1
40
5
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Text
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<a href="http://doi.org/10.1016/j.annemergmed.2014.07.429" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.annemergmed.2014.07.429</a>
<a href="http://www.annemergmed.com/article/S0196064414010361/abstract" target="_blank" rel="noreferrer">http://www.annemergmed.com/article/S0196064414010361/abstract</a>
Dublin Core
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Title
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EMF-1 Palliative Medicine Competency Education in Emergency Medicine Residency Training: A Survey of Emergency Medicine Education Leaders
Publisher
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Annals Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Creator
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Kraus CK; Ray DE; Greenberg MR; Dy SM
Identifier
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<a href="http://doi.org/10.1016/j.annemergmed.2014.07.429" target="_blank" rel="noreferrer">10.1016/j.annemergmed.2014.07.429</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2014-10
2014
Annals Of Emergency Medicine
Backlog
Dy SM
Greenberg MR
Journal Article
Kraus CK
Ray DE
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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<a href="http://doi.org/10.7326/0003-4819-148-2-200801150-00010" target="_blank" rel="noreferrer">http://doi.org/10.7326/0003-4819-148-2-200801150-00010</a>
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Evidence for improving palliative care at the end of life: a systematic review
Publisher
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Annals Of Internal Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
Subject
The topic of the resource
Humans; Caregivers/psychology; referral and consultation; Palliative Care/standards; social support; RDF Project; Continuity of Patient Care/standards; Pain/therapy; Patient Care Team/standards; Advance Care Planning/standards; Depression/therapy; Dyspnea/therapy
Creator
An entity primarily responsible for making the resource
Lorenz KA; Lynn J; Dy SM; Shugarman LR; Wilkinson A; Mularski RA; Morton SC; Hughes RG; Hilton LK; Maglione M; Rhodes SL; Rolon C; Sun VC; Shekelle PG
Description
An account of the resource
BACKGROUND: Many persons and their families are burdened by serious chronic illness in late life. How to best support quality of life is an important consideration for care. PURPOSE: To assess evidence about interventions to improve palliative and end-of-life care. DATA SOURCES: English-language citations (January 1990 to November 2005) from MEDLINE, the Database of Abstracts of Reviews of Effects, the National Consensus Project for Quality Palliative Care bibliography, and November 2005 to January 2007 updates from expert reviews and literature surveillance. STUDY SELECTION: Systematic reviews that addressed "end of life," including terminal illness (for example, advanced cancer) and chronic, eventually fatal illness with ambiguous prognosis (for example, advanced dementia), and intervention studies (randomized and nonrandomized designs) that addressed pain, dyspnea, depression, advance care planning, continuity, and caregiving. DATA EXTRACTION: Single reviewers screened 24,423 titles to find 6381 relevant abstracts and reviewed 1274 articles in detail to identify 33 high-quality systematic reviews and 89 relevant intervention studies. They synthesized the evidence by using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) classification. DATA SYNTHESIS: Strong evidence supports treating cancer pain with opioids, nonsteroidals, radionuclides, and radiotherapy; dyspnea from chronic lung disease with short-term opioids; and cancer-associated depression with psychotherapy, tricyclics, and selective serotonin reuptake inhibitors. Strong evidence supports multi component interventions to improve continuity in heart failure. Moderate evidence supports advance care planning led by skilled facilitators who engage key decision makers and interventions to alleviate caregiver burden. Weak evidence addresses cancer-related dyspnea management, and no evidence addresses noncancer pain, symptomatic dyspnea management in advanced heart failure, or short-acting antidepressants in terminal illness. No direct evidence addresses improving continuity for patients with dementia. Evidence was weak for improving caregiver burdens in cancer and was absent for heart failure. LIMITATIONS: Variable literature indexing for advanced chronic illness and end of life limited the comprehensiveness of searches, and heterogeneity was too great to do meta-analysis. CONCLUSION: Strong to moderate evidence supports interventions to improve important aspects of end-of-life care. Future research should quantify these effects and address the generalizability of insights across the conditions and settings of the last part of life. Many critical issues lack high-quality evidence.
