Subjects -> MEDICAL SCIENCES (Total: 8359 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (210 journals)
    - ANAESTHESIOLOGY (119 journals)
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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (150 journals)

ANAESTHESIOLOGY (119 journals)                     

Showing 1 - 119 of 119 Journals sorted alphabetically
Acta Anaesthesiologica Scandinavica     Hybrid Journal   (Followers: 60)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 15)
Advances in Anesthesia     Full-text available via subscription   (Followers: 30)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 8)
Ain-Shams Journal of Anaesthesiology     Open Access   (Followers: 2)
Ain-Shams Journal of Anesthesiology     Open Access   (Followers: 1)
Ambulatory Anesthesia     Open Access   (Followers: 9)
Anaesthesia     Hybrid Journal   (Followers: 213)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 67)
Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 59)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 25)
Anaesthesia Reports     Hybrid Journal  
Anaesthesia, Pain & Intensive Care     Open Access  
Anaesthesiology Intensive Therapy     Open Access   (Followers: 9)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 6)
Anestesia Analgesia Reanimación     Open Access  
Anestesia en México     Open Access  
Anesthesia & Analgesia     Hybrid Journal   (Followers: 229)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Anesthesia Progress     Hybrid Journal   (Followers: 5)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology     Hybrid Journal   (Followers: 212)
Anesthesiology and Pain Medicine     Open Access   (Followers: 23)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 25)
Anesthesiology Research and Practice     Open Access   (Followers: 15)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Annales Françaises d'Anesthésie et de Réanimation     Full-text available via subscription   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14)
BDJ Team     Open Access   (Followers: 1)
Best Practice & Research Clinical Anaesthesiology     Hybrid Journal   (Followers: 16)
BJA : British Journal of Anaesthesia     Hybrid Journal   (Followers: 206)
BJA Education     Hybrid Journal   (Followers: 67)
BMC Anesthesiology     Open Access   (Followers: 17)
BMJ Supportive & Palliative Care     Hybrid Journal   (Followers: 42)
Brazilian Journal of Anesthesiology     Open Access   (Followers: 5)
Brazilian Journal of Anesthesiology (Edicion en espanol)     Open Access  
Brazilian Journal of Anesthesiology (English edition)     Open Access   (Followers: 1)
Brazilian Journal of Pain (BrJP)     Open Access  
British Journal of Pain     Hybrid Journal   (Followers: 26)
Canadian Journal of Anesthesia/Journal canadien d'anesthésie     Hybrid Journal   (Followers: 46)
Case Reports in Anesthesiology     Open Access   (Followers: 11)
Clinical Journal of Pain     Hybrid Journal   (Followers: 16)
Colombian Journal of Anesthesiology : Revista Colombiana de Anestesiología     Hybrid Journal  
Current Anaesthesia & Critical Care     Full-text available via subscription   (Followers: 36)
Current Anesthesiology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 58)
Current Pain and Headache Reports     Hybrid Journal   (Followers: 2)
Der Anaesthesist     Hybrid Journal   (Followers: 8)
Der Schmerz     Hybrid Journal   (Followers: 4)
Der Schmerzpatient     Hybrid Journal  
Douleur et Analgésie     Hybrid Journal  
Egyptian Journal of Anaesthesia     Open Access   (Followers: 2)
Egyptian Journal of Cardiothoracic Anesthesia     Open Access  
EMC - Anestesia-Reanimación     Hybrid Journal  
EMC - Anestesia-Rianimazione     Hybrid Journal  
EMC - Urgenze     Full-text available via subscription  
European Journal of Anaesthesiology     Hybrid Journal   (Followers: 28)
European Journal of Pain     Full-text available via subscription   (Followers: 25)
