Update in hospital palliative care.

Published

Journal Article (Review)

BACKGROUND: Seriously ill patients frequently receive care in hospitals, and palliative care is a core competency for hospitalists. We aimed to summarize and critique recent research that has the potential to impact the clinical practice of palliative care in the hospital. METHODS: We reviewed articles published between January 2012 and May 2013, identified through a hand-search of leading journals and PubMed. The authors collectively selected 9 articles based on their scientific rigor and relevance to hospital practice. We review their findings, strengths, and limitations and make recommendations for practice. RESULTS: Key findings include: indwelling pleural catheters and talc pleurodesis provide similar relief of dyspnea in patients with malignant pleural effusions; oxygen many not be needed to prevent dyspnea in many dying patients; docusate may not be needed in addition to sennosides to treat opioid-induced constipation; atropine is no more effective than placebo in treating respiratory rattles in dying patients; many older adult survivors of in-hospital cardiopulmonary resuscitation (CPR) are alive up to 1 year after discharge; observing CPR may decrease family post-traumatic stress; surrogates of intensive care unit patients often interpret prognostic information optimistically; many patients with metastatic cancer feel that chemotherapy may cure their disease; viewing a goals-of-care video may decrease preference for CPR in patients being admitted to skilled nursing facilities. CONCLUSIONS: Recent research provides important insights into the effectiveness of medications and interventions for symptom management, outcomes of CPR for patients and families, and Journal of Hospital Medicine 2013;8:715-720. © 2013 Society of Hospital Medicine.

Full Text

Duke Authors

Cited Authors

  • Anderson, WG; Flint, LA; Horton, JR; Johnson, K; Mourad, M; Sharpe, BA

Published Date

  • December 2013

Published In

Volume / Issue

  • 8 / 12

Start / End Page

  • 715 - 720

PubMed ID

  • 24214838

Pubmed Central ID

  • 24214838

Electronic International Standard Serial Number (EISSN)

  • 1553-5606

Digital Object Identifier (DOI)

  • 10.1002/jhm.2110

Language

  • eng

Conference Location

  • United States