2008
Identifier
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<a href="http://doi.org/10.7326/0003-4819-148-2-200801150-00010" target="_blank" rel="noreferrer">10.7326/0003-4819-148-2-200801150-00010</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2008
Advance Care Planning/standards
Annals Of Internal Medicine
Backlog
Caregivers/psychology
Continuity of Patient Care/standards
Depression/therapy
Dy SM
Dyspnea/therapy
Hilton LK
Hughes RG
Humans
Journal Article
Lorenz KA
Lynn J
Maglione M
Morton SC
Mularski RA
Pain/therapy
Palliative Care/standards
Patient Care Team/standards
RDF Project
Referral And Consultation
Rhodes SL
Rolon C
Shekelle PG
Shugarman LR
Social Support
Sun VC
Wilkinson A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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Backlog
URL Address
<a href="http://doi.org/10.1111/j.1475-6773.2007.00721.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1475-6773.2007.00721.x</a>
<a href="http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2007.00721.x/abstract" target="_blank" rel="noreferrer">http://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2007.00721.x/abstract</a>
Dublin Core
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Title
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A Systematic Review of Measures of End-of-Life Care and Its Outcomes
Publisher
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Health Services Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
Subject
The topic of the resource
Outcome and Process Assessment (Health Care); Quality of Health Care; dying; Essential Data Set; end-of-life care; measures
Creator
An entity primarily responsible for making the resource
Mularski RA; Dy SM; Shugarman LR; Wilkinson A; Lynn J; Shekelle PG; Morton SC; Sun VC; Hughes RG; Hilton LK; Maglione M; Rhodes SL; Rolon C; Lorenz KA
Description
An account of the resource
Objective. To identify psychometrically sound measures of outcomes in end-of-life care and to characterize their use in intervention studies.Data Sources. English language articles from 1990 to November 2005 describing measures with published psychometric data and intervention studies of end-of-life care.Study Design. Systematic review of end-of-life care literature.Extraction Methods. Two reviewers organized identified measures into 10 major domains. Eight reviewers extracted and characterized measures from intervention studies.Principal Findings. Of 24,423 citations, we extracted 200 articles that described 261 measures, accepting 99 measures. In addition to 35 measures recommended in a prior systematic review, we identified an additional 64 measures of the end-of-life experience. The most robust measures were in the areas of symptoms, quality of life, and satisfaction; significant gaps existed in continuity of care, advance care planning, spirituality, and caregiver well-being. We also reviewed 84 intervention studies in which 135 patient-centered outcomes were assessed by 97 separate measures. Of these, 80 were used only once and only eight measures were used in more than two studies.Conclusions. In general, most measures have not undergone rigorous development and testing. Measure development in end-of-life care should focus on areas with identified gaps, and testing should be done to facilitate comparability across the care settings, populations, and clinical conditions. Intervention research should use robust measures that adhere to these standards.
2007
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1475-6773.2007.00721.x" target="_blank" rel="noreferrer">10.1111/j.1475-6773.2007.00721.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2007
Backlog
Dy SM
Dying
End-of-life Care
Essential Data Set
Health Services Research
Hilton LK
Hughes RG
Journal Article
Lorenz KA
Lynn J
Maglione M
measures
Morton SC
Mularski RA
Outcome And Process Assessment (health Care)
Quality Of Health Care
Rhodes SL
Rolon C
Shekelle PG
Shugarman LR
Sun VC
Wilkinson A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1177/1049909106292167" target="_blank" rel="noreferrer">http://doi.org/10.1177/1049909106292167</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Enteral and parenteral nutrition in terminally ill cancer patients: a review of the literature
Publisher
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The American Journal Of Hospice & Palliative Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
Subject
The topic of the resource
Humans; Survival Rate; Terminally Ill; Practice Guidelines as Topic; Communication; Treatment Outcome; Decision Support Techniques; Research Design; Risk Factors; Patient Selection; Activities of Daily Living; Evidence-Based Medicine; Patient Education as Topic; quality of life; Nutritional Status; Nutrition Assessment; Enteral Nutrition/adverse effects/methods/utilization; Malnutrition/etiology/therapy; Neoplasms/complications/mortality/psychology; Parenteral Nutrition/adverse effects/methods/utilization; Terminal Care/methods/psychology/utilization
Creator
An entity primarily responsible for making the resource
Dy SM
Description
An account of the resource
Many terminally ill patients who are able to eat appear to be eating less than they should, losing weight, and becoming malnourished, and many others develop difficulties with eating. These symptoms and signs are usually a marker of advanced cancer, rather than the cause of decreasing functional status, and providing supplemental nutrition rarely changes the course of the disease. This article reviews evidence on issues relevant to enteral and parenteral nutrition in patients with advanced cancer, including benefits, risks, and discomforts; how these types of nutrition are used and perceived, and how decisions are made; and how decision-making might be improved.
