Current Opinion in Supportive and Palliative Care最新文献

Spiritual and cultural influences on end-of-life care decision-making: a comparative analysis of the Arab Middle East and the United Kingdom. 精神和文化对临终关怀决策的影响：阿拉伯中东和英国的比较分析。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-10-01 DOI: 10.1097/SPC.0000000000000778

Hanan Hamdan Alshehri, Chris McParland, Hibah Bahri, Bridget Johnston

{"title":"Spiritual and cultural influences on end-of-life care decision-making: a comparative analysis of the Arab Middle East and the United Kingdom.","authors":"Hanan Hamdan Alshehri, Chris McParland, Hibah Bahri, Bridget Johnston","doi":"10.1097/SPC.0000000000000778","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000778","url":null,"abstract":"Purpose of review: This review seeks to explain the impact of cultural and spiritual factors on end-of-life care decision-making from different countries to assist in the development of coherent responses for palliative care.Recent findings: Spiritual and cultural factors shape end-of-life decision-making in the Arab Middle East and the United Kingdom. Arab cultures emphasize dignity through faith and family, leading to collective decisions, while the United Kingdom focuses on individual autonomy. Both allow withdrawal from futile treatment to alleviate suffering, but Arab approaches are more family centric. Additionally, spirituality in Arab cultures is often collective and religious, compared to the personal and secular practices common in the United Kingdom.Summary: Western and Arab Middle East cultural beliefs influence our understanding of death, dying, and the acceptability of various care options. As people near the end of life, spiritual issues are likely to affect their values and preferences.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Abstracts of the 14th International Seminar of the European Palliative Care Research Centre (PRC). 欧洲姑息治疗研究中心（PRC）第十四届国际研讨会摘要

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-16 DOI: 10.1097/SPC.0000000000000775

引用次数: 0

Social isolation and loneliness in serious illness: what Compassionate Communities can offer. 严重疾病中的社会隔离和孤独：富有同情心的社区可以提供什么。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-15 DOI: 10.1097/SPC.0000000000000777

Elaine Stevens

{"title":"Social isolation and loneliness in serious illness: what Compassionate Communities can offer.","authors":"Elaine Stevens","doi":"10.1097/SPC.0000000000000777","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000777","url":null,"abstract":"Purpose of the review: Social isolation and loneliness are common in people with advanced illness. This leads to reduced quality of life and all-cause mortality. The aim of this review is to identify the causes of social isolation in those with serious illness and consider the role of Public Health Palliative Care (PHPC) and Compassionate Communities in reducing these insidious issues.Recent findings: Recent studies have expanded the evidence base around the causes of social isolation in those with serious illness. While there has been a plethora of research on the outcomes of Compassionate Communities initiative recent research has identified that more needs to be done to evidence their effectiveness and efficiency.Summary: Social isolation and loneliness in those with serious illness have a negative effect on the quality of life. However, much still needs to be done to improve this situation in an effective and efficient way that meet the needs of individuals. It would appear that PHPC, and in particular Compassionate Communities, have a key role to play in this endeavour.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Pioneering palliative care in the digital era. 数字时代缓和医疗的先驱。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-15 DOI: 10.1097/SPC.0000000000000776

Morena Shkodra, Barry Laird

引用次数: 0

Exploring the bereavement support interventions, facilitators and barriers before and after the death of a resident in care home settings: a rapid mixed-methods review. 探索丧亲支持干预措施，促进和障碍之前和之后的居民在养老院设置：快速混合方法审查。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-03 DOI: 10.1097/SPC.0000000000000773

