University, Whatcom Alliance For Health Advancement, Chuckanut Health Foundation
Palliative Care Institute
Numerous organizations and individuals in Whatcom County, Washington have been promoting advance care planning (ACP) Washington since 2012. In 2018 the Chuckanut Health Foundation provided funding to conduct an evaluation of advance care planning activities and their impact across all participating organizations. This report summarizes the evaluation goals, methods and findings. Based on the identified challenges and opportunities, recommendations are laid out for establishing ongoing, community-wide ACP evaluation, increasing integration of advance care planning into local healthcare and social service delivery, and expanding community outreach and education.
Touch Of Grace Project, 2019 Palliative Care Institute, Western Washington University
Touch Of Grace Project, Marie Eaton, Sarah Bear
Palliative Care Institute
Touch of Grace is a video-based training program on palliative and end-of-life care for nursing home and assisted living staff, including all non-licensed support staff.
Pre- and Post-test data and focus group feedback indicate that the Touch of Grace training program improved understanding of palliative and end of life concepts and also provided tools to improve staff interactions with families and residents during the final days of a resident’s life. As predicted, the largest shifts in understanding were seen in the non-licensed staff, although gains were seen in all staff groups. Some facility-wide procedural changes to support a more ...
Implementation Of The Integrated Palliative Outcome Scale (Ipos) Into Palliative Care Practice, 2019 University of Missouri-St. Louis
Implementation Of The Integrated Palliative Outcome Scale (Ipos) Into Palliative Care Practice, Lisa A. Pezold
Problem: The Visiting Nurse Association of Greater St. Louis (VNA) has a grant-funded, palliative care program called Advanced Illness Management (AIM). The Integrated Palliative Outcome Scale (IPOS) is a tool for providers to identify symptoms. The VNA implemented the IPOS in 2017. A previous quality improvement project revealed that IPOS symptoms were addressed less than 95% of the time leaving patients to suffer from burdensome symptoms, thereby reducing their quality of life.
Methods: Providers were educated on the importance of addressing all symptoms with pharmacologic or nonpharmacologic interventions and the impact the interventions have on the AIM program, grant ...
Reality Check: Life Is 100% Fatal. Let's Talk About It, 2019 Western Washington University
Reality Check: Life Is 100% Fatal. Let's Talk About It, Micki Jackson
Palliative Care Institute
REALITY CHECK: Life is 100% fatal. Let's talk about it, is a guest editorial by Micki Jackson, community and patient advocate for out-patient palliative care and advance care planning in Bellingham, WA.