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  1. Book ; Online ; E-Book: Advanced practice palliative nursing

    Dahlin, Constance / Coyne, Patrick

    2023  

    Abstract: This new revised edition is a seminal textbook for advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care, bringing to the forefront current issues of health equity, managing ... ...

    Author's details Constance Dahlin and Patrick Coyne
    Abstract This new revised edition is a seminal textbook for advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care, bringing to the forefront current issues of health equity, managing through crisis, and meeting the needs of diverse populations. Each chapter contains case examples and a strong evidence base to support the highest quality of care. The text is written by leaders in the field and includes authors who have pioneered the role of the advanced practice nurse in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics.
    MeSH term(s) Hospice and Palliative Care Nursing/methods. ; Advanced Practice Nursing/methods. ; Palliative Care.
    Keywords Hospice care ; Nursing
    Subject code 362.1756
    Language English
    Size 1 online resource (809 pages)
    Edition Second edition.
    Publisher Oxford University Press
    Publishing place New York, NY
    Document type Book ; Online ; E-Book
    Note Includes index.
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 0-19-755935-2 ; 0-19-755933-6 ; 9780197559321 ; 978-0-19-755935-2 ; 978-0-19-755933-8 ; 0197559328
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: American Society for Pain Management Nursing and Hospice and Palliative Nurses Association Position Statement: Pain Management at the End of Life.

    Coyne, Patrick / Lowry, Sarah / Mulvenon, Carol / Paice, Judith A

    Pain management nursing : official journal of the American Society of Pain Management Nurses

    2024  

    Abstract: Fundamental to the quality of life is assisting patients in relieving pain including at the end of life. Compassionate, effective, evidence-based pain care for the dying improves the quality of life for patients and may reduce distress and complicated ... ...

    Abstract Fundamental to the quality of life is assisting patients in relieving pain including at the end of life. Compassionate, effective, evidence-based pain care for the dying improves the quality of life for patients and may reduce distress and complicated bereavement in the loved ones witnessing this death. However, efforts designed to mitigate the consequences of the opioid epidemic have seriously compromised pain care at the end of life. This has created an urgent need to focus on the barriers to relief, and solutions necessary to provide safe and effective pain and symptom management in this population. To that end, a committee of experts was convened by the American Society for Pain Management Nursing and the Hospice and Palliative Nursing Association. These experts reviewed the current literature, developed a draft position statement which underwent consecutive revisions. This statement was then endorsed by the respective organizations. Elucidation of barriers to effective pain control in advanced disease allows targeted interventions; including those related to clinical care, education, accessibility, and research. As nurses, we must continuously advocate for humane and dignified care, promoting ethical, effective pain and symptom management at the end of life for all.
    Language English
    Publishing date 2024-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2213260-0
    ISSN 1532-8635 ; 1524-9042
    ISSN (online) 1532-8635
    ISSN 1524-9042
    DOI 10.1016/j.pmn.2024.03.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Palliative Care Interventions in Advanced Chronic Obstructive Pulmonary Disease: An Integrative Review.

    Madiraca, Jessica / Lindell, Kathleen / Coyne, Patrick / Miller, Sarah

    Journal of palliative medicine

    2023  Volume 26, Issue 6, Page(s) 856–866

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Male ; Humans ; Female ; Palliative Care ; Quality of Life ; Pulmonary Disease, Chronic Obstructive/therapy ; Pulmonary Disease, Chronic Obstructive/complications ; Hospice and Palliative Care Nursing ; Dyspnea/therapy ; Dyspnea/diagnosis
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2022.0356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Nebulized Vasopressin for the Control of Hematemesis and Hemoptysis in a Child With Recurrent, Refractory Stage III Burkitt Lymphoma.

    Dulin, Jennifer D / Coyne, Patrick J

    Journal of palliative care

    2019  Volume 35, Issue 2, Page(s) 71–74

    Abstract: Background: Bleeding occurs with some regularity at the end of life. Patients often endure fatigue, weakness, pain, dyspnea and anxiety. These symptoms are magnified in visually apparent bleeds. Management can be particularly challenging as we attempt ... ...