European Journal of Pain Supplements     Full-text available via subscription   (Followers: 5)
Headache The Journal of Head and Face Pain     Hybrid Journal   (Followers: 5)
Indian Journal of Anaesthesia     Open Access   (Followers: 7)
Indian Journal of Pain     Open Access   (Followers: 2)
Indian Journal of Palliative Care     Open Access   (Followers: 6)
International Anesthesiology Clinics     Hybrid Journal   (Followers: 9)
International Journal of Clinical Anesthesia and Research     Open Access  
Itch & Pain     Open Access   (Followers: 2)
JA Clinical Reports     Open Access  
Journal Club Schmerzmedizin     Hybrid Journal  
Journal of Anesthesia & Clinical Research     Open Access   (Followers: 10)
Journal of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8)
Journal of Anesthesia     Hybrid Journal   (Followers: 12)
Journal of Anesthesia History     Full-text available via subscription   (Followers: 1)
Journal of Anesthesiology and Clinical Science     Open Access   (Followers: 1)
Journal of Cellular and Molecular Anesthesia     Open Access  
Journal of Clinical Anesthesia     Hybrid Journal   (Followers: 13)
Journal of Critical Care     Hybrid Journal   (Followers: 40)
Journal of Headache and Pain     Open Access   (Followers: 3)
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 3)
Journal of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 8)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Pain     Hybrid Journal   (Followers: 18)
Journal of Pain and Symptom Management     Hybrid Journal   (Followers: 39)
Journal of Pain Research     Open Access   (Followers: 10)
Journal of Society of Anesthesiologists of Nepal     Open Access   (Followers: 2)
Journal of the Bangladesh Society of Anaesthesiologists     Open Access  
Jurnal Anestesi Perioperatif     Open Access  
Jurnal Anestesiologi Indonesia     Open Access  
Karnataka Anaesthesia Journal     Open Access   (Followers: 2)
Le Praticien en Anesthésie Réanimation     Full-text available via subscription   (Followers: 2)
Local and Regional Anesthesia     Open Access   (Followers: 8)
Medical Gas Research     Open Access   (Followers: 3)
Medycyna Paliatywna w Praktyce     Open Access   (Followers: 1)
OA Anaesthetics     Open Access   (Followers: 3)
Open Anesthesia Journal     Open Access  
Open Journal of Anesthesiology     Open Access   (Followers: 10)
Pain     Hybrid Journal   (Followers: 55)
Pain Clinic     Hybrid Journal   (Followers: 1)
Pain Management     Hybrid Journal   (Followers: 17)
Pain Medicine     Hybrid Journal   (Followers: 13)
Pain Research and Management     Open Access   (Followers: 8)
Pain Research and Treatment     Open Access   (Followers: 2)
Pain Studies and Treatment     Open Access   (Followers: 2)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Revista Chilena de Anestesia     Open Access   (Followers: 1)
Revista Colombiana de Anestesiología     Open Access   (Followers: 1)
Revista Cubana de Anestesiología y Reanimación     Open Access   (Followers: 1)
Revista da Sociedade Portuguesa de Anestesiologia     Open Access  
Revista Española de Anestesiología y Reanimación     Hybrid Journal  
Revista Española de Anestesiología y Reanimación (English Edition)     Full-text available via subscription   (Followers: 2)
Romanian Journal of Anaesthesia and Intensive Care     Open Access   (Followers: 1)
Saudi Journal of Anaesthesia     Open Access   (Followers: 7)
Scandinavian Journal of Pain     Hybrid Journal   (Followers: 1)
Southern African Journal of Anaesthesia and Analgesia     Open Access   (Followers: 8)
Sri Lankan Journal of Anaesthesiology     Open Access   (Followers: 2)
Survey of Anesthesiology     Full-text available via subscription   (Followers: 12)
Techniques in Regional Anesthesia and Pain Management     Hybrid Journal   (Followers: 11)
Topics in Pain Management     Full-text available via subscription   (Followers: 2)
Trends in Anaesthesia and Critical Care     Full-text available via subscription   (Followers: 23)

           

Similar Journals
Journal Cover
BMJ Supportive & Palliative Care
Journal Prestige (SJR): 0.878
Citation Impact (citeScore): 1
Number of Followers: 42  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 2045-435X - ISSN (Online) 2045-4368
Published by BMJ Publishing Group Homepage  [67 journals]
  • Efficacy, tolerability and acceptability of oxycodone for cancer-related
           pain in adults: an updated Cochrane systematic review
    • Authors: Schmidt-Hansen, M; Bennett, M. I, Arnold, S, Bromham, N, Hilgart, J. S.
      Pages: 117 - 128
      Abstract: ObjectivesTo assess the efficacy, tolerability and acceptability of oxycodone for cancer pain in adultsMethodsWe searched CENTRAL, MEDLINE, MEDLINE In-Process, Embase, SCI, Conference Proceedings Citation Index-Science, BIOSIS, PsycINFO and four trials registries to November 2016.ResultsWe included 23 randomised controlled trials with 2144 patients analysed for efficacy and 2363 for safety. Meta-analyses showed no significant differences between controlled-release (CR) and immediate-release oxycodone in pain intensity or adverse events but did show significantly better pain relief after treatment with CR morphine compared with CR oxycodone. However, sensitivity analysis did not corroborate this result. Meta-analyses of the adverse events showed a significantly lower risk of hallucinations after treatment with CR oxycodone compared with CR morphine, but no other differences. The remaining studies either compared oxycodone in various formulations or compared oxycodone to different alternative opioids. None found any clear superiority or inferiority of oxycodone in pain relief or adverse events. The quality of this evidence base was limited by the high/unclear risk of bias of the studies and the low event rates for many outcomes.ConclusionsOxycodone offers similar levels of pain relief and adverse events to other strong opioids. However, hallucinations occurred less with CR oxycodone than with CR morphine, but the quality of this evidence was very low, so this finding should be treated with utmost caution. Our conclusions are consistent with other reviews and suggest that oxycodone can be used first line as an alternative to morphine. However, because it is cheaper, morphine generally remains the first-line opioid of choice.
      Keywords: Editor's choice
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001457
      Issue No: Vol. 8, No. 2 (2018)
       
  • Subcutaneous levetiracetam for the management of seizures at the end of
           life
    • Authors: Sutherland, A. E; Curtin, J, Bradley, V, Bush, O, Presswood, M, Hedges, V, Naessens, K.
      Pages: 129 - 135
      Abstract: ObjectivesTo report the results of a combined case series analysis of subcutaneous levetiracetam (Keppra) for the management of seizures in palliative care patients.MethodsA comprehensive literature review on the use of subcutaneous levetiracetam was performed, and these data were combined with a prospective observational audit of its use in terminal care undertaken in a regional palliative care network.Results7 papers were identified from the literature review-four case reports and three observational case series-reporting on a total of 53 cases where subcutaneous levetiracetam was administered.We report 20 further cases of subcutaneous levetiracetam administration from a prospective observational audit. Doses ranged from 250mg to 4000 mg daily. Oral to subcutaneous conversion ratios where stated were 1:1. Levetiracetam was reported as the sole administered antiepileptic drug (AED) in eight cases, and no seizures were reported until death in five cases. Five were switched back to enteral levetiracetam. In seven cases, levetiracetam was combined with AEDs to provide seizure control at the end of life. There was one report of a sterile abscess after 25 days of continuous subcutaneous administration.ConclusionsCombined analysis of 73 reported cases of subcutaneous levetiracetam suggests this treatment may have a role in the management of seizures at the end of life. However, randomised controlled trials are urgently needed to establish the efficacy and tolerability of subcutaneous levetiracetam administration. If proven to be safe and effective, subcutaneous levetiracetam offers the potential to prevent and treat seizures without causing unnecessary sedation at the end of life.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2016-001261
      Issue No: Vol. 8, No. 2 (2018)
       
  • End-of-life care in the Western world: where are we now and how did we get
           here'
    • Authors: Guilbeau; C.
      Pages: 136 - 144
      Abstract: ObjectivesRecent movements in end-of-life care emphasise community care for the dying; however, integrating community with medical care continues to be a work in progress. Historically tracing brain hemispheric dominance, Ian McGilchrist believes we are overemphasising functionality, domination and categorisation to the detriment of symbolism, empathy and connectedness with others. The aim of this historical review is to bring McGilchrist’s sociobiological narrative into dialogue with the history and most recent trends in end-of-life care.MethodThis review used widely referenced historical accounts of end-of-life care, recent literature reviews on relevant topics and current trends in end-of-life care.ResultsWhile contemporary end-of-life care emphasises community care for the dying, implementation of these new approaches must be considered in its historical context. McGilchrist’s arguments call for a critical consideration of what seems a rather simple change in end-of-life care.ConclusionWe must question whether it is possible to hand death responsibilities back to the community when medical services have largely assumed this responsibility in countries supporting individualism, secularism and materialism.
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001424
      Issue No: Vol. 8, No. 2 (2018)
       
  • National quality indicators and policies from 15 countries leading in
           adult end-of-life care: a systematic environmental scan
    • Authors: Virdun, C; Luckett, T, Lorenz, K. A, Phillips, J, Dunbar, Clapham, Ognenovski, Berghe, Menten, Leemans, Baxter, Wee, La tour, Silove, Morin, Onwuteaka-Philipsen, Francke, Grundy, Dawson, Meade, Neo, Axelsson, Obrist, Cheng, Byock, Prins, Meier, Snow
      Pages: 145 - 154
      Abstract: BackgroundThe importance of measuring the quality of end-of-life care provision is undisputed, but determining how best to achieve this is yet to be confirmed. This study sought to identify and describe national end-of-life care quality indicators and supporting policies used by countries leading in their end-of-life care provision.MethodsA systematic environmental scan that included a web search to identify relevant national policies and indicators; hand searching for additional materials; information from experts listed for the top 10 (n=15) countries ranked in the ‘quality of care’ category of the 2015 Quality of Death Index study; and snowballing from Index experts.FindingsTen countries (66%) have national policy support for end-of-life care measurement, five have national indicator sets, with two indicator sets suitable for all service providers. No countries mandate indicator use, and there is limited evidence of consumer engagement in development of indicators. Two thirds of the 128 identified indicators are outcomes measures (62%), and 38% are process measures. Most indicators pertain to symptom management (38%), social care (32%) or care delivery (27%).InterpretationsMeasurement of end-of-life care quality varies globally and rarely covers all care domains or service providers. There is a need to reduce duplication of indicator development, involve consumers, consider all care providers and ensure measurable and relevant indicators to improve end-of-life care experiences for patients and families.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001432
      Issue No: Vol. 8, No. 2 (2018)
       
  • The state of mHealth development and use by palliative care services in
           sub-Saharan Africa: a systematic review of the literature
    • Authors: Allsop, M. J; Powell, R. A, Namisango, E.
      Pages: 155 - 163
      Abstract: BackgroundCurrent coverage of palliative care services in sub-Saharan Africa (SSA) remains woefully inadequate, but harnessing mHealth could be one approach to facilitate greater service coverage and engagement with patients with life-limiting progressive disease.AimsA systematic literature review to identify the development and use of mHealth in palliative care services in SSA.Methods13 electronic databases from 1990 to 2015 were searched alongside the manual searching of journals and citation searching of included article reference lists. Articles were assessed against inclusion and exclusion criteria and study details extracted and tabulated by two researchers. Studies were plotted against a modified WHO mHealth and ICT framework to classify how they are targeting health system strengthening.ResultsOf the 1110 articles identified, 5 met the inclusion criteria, describing mHealth use in Nigeria, Uganda, Kenya and Malawi. Descriptive analysis has shown that existing mHealth interventions for palliative care services in SSA are limited in number and are being developed for use at the palliative treatment, guidance and coordination stage of care provision. Levels of detail about the development and structure of interventions are low.ConclusionsmHealth interventions for palliative care in SSA are limited. This is an opportune time to explore how evidence-based mHealth interventions could form part of the evolving palliative care services in the region.
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2015-001034
      Issue No: Vol. 8, No. 2 (2018)
       
  • Articles of interest in other scholarly journals
    • Authors: Boland; E. G.
      Pages: 164 - 164
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2018-001557
      Issue No: Vol. 8, No. 2 (2018)
       
  • Palliativedrugs.com
    • Authors: Wilcock, A; Charlesworth, S.
      Pages: 165 - 166
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2018-001552
      Issue No: Vol. 8, No. 2 (2018)
       
