1
40
18
-
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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URL Address
<a href="http://doi.org/10.1016/j.apmr.2010.01.022" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.apmr.2010.01.022</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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A systematic review of pharmacologic treatments of pain after spinal cord injury
Publisher
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Archives Of Physical Medicine And Rehabilitation
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
Subject
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RDF Project
Creator
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Teasell RW; Mehta S; Aubut JA; Foulon B; Wolfe DL; Hsieh JT; Townson AF; Short C; Spinal Cord Injury Rehabilitation Evidence Research Team
Description
An account of the resource
OBJECTIVE: To conduct a systematic review of published research on the pharmacologic treatment of pain after spinal cord injury (SCI). DATA SOURCES: MEDLINE, CINAHL, EMBASE, and PsycINFO databases were searched for articles published 1980 to June 2009 addressing the treatment of pain post SCI. Randomized controlled trials (RCTs) were assessed for methodologic quality using the Physiotherapy Evidence Database (PEDro) assessment scale, whereas non-RCTs were assessed by using the Downs and Black (D&B) evaluation tool. A level of evidence was assigned to each intervention by using a modified Sackett scale. STUDY SELECTION: The review included RCTs and non-RCTs, which included prospective controlled trials, cohort, case series, case-control, pre-post studies, and post studies. Case studies were included only when there were no other studies found. DATA EXTRACTION: Data extracted included the PEDro or D&B score, the type of study, a brief summary of intervention outcomes, the type of pain, the type of pain scale, and the study findings. DATA SYNTHESIS: Articles selected for this particular review evaluated different interventions in the pharmacologic management of pain after SCI. Twenty-eight studies met inclusion criteria; there were 21 randomized controlled trials; of these, 19 had level 1 evidence. Treatments were divided into 5 categories: anticonvulsants, antidepressants, analgesics, cannabinoids, and antispasticity medications. CONCLUSIONS: Most studies did not specify participants' types of pain, making it difficult to identify the type of pain being targeted by the treatment. Anticonvulsant and analgesic drugs had the highest levels of evidence and were the drugs most often studied. Gabapentin and pregabalin had strong evidence (5 level 1 RCTs) for effectiveness in treating post-SCI neuropathic pain as did intravenous analgesics (lidocaine, ketamine, and morphine), but the latter only had short-term benefits. Tricyclic antidepressants only showed benefit for neuropathic pain in depressed persons. Intrathecal baclofen reduced musculoskeletal pain associated with spasticity; however, there was conflicting evidence for the reduction in neuropathic pain. Studies assessing the effectiveness of opioids were limited and revealed only small benefits. Cannabinoids showed conflicting evidence in improving spasticity-related pain. Clonidine and morphine when given together had a significant synergistic neuropathic pain-relieving effect.
2010
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.apmr.2010.01.022" target="_blank" rel="noreferrer">10.1016/j.apmr.2010.01.022</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
2010
Archives Of Physical Medicine And Rehabilitation
Aubut JA
Backlog
Foulon B
Hsieh JT
Journal Article
Mehta S
RDF Project
Short C
Spinal Cord Injury Rehabilitation Evidence Research Team
Teasell RW
Townson AF
Wolfe DL
-
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/10.1016/j.jpainsymman.2009.09.005" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jpainsymman.2009.09.005</a>
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Title
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Significance of symptom clustering in palliative care of advanced cancer patients
Publisher
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Journal Of Pain And Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
Subject
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RDF Project
Creator
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Tsai JS; Wu CH; Chiu TY; Chen CY
Description
An account of the resource
Patients with advanced cancer often experience multiple concurrent symptoms. To explore this symptom clustering and its associated parameters, we prospectively surveyed 427 consecutive patients on admission to the Palliative Care Unit. There were 222 males (52.0%) and 205 females (48.0%), with a median age of 66 years (range: 27-93 years). The main tumor sites were lung (19.9%), liver (18.0%), and colorectum (11.0%). The median survival was 13 days (1-418 days). Symptoms were assessed using a face-valid Symptom Reporting Form. We identified five symptom clusters by exploratory factor analysis. Clusters were named "loss of energy," "poor intake," "autonomic dysfunction," "aerodigestive impairment," and "pain complex." We used nonhierarchical cluster analysis to divide the 394 patients with complete data into six groups. Each group was characterized by a particular pattern that was composed of different symptom clusters. Survival, functional performance, bone metastasis, and fluid accumulation were significantly associated with symptom clustering in six groups of patients. The severity of psychological distress also related to their physical deterioration. These data suggest that different underlying mechanisms associate with symptom clustering. Further elucidation of these processes may assist in symptom management.