    Abstract Background: Bleeding occurs with some regularity at the end of life. Patients often endure fatigue, weakness, pain, dyspnea and anxiety. These symptoms are magnified in visually apparent bleeds. Management can be particularly challenging as we attempt to balance therapies with goals of care. Children are at risk for such complications and symptoms; providers must ensure comfort for both the patient and family.
    Case description: A 7-year-old male with recurrent, refractory Burkitt lymphoma was frequently hospitalized for palliative chemotherapy and disease complications. On his final admission, he experienced gross hemoptysis and hematemesis: he was short of breath, fatigued and anxious due to his blood loss. His and his family's angst were heightened by "seeing" his bleed. Potential, especially invasive, treatments were limited by our goals to promote comfort, limit interventions, maintain alertness, poor intravenous access and a small bowel obstruction. Nebulized vasopressin, 10 units in 4ml of normal saline given over 10 minutes provided JC with needed relief. His bleeding remitted and he tolerated its administration.
    Conclusion: There are many treatments for hemorrhage; however, given the challenges of goals of care, administration, side-effects and tolerability, further investigation into nebulized vasopressin as a potential therapy for hemoptysis and hematemesis at the end-of-life is warranted.
    MeSH term(s) Administration, Inhalation ; Burkitt Lymphoma/complications ; Child ; Fatal Outcome ; Hematemesis/etiology ; Hematemesis/prevention & control ; Hemoptysis/etiology ; Hemoptysis/prevention & control ; Humans ; Male ; Palliative Care ; Vasoconstrictor Agents/administration & dosage ; Vasopressins/administration & dosage
    Chemical Substances Vasoconstrictor Agents ; Vasopressins (11000-17-2)
    Language English
    Publishing date 2019-11-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 639326-3
    ISSN 2369-5293 ; 0825-8597
    ISSN (online) 2369-5293
    ISSN 0825-8597
    DOI 10.1177/0825859719883844
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The palliative APRN leader.

    Dahlin, Constance / Coyne, Patrick

    Annals of palliative medicine

    2018  Volume 8, Issue Suppl 1, Page(s) S30–S38

    Abstract: Advanced practice registered nurses (APRNs) are leaders in clinical practice, systems-level care delivery, nursing practice, and policy. The challenge is that in the current environment, their leadership is not highlighted. With the national shortage of ... ...

    Abstract Advanced practice registered nurses (APRNs) are leaders in clinical practice, systems-level care delivery, nursing practice, and policy. The challenge is that in the current environment, their leadership is not highlighted. With the national shortage of palliative care clinicians, APRN leaders will be necessary to care for all the patients and their families with serious illness. While many programs describe their APRNs as leader in clinical care, there is not much written about their leadership in other areas. This paper provides a description of APRN palliative care leadership and opportunities across all domains of clinical care, education, advocacy/policy, research, and administration/management.
    MeSH term(s) Administrative Personnel ; Advanced Practice Nursing/organization & administration ; Education, Nursing ; Health Policy ; Hospice and Palliative Care Nursing/organization & administration ; Humans ; Leadership ; Nurse's Role ; Nursing Process/organization & administration ; Nursing Research/organization & administration ; Palliative Care/organization & administration ; Palliative Medicine/education ; Professional Practice/organization & administration
    Language English
    Publishing date 2018-08-01
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2828544-X
    ISSN 2224-5839 ; 2224-5820
    ISSN (online) 2224-5839
    ISSN 2224-5820
    DOI 10.21037/apm.2018.06.03
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Iatrogenic Oral Ketamine Overdose in Palliative Care.

    Dulin, Jennifer D / Hardcopf, Jennifer / Coyne, Patrick J

    Journal of palliative medicine

    2020  Volume 24, Issue 1, Page(s) 148–151

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adult ; Analgesics ; Humans ; Iatrogenic Disease ; Ketamine ; Male ; Pain Management ; Palliative Care
    Chemical Substances Analgesics ; Ketamine (690G0D6V8H)
    Language English
    Publishing date 2020-03-25
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2020.0027
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  7. Article ; Online: End of Life: Reflecting on Things That Matter.

    Dahlin, Constance / Coyne, Patrick

    Seminars in oncology nursing

    2017  Volume 33, Issue 5, Page(s) 483–488

    Abstract: Objectives: To promote oncology nurse communication that is grounded on principles of ethics, individual care, and shared decision-making.: Data sources: Articles and references in the communication, nursing and oncology nursing literature CONCLUSION: ...

    Abstract Objectives: To promote oncology nurse communication that is grounded on principles of ethics, individual care, and shared decision-making.
    Data sources: Articles and references in the communication, nursing and oncology nursing literature CONCLUSION: Communication is essential to effectively advocate to meet the needs of cancer patients and their families, and other health care providers, particularly in the quality-of life domains.
    Implications for nursing practice: Oncology nurses are in a prime position to facilitate quality communication. Nurses need education in communication to promote quality care and navigate critical junctures in the cancer continuum.
    MeSH term(s) Communication ; Decision Making ; Humans ; Nurse-Patient Relations ; Oncology Nursing ; Terminally Ill
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632682-1
    ISSN 1878-3449 ; 0749-2081
    ISSN (online) 1878-3449
    ISSN 0749-2081
    DOI 10.1016/j.soncn.2017.09.006
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  8. Article ; Online: Pulmonologists' Perspectives on and Access to Palliative Care for Patients With Idiopathic Pulmonary Fibrosis in South Carolina.