Çiğdem Fulya Dönmez, Bridget Johnston

{"title":"Exploring the bereavement support interventions, facilitators and barriers before and after the death of a resident in care home settings: a rapid mixed-methods review.","authors":"Çiğdem Fulya Dönmez, Bridget Johnston","doi":"10.1097/SPC.0000000000000773","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000773","url":null,"abstract":"Purpose of review: Bereavement support in care homes is a critical aspect of end-of-life care that has gained increasing attention in recent years. The purpose of this rapid mixed-methods review is to synthesise evidence on pre- and post-bereavement support interventions as well as facilitators and barriers of bereavement for care home staff, residents, and bereaved family members in care homes.Recent findings: Ten studies on pre- and post-bereavement support in care homes were identified. A conceptual model of bereavement support in care homes was developed and 11 measures to improve outcomes were identified: educating and training care home staff; facilitating acceptance of death; preparing for death and bereavement; building meaningful relationships; therapeutic communication; compassionate care; establishing a formal organisational culture; social support; advance care planning; and shared decision-making. The most important barriers affecting bereavement support are poor communication around death and being unprepared for death.Summary: To facilitate higher quality person and family centred care, and to reduce the impact of negative bereavement outcomes for individuals in care homes, we recommend a formal organisational culture that prioritises preparedness for bereavement for care home staff, residents, and bereaved family members.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Symptoms matter - symptom diversity and trajectory across different phases of heart failure: from diagnosis to end of life. 症状很重要——心衰不同阶段的症状多样性和发展轨迹：从诊断到生命终结。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-03 DOI: 10.1097/SPC.0000000000000774

Muzeyyen Seckin, Simon Stewart, Bridget Johnston

{"title":"Symptoms matter - symptom diversity and trajectory across different phases of heart failure: from diagnosis to end of life.","authors":"Muzeyyen Seckin, Simon Stewart, Bridget Johnston","doi":"10.1097/SPC.0000000000000774","DOIUrl":"https://doi.org/10.1097/SPC.0000000000000774","url":null,"abstract":"Purpose of review: Heart failure is a complex, progressive and life-limiting condition that affects individuals beyond physical symptoms. Psychosocial and behavioural symptoms, such as anxiety, depression, cognitive impairment, and social withdrawal, substantially impact their quality of life. Despite increasing recognition of multidimensional symptom burden across heart failure trajectory, these non-physical symptoms are often under-recognised by clinicians and researchers. This review summarises current contemporary evidence on symptom experiences from diagnosis of heart failure through to end-of-life, highlighting key features along this continuum.Recent findings: Understanding full symptom profile including physical, psychological, social, and behavioural dimensions is essential to improving symptom management and overall care. However, limited evidence exists on symptoms experienced prior to and during formal diagnosis of heart failure. While some studies identify classic symptoms, the broader spectrum, including symptom normalisation and behavioural adaptations, remains poorly understood. Variation in symptom perception across populations underscores the need for a more individualised and culturally responsive approach.Summary: A systematic and person-centred symptom assessment strategy is critical, particularly during advanced and end-of-life stages of heart failure. Integrating under-recognised symptoms into routine care, through multidisciplinary collaboration, can improve outcomes, enhance care quality, and better support individuals and families throughout the course of the illness.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Assessing the impact of early palliative care intervention in patients with lung cancer, cachexia and weight loss. 评估早期姑息治疗干预对肺癌、恶病质和体重减轻患者的影响。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/SPC.0000000000000772

Iain Phillips, Charlie Hall, Mark Stares

引用次数: 0

Recent advances and future directions in spinal cord stimulation for chronic pain: a multidisciplinary perspective. 脊髓刺激治疗慢性疼痛的最新进展和未来方向：多学科视角。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/SPC.0000000000000767

Nantthasorn Zinboonyahgoon, Choopong Luansritisakul, Bunpot Sithinamsuwan, Mark Plazier, Nilesh Patel

{"title":"Recent advances and future directions in spinal cord stimulation for chronic pain: a multidisciplinary perspective.","authors":"Nantthasorn Zinboonyahgoon, Choopong Luansritisakul, Bunpot Sithinamsuwan, Mark Plazier, Nilesh Patel","doi":"10.1097/SPC.0000000000000767","DOIUrl":"10.1097/SPC.0000000000000767","url":null,"abstract":"Purpose of review: This review aims to provide a comprehensive, multidisciplinary perspective on recent advancements and future directions in spinal cord stimulation (SCS) for chronic pain management. It emphasizes the evolving science of patient selection, technological innovations, cost-effectiveness considerations, and future direction of SCS in pain medicine.Recent findings: Significant progress has been made in optimizing patient outcomes through refined patient selection, including validated data driven predictive tool which integrated psychological profiling and standard trial stimulation protocol. Technological advancements such as closed-loop stimulation and new waveform have improved efficacy, durability, and patient satisfaction. While SCS is cost-effective in high-income countries, economic evaluations in low- and middle-income settings, such as Thailand, have not yet considered it a cost-effective treatment due to differences in willingness to pay and the cost of conservative treatment. Future direction of SCS may include, restorative SCS for spinal cord injury, new waveforms such as sub-perception stimulation, and multimodal neuromodulation.Summary: SCS has undergone many significant transformations in recent years. The integration of clinical, psychosocial and technological knowledge are and will be the key success factors of this transformation. Multidisciplinary collaboration, ongoing research, and the adoption of advanced technologies promise to further personalize and advance therapy.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"162-174"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Non-malignant diseases: health outcomes after musculoskeletal injury. 非恶性疾病：肌肉骨骼损伤后的健康结果。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/SPC.0000000000000766

