38 results match your criteria: "Center for Palliative Studies[Affiliation]"

Management of constipation in patients with cancer.

Support Cancer Ther

October 2004

Center for Palliative Studies, San Diego Hospice & Palliative Care, University of California San Diego School of Medicine.

Constipation is highly prevalent in patients with cancer and is a source of tremendous suffering. The physiology of the gastrointestinal tract and the pathophysiology of constipation are being elucidated. Therapeutic agents include stool softeners, osmotic agents, stimulant laxatives, lubricants, and enemas.

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Psychiatric issues in palliative care: recognition of delirium in patients enrolled in hospice care.

Palliat Support Care

June 2008

Center for Palliative Studies, San Diego Hospice and Palliative Care, Department of Psychiatry, University of California, San Diego, La Jolla, California 92103, USA.

Objectives: Delirium is prevalent, difficult to assess, under-recognized, and undertreated in hospice and palliative care settings. Furthermore, it is associated with significant morbidity and mortality. Under-recognition of delirium results in under-treatment and increased suffering.

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Optimism.

J Palliat Med

May 2008

Center for Palliative Studies, San Diego Hospice & Palliative Care, San Diego, California 92103, USA.

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Major depression is prevalent, difficult to assess, underrecognized, and undertreated in hospice settings. Furthermore, it is associated with significant morbidity and mortality. A retrospective chart review of 2716 patients receiving hospice care was conducted in order to determine the baseline rate of recognition of depression in patients with advanced, life-threatening illnesses by frontline hospice clinicians.

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Interventions to manage symptoms at the end of life.

J Palliat Med

May 2006

Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, California 92103-1407, USA.

The aim of this article is to summarize the current evidence base about interventions that improve symptoms at the end of life. Moderate to severe symptoms are highly prevalent in the weeks and months before death: 1.4 million individuals have dyspnea; and 1 million have pain.

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Assessment of palliative care needs.

Anesthesiol Clin

March 2006

San Diego Hospice and Palliative Care, Center for Palliative Studies, 4311 Third Avenue, San Diego, CA 92103, USA.

Caring for a patient at the end of life requires a thorough understanding of the patient's disease and a detailed investigation into all domains of the patient's being. The patient's goals of care should be revealed, and the interdisciplinary team must work together to provide the patient with maximal care to ensure the best possible quality of life. We must devise a comprehensive and flexible plan so that any anticipated issues may be resolved quickly.

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There is compelling evidence that residents training in primary care need education in palliative care. Evidence for effective curricula is needed. The objective of this study was to test whether a clinical elective improves measures of knowledge and skill.

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Case discussions in palliative medicine.

J Palliat Med

June 2005

Center for Palliative Studies, San Diego Hospice, University of California, San Diego, California 92103-1407, USA.

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The American Board of Hospice and Palliative Medicine (ABHPM) was formed in 1995 to establish and implement standards for certification of physicians practicing hospice and palliative medicine and, ultimately, accreditation of physician training in this discipline. The ABHPM has created a certification process that parallels other member boards of the American Board of Medical Specialties (ABMS). After 3(1/2) years and the administration of seven examinations, 623 physicians have achieved board certification in hospice and palliative medicine.

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Financing palliative care.

Clin Geriatr Med

November 2004

Center for Palliative Studies, San Diego Hospice & Palliative Care, 4311 Third Avenue, San Diego, CA 92103, USA.

Palliative care services are financed by a combination of revenue from a variety of sources: hospital, nursing home, hospice, and physician. Cost avoidance is calculated based on the patterns of care of the patients seen compared with control patients. Most programs also use grants and philanthropy as part of their "mix.

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Management of dyspnea.

J Support Oncol

September 2004

Center for Palliative Studies, San Diego Hospice, a teaching affiliate of the University of California, San Diego School of Medicine, USA.

Patients with cancer frequently report dyspnea, the uncomfortable awareness of breathing. Lung involvement with cancer does not predict its occurrence. Patients describe it as one of the most frightening and distressing symptoms, and patient self-report is the only reliable measure.

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There is significant interest in seeking professional recognition of expertise in caring for people with serious life-threatening illness and their families through creation of a specialty in palliative medicine. Certification of physicians and accreditation of training programs are key elements for formal recognition. The American Board of Hospice and Palliative Medicine was established to achieve these goals.

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Background: The faculty of the Center for Palliative Studies teach residents from 5 different primary care residency training programs who rotate at San Diego Hospice: 3 in Internal Medicine, 2 in Family Medicine. Residents participate in the care of patients in the inpatient care setting and make joint home visits with physicians and other team members. A series of 4 lectures on end-of-life care is given on Tuesday mornings: management of pain, other symptoms, interdisciplinary roles of chaplains, social workers, nurses, and grief/bereavement are discussed.

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Pain in terminally ill patients: guidelines for pharmacological management.

CNS Drugs

November 2003

Center for Palliative Studies, San Diego Hospice, San Diego School of Medicine, University of California, San Diego, California, USA.

Successful pharmacological treatment of pain in terminally ill patients is possible most of the time. It requires a determination of the type of pain syndrome (i.e.

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In the United States, there are 629 million visits to complementary and alternative medicine (CAM) providers each year. Many adults appear to value both conventional and CAM approaches. Because of this public interest and promising evidence that CAM relieves suffering and improves quality of life, we established a program of CAM, known as Integrative Palliative Care (IPC), in a US hospice.

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