Refractory Neuropathic Pain With Escalating Opioid Requirements and Ketamine Use in Advanced Degenerative Spine Disease: A Hospice Case Report [0.03%]
晚期脊柱退行性疾病难治性神经痛患者的阿片类药物需求增加及使用氯胺酮:缓和医疗个案报告
Gokhan Demir,Sneha Akurati,Angel Sanchez Artiles et al.
Gokhan Demir et al.
BackgroundHospice patients with advanced degenerative spine disease frequently experience refractory neuropathic pain complicated by opioid tolerance, central sensitization, and functional decline.Case PresentationA 63-year-old male with st...
Antibiotic Use at the End of Life: Balancing Symptom Relief, Treatment Burden, and Stewardship [0.03%]
终末期的抗生素使用:平衡症状缓解、治疗负担和管理监护关系
Muhanad Alzahrani,Abdullah Alabbasi,Mohammed Sayes et al.
Muhanad Alzahrani et al.
BackgroundAntibiotic use remains common among patients receiving palliative and end-of-life care despite limited evidence that treatment consistently improves patient-centered outcomes. Clinicians frequently face uncertainty when balancing ...
Assisted Living Staff Perspectives on End-Of-Life Care for Residents Living With Dementia: A Qualitative Study [0.03%]
关于痴呆症患者临终关怀的辅助生活护理员视角:一项质性研究
Jessica Yauk,Debra Dobbs,Lindsay J Peterson et al.
Jessica Yauk et al.
BackgroundAlzheimer's disease and related dementia (ADRD) affect nearly half of assisted living (AL) residents, the majority of whom have palliative care (PC) needs at the end of life (EOL). AL staff are well positioned to provide PC with a...
Evaluation of CT-Guided Pudendal Nerve Cryoneurolysis for the Treatment of Refractory Pelvic Pain [0.03%]
CT引导的阴部神经冷冻治疗难治性盆腔疼痛的效果评价
Shamar Young,Ahmet Gunkan,Lucas Struycken et al.
Shamar Young et al.
BackgroundPelvic pain caused by malignant and non-malignant etiologies can be treated by cryoneurolysis of the pudendal nerve(s). The purpose of this report is to assess the efficacy and safety of CT-guided pudendal nerve cryoneurolysis. Ad...
Distress in Family Members of Patients With Delirium in an Acute Palliative Care Unit - A Cross-Sectional Survey Study [0.03%]
谵妄急性姑息治疗患者的家属心理痛苦-一项横断面调查研究
Teresa Tavares,Carla Paiva,Vasco Cardoso et al.
Teresa Tavares et al.
BackgroundDelirium is prevalent in Palliative Care patients and often induces distress in family members. Improving knowledge in this field will enable a more efficient approach to this problem, thereby helping patients and their families.A...
Assessing PA Student Interest in Hospice and Palliative Medicine [0.03%]
评估职业晚期姑息治疗和临终关怀医学的执业医师助理学生兴趣
Ryan Baldeo,Rachael Broder
Ryan Baldeo
ObjectivesWhile hospice and palliative medicine (HPM) is a critical and growing field, Physician Associates (PAs) are underrepresented. This study sought to assess PA student interest in HPM and identify strategies to increase engagement wi...
Cultivating Interdisciplinary Shared Wisdom Through a Structured Case Conference [0.03%]
通过结构化案例会议培养跨学科的共同智慧
Meredith A MacMartin,Amelia M Cullinan,Jingyi Zhang et al.
Meredith A MacMartin et al.
BackgroundThe interdisciplinary practice of specialty palliative care teams faces complex challenges without clear guidance, especially around collaboration, clinical care, and teaching. Case-based group discussions on communication challen...
Needs-Driven Simulation Education: Advancing Neuropalliative Communication for Neurology Residents [0.03%]
需求驱动的模拟教育:神经病学住院医师神经姑息沟通能力培养的进展
Katherine E Makaroff,Alice Hawkins,Nathan Chu et al.
Katherine E Makaroff et al.
BackgroundPalliative care training in neurology residency is commonly limited, despite the fact that neurologists care for patients with complex palliative needs, such as high symptom burden, unique illness trajectories and prognoses (inclu...
Intimate Demographic Questions: Are Patients With Cancer Comfortable Answering? [0.03%]
亲密的人口学问题:癌症患者愿意回答这些问题吗?
Riham Suleiman,Sandy M Looney,Kelliann C Fee-Schroeder et al.
Riham Suleiman et al.
PurposeTo assess how comfortable patients with cancer are in responding to intimate questions on sexual orientation and gender identity (SOGI) and to examine whether question sequencing alters patient-reported comfort.Patients and MethodsPa...
Advance Care Planning Implementation in a Large Metropolitan Academic Medical Center: Challenges, Successes and Opportunities [0.03%]
大型都市学术医学中心的预立医疗照护计划:挑战、成功和机遇
Heather Menzer,Fariza Alendy,Kathleen DeMarco et al.
Heather Menzer et al.
BackgroundAdvance care planning (ACP) is a critical component of high-quality, person-centered care, supporting adults at any age or stage of health in discussing and documenting their preferences for future medical care. Evidence describin...