Journal of palliative medicine最新文献_第8页

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-12-04 DOI: 10.1089/jpm.2024.0499

Christopher A Jones

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Ascites as a Predictive Factor in Malignancies in the Last Year of Life-Comparison Between Different Cancer Types. 腹水是恶性肿瘤患者生命最后一年的预测因素--不同癌症类型之间的比较。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1089/jpm.2024.0140

Johan Fridegren, Linda Björkhem-Bergman, Torbjörn Schultz, Peter Strang

{"title":"Ascites as a Predictive Factor in Malignancies in the Last Year of Life-Comparison Between Different Cancer Types.","authors":"Johan Fridegren, Linda Björkhem-Bergman, Torbjörn Schultz, Peter Strang","doi":"10.1089/jpm.2024.0140","DOIUrl":"10.1089/jpm.2024.0140","url":null,"abstract":"Background: Ascites in malignancies is usually associated with poor prognosis, but the predictive value may vary between different cancer types. Objectives: The aim was to map the frequency and temporal pattern of paracentesis in patients with malignancies in relation to time to death and to evaluate the occurrence of ascites as a predictive factor in different cancer types, with a limitation to the last year of life. Design: A retrospective study based on registry data covering all care visits in the Stockholm Region, Sweden, for seven years was performed. All deceased subjects that had at least one registered paracentesis in the last year of life were included. Results: Of 23,056 subjects dying from cancer, 1863 had undergone paracentesis in the last year of life (8.0%). Ascites requiring paracentesis was most frequently seen in appendiceal cancer (38%), ovarian cancer (35%), cholangiocarcinoma (26%), hepatocellular carcinoma (19%), and pancreatic cancer (17%). The median time for the first paracentesis in all cancer types varied between 248 and 20 days before death. For ovarian cancer, the median time for first paracentesis differed significantly compared with upper gastro-intestinal (GI) cancers, 81 days compared with 30 days (p < 0.0001). Ascites in prostate cancer was rare,1.9%, but when present, a pronounced increase in the frequency of paracentesis was observed in the last three months of life. Conclusion: The occurrence of paracentesis in patients with advanced cancer is generally a sign that death is approaching within the coming months, especially in upper GI cancer. For ovarian and appendiceal cancers, ascites is less useful as a predictive tool.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"35-41"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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A Seat at the Table: Family Conferences for Infants with Neurological Conditions. 餐桌旁的座位：神经系统疾病婴儿家庭会议。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1089/jpm.2024.0272

Kathleen A Young, Natalie K Field, Nikhita Nanduri, Hannah C Glass, Kathryn I Pollak, Simran Bansal, Blyth Lord, Monica E Lemmon

{"title":"A Seat at the Table: Family Conferences for Infants with Neurological Conditions.","authors":"Kathleen A Young, Natalie K Field, Nikhita Nanduri, Hannah C Glass, Kathryn I Pollak, Simran Bansal, Blyth Lord, Monica E Lemmon","doi":"10.1089/jpm.2024.0272","DOIUrl":"10.1089/jpm.2024.0272","url":null,"abstract":"Objective: We aimed to characterize parents' perspectives on the value of and opportunities to improve conferences between parents of critically ill infants and the health care team. Background: The parent perspective on the value of family conferences in the intensive care unit is not well characterized. Methods: In this descriptive qualitative study, parents of infants with neurological conditions in the intensive care unit at a U.S. academic medical center completed longitudinal semi-structured interviews about their experiences making decisions and communicating with clinicians. Parents were included if they had an upcoming family conference to discuss goals of care or neurological prognosis. This secondary data analysis targets interview content about family conferences. Parent responses were characterized using a conventional content analysis approach. Results: Fifty-two parents of 37 infants completed 123 interviews. Parents described valuing when clinicians (1) provided space to process emotions, (2) prioritized \"big picture\" discussions about serious decisions, (3) dedicated time to parent questions, and (4) responded to parent concerns and made an effort to foster consensus. Parent-identified opportunities for improvement included: (1) having the team assume responsibility for calling regular meetings, (2) prioritizing attendance of consistent and supportive team members, and (3) summarizing meeting content for parents and documenting discussions for clinicians. Conclusions: These findings demonstrate that parents of infants with neurological conditions value family conferences as an important venue for communicating with the health care team. Future studies should explore the feasibility and impact of regularly scheduled family conferences, attendees dedicated to parent support, and accessible meeting summaries on therapeutic alliance, parent well-being, and communication quality.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"18-25"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Palliative Care Physician's Dream Journal. 姑息关怀医生的梦想日志》。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1089/jpm.2024.0393

