Terminal Care

Publication Title: 
Complementary Therapies in Medicine

BACKGROUND: There is a pressing need for improved end-of-life care. Use of complementary and alternative medicine (CAM) may improve the quality of care but few controlled trials have evaluated CAM at the end of life. OBJECTIVES: To determine the strength of evidence for the benefits of touch and mind-body therapies in seriously ill patients. METHODS: Systematic review of randomized controlled trials of massage and mind-body therapies. A PubMed search of English language articles was used to identify the relevant studies.

Author(s): 
Lafferty, William E.
Downey, Lois
McCarty, Rachelle L.
Standish, Leanna J.
Patrick, Donald L.
Publication Title: 
Complementary Therapies in Medicine

BACKGROUND: There is a pressing need for improved end-of-life care. Use of complementary and alternative medicine (CAM) may improve the quality of care but few controlled trials have evaluated CAM at the end of life. OBJECTIVES: To determine the strength of evidence for the benefits of touch and mind-body therapies in seriously ill patients. METHODS: Systematic review of randomized controlled trials of massage and mind-body therapies. A PubMed search of English language articles was used to identify the relevant studies.

Author(s): 
Lafferty, William E.
Downey, Lois
McCarty, Rachelle L.
Standish, Leanna J.
Patrick, Donald L.
Publication Title: 
Journal of Pain and Symptom Management

CONTEXT: Existential and spiritual concerns in relation to palliative end-of-life care have received increasing attention over the past decade. OBJECTIVES: To review the literature specifically related to existential suffering in palliative care in terms of the significance of existential suffering in end-of-life care, definitions, conceptual frameworks, and interventions. METHODS: A systematic approach was undertaken with the aim of identifying emerging themes in the literature.

Author(s): 
Boston, Patricia
Bruce, Anne
Schreiber, Rita
Publication Title: 
Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology

PURPOSE: Dyspnea is one of the most distressing symptoms experienced by terminally ill cancer patients. This study aimed to evaluate the role of interventions for the palliation of dyspnea. METHODS: We conducted a systematic review of randomized controlled trials assessing all pharmacologic and nonpharmacologic interventions for dyspnea palliation in cancer patients, and searched the Cochrane Library, MEDLINE, conference proceedings, and references. Two reviewers independently appraised the quality of trials and extracted data. RESULTS: Our search yielded 18 trials.

Author(s): 
Ben-Aharon, Irit
Gafter-Gvili, Anat
Paul, Mical
Leibovici, Leonard
Stemmer, Salomon M.
Publication Title: 
Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology

PURPOSE: Dyspnea is one of the most distressing symptoms experienced by terminally ill cancer patients. This study aimed to evaluate the role of interventions for the palliation of dyspnea. METHODS: We conducted a systematic review of randomized controlled trials assessing all pharmacologic and nonpharmacologic interventions for dyspnea palliation in cancer patients, and searched the Cochrane Library, MEDLINE, conference proceedings, and references. Two reviewers independently appraised the quality of trials and extracted data. RESULTS: Our search yielded 18 trials.

Author(s): 
Ben-Aharon, Irit
Gafter-Gvili, Anat
Paul, Mical
Leibovici, Leonard
Stemmer, Salomon M.
Publication Title: 
Journal of Cancer Education: The Official Journal of the American Association for Cancer Education

BACKGROUND: Following a survey of health professionals' familiarity with 19 non-pharmacologic interventions for cancer pain, evidence-based continuing education sessions were conducted on the five therapies about which the professionals reported being most interested in learning more. METHODS: Three months following the education sessions, the original questionnaire was re-administered. Responses from the original survey were compared with those on the post-education survey.

Author(s): 
Zaza, C.
Sellick, S.
Publication Title: 
International Journal of Palliative Nursing

The ongoing extension of the average human lifespan in most parts of the world forecasts an unprecedented number of aging adults developing Alzheimer's disease or related dementia. Behavioural and psychological symptoms of dementia, commonly referred to as agitated behaviours, are estimated to occur in over 80% of patients and are typically treated using antipsychotic medications, posing significant morbidity and mortality risks. An evidence-based protocol known as individualized music (IM) offers a non-pharmacological intervention to reduce agitation.

Author(s): 
Gallagher, Maribeth
Publication Title: 
Health Progress (Saint Louis, Mo.)

In 1988, with the publication of Catholic Health Ministry: A New Vision for a New Century, the Commission on Catholic Health Care Ministry called on the Church to redefine its healing mission in society. Unfortunately, despite various efforts, the Church has not yet fully articulated a shared vision of Catholic healthcare, healing, and support. Healing human brokenness has always been the Church's work in the world, whether the brokenness be physical, emotional, intellectual, moral, or spiritual.

Author(s): 
Fahey, C. J.
Publication Title: 
Christian Bioethics

This essay chronicles the development of Catholic health care in the United States during the Nineteenth and Twentieth Centuries. The author points to the religious pluralism and the respect for that pluralism as well as to the evangelical drive for conversion evident in Catholic hospitals. This essay is a phenomenological study of this commitment to pluralism and the evangelical impulse within the contexts of health care.

Author(s): 
Kauffman, Christopher J.
Publication Title: 
Christian Bioethics

The author comments on the consensus statement from the point of view of an ethics consultant in Germany. Since many hospitals in Germany are under considerable competitive pressure, mission statements are becoming more and more important in order to draw a distinction between the different hospital types and to convey the meaning of the corporate identity both internally and externally. The Consensus Statement, which provides basic orientation without going into too much detail, can be a helpful initial document.

Author(s): 
Schmidt, K. W.

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