Browse Items · Pediatric Palliative Care Library

Transition of care from child to adult mental health services: the great divide

PURPOSE OF REVIEW: Adolescents with mental health problems often require transition of care from child and adolescent to adult mental health services. This review is a synthesis of current research and policy literature on transition to describe the…

Diagnostic yield of brain biopsies in children presenting to neurology

The role of brain biopsy is well established in patients with neoplastic lesions, with a diagnostic yield approaching 95%. The diagnostic yield of brain biopsy in adults with neurological decline varies from 20% to 43%. Only a few studies have…

Photovoice: a review of the literature in health and public health

Although a growing number of projects have been implemented using the community-based participatory research method known as photovoice, no known systematic review of the literature on this approach has been conducted to date. This review draws on…

Tags: 2010, Backlog, Catalani C, Community Health Services, Community-Based Participatory Research, Consumer Participation, Health Education, Health Education & Behavior, Health Policy, Health Promotion, Humans, Journal Article, Minkler M, Outcome And Process Assessment (health Care), Photography, Public Health

A Systematic Review of Measures of End-of-Life Care and Its Outcomes

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…

The comprehensive care team: a controlled trial of outpatient palliative medicine consultation

BACKGROUND: Little is known about the use of palliative care for outpatients who continue to pursue treatment of their underlying disease or whether outpatient palliative medicine consultation teams improve clinical outcomes. METHODS: We conducted a…

Modulation of cortical-limbic pathways in major depression: treatment-specific effects of cognitive behavior therapy

BACKGROUND: Functional imaging studies of major depressive disorder demonstrate response-specific regional changes following various modes of antidepressant treatment. OBJECTIVE: To examine changes associated with cognitive behavior therapy (CBT).…

Tags: 2004, Adult, Ambulatory Care, Antidepressive Agents, Archives Of General Psychiatry, Backlog, Bieling P, Blood Glucose/metabolism, Brain Mapping, Cerebral Cortex/physiopathology/radionuclide imaging, Cognitive Therapy, Comparative Study, Depressive Disorder, Emission-Computed, Energy Metabolism/physiology, Female, Fluorodeoxyglucose F18/diagnostic use, Follow-up Studies, Frontal Lobe/physiopathology/radionuclide imaging, Garson C, Goldapple K, Humans, Journal Article, Kennedy S, Lau M, Limbic System/physiopathology/radionuclide imaging, Major/physiopathology/radionuclide imaging/therapy, Male, Mayberg H, Middle Aged, Nerve Net/physiopathology/radionuclide imaging, Neural Pathways/physiopathology/radionuclide imaging, Non-U.S. Gov't, Outcome And Process Assessment (health Care), Paroxetine/therapeutic use, Personality Inventory, Prefrontal Cortex/physiopathology/radionuclide imaging, Research Support, Second-Generation/therapeutic use, Segal Z, Sensitivity and Specificity, Tomography

Do hospital-based palliative teams improve care for patients or families at the end of life?

To determine whether hospital-based palliative care teams improve the process or outcomes of care for patients and families at the end of life, a systematic literature review was performed employing a qualitative meta-synthesis and quantitative…

On the elicitation of preferences for alternative therapies

We investigated how variations in the way information is presented to patients influence their choices between alternative therapies. Data were presented summarizing the results of surgery and radiation therapy for lung cancer to 238 ambulatory…

An alternative in terminal care: results of the National Hospice Study

Hospice is a program of supportive services for terminally ill patients and their families, provided either at home or in designated inpatient settings, which is purported to improve patient and family quality of life at lower cost than conventional…

Limitations and withdrawals of medical intervention in pediatric critical care

OBJECTIVE--To investigate the use and implementation in pediatric intensive care units (PICUs) of three levels of restriction of medical intervention: do not resuscitate (DNR), additional limitations of medical interventions beyond DNR, and…

Experiencing transitions: an emerging middle-range theory

Changes in health and illness of individuals create a process of transition, and clients in transition tend to be more vulnerable to risks that may in turn affect their health. Uncovering these risks may be enhanced by understanding the transition…

Building measurement and data collection into medical practice

Clinicians can use data to improve daily clinical practice. This paper offers eight principles for using data to support improvement in busy clinical settings: 1) seek usefulness, not perfection, in the measurement; 2) use a balanced set of process,…

The quality of the evidence base for clinical pathway effectiveness: room for improvement in the design of evaluation trials.

BACKGROUND: The purpose of this article is to report on the quality of the existing evidence base regarding the effectiveness of clinical pathway (CPW) research in the hospital setting. The analysis is based on a recently published Cochrane review of…

The impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.

BACKGROUND: Proximal femur fracture (PFF) is associated with considerable morbidity and mortality. The European Quality of Care Pathway (EQCP) study on PFF (NCT00962910) was designed to determine how care pathways (CP) for hospital treatment of PFF…

A Pilot Study Of The Effectiveness Of Home Teleconsultations In Paediatric Palliative Care

We conducted a pilot study to investigate the effectiveness of a home telehealth service for paediatric palliative care consultations. Over a 10 week period, 14 of the 17 caregivers approached to be part of the study agreed to participate. Families…

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