2006
Identifier
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<a href="http://doi.org/10.1177/1049909106292167" target="_blank" rel="noreferrer">10.1177/1049909106292167</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2006
Activities of Daily Living
Backlog
Communication
Decision Support Techniques
Dy SM
Enteral Nutrition/adverse effects/methods/utilization
Evidence-based Medicine
Humans
Journal Article
Malnutrition/etiology/therapy
Neoplasms/complications/mortality/psychology
Nutrition Assessment
Nutritional Status
Parenteral Nutrition/adverse effects/methods/utilization
Patient Education as Topic
Patient Selection
Practice Guidelines As Topic
Quality Of Life
Research Design
Risk Factors
Survival Rate
Terminal Care/methods/psychology/utilization
Terminally Ill
The American Journal of Hospice & Palliative Care
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
March 2016 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Palliative Care Education In Emergency Medicine Residency Training: A Survey Of Program Directors, Associate Program Directors, And Assistant Program Directors.
Publisher
An entity responsible for making the resource available
Journal Of Pain And Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Medical Education; Emergency Medicine; Palliative Care; Residency Training
Creator
An entity primarily responsible for making the resource
Kraus CK; Greenberg M; Ray DE; Dy SM
Description
An account of the resource
CONTEXT:
Emergency medicine (EM) residents perceive palliative care (PC) skills as important and want training, yet there is a general lack of formal PC training in EM residency programs. A clearer definition of the PC educational needs of EM trainees is a research priority.
OBJECTIVES:
To assess PC competency education in EM residency programs.
METHODS:
This was a mixed-mode survey of residency program directors, associate program directors, and assistant program directors at accredited EM residency programs, evaluating four educational domains: 1) importance of specific competencies for senior EM residents, 2) senior resident skills in PC competencies, 3) effectiveness of educational methods, and 4) barriers to training.
RESULTS:
Response rate was 50% from more than 100 residency programs. Most respondents (64%) identified PC competencies as important for residents to learn, and 59% reported that they teach7 PC skills in their residency program. In Domains 1 and 2, crucial conversations, management of pain, and management of the imminently dying had the highest scores for importance and residents' skill. In Domain 3, bedside teaching, mentoring from hospice and palliative medicine faculty, and case-based simulation were the most effective educational methods. In Domain 4, lack of PC expertise among faculty and lack of interest by faculty and residents were the greatest barriers. There were differences between competency importance and senior resident skill level for management of the dying child, withdrawal/withholding of nonbeneficial interventions, and ethical/legal issues.
CONCLUSION:
There are specific barriers and opportunities for PC competency training and gaps in resident skill level. Specifically, there are discrepancies in competency importance and residency skill in the management of the dying child, nonbeneficial interventions, and ethical and legal issues that could be a focus for educational interventions in PC competency training in EM residencies.
Identifier
An unambiguous reference to the resource within a given context
DOI: 10.1016/j.jpainsymman.2015.12.334
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Dy SM
Emergency Medicine
Greenberg M
Journal of Pain and Symptom Management
Kraus CK
March 2016 List
Medical Education
Palliative Care
Ray DE
Residency Training