Jonathan C Yeh

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The Palliative Arts: Envisioning a New Paradigm in Palliative Care. 姑息关怀艺术：姑息关怀的新范例。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-11-11 DOI: 10.1089/jpm.2024.0279

Rachel Rusch, Heather Coats, Cara L Wallace, Khaliah A Johnson, Kashelle Lockman, William E Rosa, Rebecca Wright, Susan DeSanto-Madeya, David S Wu

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I Never Told You. 我从没告诉过你。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-10-24 DOI: 10.1089/jpm.2024.0387

Annushkha Sinnathamby

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Top Ten Tips Palliative Care Clinicians Should Know Before Their Patient Undergoes Surgery. 姑息关怀临床医生在病人接受手术前应了解的十大提示？

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-07-15 DOI: 10.1089/jpm.2024.0222

Rachel Hadler, Lara India, Angela M Bader, Orly N Farber, Melanie L Fritz, Fabian M Johnston, Nader N Massarweh, Ravi Pathak, Sandra H Sacks, Margaret L Schwarze, Jocelyn Streid, William E Rosa, Rebecca A Aslakson

{"title":"Top Ten Tips Palliative Care Clinicians Should Know Before Their Patient Undergoes Surgery.","authors":"Rachel Hadler, Lara India, Angela M Bader, Orly N Farber, Melanie L Fritz, Fabian M Johnston, Nader N Massarweh, Ravi Pathak, Sandra H Sacks, Margaret L Schwarze, Jocelyn Streid, William E Rosa, Rebecca A Aslakson","doi":"10.1089/jpm.2024.0222","DOIUrl":"10.1089/jpm.2024.0222","url":null,"abstract":"Many seriously ill patients undergo surgical interventions. Palliative care clinicians may not be familiar with the nuances involved in perioperative care, however they can play a valuable role in enabling the delivery of patient-centered and goal-concordant perioperative care. The interval of time surrounding a surgical intervention is fraught with medical, psychosocial, and relational risks, many of which palliative care clinicians may be well-positioned to navigate. A perioperative palliative care consult may involve exploring gaps between clinician and patient expectations, facilitating continuity of symptom management or helping patients to designate a surrogate decision-maker before undergoing anesthesia. Palliative care clinicians may also be called upon to direct discussions around perioperative management of modified code status orders and to engage around the goal-concordance of proposed interventions. This article, written by a team of surgeons and anesthesiologists, many with subspecialty training in palliative medicine and/or ethics, offers ten tips to support palliative care clinicians and facilitate comprehensive discussion as they engage with patients and clinicians considering surgical interventions.","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"105-114"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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In this Issue. 在本期中。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 DOI: 10.1089/jpm.2024.0452

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Epidural Analgesia for End-of-Life Pain. 硬膜外镇痛治疗临终疼痛。

IF 2.2 3区医学

Journal of palliative medicine Pub Date : 2025-01-01 Epub Date: 2024-10-25 DOI: 10.1089/jpm.2024.0211

Sandy Christiansen, Marissa Mayeda, Jacob Mazzola, Shauna Rakshe

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Artificial Intelligence/Machine Learning in Palliative Care #492. 姑息治疗中的人工智能/机器学习 #492。

IF 2.2 3区医学