LIVIVO - Search results -

Search results

Result 1 - 10 of total 34

Search options

Article ; Online: Attitudes and Beliefs Regarding Pain Medicine: Results of a National Palliative Physician Survey.

Partain, Daniel K / Santivasi, Wil L / Kamdar, Mihir M / Moeschler, Susan M / Tilburt, Jon C / Fischer, Karen M / Strand, Jacob J

Journal of pain and symptom management

2024

Abstract: Context: Pain is a prevalent symptom in patients with serious illness and often requires interventional approaches for adequate treatment. Little is known about referral patterns and collaborative attitudes of palliative physicians regarding pain ... ...

Abstract	Context: Pain is a prevalent symptom in patients with serious illness and often requires interventional approaches for adequate treatment. Little is known about referral patterns and collaborative attitudes of palliative physicians regarding pain management specialists. Objectives: To evaluate referral rates, co-management strategies, and beliefs of palliative physicians about the value of Pain Medicine specialists in patients with serious illness. Methods: A 30-question survey with demographic, referral/practice, and attitudes/belief questions was mailed to 1000 AAHPM physician members. Responses were characterized with descriptive statistics and further analyzed for associations between training experiences, practice environment, and educational activities with collaborative practice patterns and beliefs. Results: The response rate was 52.6%. Most survey respondents had initial board certification primarily in internal medicine (n = 286, 56%) or family medicine (n = 144, 28%). A minority of respondents had completed a formal ABMS Hospice and Palliative Medicine fellowship (n = 178, 34%). Respondents had been in practice for a median of nine years, (range 1-38 years) primarily in community hospitals (n = 249, 47%) or academic hospitals (n = 202, 38%). The variables best associated with collaborative practices and attitudes was practice in an academic hospital setting and participation in regular joint academic conferences with pain medicine clinicians. Conclusion: This study shows that Palliative Care physicians have highly positive attitudes toward Pain Medicine specialists, but referrals remain low. Facilitating professional collaboration via joint educational/clinical sessions is one possible solution to drive ongoing interprofessional care in patients with complex pain.
Language	English
Publishing date	2024-04-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	639142-4
ISSN	1873-6513 ; 0885-3924
ISSN (online)	1873-6513
ISSN	0885-3924
DOI	10.1016/j.jpainsymman.2024.04.015
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 2252: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Details ▾

Article ; Online: Music Therapy Intervention to Reduce Symptom Burden in Hospice Patients: A Descriptive Study.

Estell, Madison H / Whitford, Kevin J / Ulrich, Angela M / Larsen, Brianna E / Wood, Christina / Bigelow, Maureen L / Dockter, Travis J / Schoonover, Kimberly L / Stelpflug, Amy J / Strand, Jacob J / Walton, Monica P / Lapid, Maria I

The American journal of hospice & palliative care

2024 , Page(s) 10499091241237991

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2024-03-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1074344-3
ISSN	1938-2715 ; 1049-9091
ISSN (online)	1938-2715
ISSN	1049-9091
DOI	10.1177/10499091241237991
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 3090: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: How to discuss goals of care with patients.

Dunlay, Shannon M / Strand, Jacob J

Trends in cardiovascular medicine

2016 Volume 26, Issue 1, Page(s) 36–43

Abstract: Effective communication with patients and their caregivers continues to form the basis of a constructive clinician-patient relationship and is critical to provide patient-centered care. Engaging patients in meaningful, empathic communication not only ... ...

