Journal•ISSN: 1557-7740
Journal of Palliative Medicine
Mary Ann Liebert, Inc.
About: Journal of Palliative Medicine is an academic journal published by Mary Ann Liebert, Inc.. The journal publishes majorly in the area(s): Palliative care & Medicine. It has an ISSN identifier of 1557-7740. Over the lifetime, 5290 publications have been published receiving 110671 citations. The journal is also known as: Palliative medicine.
Topics: Palliative care, Medicine, Health care, MEDLINE, End-of-life care
Papers published on a yearly basis
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TL;DR: This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings.
Abstract: A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17–18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings.
1,114 citations
TL;DR: Home care is the most common preference, with inpatient hospice care as second preference in advanced illness, and study designs in this area need to be improved.
Abstract: Background: It is commonly written that more patients wish to die at home than currently achieve this. However, the evidence for preferences for place of terminal care and death has not been systematically reviewed. Aim: To carry out a systematic literature review of the preferences for place of care and death among advanced cancer patients. Method: Studies were identified using systematic database searches of MEDLINE (1966-1999), PsychLit (1974-1999), and Bath Information Data Service (BIDS) (1981-1999). Studies were assessed and data extracted and synthesises following the NHS Centre for Reviews and Dissemination guidelines, grading studies according to design and rigor of methods. Studies of preferences in the general population and of groups including cancer patients and/or their caregivers were included. Results: Eighteen studies determining preferences in either the general population or groups including cancer patients were identified. Views were obtained prospectively and retrospectively from pati...
830 citations
TL;DR: An internist and geriatrician who has recently designed a Spiritual Assessment consisting of four basic questions that physicians or others can integrate into patient interviews, Christina Puchalski explores how she came to develop the spiritual history, how she sees it as distinct from a careful psychosocial history, and what she has learned as she has trained physicians across the United States to incorporate it into their medical interviews.
Abstract: Dr. Christina Puchalski is an internist and geriatrician who has recently designed a Spiritual Assessment consisting of four basic questions that physicians or others can integrate into patient interviews. The assessment is remembered by the acronym PICA, for the four domains it touches on: Faith, Importance, Community, and Address. In this interview with Innovations associate editor Anna L Romer, Dr. Puchalski explores how she came to develop the spiritual history, how she sees it as distinct from a careful psychosocial history, and what she has learned as she has trained physicians across the United States to incorporate it into their medical interviews. This interview is excerpted from a thematic issue, "Spirituality and End-of-Life Care," Vol. 1, No. 6, 1999 of the online journal Innovations in End-of-Life Care at http:/www. edc.org/lastacts/. First, let's review how you understand spirituality and the context for using the spiritual history or assessment. I see spirituality as that which allows a person to experience transcendent meaning in life. This is often expressed as a relationship with God, but it can also be about nature, art, music, family, or community—whatever beliefs and values give a person a sense of meaning and purpose in life. So, a spiritual history is a beliefs or values history that explicitly opens the door to a conversation about the role of spirituality and religion in the person's life. This conversation is extremely important for patients who are gravely ill and for dying patients. Spiritual questions that come up for these patients include: What gives my life meaning? Why is this thing happening to me? How will I survive this loss? What will happen to me when life ends? We as clinicians don't know the answers, but I do see it as our role to support and encourage people as they search for their own answers to these questions. Their spiritual beliefs, religious faith and values are resources, and it is also important to see this work as a team effort and to refer patients to chaplains and spiritual directors as needed. How do spirituality and healthcare
639 citations
TL;DR: Two conferences, Creating More Compassionate Systems of Care and On Improving the Spiritual Dimension of Whole Person Care, were convened with the goals of reaching consensus on approaches to the integration of spirituality into health care structures at all levels and development of strategies to create more compassionate systems of care.
Abstract: Two conferences, Creating More Compassionate Systems of Care (November 2012) and On Improving the Spiritual Dimension of Whole Person Care: The Transformational Role of Compassion, Love and Forgiveness in Health Care (January 2013), were convened with the goals of reaching consensus on approaches to the integration of spirituality into health care structures at all levels and development of strategies to create more compassionate systems of care. The conferences built on the work of a 2009 consensus conference, Improving the Quality of Spiritual Care as a Dimension of Palliative Care. Conference organizers in 2012 and 2013 aimed to identify consensus-derived care standards and recommendations for implementing them by building and expanding on the 2009 conference model of interprofessional spiritual care and its recommendations for palliative care. The 2013 conference built on the 2012 conference to produce a set of standards and recommended strategies for integrating spiritual care across the entire health care continuum, not just palliative care. Deliberations were based on evidence that spiritual care is a fundamental component of high-quality compassionate health care and it is most effective when it is recognized and reflected in the attitudes and actions of both patients and health care providers.
582 citations
TL;DR: IPCS patients reported greater satisfaction with their care experience and providers' communication, had fewer ICU admissions on readmission, and lower total health care costs following hospital discharge, compared with other palliative care services.
Abstract: Background: Palliative care improves care and reduces costs for hospitalized patients with life-limiting illnesses. There have been no multicenter randomized trials examining impact on patient satisfaction, clinical outcomes, and subsequent health care costs. Objective: Measure the impact of an interdisciplinary palliative care service (IPCS) on patient satisfaction, clinical outcomes, and cost of care for 6 months posthospital discharge. Methods: Multicenter, randomized, controlled trial. IPCS provided consultative, interdisciplinary, palliative care to intervention patients. Controls received usual hospital care (UC). Setting and sample: Five hundred seventeen patients with life-limiting illnesses from a hospital in Denver, Portland, and San Francisco enrolled June 2002 to December 2003. Measures: Modified City of Hope Patient Questionnaire, total health care costs, hospice utilization, and survival. Results: IPCS reported higher scores for the Care Experience scale (IPCS: 6.9 versus UC: 6.6, p...
523 citations