2010
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jpainsymman.2009.09.005" target="_blank" rel="noreferrer">10.1016/j.jpainsymman.2009.09.005</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
2010
Backlog
Chen CY
Chiu TY
Journal Article
Journal of Pain and Symptom Management
RDF Project
Tsai JS
Wu CH
-
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
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URL Address
<a href="http://doi.org/10.1136/bmj.a3152" target="_blank" rel="noreferrer">http://doi.org/10.1136/bmj.a3152</a>
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Title
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Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project
Publisher
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Bmj (clinical Research Ed.)
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
Subject
The topic of the resource
Consensus; Practice Guidelines as Topic; Interprofessional Relations; Quality of Health Care; Forecasting; RDF Project; Editorial Policies; Publishing/standards
Creator
An entity primarily responsible for making the resource
Davidoff F; Batalden PB; Stevens D; Ogrinc G; Mooney SE; SQUIRE development group
Description
An account of the resource
In 2005 we published draft guidelines for reporting studies of quality improvement, as the initial step in a consensus process for development of a more definitive version. The current article contains the revised version, which we refer to as standards for quality improvement reporting excellence (SQUIRE). This narrative progress report summarises the special features of improvement that are reflected in SQUIRE, and describes major differences between SQUIRE and the initial draft guidelines. It also briefly describes the guideline development process; considers the limitations of and unresolved questions about SQUIRE; describes ancillary supporting documents and alternative versions under development; and discusses plans for dissemination, testing, and further development of SQUIRE.
2009
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bmj.a3152" target="_blank" rel="noreferrer">10.1136/bmj.a3152</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
2009
Backlog
Batalden PB
Bmj (clinical Research Ed.)
Consensus
Davidoff F
Editorial Policies
Forecasting
Interprofessional Relations
Journal Article
Mooney SE
Ogrinc G
Practice Guidelines As Topic
Publishing/standards
Quality Of Health Care
RDF Project
SQUIRE development group
Stevens D
-
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/10.1177/0269216308090072" target="_blank" rel="noreferrer">http://doi.org/10.1177/0269216308090072</a>
Dublin Core
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Title
A name given to the resource
Research methodologies in palliative care: a bibliometric analysis
Publisher
An entity responsible for making the resource available
Palliative 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; Palliative Care; RDF Project; Research Design/standards; Bibliometrics
Creator
An entity primarily responsible for making the resource
Payne SA; Turner JM
Description
An account of the resource
The aspiration to design and conduct high-quality research in palliative care has been an important but elusive goal. The article evaluates the nature of research methodologies presented in published research within the broad remit of palliative care. A systematic search of the Medline database between 1997 and 2006, using the keywords 'palliative care' or 'end-of-life care' and 'research methodology', identified over 318 publications. A bibliometric analysis indicates an incremental increase in published outputs per year, from 27 countries, with articles widely distributed across 108 journals. The heterogeneity of the research methodologies and the journals publishing them, present challenges in defining what constitutes 'high quality'. We argue that although this diversity leads to a lack of coherence for a single disciplinary paradigm for palliative care, there is a greater acknowledgement of the differing epistemological and theoretical frameworks used by researchers. This could be regarded as enriching our understanding of what it means to be dying in contemporary society.
2008
Identifier
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<a href="http://doi.org/10.1177/0269216308090072" target="_blank" rel="noreferrer">10.1177/0269216308090072</a>
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).
Type
The nature or genre of the resource
Journal Article
2008
Backlog
Bibliometrics
Humans
Journal Article
Palliative Care
Palliative Medicine
Payne SA
RDF Project
Research Design/standards
Turner JM
-
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/10.1177/0269216309106461" target="_blank" rel="noreferrer">http://doi.org/10.1177/0269216309106461</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
A name given to the resource
Prioritising drugs for single patient (n-of-1) trials in palliative care
Publisher
An entity responsible for making the resource available
Palliative Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
Subject
The topic of the resource
RDF Project
Creator
An entity primarily responsible for making the resource
Nikles J; Mitchell G; Walters J; Hardy J; Good P; Rowett D; Shelby-James T; Currow D
Description
An account of the resource
Many of the drugs prescribed commonly to palliative care patients have potentially significant side-effects and are of unproven benefit. The acquisition of evidence to support the prescribing of these drugs has been very slow. Single patient trials (SPTs) (also known as n-of-1 trials) offer a potential means of obtaining the evidence necessary to support or refute the use of several of the drugs and interventions whose use is currently based on physician experience or anecdote alone. A list of SPTs considered "most urgent", for commonly employed treatments and for the most common and most troublesome symptoms in palliative care is presented. These are drugs for which the gap between evidence and practice is greatest, where the evidence of efficacy is most lacking, where significant side effects potentially lead to the greatest morbidity, or where cost is a major patient burden. Although not all the drugs used in palliative care are suitable, SPTs provide a potential alternative method of gathering evidence in palliative care.
2009
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0269216309106461" target="_blank" rel="noreferrer">10.1177/0269216309106461</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
2009
Backlog
Currow D
Good P
Hardy J
Journal Article
Mitchell G
Nikles J
Palliative Medicine
RDF Project
Rowett D
Shelby-James T
Walters J
-
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/10.7326/0003-4819-148-2-200801150-00010" target="_blank" rel="noreferrer">http://doi.org/10.7326/0003-4819-148-2-200801150-00010</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
A name given to the resource
Evidence for improving palliative care at the end of life: a systematic review
Publisher
An entity responsible for making the resource available
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
An unambiguous reference to the resource within a given context
<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>
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).
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.
Citation List Month
Backlog
URL Address
<a href="http://www.nytimes.com/2009/11/08/magazine/08Healthcare-t.html" target="_blank" rel="noreferrer">http://www.nytimes.com/2009/11/08/magazine/08Healthcare-t.html</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
A name given to the resource
Making Health Care Better
Date
A point or period of time associated with an event in the lifecycle of the resource
2009
Subject
The topic of the resource
RDF Project
Creator
An entity primarily responsible for making the resource
Leonhardt D
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).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2009
2009
Backlog
Journal Article
Leonhardt D
RDF Project
-
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/10.1016/j.jclinepi.2006.05.010" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jclinepi.2006.05.010</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
A name given to the resource
Why are so few randomized trials useful, and what can we do about it?
Publisher
An entity responsible for making the resource available
Journal Of Clinical Epidemiology
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; RDF Project; Randomized Controlled Trials as Topic/standards; Research Design/standards; Research/standards
Creator
An entity primarily responsible for making the resource
Zwarenstein M; Oxman A; Pragmatic Trials in Health Care Systems (PRACTIHC)
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jclinepi.2006.05.010" target="_blank" rel="noreferrer">10.1016/j.jclinepi.2006.05.010</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
Description
An account of the resource
2006
2006
Backlog
Humans
Journal Article
Journal Of Clinical Epidemiology
Oxman A
Pragmatic Trials in Health Care Systems (PRACTIHC)
Randomized Controlled Trials as Topic/standards
RDF Project
Research Design/standards
Research/standards
Zwarenstein M
-
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://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12098626" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12098626</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
A name given to the resource
The development and evaluation of the pain indicator for communicatively impaired children (PICIC)
Publisher
An entity responsible for making the resource available
Pain
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
Subject
The topic of the resource
Child; Female; Male; Prospective Studies; Severity of Illness Index; Facial Expression; Cues; adolescent; Non-U.S. Gov't; RDF Project; caregivers; Human; Support; Central Nervous System Diseases/complications; Cognition Disorders/complications; Communication Disorders/complications; Pain Measurement/methods; Pain/complications/physiopathology/psychology
Creator
An entity primarily responsible for making the resource
Stallard P; Williams L; Velleman R; Lenton S; McGrath PJ; Taylor G
Description
An account of the resource
A previous study found that parents of communicatively impaired children with severe cognitive impairments identified six core cues as indicating definite or severe pain in their child (J. Pediatr. Psychol. 27 (2002) 209). The frequency of each cue was assessed by 67 caregivers of communicatively impaired children, twice per day over a 1 week period. On each occasion the caregivers also rated whether they considered their child to be in pain and the severity of any pain. There was a statistically significant relationship between five of the cues and the presence and severity of pain. The single cue of screwed up or distressed looking face was the strongest predictor and on its own correctly classified 87% of pain and non-pain episodes. The study highlights the potential clinical utility of a short carer completed assessment to assess pain in this vulnerable group of children.
2002
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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
2002
Adolescent
Backlog
Caregivers
Central Nervous System Diseases/complications
Child
Cognition Disorders/complications
Communication Disorders/complications
Cues
Facial Expression
Female
Human
Journal Article
Lenton S
Male
McGrath PJ
Non-U.S. Gov't
Pain
Pain Measurement/methods
Pain/complications/physiopathology/psychology
Prospective Studies
RDF Project
Severity Of Illness Index
Stallard P
Support
Taylor G
Velleman R
Williams L
-
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/10.1056/nejm197503062921005" target="_blank" rel="noreferrer">http://doi.org/10.1056/nejm197503062921005</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
A name given to the resource
Evaluation of patient-care protocol use by various providers
Publisher
An entity responsible for making the resource available
New England Journal Of Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1975
Subject
The topic of the resource
Humans; Medical Staff; Medical Audit; Cooperative Behavior; Patient Care Planning; Medical History Taking; Hospitals; Nurse Practitioners; Teaching; Medical; Nursing Staff; RDF Project; Hospital; Fees; General; Laboratory Techniques and Procedures; North Carolina; Personnel; Pharyngitis/diagnosis/therapy; Physician Assistants/education
Creator
An entity primarily responsible for making the resource
Grimm R; Shimoni K; Harlan W; Estes E
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1056/nejm197503062921005" target="_blank" rel="noreferrer">10.1056/nejm197503062921005</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
Description
An account of the resource
1975
1975
Backlog
Cooperative Behavior
Estes E
Fees
General
Grimm R
Harlan W
Hospital
Hospitals
Humans
Journal Article
Laboratory Techniques and Procedures
Medical
Medical Audit
Medical History Taking
Medical Staff
New England Journal Of Medicine
North Carolina
Nurse Practitioners
Nursing Staff
Patient Care Planning
Personnel
Pharyngitis/diagnosis/therapy
Physician Assistants/education
RDF Project
Shimoni K
Teaching
-
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/10.2307/3560572" target="_blank" rel="noreferrer">http://doi.org/10.2307/3560572</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
A name given to the resource
Must patients always be given food and water?
Publisher
An entity responsible for making the resource available
The Hastings Center Report
Date
A point or period of time associated with an event in the lifecycle of the resource
1983
Subject
The topic of the resource
Humans; United States; Withholding Treatment; Social Values; Euthanasia; Risk Assessment; Moral Obligations; Ethics; Parenteral Nutrition; Medical; Death and Euthanasia; Analytical Approach; RDF Project; Passive; Life Support Care/legislation & jurisprudence; Malpractice/legislation & jurisprudence; Philosophical Approach
Creator
An entity primarily responsible for making the resource
Lynn J; Childress JF
Description
An account of the resource
KIE: The widespread consensus that withholding certain life-sustaining treatments, especially those entailing substantial suffering, is sometimes in a patient's best interest conflicts with our basic instincts when the treatments are food and water. Lynn and Childress examine the medical aspects of various nutritional options and the moral obligations pertinent to decision making. They conclude that, in certain limited cases, malnutrition and dehydration need not be corrected and that nutrition and hydration are not distinguishable morally from other life-sustaining treatments that may on occasion be withheld or withdrawn.
1983
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2307/3560572" target="_blank" rel="noreferrer">10.2307/3560572</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
1983
Analytical Approach
Backlog
Childress JF
Death and Euthanasia
Ethics
Euthanasia
Humans
Journal Article
Life Support Care/legislation & jurisprudence
Lynn J
Malpractice/legislation & jurisprudence
Medical
Moral Obligations
Parenteral Nutrition
Passive
Philosophical Approach
RDF Project
Risk Assessment
Social Values
The Hastings Center Report
United States
Withholding Treatment
-
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/10.1001/jama.284.19.2508" target="_blank" rel="noreferrer">http://doi.org/10.1001/jama.284.19.2508</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
A name given to the resource
Learning to care for people with chronic illness facing the end of life
Publisher
An entity responsible for making the resource available
Jama
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
United States; Health Services Accessibility; Health Services Research; Quality of Health Care; Professional Patient Relationship; Death and Euthanasia; Palliative Care/economics/standards/trends; Policy Making; RDF Project; Terminal Care/economics/standards/trends
Creator
An entity primarily responsible for making the resource
Lynn J
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/jama.284.19.2508" target="_blank" rel="noreferrer">10.1001/jama.284.19.2508</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
Description
An account of the resource
2000
2000
Backlog
Death and Euthanasia
Health Services Accessibility
Health Services Research
JAMA
Journal Article
Lynn J
Palliative Care/economics/standards/trends
Policy Making
Professional Patient Relationship
Quality Of Health Care
RDF Project
Terminal Care/economics/standards/trends
United States
-
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/10.1016/s1089-9472(97)80051-2" target="_blank" rel="noreferrer">http://doi.org/10.1016/s1089-9472(97)80051-2</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
A name given to the resource
Pain management: a quality improvement project
Publisher
An entity responsible for making the resource available
Journal Of Perianesthesia Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Humans; Pain; Program Evaluation; RDF Project; Postoperative/nursing/therapy; Quality of Health Care/organization & administration; Recovery Room/standards
Creator
An entity primarily responsible for making the resource
Rittenmeyer H; Dolezal D; Vogel E
Description
An account of the resource
Pain management in the PACU is vital to patient care and favorable outcomes. Understanding all aspects of pain management is essential when caring for surgical patients. Most PACUs have quality improvement (QI) and/or risk management projects that involve pain management. This article discusses a QI project on the management of pain and the effect it had on nursing practice. The QI committee developed an improvement program that identified a patient care need and changed practice to improve patient care. The project began with the question "Are we accurately assessing patients' pain, or is the pain assessed only what the nurse perceives?" The QI data collected indicated that 100% of patients were discharged with adequate pain relief. The question was answered by following the recommendations of the Joint Commission on Accreditation of Healthcare Organizations for the QI process, in addition to using a model for linking outcomes to care processes developed by Windle and Houston.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s1089-9472(97)80051-2" target="_blank" rel="noreferrer">10.1016/s1089-9472(97)80051-2</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
1997
Backlog
Dolezal D
Humans
Journal Article
Journal Of Perianesthesia Nursing
Pain
Postoperative/nursing/therapy
Program Evaluation
Quality of Health Care/organization & administration
RDF Project
Recovery Room/standards
Rittenmeyer H
Vogel E
-
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/10.1067/mpd.2001.112247" target="_blank" rel="noreferrer">http://doi.org/10.1067/mpd.2001.112247</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
A name given to the resource
Measuring pain accurately in children with cognitive impairments: refinement of a caregiver scale
Publisher
An entity responsible for making the resource available
The Journal Of Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Female; Humans; Male; Logistic Models; Prospective Studies; Odds Ratio; Sensitivity and Specificity; Cognition Disorders; Non-U.S. Gov't; Research Support; RDF Project; caregivers; Pain Measurement/methods
Creator
An entity primarily responsible for making the resource
Breau LM; Camfield C; McGrath PJ; Rosmus C; Finley G A
Description
An account of the resource