Abstract	Effective communication with patients and their caregivers continues to form the basis of a constructive clinician-patient relationship and is critical to provide patient-centered care. Engaging patients in meaningful, empathic communication not only fulfills an ethical imperative for our work as clinicians but also leads to increased patient satisfaction with their own care and improved clinical outcomes. While these same imperatives and benefits exist for discussing goals of care and end-of-life, communicating with patients about these topics can be particularly daunting. While clinicians receive extensive training on how to identify and treat illness, communication techniques, especially those centering around emotion-laden topics such as end-of-life care, receive short shrift medical education. Fortunately, communication techniques can be taught and learned through deliberate practice, and in this article, we seek to discuss a framework, drawn from published literature and our own experience, for approaching goals-of-care discussions in patients with cardiovascular disease.
MeSH term(s)	Cardiovascular Diseases/psychology ; Cardiovascular Diseases/therapy ; Humans ; Patient Care Planning/organization & administration ; Patient Satisfaction ; Physician-Patient Relations ; Quality Improvement ; Terminal Care/methods ; Terminal Care/psychology
Language	English
Publishing date	2016-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1097434-9
ISSN	1873-2615 ; 1050-1738
ISSN (online)	1873-2615
ISSN	1050-1738
DOI	10.1016/j.tcm.2015.03.018
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 3419: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Palliative care integration in haematological malignancies: towards a needs-based approach.

Strand, Jacob J / LeBlanc, Thomas W

BMJ supportive & palliative care

2018 Volume 8, Issue 3, Page(s) 289–291

MeSH term(s)	Delivery of Health Care, Integrated ; Health Services Needs and Demand ; Hematologic Neoplasms/therapy ; Humans ; Palliative Care/methods
Language	English
Publishing date	2018-08-14
Publishing country	England
Document type	Editorial
ISSN	2045-4368
ISSN (online)	2045-4368
DOI	10.1136/bmjspcare-2018-001611
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Voluntarily Stopping and Eating and Drinking Among Patients With Serious Advanced Illness-A Label in Search of a Problem?

Mueller, Paul S / Strand, Jacob J / Tilburt, Jon C

JAMA internal medicine

2018 Volume 178, Issue 5, Page(s) 726–727

MeSH term(s)	Drinking ; Eating ; Humans
Language	English
Publishing date	2018-05-22
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2699338-7
ISSN	2168-6114 ; 2168-6106
ISSN (online)	2168-6114
ISSN	2168-6106
DOI	10.1001/jamainternmed.2018.1150
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.119: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Clinical pearls in palliative medicine.

Strand, Jacob J / Bundrick, John B

Disease-a-month : DM

2015 Volume 61, Issue 8, Page(s) 346–355

MeSH term(s)	Aged ; Aged, 80 and over ; Analgesics, Opioid/administration & dosage ; Analgesics, Opioid/adverse effects ; Chronic Disease/classification ; Chronic Disease/psychology ; Chronic Disease/therapy ; Constipation/chemically induced ; Constipation/therapy ; Depression/diagnosis ; Depression/therapy ; Female ; Humans ; Male ; Middle Aged ; Narcotic Antagonists/therapeutic use ; Neoplasm Staging ; Neoplasms/complications ; Neoplasms/pathology ; Neoplasms/psychology ; Neoplasms/therapy ; Palliative Care/ethics ; Palliative Care/methods ; Palliative Care/psychology ; Proxy ; Quality of Life ; Serotonin Agents/adverse effects ; Serotonin Syndrome/diagnosis ; Serotonin Syndrome/etiology ; Serotonin Syndrome/physiopathology ; Serotonin Syndrome/therapy ; Severity of Illness Index ; Spinal Cord Compression/diagnosis ; Spinal Cord Compression/etiology ; Spinal Cord Compression/physiopathology ; Spinal Cord Compression/therapy ; Treatment Refusal/ethics ; Treatment Refusal/psychology
Chemical Substances	Analgesics, Opioid ; Narcotic Antagonists ; Serotonin Agents
Language	English
Publishing date	2015-08
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	390545-7
ISSN	1557-8194 ; 0011-5029
ISSN (online)	1557-8194
ISSN	0011-5029
DOI	10.1016/j.disamonth.2015.04.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.B 554: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Attitudes of Hospice Providers Regarding Intrathecal Targeted Drug Delivery for Patients With Cancer.

Warner, Lindsay L / Moeschler, Susan S / Pittelkow, Thomas P / Strand, Jacob J

The American journal of hospice & palliative care

2019 Volume 36, Issue 11, Page(s) 955–958

Abstract: Pain is one of the most commonly experienced and feared symptoms faced by patients with a serious illness. For these patients, intrathecal drug delivery systems (IDDSs) provide greater potency and/or few systemic side effects. However, despite these ... ...

Abstract	Pain is one of the most commonly experienced and feared symptoms faced by patients with a serious illness. For these patients, intrathecal drug delivery systems (IDDSs) provide greater potency and/or few systemic side effects. However, despite these benefits, the integration and management of IDDS for patients receiving hospice care has not been previous studied. An electronic, 18-question survey was sent to 200 hospice practitioners (physicians, nurse practitioners and nurses) in the state of Minnesota to explore their experience, confidence, and the perceived barriers to caring for patients with IDDS while being cared for on hospice. Providers were identified though mailing lists from the Minnesota Network of Hospice and Palliative Care organization. The survey was administered by the Mayo Clinic Survey Research Center with institutional review board approval. Slightly more than 50% of respondents have ever cared for a patient with an intrathecal pump. If a patient had a pump in place, only 28% of providers expressed confidence in managing their pain. Additionally, only 3 of 10 respondents felt that adjusting an intrathecal pump should be the first option when a patient with an IDDS in place had increased pain. Indeed, the vast majority (over 80%) of respondents preferred the use of systemic therapies for primary pain management. Access to IDDS vendors for changes/refills in the home is identified as another barrier with over 50% of respondents either unaware of an available vendor or reporting no vendor available. There are numerous self-reported barriers to ongoing use of IDDS with patients receiving hospice care.
MeSH term(s)	Adult ; Attitude of Health Personnel ; Cancer Pain/drug therapy ; Drug Delivery Systems ; Female ; Health Personnel/psychology ; Hospice Care/methods ; Hospice Care/psychology ; Humans ; Injections, Spinal ; Male ; Middle Aged ; Minnesota ; Pain Management/methods ; Palliative Care/methods ; Palliative Care/psychology
Language	English
Publishing date	2019-05-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	1074344-3
ISSN	1938-2715 ; 1049-9091
ISSN (online)	1938-2715
ISSN	1049-9091
DOI	10.1177/1049909119852928
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 3090: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article: Curing Opioid Toxicity with Intrathecal Targeted Drug Delivery.

Pittelkow, Thomas P / Bendel, Markus A / Strand, Jacob J / Moeschler, Susan M

Case reports in medicine

2019 Volume 2019, Page(s) 3428576

Abstract: Pain is one of the most feared symptoms that concern cancer patients and their families. Despite well-established guidelines set forth by the World Health Organization (WHO) on the treatment of cancer pain, nearly half of cancer patients report poorly ... ...

Abstract	Pain is one of the most feared symptoms that concern cancer patients and their families. Despite well-established guidelines set forth by the World Health Organization (WHO) on the treatment of cancer pain, nearly half of cancer patients report poorly controlled pain. One of the most serious side effects of systemic oral opioid use is neurotoxicity, which is characterized by altered mental status and systemic neurologic impairments. Treatment strategies are supportive in nature and focused on reducing or changing the offending opioid and correcting any metabolic deficiencies. Herein, we discuss a case of opioid-induced neurotoxicity treated with intrathecal targeted drug delivery (TDD). The timing and implementation of advanced therapies such as intrathecal TDD is not well delineated. More importantly, patients and their oncologic providers are often unaware of this useful tool in treating challenging cancer-associated pain and significantly minimizing systemic opioid side effects. To ensure that patients have comprehensive oncologic care, best-practice guidelines suggest involvement of an interdisciplinary team and coordinated care. Early referral to a pain and palliative specialist may allow for improved patient outcomes and removal of unnecessary barriers to optimal patient care.
Language	English
Publishing date	2019-05-16
Publishing country	United States
Document type	Case Reports
ZDB-ID	2502642-2
ISSN	1687-9635 ; 1687-9627
ISSN (online)	1687-9635
ISSN	1687-9627
DOI	10.1155/2019/3428576
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Providing Appropriate End-of-Life Care to Religious and Ethnic Minorities.

Partain, Daniel K / Ingram, Cory / Strand, Jacob J

Mayo Clinic proceedings

2017 Volume 92, Issue 1, Page(s) 147–152

Abstract: There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a ... ...

Abstract	There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life. Failure to address a patient's cultural and RS needs can lead to diminished quality of care and worse health outcomes. Given the multitude of cultural and RS values, we believe that a framework of cultural and RS curiosity along with a willingness to engage patients in discussions about these elements of their care within an interdisciplinary team should be the goal of all providers who are discussing goals, preferences, and values with patients facing advanced terminal illness.
MeSH term(s)	Adult ; Antineoplastic Agents/adverse effects ; Antineoplastic Agents/therapeutic use ; Attitude to Death/ethnology ; Attitude to Health/ethnology ; Culturally Competent Care/methods ; Culturally Competent Care/standards ; Ethnic Groups ; Female ; Gastrointestinal Neoplasms/drug therapy ; Gastrointestinal Neoplasms/pathology ; Humans ; Minority Health ; Neoplasm Metastasis ; Patient Preference/ethnology ; Peritoneal Neoplasms/drug therapy ; Peritoneal Neoplasms/pathology ; Physician-Patient Relations ; Professional-Family Relations ; Religion and Medicine ; Spirituality ; Terminal Care/methods ; Terminal Care/standards ; Truth Disclosure
Chemical Substances	Antineoplastic Agents
Language	English
Publishing date	2017-01
Publishing country	England
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	124027-4
ISSN	1942-5546 ; 0025-6196
ISSN (online)	1942-5546
ISSN	0025-6196
DOI	10.1016/j.mayocp.2016.08.024
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ua VI Zs.183: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Perceptions of Hematology Among Palliative Care Physicians: Results of a Nationwide Survey.

Santivasi, Wil L / Childs, Daniel S / Wu, Kelly L / Partain, Daniel K / Litzow, Mark R / LeBlanc, Thomas W / Strand, Jacob J

Journal of pain and symptom management

2021 Volume 62, Issue 5, Page(s) 949–959

Abstract: Context: Palliative care integration for patients with hematologic diseases has lagged behind solid-organ malignancies. Previous work has characterized hematologist perspectives, but less is known about palliative care physician views of this phenomenon. ...

Abstract	Context: Palliative care integration for patients with hematologic diseases has lagged behind solid-organ malignancies. Previous work has characterized hematologist perspectives, but less is known about palliative care physician views of this phenomenon. Objectives: To examine palliative care physician attitudes and beliefs regarding hematologic diseases, patient care, and collaboration. Methods: A 44-item survey containing Likert and free-response items was mailed to 1000 AAHPM physician members. Sections explored respondent comfort with specific diagnoses, palliative care integration, relationships with hematologists, and hematology-specific patient care. Logistic regression models with generalized estimating equations were used to compare parallel Likert responses. Free responses were analyzed using thematic analysis. Results: The response rate was 55.5%. Respondents reported comfort managing symptoms in leukemia (84.0%), lymphoma (92.1%), multiple myeloma (92.9%), and following hematopoietic stem cell transplant (51.6%). Fewer expressed comfort with understanding disease trajectory (64.9%, 75.7%, 78.5%, and 35.4%) and discussing prognosis (71.0%, 82.6%, 81.6%, and 40.6%). 97.6% of respondents disagreed that palliative care and hematology are incompatible. 50.6% felt that palliative care physicians' limited hematology-specific knowledge hinders collaboration. 89.4% felt that relapse should trigger referral. 80.0% felt that hospice referrals occurred late. In exploring perceptions of hematology-palliative care relationships, three themes were identified: misperceptions of palliative care, desire for integration, and lacking a shared model of understanding. Conclusion: These data inform efforts to integrate palliative care into hematologic care at large, echoing previous studies of hematologist perspectives. Palliative care physicians express enthusiasm for caring for these patients, desire for improved understanding of palliative care, and ongoing opportunities to improve hematology-specific knowledge and skills.
MeSH term(s)	Hematology ; Humans ; Palliative Care ; Perception ; Physicians ; Surveys and Questionnaires
Language	English
Publishing date	2021-04-29
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639142-4
ISSN	1873-6513 ; 0885-3924
ISSN (online)	1873-6513
ISSN	0885-3924
DOI	10.1016/j.jpainsymman.2021.04.021
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 2252: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

To top

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito