Articles: palliative-care.
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J Pain Symptom Manage · Mar 2025
ReviewHome Hospitalization in Palliative Care for Advanced Cancer and Dementia: A Systematic Review.
Home hospitalization (HHOSP) is an alternative care model aimed at alleviating pressure on healthcare systems and catering to the increasing patient population. It aligns with the preference for home-based palliative care (PALC) and end-of-life care. ⋯ The findings highlight HHOSP's potential as an alternative for delivering PALC, reducing hospital readmissions, and improving patient and caregiver satisfaction. Despite heterogeneity in study designs and outcomes, HHOSP aligns with patient and caregiver preferences, enhancing the quality of end-of-life care. Further standardized research is needed to optimize HHOSP implementation.
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J Pain Symptom Manage · Mar 2025
ReviewLanguage justice as health equity in palliative care: A scoping review.
Communication is the foundation of optimal healthcare provision. Linguistic diversity is a reality in palliative care settings. ⋯ To provide equitable care reflecting language justice, investigators and clinicians should include interpreters, patients, and families as integral team members. The increase in number of interventional studies suggests evidence of the value interpreters add to the palliative care team. Collaborating with linguistically diverse stakeholders reflects language justice and holds promise for ensuring optimal communication.
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J Pain Symptom Manage · Mar 2025
Model for an International Case Sharing Program to Enhance Global Palliative Care Education.
In Thailand, the field of palliative medicine is growing but access and training remain limited. We sought to expand education of resident physicians at Chiang Mai University (CMU) in Thailand through development of an international case sharing program. ⋯ We present a sustainable, convenient, low-cost, cross-cultural palliative care case conference model that has the potential to enrich palliative care education globally.
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J Pain Symptom Manage · Mar 2025
Using Human-Centered Design to Improve Serious Illness Care for Older Adults with Advanced Dementia.
Older adults with advanced dementia increasingly receive potentially non-beneficial, high-intensity life-sustaining treatments and goal-discordant care in the United States. Interventions to address this issue have shown limited success. ⋯ The HCD process generated ideas at multiple healthcare system levels to address an enduring challenge in serious illness care by involving clinicians, researchers, and designers in intervention design.
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J Pain Symptom Manage · Mar 2025
Impact of a criteria-based inpatient Palliative Oncology consultation model on end-of-life outcomes.
Early, integrated palliative care (PC) improves outcomes in advanced cancer; however, inpatient PC referrals still exceed outpatient referrals nationwide. Recognizing need for enhanced integration, our cancer center implemented a criteria-based PC consultation model in inpatient oncology. ⋯ Embedded, criteria-based PC consultation in inpatient oncology was associated with earlier PC involvement, longer hospice LOS, and reduced EOL care intensity.