Michele Sterling, Rachel A Elphinston, Scott F Farrell, Christopher Papic, Yanfei Xie

{"title":"Non-malignant diseases: health outcomes after musculoskeletal injury.","authors":"Michele Sterling, Rachel A Elphinston, Scott F Farrell, Christopher Papic, Yanfei Xie","doi":"10.1097/SPC.0000000000000766","DOIUrl":"10.1097/SPC.0000000000000766","url":null,"abstract":"Purpose of review: Musculoskeletal pain following a road traffic crash is common and incurs substantial personal and economic costs. Current recommended treatments of reassurance and advice to stay active, exercise and simple analgesics are not very effective. This review describes the current evidence for health outcomes and potential processes involved in the persistence of pain. It also outlines promising current and future treatments aimed at the prevention of chronic pain after musculoskeletal injury.Recent findings: Recent literature highlights a more complex clinical presentation including greater pain-related disability and nociplastic pain features of traumatic musculoskeletal pain compared to non-traumatic pain. Some studies have found evidence for the presence of neuropathic pain in a sub-group of patients. Accurate risk-prediction screening tools exist for neck pain following road traffic injury and clinical trials using these tools show promise where treatment is targeted to identified risk factors.Summary: Traumatic musculoskeletal pain is characterised by a more complex, high-burden clinical presentation, with worse health outcomes compared to non-traumatic musculoskeletal pain. There is emerging evidence that multi-factorial stress-related processes, neuroimmune factors, and neuropathic pain may underlie these differences. Early treatments targeting risk factors for poor recovery, including stress symptoms and pro-nociceptive processes show promise in improving outcomes for injured people.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"155-161"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Neuropathic pain considerations in the aging population. 老年人群中神经性疼痛的考虑。

IF 2 4区医学

Current Opinion in Supportive and Palliative Care Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/SPC.0000000000000769

Gisèle Pickering, Marie-Eva Pickering, Magdalena Kocot-Kępska

{"title":"Neuropathic pain considerations in the aging population.","authors":"Gisèle Pickering, Marie-Eva Pickering, Magdalena Kocot-Kępska","doi":"10.1097/SPC.0000000000000769","DOIUrl":"10.1097/SPC.0000000000000769","url":null,"abstract":"Purpose of review: Neuropathic pain affects especially older persons and this review aims at discussing neuropathic pain prevalence, evaluation and treatment and how to optimize management. Older persons are prone to develop neuropathic pain essentially because aging is associated with an increased incidence of comorbidities, immune dysfunction, higher prevalence of herpes zoster infections, higher occurrence of diabetes, surgical interventions and of central nervous system pathologies.Recent findings: This review underlines recent publications on neuropathic pain in these different pathologies, presents a consensus focused on pharmacotherapy and an algorithm for neuropathic pain management. Combination of pharmacological and non-pharmacological approaches is suggested as essential for optimal care.Summary: Findings underline the high neuropathic pain rate in older persons, the importance of proactively looking for the presence of pain, the adaptation and careful dosing of the pharmacotherapy in the context of adverse events and quality of life. Initiatives on neuropathic pain prevention are budding with surgical care and vaccination but need to be largely expanded to avoid the development of neuropathic pain.","PeriodicalId":48837,"journal":{"name":"Current Opinion in Supportive and Palliative Care","volume":" ","pages":"150-154"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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