Breathlessness During the Last Week of Life in Palliative Care: An Australian Prospective, Longitudinal Study Magnus Ekström, MD, PhD, Samuel F. Allingham,

Slides:

Advertisements

Similar presentations

Practical Dyspnea Assessment: Relationship Between the 0–10 Numerical Rating Scale and the Four-Level Categorical Verbal Descriptor Scale of Dyspnea Intensity

Advertisements

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Shuangbai San for Treating Primary Liver Cancer Patients With Cancer Pain Xiaowei.

Measuring What Matters: Top-Ranked Quality Indicators for Hospice and Palliative Care From the American Academy of Hospice and Palliative Medicine and.

The Benefits of Authorized Agent Controlled Analgesia (AACA) to Control Pain and Other Symptoms at the End of Life Robert J. Webb, MD, Cathy P. Shelton,

Measuring What Matters: Top-Ranked Quality Indicators for Hospice and Palliative Care From the American Academy of Hospice and Palliative Medicine and.

Differences in Terminal Hospitalization Care Between U. S

Is the Life Space Assessment Applicable to a Palliative Care Population? Its Relationship to Measures of Performance and Quality of Life Jane Louise.

End-of-Life Delirium: Issues Regarding Recognition, Optimal Management, and the Role of Sedation in the Dying Phase Shirley H. Bush, MBBS, MRCGP, FAChPM,

Susan Enguidanos, PhD, MPH, Jennifer Ailshire, PhD

Measuring Depression-Severity in Critically Ill Patients' Families with the Patient Health Questionnaire (PHQ): Tests for Unidimensionality and Longitudinal.

The Relationship Between Two Performance Scales: New York Heart Association Classification and Karnofsky Performance Status Scale Miriam J. Johnson,

Michael J. Hochman, BS, Arif H. Kamal, MD, MHS, Steven P

Arjun Poudel, PhD, Patsy Yates, PhD, Debra Rowett, BPharm, Lisa M

Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment Katherine Webber, MBBS, MSc, PhD, Andrew.

An Intervention to Enhance Goals-of-Care Communication Between Heart Failure Patients and Heart Failure Providers Ardith Z. Doorenbos, RN, PhD, FAAN,

Katherine Clark, MB, BS, MMed, FRACP, FAChPM, David C

Harold (Hal) Siden, MD, MHSC Journal of Pain and Symptom Management

Do the Trajectories of Dyspnea Differ in Prevalence and Intensity By Diagnosis at the End of Life? A Consecutive Cohort Study David C. Currow, BMed,

Is the Life Space Assessment Applicable to a Palliative Care Population? Its Relationship to Measures of Performance and Quality of Life Jane Louise.

Building Resilience for Palliative Care Clinicians: An Approach to Burnout Prevention Based on Individual Skills and Workplace Factors Anthony L. Back,

The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply Dale Lupu, MPH, PhD, Ed Salsberg,

Gregory P. Samsa, PhD, Steven Wolf, MB, Thomas W

Arif H. Kamal, MD, David C. Currow, BMed, MPH, Christine S

Predictors of Thirst in Intensive Care Unit Patients

Comparison of ECOG/WHO Performance Status and ASA Score as a Measure of Functional Status Jane Young, MBBS, MPH, PhD, FAFPHM, Tim Badgery-Parker, MBiostat,

Latent Class Analysis Reveals Distinct Subgroups of Patients Based on Symptom Occurrence and Demographic and Clinical Characteristics Christine Miaskowski,

Management of Ethical Issues Related to Care of Seriously Ill Dialysis Patients in Free- Standing Facilities Mi-Kyung Song, PhD, RN, FAAN, Laura C. Hanson,

A 10-Year Longitudinal Study of Effects of a Multifaceted Residency Spiritual Care Curriculum: Clinical Ability, Professional Formation, End of Life,

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Shuangbai San for Treating Primary Liver Cancer Patients With Cancer Pain Xiaowei.

Improving the Evidence Base in Palliative Care to Inform Practice and Policy: Thinking Outside the Box Samar M. Aoun, BSc(Hons), MPH, PhD, Cheryl Nekolaichuk,

Isaac M. Bromberg, MD Journal of Pain and Symptom Management

Distress-Based Gastrointestinal Symptom Clusters and Impact on Symptom Interference and Quality of Life in Patients with a Hematologic Malignancy Receiving.

Developing a Costing Framework for Palliative Care Services

Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration Magnus Ekström, MD, PhD, Maxwell T. Vergo,

Jacob N. Hunnicutt, MPH, Jennifer Tjia, MD, MS, Kate L. Lapane, PhD

Comparative Analysis of Specialization in Palliative Medicine Processes Within the World Health Organization European Region Carlos Centeno, PhD, Deborah.

David Clark, PhD, Michael Wright, PhD

Nancy E. Avis, PhD, Beverly Levine, PhD, Sarah A

Documentation Quality of Inpatient Code Status Discussions

The Nexus Between the Documentation of End-of-Life Wishes and Awareness of Dying: A Model for Research, Education and Care Deborah P. Waldrop, PhD, MSW,

How Do Follow-Up Care Instructions and Treatment Summaries Relate to Cancer Survivors' Cancer-Related Pain? Jennifer M. Jabson, PhD, MPH, Deborah J.

Katherine Webber, MBBS, MSc, PhD, Andrew N. Davies, FRCP, Martin R

A Systematic Review of Strategies Used to Increase Recruitment of People With Cancer or Organ Failure Into Clinical Trials: Implications for Palliative.

Locked-In Syndrome: Case Report and Discussion of Decisional Capacity

Antonio T. Fernando, MD, Nathan S. Consedine, PhD

What Aspects of Quality of Life Are Important From Palliative Care Patients' Perspectives? A Systematic Review of Qualitative Research Nicola McCaffrey,

Factors Associated With Attrition in a Multicenter Longitudinal Observational Study of Patients With Advanced Cancer Pedro E. Perez-Cruz, MD, MPH, Omar.

Shoaib Fakhri, Ruth A. Engelberg, PhD, Lois Downey, MA, Elizabeth L

Robyn M. Keall, RN, MS, PhD (C), Josephine M

Blinded Patient Preference for Morphine Compared to Placebo in the Setting of Chronic Refractory Breathlessness—An Exploratory Study Diana H. Ferreira,

Jonathan M. Marron, MD, MPH, Emma Jones, MD, Joanne Wolfe, MD, MPH

Which Treatment Is Better

Pain Medication Management Processes Used by Oncology Outpatients and Family Caregivers Part II: Home and Lifestyle Contexts Karen L. Schumacher, RN,

Association Between Symptom Distress and Survival in Outpatients Seen in a Palliative Care Cancer Center J. Lynn Palmer, PhD, Michael J. Fisch, MD, MPH

Validation of the Modified Glasgow Prognostic Score in Advanced Cancer Patients Receiving Palliative Care Naitielle de Paula Pantano, RN, Bianca Sakamoto.

Christine S. Ritchie, MD, MSPH, Amy S

A Pilot Study of the Experience of Family Caregivers of Patients With Advanced Pancreatic Cancer Using a Mixed Methods Approach Deborah W. Sherman, PhD,

Jennifer Tjia, MD, MSCE, Lee Ellington, PhD, Margaret F

Karla T. Washington, PhD, Christopher R. Rakes, PhD

Missed Opportunities: A Mixed-Methods Analysis of CAM Discussions and Practices in the Management of Pain in Oncology Aaron L. Leppin, MD, MSc, Cara.

Family Caregiver Participation in Palliative Care Research: Challenging the Myth Samar Aoun, PhD, MPH, BSc(Hons), Susan Slatyer, PhD, BNurs(Hons), RN,

Practical Dyspnea Assessment: Relationship Between the 0–10 Numerical Rating Scale and the Four-Level Categorical Verbal Descriptor Scale of Dyspnea Intensity

Electronic Goals of Care Alerts: An Innovative Strategy to Promote Primary Palliative Care Erin M. Haley, MD, PhD, Deborah Meisel, BA, Yevgeniy Gitelman,

Psychoeducational Intervention for Symptom Management of Fatigue, Pain, and Sleep Disturbance Cluster Among Cancer Patients: A Pilot Quasi-Experimental.

Goal Communication in Palliative Care Decision-Making Consultations

A 10-Year Longitudinal Study of Effects of a Multifaceted Residency Spiritual Care Curriculum: Clinical Ability, Professional Formation, End of Life,

How Accurately Do Consecutive Cohort Audits Predict Phase III Multisite Clinical Trial Recruitment in Palliative Care? Nikki McCaffrey, BSc(Hons), PGDip(ClinPharm),

Lisa C. Lindley, PhD, RN, Jennifer W. Mack, MD, MPH, Donald J

Pain Medication Management Processes Used by Oncology Outpatients and Family Caregivers Part I: Health Systems Contexts Karen L. Schumacher, RN, PhD,

Patient-Controlled Analgesia for Children at Home

Presentation transcript:

Breathlessness During the Last Week of Life in Palliative Care: An Australian Prospective, Longitudinal Study Magnus Ekström, MD, PhD, Samuel F. Allingham, BMath(Hons), Kathy Eagar, MA, PhD, FAFRM(Hon), Patsy Yates, PhD, RN, FAAN, FACN, Claire Johnson, PhD, RN, David C. Currow, BMed, MPH, PhD, FRACP, FAHMS Journal of Pain and Symptom Management Volume 51, Issue 5, Pages 816-823 (May 2016) DOI: 10.1016/j.jpainsymman.2015.12.311 Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Reported levels of distress from breathlessness in the week before death (n = 12,778). Severity categories were defined as none (NRS 0), mild (NRS 1–3), moderate (NRS 4–7), and severe (NRS 8–10). NRS = numerical rating scale. Journal of Pain and Symptom Management 2016 51, 816-823DOI: (10.1016/j.jpainsymman.2015.12.311) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Mean breathlessness distress by diagnosis group (n = 12,778). Mean scores on a 0–10 numerical rating scale by diagnosis group, adjusted for gender, age, Australia-modified Karnofsky Performance Status, concurrent nausea, pain, and clinical phase using random-effects linear regression. NRS = numerical rating scale. Journal of Pain and Symptom Management 2016 51, 816-823DOI: (10.1016/j.jpainsymman.2015.12.311) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions