Comment: What will Brexit mean for hospices? We don’t really know yet! Jonathan Ellis pp 213-213 Europe is still coming to terms with the UK’s decision to end its 43-year membership of the EU. The political shockwaves from the result of the referendum are still being felt far and wide, and we have no more clarity today on what will happen next than we had on 24th June.
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Olanzapine for refractory nausea and vomiting in patients with advanced malignancy Shrikant Atreya and Soumitra Shankar Datta pp 214-218 Shrikant Atreya and Soumitra Shankar Datta from Tata Medical Centre in Kolkata, India, discuss how the antipsychotic drug olanzapine was successfully administered to three patients with advanced cancer in order to alleviate refractory nausea and vomiting, and explain the rationale behind its use
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Case study masterclass 88: A 75-year-old woman with lung cancer who develops severe paraneoplastic syndrome Katie Jerram pp 220-221 Ann is a 75-year-old woman with adenocarcinoma of the lung. She lives in a small, immaculately kept council house with her husband Bob, who is 20 years younger than her and still in full-time employment in the building trade. She used to work as a school cook and retired aged 60, and has since enjoyed crafts and socialising with friends and neighbours. She has two sons who live locally and visit regularly.
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Improving end-of-life care in nursing homes: an innovative model of education and training Corinne Campion, Ash Kassaye, Susie Sutherland, Maureen Carruthers, Julia Riley, Jayne Wood and Anna-Marie Stevens pp 222-226 Palliative care professionals should aim to improve the end of life for all, including those who die in care homes. In 33 London nursing homes, a palliative care team has implemented an innovative model of training to help staff provide better end-of-life care to residents. Corinne Campion, Ash Kassaye, Susie Sutherland, Maureen Carruthers, Julia Riley, Jayne Wood and Anna-Marie Stevens tell us more
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Research: Can qualitative interviews have benefits for participants in end-of-life care research? Maureen A Coombs, Roses Parker and Kay deVries pp 227-231 Through a secondary analysis of existing data, Maureen A Coombs, Roses Parker and Kay deVries have explored whether vulnerable populations can derive benefits from taking part in research interviews. They found that participants do experience emotional, cognitive and social benefits, but warn that researchers must have the right skills to safeguard both participants and themselves
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Palliative care in chronic and progressive neurological disease: summary of a consensus review David Oliver, Gian Domenico Borasio, Augusto Caraceni, Marianne de Visser, Wolfgang Grisold, Stefan Lorenzl, Simone Veronese and Raymond Voltz pp 232-235 A taskforce of the European Association for Palliative Care has worked with the European Academy of Neurology to produce a consensus review on palliative care in neurological disorders, which was published in the European Journal of Neurology in January 2016. David Oliver, Gian Domenico Borasio, Augusto Caraceni, Marianne de Visser, Wolfgang Grisold, Stefan Lorenzl, Simone Veronese and Raymond Voltz outline the main recommendations
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Training: Online learning in palliative care: does it improve practice? Sean Hughes, Nancy J Preston and Sheila A Payne pp 236-239 Online education in health- and social care is here to stay. But what evidence is there of its impact on professional practice? And what are the challenges moving forward? Sean Hughes, Nancy J Preston and Sheila A Payne have searched the literature for answers to these questions
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Book review: Pain Management in Nursing Practice Shanthini Avorgbedor pp 239-239 The aim of this book is to support the education of undergraduate and newly qualified nurses in the area of pain management. However, being pitched at a fairly high academic level, it goes deep enough into its subject to be useful for those with more knowledge and experience.
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Evaluating palliative care in a neonatal intensive care unit in São Paulo, Brazil Ligia Marçola, Rita TV Polastrini, Ivete Zoboli, Maria Esther J Ceccon and Silvia Maria M Barbosa pp 240-243 In a tertiary university hospital in São Paulo, Brazil, Ligia Marçola, Rita TV Polastrini, Ivete Zoboli, Maria Esther J Ceccon and Silvia Maria M Barbosa have reviewed the medical records of 49 children who died after having been admitted to the neonatal intensive care unit. Only ten children received palliative care, although all clearly needed it
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End-of-life care at home out of hours: think 3 am! Laura-Jayne Wilcock pp 244-245 Laura-Jayne Wilcock is a nurse and currently leads the NHS out-of-hours service for Care UK in South West London. Here are her thoughts on what you, as a clinician planning the home discharge of a patient at the end of life, need to bear in mind
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Procedural pain in the hospice setting in Italy: a multicentre prospective observational study Caterina Magnani, Chiara Mastroianni, Diana Giannarelli, Domenico Russo, Francesca Bordin, Alberto Siniscalchi and Giuseppe Casale pp 246-250 In Italy, Caterina Magnani, Chiara Mastroianni, Diana Giannarelli, Domenico Russo, Francesca Bordin, Alberto Siniscalchi and Giuseppe Casale have looked at the prevalence and intensity of pain associated with six procedures commonly performed in the hospice setting. They report on their findings
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Are Malaysian nurses and doctors in cancer units happy to have pharmacists on the team? Ahlam Sundus, Shubashini Gnanasan and Nahlah Elkudssiah Ismail pp 252-255 In Malaysia, one of the steps taken to improve the care of cancer patients is to integrate pharmacists within the care team at ward level. Ahlam Sundus, Shubashini Gnanasan and Nahlah Elkudssiah Ismail have interviewed healthcare professionals working in cancer palliative care settings about their willingness to integrate pharmacists in their teams
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Case study masterclass 88 answers: A 75-year-old woman with lung cancer who develops severe paraneoplastic syndrome Katie Jerram pp 256-256
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EAPC Researcher Awards 2016 – reflections on winning Martin Loucka, Kirsten Wentlandt and Bridget Candy pp 257-259 This year the European Association for Palliative Care redesigned its Researcher Awards, formerly known as the Early Researcher Awards and now comprising three categories: Early Researcher, Clinical Impact and Post Doc. They were presented in June at the 9th EAPC World Research Congress in Dublin to Martin Loucka, Kirsten Wentlandt and Bridget Candy. Here the winners reflect on their careers so far, and tell us how they feel about receiving this recognition by the international palliative care community
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