  • 'Song of Life: music therapy in terminally ill patients with cancer
    • Authors: Warth, M; Kessler, J, van Kampen, J, Ditzen, B, Bardenheuer, H. J.
      Pages: 167 - 170
      Abstract: ObjectivesMusic therapy (MT) holds a promising potential to meet emotional and existential needs in palliative care patients. The aim of the present pilot study was to assess the feasibility, acceptance and potential effectiveness of a novel MT intervention to improve life closure and spiritual well-being of terminally ill patients with cancer receiving palliative care.MethodsThe ‘Song of Life’ (SOL) intervention was provided on two consecutive sessions containing a biographical interview and a live performance of a song with high biographical relevance to the patient in a lullaby style. Pre-to-post intervention assessments comprised brief self-report measures on life closure, well-being, stress, worry and pain.Results13 out of 15 patients were able to complete the protocol as intended. The chosen songs were associated with a close person, an important place or event or with a religious belief. The results showed medium-sized improvements with regard to life closure, well-being, relaxation, worry and pain.Conclusion‘SOL’ proved to be a feasible and highly accepted intervention for patients approaching the end of their lives. Further consideration with regard to the procedures and outcomes is necessary before implementation of a randomised trial.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001475
      Issue No: Vol. 8, No. 2 (2018)
       
  • Enhanced patient research participation: a Photovoice study in Blantyre
           Malawi
    • Authors: Bates, M. J; Ardrey, J, Mphwatiwa, T, Squire, S. B, Niessen, L. W.
      Pages: 171 - 174
      Abstract: ObjectivesPatient involvement in palliative care research is a desirable if challenging goal. Photovoice is an action research method in which affected communities gather photographs to document and discuss their communities’ strengths and concerns. Engagement with policymakers is a separately stated goal. Photovoice is increasingly used in health-related research but has not been widely described in the palliative care literature. We report on experiences and lessons learnt using Photovoice in Blantyre, Malawi to encourage its wider use in research and practice.MethodsThirteen co-researchers (six patients and seven household carers, mean age 47 years) receiving community-based palliative care, attended nine half-day group sessions over a 4-month period. Co-researchers produced, selected and analysed photographs. On completion of data collection, they conducted an advocacy event, including a photographic exhibition, to which media representatives and community leaders were invited.ResultsProcedures to ensure safety of co-researchers and to obtain consent of individuals identified in the photographs were developed during the planning phase. Co-researchers engaged with the Photovoice process with enthusiasm, although frailty and physical disability (poor sight) limited participation for some older adults. Inclusion of palliative care staff within the research team helped to facilitate open dialogue and clinical review where appropriate.ConclusionsIn this Photovoice study, patients and family members receiving palliative care engaged in an exploration of household well-being using photography, participatory analysis and an advocacy event. With appropriate planning, Photovoice can be adapted to a range of settings to enhance patient participation.
      Keywords: Open access
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001439
      Issue No: Vol. 8, No. 2 (2018)
       
  • Opioid errors in inpatient palliative care services: a retrospective
           review
    • Authors: Heneka, N; Shaw, T, Rowett, D, Lapkin, S, Phillips, J. L.
      Pages: 175 - 179
      Abstract: Opioids are a high-risk medicine frequently used to manage palliative patients’ cancer-related pain and other symptoms. Despite the high volume of opioid use in inpatient palliative care services, and the potential for patient harm, few studies have focused on opioid errors in this population.ObjectivesTo (i) identify the number of opioid errors reported by inpatient palliative care services, (ii) identify reported opioid error characteristics and (iii) determine the impact of opioid errors on palliative patient outcomes.MethodsA 24-month retrospective review of opioid errors reported in three inpatient palliative care services in one Australian state.ResultsOf the 55 opioid errors identified, 84% reached the patient. Most errors involved morphine (35%) or hydromorphone (29%). Opioid administration errors accounted for 76% of reported opioid errors, largely due to omitted dose (33%) or wrong dose (24%) errors. Patients were more likely to receive a lower dose of opioid than ordered as a direct result of an opioid error (57%), with errors adversely impacting pain and/or symptom management in 42% of patients. Half (53%) of the affected patients required additional treatment and/or care as a direct consequence of the opioid error.ConclusionThis retrospective review has provided valuable insights into the patterns and impact of opioid errors in inpatient palliative care services. Iatrogenic harm related to opioid underdosing errors contributed to palliative patients’ unrelieved pain. Better understanding the factors that contribute to opioid errors and the role of safety culture in the palliative care service context warrants further investigation.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001417
      Issue No: Vol. 8, No. 2 (2018)
       
  • Impact of specialist palliative care on coping with Parkinsons disease:
           patients and carers
    • Authors: Badger, N. J; Frizelle, D, Adams, D, Johnson, M. J.
      Pages: 180 - 183
      Abstract: ObjectivesUK guidelines recommend palliative care access for people with Parkinson’s disease; however, this remains sporadic, and it is unknown whether specialist palliative care helps patients and carers cope with this distressing condition. This study aimed to explore whether, and how, access to specialist palliative care services affected patients’ and carers’ coping with Parkinson’s disease.MethodsSemistructured interviews were conducted, audio-recorded and verbatim transcribed. Data were analysed using interpretative phenomenological analysis. Participants were patients with advanced idiopathic Parkinson’s disease (n=3), and carers of people with Parkinson’s disease (n=5, however, one diagnosis was reviewed) receiving care from an integrated specialist palliative care and Parkinson’s disease service in North East England.ResultsAccess to specialist palliative care helped participants cope with some aspects of advanced Parkinson’s disease. Three superordinate themes were developed:‘ managing uncertainty’, ‘impacts on the self’ and ‘specialist palliative care maintaining a positive outlook’.ConclusionsSpecialist palliative care helped patients and carers cope with advanced Parkinson’s disease. Specialist palliative care is a complex intervention that acknowledges the complex and holistic nature of Parkinson’s disease, enabling health in some domains despite continued presence of pathology. These exploratory findings support the utility of this approach for people living with Parkinson’s disease.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001423
      Issue No: Vol. 8, No. 2 (2018)
       
  • The supportive relationship between palliative patients and family
           caregivers
    • Authors: Foley; G.
      Pages: 184 - 186
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001463
      Issue No: Vol. 8, No. 2 (2018)
       
  • Antibiotics in palliative care: less can be more. Recognising overuse is
           easy. The real challenge is judicious prescribing
    • Authors: Lee; S. F.
      Pages: 187 - 188
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001473
      Issue No: Vol. 8, No. 2 (2018)
       
  • Managing an intentional overdose in a hospice
    • Authors: Dinnen, T; Armstrong, H, Perkins, P.
      Pages: 189 - 190
      Abstract: This case report describes a patient admitted unconscious to a hospice following an intentional overdose of oxycodone. She had previously declined conventional medical treatment for cancer and had made an advance decision stating that she wished to avoid hospital admission and refusing life-prolonging treatment. This case illustrates the practical and ethical challenges of managing an intentional overdose in a palliative care setting.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2016-001219
      Issue No: Vol. 8, No. 2 (2018)
       
  • Subcutaneous magnesium in the advanced cancer setting
    • Authors: Fenning, S. J; Boyce, S. R, Wilson, P, Stretton, F.
      Pages: 191 - 193
      Abstract: Hypomagnesaemia can arise from a variety of causes but is particularly prevalent in cancer populations. This case report describes a patient with recurrent symptomatic hypomagnesaemia, on the background of advanced ovarian cancer and a high-output ileostomy, who was successfully managed on a daily continuous subcutaneous infusion of magnesium via a syringe pump. There is limited published information on the subcutaneous administration of magnesium and, to our knowledge, this is the first case to report its routine delivery over 24 hours in a syringe pump. This novel but effective approach for administering magnesium can be delivered in the community and can, therefore, prevent repeated hospital admissions for patients with recurrent symptomatic hypomagnesaemia who would otherwise need intravenous replacement.
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001360
      Issue No: Vol. 8, No. 2 (2018)
       
  • Respecting patient choices: using the Go Wish' cards as a teaching tool
    • Authors: Osman, H; El Jurdi, K, Sabra, R, Arawi, T.
      Pages: 194 - 197
      Abstract: BackgroundIndividuals have different values and priorities that can have an important impact on their medical management. Understanding this concept can help physicians provide medical care that is in line with the goals of their patients. Communicating this message effectively to students is challenging.ObjectiveTo report our experience with using Go Wish cards in the medical education setting.DesignA thematic analysis of student reflection papers using grounded theory.Setting/SubjectsSecond-year medical students participated in an activity using the Go Wish cards as part of a course module on palliative care. The activity aimed to encourage students to reflect on their own choices at the end of life and to highlight that different people have different priorities.ResultsForty-two students (42%) mentioned the Go Wish activity in their reflections on the module. They reported that the activity demonstrated the different priorities at the end of life, it illustrated the importance of providing personalised care, it promoted self-discovery, it transformed their view of death and dying, and it increased their appreciation of the importance of palliative care.ConclusionGo Wish cards can be used to help illustrate the variability in priorities of patients. They can be used as an effective to teach medical students about the importance of considering patient preferences when illness progresses.
      Keywords: Palliative care
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001342
      Issue No: Vol. 8, No. 2 (2018)
       
  • Cancer symptom scale preferences: does one size fit all'
    • Authors: Jeter, K; Blackwell, S, Burke, L, Joyce, D, Moran, C, Conway, E. V, Cremen, I, O'Connor, B, Ui Dhuibhir, P, Walsh, D.
      Pages: 198 - 203
      Abstract: ObjectivesPatients with advanced cancer do not report all symptoms, so assessment is best done systematically. However, for such patients, completion rates of some symptom instruments are
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2015-001018
      Issue No: Vol. 8, No. 2 (2018)
       
  • What are the current challenges of managing cancer pain and could digital
           technologies help'
    • Authors: Adam, R; de Bruin, M, Burton, C. D, Bond, C. M, Giatsi Clausen, M, Murchie, P.
      Pages: 204 - 212
      Abstract: ObjectivesPain remains a problem for people with cancer despite effective treatments being available. We aimed to explore current pain management strategies used by patients, caregivers and professionals and to investigate opportunities for digital technologies to enhance cancer pain management.MethodsA qualitative study comprising semistructured interviews and focus groups. Patients with cancer pain, their caregivers and health professionals from Northeast Scotland were recruited from a purposive sample of general practices. Professionals were recruited from regional networks.ResultsFifty one participants took part in 33 interviews (eight patients alone, six patient/caregiver dyads and 19 professionals) and two focus groups (12 professionals). Living with cancer was hard work for patients and caregivers and comparable to a ‘full-time job’. Patients had personal goals which involved controlling pain intensity and balancing this with analgesic use, side effects, overall symptom burden and social/physical activities.Digital technologies were embraced by most patients, and made living life with advanced cancer easier and richer (eg, video calls with family). Technology was underutilised for pain and symptom management. There were suggestions that technology could support self-monitoring and communicating problems to professionals, but patients and professionals were concerned about technological monitoring adding to the work of managing illness.ConclusionsCancer pain management takes place in the context of multiple, sometimes competing personal goals. It is possible that technology could be used to help patients share individual symptom experiences and goals, thus enhancing tailored care. The challenge is for digital solutions to add value without adding undue burden.
      Keywords: Open access, Communication
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2016-001232
      Issue No: Vol. 8, No. 2 (2018)
       
  • Risk of 12-month mortality among hospital inpatients using the surprise
           question and SPICT criteria: a prospective study
    • Authors: Mudge, A. M; Douglas, C, Sansome, X, Tresillian, M, Murray, S, Finnigan, S, Blaber, C. R.
      Pages: 213 - 220
      Abstract: ObjectivesPeople with serious life-limiting disease benefit from advance care planning, but require active identification. This study applied the Gold Standards Framework Proactive Identification Guidance (GSF-PIG) to a general hospital population to describe high-risk patients and explore prognostic performance for 12-month mortality.MethodsProspective cohort study conducted in a metropolitan teaching hospital in Australia. Hospital inpatients on a single day aged 18 years and older were eligible, excluding maternity and neonatal, mental health and day treatment patients. Data sources included medical record and structured questions for medical and nursing staff. High-risk was predefined as positive response to the surprise question (SQ) plus two or more SPICT indicators of general deterioration. Descriptive variables included demographics, frailty and functional measures, treating team, advance care planning documentation and hospital utilisation. Primary outcome for prognostic performance was 12-month mortality.ResultsWe identified 540 eligible inpatients on the study day and 513 had complete data (mean age 60, 54% male, 30% living alone, 19% elective admissions). Of these, 191 (37%) were high-risk; they were older, frailer, more dependent and had been in hospital longer than low-risk participants. Within 12 months, 92 participants (18%) died (72/191(38%) high-risk versus 20/322(6%) low-risk, P
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001441
      Issue No: Vol. 8, No. 2 (2018)
       
