Journal ArticleDOI
An Evolutionary Concept Analysis of Palliative Care
TLDR
The ultimate success of developing palliative care as a medical specialty will rest upon the integration of the changing concept of palliatives care into everyday practice.Abstract:
Aim: This paper reports a concept analysis of palliative care in the United States.
Background: There has been a significant development of palliative care in the United States. The early years of 21st century have been characterized by a proliferation of diverse models of palliative care. Methods: A review of literature was conducted to explore the development of palliative care in the United States. Retrieved articles were published in English between years 2004 and 2011. Reference lists from relevant publications were reviewed. Rodgers’s evolutionary concept analysis strategy was used to guide this paper. The matrix method was used to analyze the identified articles.
Results: The definition of palliative care has evolved in the United States in recent years. Six attributes were identified: (1) medical specialty, (2) holistic care, (3) patient- and family-centered care, (4) interdisciplinary team work, (5) effective communication, and (6) an integrated approach. The consequences of palliative care for patients, families, and medical institutions were from three aspects: (1) quality of life, (2) treatment and care, and (3) finances. The adapted palliative care model shows that palliative care should be integrated into illness management from the beginning of diagnosis and can be delivered concurrently with curative treatment through the whole trajectory of illness.
Conclusions: Both the definition and application of palliative care have evolved over the last decade. The ultimate success of developing palliative care as a medical specialty will rest upon the integration of the changing concept of palliative care into everyday practice.read more
Citations
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Journal ArticleDOI
Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study.
TL;DR: Students demonstrated increased post-simulation knowledge, self-awareness, and quality performance of palliative nursing care regardless of previous end-of-life experience.
Journal ArticleDOI
ASHP Guidelines on the Pharmacist's Role in Palliative and Hospice Care.
Christopher M. Herndon,Douglas Nee,Rabia S. Atayee,David S. Craig,Julie Lehn,Pamela S. Moore,Suzanne A. Nesbit,James Ray,Bridget Scullion,Robert G. Wahler,Julie M. Waldfogel +10 more
TL;DR: Palliative care arose from the modern hospice movement and has evolved significantly over the past 50 years.[1] Numerous definitions exist to describe palliative Care, all of which focus on aggressively addressing suffering.
Journal ArticleDOI
How do patients experience caring? Scoping review
TL;DR: This research provides a rich description of caring, which was derived from patients', rather than professionals', experiences, that can prepare all health professionals to be caring in collaborative, interprofessional practice.
Journal ArticleDOI
Access to palliative care for cancer patients between diagnosis and death: a national cohort study.
Asmaa Janah,Lynn R. Gauthier,Lucas Morin,Philippe-Jean Bousquet,Christine Le Bihan,Philippe Tuppin,Patrick Peretti-Watel,Marc-Karim Bendiane +7 more
TL;DR: More than half of cancer patients who died within 2 years after diagnosis had access to inpatient palliative care, and the median time between access to palliatives care and death was 29 days.
Journal ArticleDOI
A Concept Analysis of Palliative Care Nursing: Advancing Nursing Theory.
TL;DR: The Walker and Avant model for concept analysis was used to develop a concept model and other practical resources for guiding nurses, educators, and researchers in applying and evaluating competence in the delivery of high-quality palliative nursing care.
References
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Book
General System Theory: Foundations, Development, Applications
TL;DR: In this article, the authors present a collection of Ludwig von Bertalanffy's writings on general system theory, selected and edited to show the evolution of systems theory and to present its applications to problem-solving.
Journal ArticleDOI
Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment.
Alexi A. Wright,Baohui Zhang,Alaka Ray,Jennifer W. Mack,E. D. Trice,Tracy A. Balboni,Susan L. Mitchell,Vicki A. Jackson,Susan D. Block,Paul K. Maciejewski,Holly G. Prigerson +10 more
TL;DR: End-of-life discussions with physicians are associated with less aggressive medical care near death and earlier hospice referrals, and Aggressive care is associated with worse patient quality of life and worse bereavement adjustment.
Journal ArticleDOI
General System Theory: Foundations, Development, Applications.
TL;DR: Bertalanffy's theory of general systems theory was introduced by Dr. William Gray in 1965 at an APA panel as mentioned in this paper and has not managed to sustain much over-all enthusiasm in psychiatry except for a small group of investigators.
Journal ArticleDOI
Family perspectives on end-of-life care at the last place of care.
Joan M. Teno,Brian R. Clarridge,Virginia Casey,Lisa C. Welch,Terrie Wetle,Renée R. Shield,Vincent Mor +6 more
TL;DR: Many people dying in institutions have unmet needs for symptom amelioration, physician communication, emotional support, and being treated with respect, according to this evaluation of the US dying experience at home and in institutional settings.
Journal ArticleDOI
Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer: The Project ENABLE II Randomized Controlled Trial
Marie Bakitas,Kathleen Doyle Lyons,Mark T. Hegel,Stefan Balan,Frances C. Brokaw,Janette L. Seville,Jay G. Hull,Zhongze Li,Tor D. Tosteson,Ira Byock,Tim A. Ahles +10 more
TL;DR: In this article, the authors evaluated the effect of a nursing-led intervention on quality of life, symptom intensity, mood, and resource use in patients with advanced cancer in a randomized controlled trial.