The American journal of hospice & palliative care
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Am J Hosp Palliat Care · Dec 2014
Similarities and differences in perspectives on interdisciplinary collaboration among hospice team members.
This study surveyed 4 core hospice professionals (physicians, nurses, social workers, and chaplains) on their perceived level of interdisciplinary collaboration, the influences of interdisciplinary collaboration, and job satisfaction to determine potential similarities and differences based on profession and various demographic characteristics of the members or member hospices. Analysis found that there are overall no differences based on demographic characteristics. ⋯ Difference between professions was also found in job satisfaction. Implications for hospice practice and interdisciplinary education are discussed.
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Am J Hosp Palliat Care · Dec 2014
Case ReportsHigh-dose neuroleptics and neuroleptic rotation for agitated delirium near the end of life.
Agitated delirium presents unique challenges for hospice and palliative care clinicians. Haloperidol, the recommended neuroleptic, may be ineffective at low dose, or poorly tolerated at higher doses. ⋯ Agitated delirium is a palliative care emergency. High doses of neuroleptic medications, with rotation to an alternate neuroleptic when side effects occur with standard haloperidol, may effectively palliate agitated delirium. This remedy can provide the patient with a peaceful dying in a place of their choosing.