Journal of pain and symptom management
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PC-FACS(FastArticleCriticalSummaries for Clinicians inPalliativeCare) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PC-FACS, please encourage them to join the AAHPM at aahpm.org. Comments from readers are welcomed at pc-facs@aahpm.org.
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J Pain Symptom Manage · Jun 2016
Pharmacokinetics of Phenobarbital in Micro-enema Via Macy Catheter versus Suppository.
The oral route is compromised for nearly all patients approaching death. When agitation, seizures, or other intractable symptoms occur, a quick, discreet, comfortable, and effective alternate route for medication delivery that is easy to administer in the home setting is highly desirable. ⋯ These results suggest phenobarbital oral tablets crushed and suspended in water and administered via the MC is superior to suppository in delivering the medication reliably and rapidly.
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J Pain Symptom Manage · Jun 2016
Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-Hospice Handoffs.
Patient handoffs are an increasingly emphasized skill in medical and nursing education, and handoff education is required by the Accreditation Council for Graduate Medical Education. Traditional handoff tools lack content that is unique to hospice and palliative medicine. ⋯ The hospital-to-hospice handoff is a unique opportunity to teach patient safety in a palliative medicine context.