  • Communication about the impending death of patients with cancer to the
           family: a nationwide survey
    • Authors: Mori, M; Morita, T, Igarashi, N, Shima, Y, Miyashita, M.
      Pages: 221 - 228
      Abstract: ObjectivesExplanation about the impending death of imminently dying patients with cancer is important for their families. However, little is known about how clinicians explain impending death and how families perceive the explanation. We aimed to clarify bereaved families’ perception of the need for improvements in the explanation about impending death and to explore the factors contributing to the need.MethodsIn a nationwide survey of 818 bereaved families of patients with cancer admitted to inpatient hospices in Japan, we evaluated family-perceived need for improvements in the explanation about impending death and families’ experiences of the explanation.ResultsAmong all the participants (n=516, 63%), 35 (6.8%), 123 (24%) and 297 (58%) families felt that much/considerable, some and no improvements were needed, respectively. Independent determinants of the need were a younger patient age (OR=0.97; 95% CI 0.95 to 0.99; P=0.009); not receiving an ‘explicit explanation about physical signs of impending death’ (OR=0.67; 95% CI 0.51 to 0.88; P=0.004); not receiving an ‘explanation of how long the patient and family could talk’ (OR=0.67; 95% CI 0.51 to 0.88; P
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001460
      Issue No: Vol. 8, No. 2 (2018)
       
  • An advance care plan decision support video before major surgery: a
           patient- and family-centred approach
    • Authors: Isenberg, S. R; Crossnohere, N. L, Patel, M. I, Conca-Cheng, A, Bridges, J. F. P, Swoboda, S. M, Smith, T. J, Pawlik, T. M, Weiss, M, Volandes, A. E, Schuster, A, Miller, J. A, Pastorini, C, Roter, D. L, Aslakson, R. A.
      Pages: 229 - 236
      Abstract: ObjectiveVideo-based advanc care planning (ACP) tools have been studied in varied medical contexts; however, none have been developed for patients undergoing major surgery. Using a patient- and family-centredness approach, our objective was to implement human-centred design (HCD) to develop an ACP decision support video for patients and their family members when preparing for major surgery.Design and methodsThe study investigators partnered with surgical patients and their family members, surgeons and other health professionals to design an ACP decision support video using key HCD principles. Adapting Maguire’s HCD stages from computer science to the surgical context, while also incorporating Elwyn et al’s specifications for patient-oriented decision support tool development, we used a six-stage HCD process to develop the video: (1) plan HCD process; (2) specify where video will be used; (3) specify user and organisational requirements; (4) produce and test prototypes; (5) carry out user-based assessment; (6) field test with end users.ResultsOver 450 stakeholders were engaged in the development process contributing to setting objectives, applying for funding, providing feedback on the storyboard and iterations of the decision tool video. Throughout the HCD process, stakeholders’ opinions were compiled and conflicting approaches negotiated resulting in a tool that addressed stakeholders’ concerns.ConclusionsOur patient- and family-centred approach using HCD facilitated discussion and the ability to elicit and balance sometimes competing viewpoints. The early engagement of users and stakeholders throughout the development process may help to ensure tools address the stated needs of these individuals.Trial registration numberNCT02489799.
      Keywords: Surgery
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001449
      Issue No: Vol. 8, No. 2 (2018)
       
  • Wearable smartwatch technology to monitor symptoms in advanced illness
    • Authors: Nwosu, A. C; Quinn, C, Samuels, J, Mason, S, Payne, T. R.
      Pages: 237 - 237
      Keywords: Open access
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2017-001445
      Issue No: Vol. 8, No. 2 (2018)
       
  • Cochrane systematic review highlights the importance of lactulose in the
           management of hepatic encephalopathy
    • Authors: Sutherland, A; Hami, F, Maggs, J.
      Pages: 238 - 239
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2016-001255
      Issue No: Vol. 8, No. 2 (2018)
       
  • Correction: International variation in clinical practice guidelines for
           palliative sedation: a systematic review
    • Pages: 239 - 239
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2016-001159corr1
      Issue No: Vol. 8, No. 2 (2018)
       
  • 2017 Thank you to our reviewers
    • Pages: 240 - 240
      PubDate: 2018-06-01T00:00:00-07:00
      DOI: 10.1136/bmjspcare-2018-reviewers2017
      Issue No: Vol. 8, No. 2 (2018)
       
 
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