OBJECTIVE: To examine whether typical pain behavior, as reported by caregivers, could be used prospectively to predict future pain behavior and to derive a subset of core items from the Non-Communicating Children's Pain Checklist. STUDY DESIGN: Caregivers (n = 33) of children with cognitive impairments completed the Non-Communicating Children's Pain Checklist retrospectively and immediately after subsequent episodes of pain and distress in their homes. Odds ratios were computed for checklist items, and multiple regressions were used to predict numerical pain and distress ratings with items that had significant odds ratios. A logistic regression was used to test whether the items found to predict pain could correctly classify the presence or absence of pain in a new cohort of 63 children with similar cognitive impairments. RESULTS: Seven of the checklist items had significant odds ratios: Cranky, Seeking Comfort, Change in Eyes, Less Active, Gesture to Part That Hurts, Tears, and Gasping. This subset of items significantly predicted numerical pain ratings by caregivers (multiple R =.70), but not distress ratings (multiple R =.31). In a second group of 63 children with cognitive impairments, this subset of items displayed 85% sensitivity and 89% specificity for pain. CONCLUSION: A subset of items from the Non-Communicating Children's Pain Checklist could predict pain in children with cognitive impairments. Caregivers' retrospective reports may be useful for clinicians making judgments about pain in these children.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1067/mpd.2001.112247" target="_blank" rel="noreferrer">10.1067/mpd.2001.112247</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
2001
Backlog
Breau LM
Camfield C
Caregivers
Child
Cognition Disorders
Female
Finley G A
Humans
Journal Article
Logistic Models
Male
McGrath PJ
Non-U.S. Gov't
Odds Ratio
Pain Measurement/methods
Prospective Studies
RDF Project
Research Support
Rosmus C
Sensitivity and Specificity
The Journal Of Pediatrics
-
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/10.1097/00004703-199908000-00006" target="_blank" rel="noreferrer">http://doi.org/10.1097/00004703-199908000-00006</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
A name given to the resource
Pain in Children with Significant Neurological Impairment
Publisher
An entity responsible for making the resource available
Developmental And Behavioral Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Child; Humans; Pain Measurement; Communication; Nervous System Diseases/complications; RDF Project; Cerebral Palsy/complications; Analgesics/therapeutic use; Pain/complications/diagnosis/drug therapy/etiology
Creator
An entity primarily responsible for making the resource
Oberlander T; O'Donnell M; Montgomery C
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00004703-199908000-00006" target="_blank" rel="noreferrer">10.1097/00004703-199908000-00006</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
Description
An account of the resource
1999
1999
Analgesics/therapeutic use
Backlog
Cerebral Palsy/complications
Child
Communication
Developmental And Behavioral Pediatrics
Humans
Journal Article
Montgomery C
Nervous System Diseases/complications
O'Donnell M
Oberlander T
Pain Measurement
Pain/complications/diagnosis/drug therapy/etiology
RDF Project
-
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/10.1097/00006254-199404000-00008" target="_blank" rel="noreferrer">http://doi.org/10.1097/00006254-199404000-00008</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
A name given to the resource
Does episiotomy prevent perineal trauma and pelvic floor relaxation?
Publisher
An entity responsible for making the resource available
The Online Journal Of Current Clinical Trials
Date
A point or period of time associated with an event in the lifecycle of the resource
1992
Subject
The topic of the resource
Female; Humans; Pregnancy; Pain; Adult; Time Factors; RDF Project; Coitus; Episiotomy/adverse effects/methods; Labor Stage; Muscle Hypotonia/prevention & control; Parity; Pelvic Floor; Perineum/injuries; Postoperative; Rectum/injuries; Second; Urinary Incontinence/prevention & control; Wounds and Injuries/etiology/prevention & control
Creator
An entity primarily responsible for making the resource
Klein MC; Gauthier RJ; Jorgensen SH; Robbins JM; Kaczorowski J; Johnson B; Corriveau M; Westreich R; Waghorn K; Gelfand MM
Description
An account of the resource
OBJECTIVE: To compare the outcomes of the current practice of liberally or routinely employing episiotomy to prevent perineal tears and pelvic floor relaxation (control group) to a policy of restricting episiotomy use to specific fetal and maternal indications (experimental group). DESIGN: A randomized controlled trial (RCT). SETTING: Three university hospitals in Montreal. SUBJECTS: Seven hundred three low-risk women enrolled at 30 to 34 weeks of gestation were randomized late in labor to the designated trial arm, by parity, and followed up to 3 months postpartum. MAIN OUTCOME MEASURES: Antepartum and postpartum information on perineal trauma and pain, pelvic floor symptoms (urinary incontinence), and sexual activity was collected through the use of standard questionnaires; pelvic floor function was measured by electromyographic (EMG) perineometry. RESULTS: Restricting episiotomy use in primiparous women was associated with similar sutured perineal trauma to the liberal or routine approach. Multiparous women in the restricted episiotomy group more often gave birth with an intact perineum (31% compared with 19%, odds ratio (OR) = 1.85, 95% confidence interval (CI) = 1.09 to 3.16). All but one 3rd/4th-degree perineal tear was associated with median episiotomy (46 of 47 in primiparous women and 6 of 6 among multiparous women). No difference between trial groups was found in postpartum perineal pain, antepartum and 3-month postpartum EMG perineometry, and urinary and pelvic floor symptoms. CONCLUSIONS: We found no evidence that liberal or routine use of episiotomy prevents perineal trauma or pelvic floor relaxation. Virtually all severe perineal trauma was associated with median episiotomy. Restriction of episiotomy use among multiparous women resulted in significantly more intact perineums and less perineal suturing.
