UHL Palliative Care Evidence Update

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Palliative Care Evidence Update

November 2016

UHL November Writing Club
Reporting guidelines
Are you writing up a study? A systematic review? What shoudl you include? Reporting guidelines tell you. Find out more at the Writing Club.
Speaker — Keith Nockels, Clinical Librarian

Thursday 17th November, 1—2pm
Odames Library,
Victoria Building,
Leicester Royal Infirmary

Reserve your free place: ClinicalLibrarian@uhl-tr.nhs.uk

Social care for older people with multiple long-term conditions

Healthcare Databases Advanced Search.
The Healthcare Databases Advanced Search (HDAS) now has a new look.
HDAS which allows you to search for content across Healthcare databases such as Medline, Embase, PsychInfo and British Nursing Index has been redesigned. The UHL Libraries and Information Services are offering training over the next 3 weeks on using the new system.
For further information please see here.

New and Updated Cochrane Systematic Reviews

Benzodiazepines for the relief of breathlessness in advanced malignant and non-malignant diseases in adults
Authors' conclusions: Since the last version of this review, we have identified one new study for inclusion, but the conclusions remain unchanged. There is no evidence for or against benzodiazepines for the relief of breathlessness in people with advanced cancer and COPD. Benzodiazepines caused more drowsiness as an adverse effect compared to placebo, but less compared to morphine. Benzodiazepines may be considered as a second- or third-line treatment, when opioids and non-pharmacological measures have failed to control breathlessness. There is a need for well-conducted and adequately powered studies.

Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia
Authors' conclusions: OHC including chlorhexidine mouthwash or gel reduces the risk of developing ventilator-associated pneumonia in critically ill patients from 25% to about 19%. However, there is no evidence of a difference in the outcomes of mortality, duration of mechanical ventilation or duration of ICU stay. There is no evidence that OHC including both antiseptics and toothbrushing is different from OHC with antiseptics alone, and some weak evidence to suggest that povidone iodine mouthrinse is more effective than saline/placebo, and saline rinse is more effective than saline swab in reducing VAP. There is insufficient evidence to determine whether powered toothbrushing or other oral care solutions are effective in reducing VAP. There is also insufficient evidence to determine whether any of the interventions evaluated in the studies are associated with adverse effects.

Is there anything you would like us to include in this Palliative Care Evidence Update? What are your preferred sources for information, evidence or research?
We would welcome your feedback ...

UpToDate

What's new in palliative care

Other systematic reviews and other research studies

The impact of early palliative care on the quality of care during the last days of life: what does the evidence say?

Communication Within Hospice Interdisciplinary Teams: A Narrative Review.

Promoting patient-centred palliative care: a scoping review of the patient dignity question.

Barriers to the Collaboration Between Hematologists and Palliative Care Teams on Relapse or Refractory Leukemia and Malignant Lymphoma Patients' Care: A Qualitative Study.

The Last 10 Days of Patients With Glioblastoma: Assessment of Clinical Signs and Symptoms as well as Treatment.

The Shared Experience Help the Bereavement to Flow: A Family Support Group Evaluation.

Fatigue in Patients With Advanced Terminal Cancer Correlates With Inflammation, Poor Quality of Life and Sleep, and Anxiety/Depression.

A Protocol for the Control of Agitation in Palliative Care.

Looking Through the Lens of Receptivity and Its Role in Bereavement Support: A Review of the Literature.

Palliative Care Consultation and Associated End-of-Life Care After Pacemaker or Implantable Cardioverter-Defibrillator Deactivation.

Family-centered outcomes during and after critical illness: current outcomes and opportunities for future investigation.

Caregivers burden in palliative care patients: a problem to tackle.

Promoting patient-centred palliative care: a scoping review of the patient dignity question.

Retrospective analysis of pharmacist interventions in an ambulatory palliative care practice.

Supporting self-management of pain by patients with advanced cancer: views of palliative careprofessionals.

More than medication: perinatal palliative care.

A Home-Based Palliative Care Consult Service for Veterans.

Use of Medical Devices in Hospice for Symptom Management.

Palliative Care Consultation and Associated End-of-Life Care After Pacemaker or Implantable Cardioverter-Defibrillator Deactivation.

To access full text you may have to log in to your NHS Athens account (click here to register for free). If full text is not available then please email us to request a copy.

Anxiety in palliative care patients
Rational emotive hospice care therapy appears to reduce death anxiety and distress in patients with terminal cancer (Int J Environ Res Public Health 2016 Sep 20)

Depression in palliative care patients
Cognitive behavioral therapy targeting depression and heart failure self-care associated with reduced depressive symptoms but not improved heart failure self-care in adults with heart failure and major depressive disorder (JAMA Intern Med 2015 Nov 1)

Reports and resources

Care Quality Commission (CQC) that is the independent regulator of health and social care in England latest report, The State of Health Care and Adult Social Care In England is now available. The report found that while 59% of acute hospital end of life care is rated Good or Outstanding by the CQC, 41% was rated as Inadequate or Requires Improvement.

The National Council for Palliative Care (NCPC)
The National Council for Palliative Care is seeking nominations for the second year of its annual awards. Click for more details.

Table of Contents

American Journal of Hospice and Palliative Medicine
BMC Palliative Care
BMJ Supportive & Palliative Care
Current Opinion in Supportive and Palliative Care
End of Life Journal
European Journal of Palliative Care
International Journal of Palliative Nursing
Internet Journal of Pain, Symptom Control and Palliative Care
Journal of Hospice & Palliative Nursing
Journal of Pain and Symptom Management
Journal of Palliative Medicine
Palliative & Supportive Care
Palliative Medicine
Progress in Palliative Care

View our other Evidence Updates

Our mailing address is: keith.nockels @uhl-tr.nhs.uk

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UHL Clinical Librarian Service · Odames Library Level 1, Victoria Building, · Royal Infirmary, Infirmary Square · Leicester, LE1 5WW · United Kingdom