    Lindell, Kathleen Oare / Madisetti, Mohan / Fasolino, Tracy / Pittman, MaryChris / Coyne, Patrick / Whelan, Timothy P M / Mueller, Martina / Ford, Dee W

    Palliative medicine reports

    2023  Volume 4, Issue 1, Page(s) 292–299

    Abstract: Background: Idiopathic pulmonary fibrosis (IPF) is a serious illness with an unpredictable disease course and survival rates comparable with some cancers. Patients with IPF suffer considerable symptom burden, declining quality of life, and high health ... ...

    Abstract Background: Idiopathic pulmonary fibrosis (IPF) is a serious illness with an unpredictable disease course and survival rates comparable with some cancers. Patients with IPF suffer considerable symptom burden, declining quality of life, and high health care resource utilization. Patients and caregivers report many unmet needs, including a desire for more education regarding diagnosis and assistance with navigating disease trajectory. Compelling evidence suggests that palliative care (PC) provides an extra layer of support for patients with serious illness.
    Research question: The purpose of this survey was to gain perspectives regarding PC for patients with IPF by board-certified pulmonologists in South Carolina (SC).
    Study design and methods: A 24-item survey was adapted (with permission) from the Pulmonary Fibrosis Foundation PC Survey instrument. Data were analyzed and results are presented.
    Results: Pulmonologists (
    Interpretation: Pulmonologists in SC who participated in this survey are aware of the principles of PC in providing comprehensive care to patients with IPF and have limited options for PC referral. PC educational materials provided early in the diagnosis can help facilitate and guide end-of-life planning and discussions. Minimal resources exist for patients in underserved communities.
    Language English
    Publishing date 2023-10-30
    Publishing country United States
    Document type Journal Article
    ISSN 2689-2820
    ISSN (online) 2689-2820
    DOI 10.1089/pmr.2023.0038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The case of Mrs. A.

    Coyne, Patrick J

    Journal of palliative medicine

    2012  Volume 15, Issue 12, Page(s) 1396–1397

    MeSH term(s) Advance Directives ; Brain Neoplasms/secondary ; Breast Neoplasms/pathology ; Decision Making ; Fatal Outcome ; Female ; Humans ; Middle Aged ; Professional-Family Relations ; Resuscitation Orders
    Language English
    Publishing date 2012-12
    Publishing country United States
    Document type Case Reports ; Journal Article ; Personal Narratives
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2012.0209
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  10. Article ; Online: Dexmedetomidine Use in a Case of Severe Cancer Pain.

    Seymore, Russell Jeffrey / Manis, Melanie M / Coyne, Patrick J

    Journal of pain & palliative care pharmacotherapy

    2019  Volume 33, Issue 1-2, Page(s) 34–41

    Abstract: A 58-year-old male with chronic pancreatitis was seen by the palliative care service for pain and agitation related to a recent diagnosis of disseminated abdominal cancer. Increasing symptom burden, including pain and nausea, in the face of escalating ... ...

    Abstract A 58-year-old male with chronic pancreatitis was seen by the palliative care service for pain and agitation related to a recent diagnosis of disseminated abdominal cancer. Increasing symptom burden, including pain and nausea, in the face of escalating doses of multiple opioid and sedative medications resulted in the addition of dexmedetomidine to successfully control his symptoms. Visceral sensitization related to his chronic pancreatitis likely increased his pain perception and required a multimodal approach to control his symptoms.
    MeSH term(s) Abdominal Neoplasms/pathology ; Analgesics, Non-Narcotic/administration & dosage ; Analgesics, Opioid/administration & dosage ; Cancer Pain/drug therapy ; Dexmedetomidine/administration & dosage ; Humans ; Hypnotics and Sedatives/administration & dosage ; Male ; Middle Aged ; Pain Perception ; Palliative Care/methods ; Pancreatitis, Chronic/physiopathology ; Severity of Illness Index
    Chemical Substances Analgesics, Non-Narcotic ; Analgesics, Opioid ; Hypnotics and Sedatives ; Dexmedetomidine (67VB76HONO)
    Language English
    Publishing date 2019-06-26
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2078852-6
    ISSN 1536-0539 ; 1536-0288
    ISSN (online) 1536-0539
    ISSN 1536-0288
    DOI 10.1080/15360288.2019.1629520
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