1992
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00006254-199404000-00008" target="_blank" rel="noreferrer">10.1097/00006254-199404000-00008</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
1992
Adult
Backlog
Coitus
Corriveau M
Episiotomy/adverse effects/methods
Female
Gauthier RJ
Gelfand MM
Humans
Johnson B
Jorgensen SH
Journal Article
Kaczorowski J
Klein MC
Labor Stage
Muscle Hypotonia/prevention & control
Pain
Parity
Pelvic Floor
Perineum/injuries
Postoperative
Pregnancy
RDF Project
Rectum/injuries
Robbins JM
Second
The Online Journal Of Current Clinical Trials
Time Factors
Urinary Incontinence/prevention & control
Waghorn K
Westreich R
Wounds and Injuries/etiology/prevention & control
-
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/10.7326/0003-4819-128-6-199803150-00007" target="_blank" rel="noreferrer">http://doi.org/10.7326/0003-4819-128-6-199803150-00007</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
A name given to the resource
Building measurement and data collection into medical practice
Publisher
An entity responsible for making the resource available
Annals Of Internal Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1998
Subject
The topic of the resource
Humans; Data Collection; Physician's Role; Clinical Protocols; Outcome and Process Assessment (Health Care); patient care team; RDF Project; Diabetes Mellitus; Cost Control; Practice Management; Medical/standards; Blood Glucose Self-Monitoring; Type 2/therapy; Urinary Tract Infections/therapy
Creator
An entity primarily responsible for making the resource
Nelson EC; Splaine ME; Batalden PB; Plume SK
Description
An account of the resource
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, outcome, and cost measures; 3) keep measurement simple (think big, but start small); 4) use qualitative and quantitative data; 5) write down the operational definitions of measures; 6) measure small, representative samples; 7) build measurement into daily work; and 8) develop a measurement team. The following approaches to using data for improvement are recommended. First, begin with curiosity about outcomes or a need to improve results. Second, try to avoid knee-jerk, obstructive criticism of proposed measurements. Instead, propose solutions that are practical, goal-oriented, and good enough to start with. Third, gather baseline data on a small sample and check the findings. Fourth, try to change and improve the delivery process while gathering data. Fifth, plot results over time and analyze them by using a control chart or other graphical method. Sixth, refine your understanding of variation in processes and outcomes by dividing patients into clinically homogeneous subgroups (stratification) and analyzing the results separately for each subgroup. Finally, make further changes while measuring key outcomes over time. Measurement and improvement are intertwined; it is impossible to make improvements without measurement. Measuring and learning from each patient and using the information gleaned to test improvements can become part of daily medical practice in local settings.
1998
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7326/0003-4819-128-6-199803150-00007" target="_blank" rel="noreferrer">10.7326/0003-4819-128-6-199803150-00007</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
1998
Annals Of Internal Medicine
Backlog
Batalden PB
Blood Glucose Self-Monitoring
Clinical Protocols
Cost Control
Data Collection
Diabetes Mellitus
Humans
Journal Article
Medical/standards
Nelson EC
Outcome And Process Assessment (health Care)
Patient Care Team
Physician's Role
Plume SK
Practice Management
RDF Project
Splaine ME
Type 2/therapy
Urinary Tract Infections/therapy
-
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
PedPalASCNet Member Publications
Subject
The topic of the resource
A collection of relevant articles published by one or more of PedPalASCNet's members
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.
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
Pain management for children with a developmental disability in a primary care setting
Publisher
An entity responsible for making the resource available
Pain In Children: A Practical Guide For Primary Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
Subject
The topic of the resource
RDF Project
Creator
An entity primarily responsible for making the resource
Siden H; Oberlander T
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
Book/Book Section
2008
Book/Book Section
Oberlander T
Pain In Children: A Practical Guide For Primary Care
RDF Project
Siden H