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Section on Hospice and Palliative Medicine Program最新文献

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Multidisciplinary Guideline For Trisomy 13 And 18 Neonatal Care, Prenatal Counseling, And Risk Stratification 13和18三体新生儿护理、产前咨询和风险分层的多学科指南
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.542
Mayme Marshall, Erin Madriago, Tyler Tate, Christina Ronai, Ladawna L. Gievers, S. Taub, A. Kim
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引用次数: 1
A Pilot Study of The Feasibility And Effectiveness Of An Inpatient Cycling Intervention In Pediatric Cancer Patients: ‘Oncobike’ 儿童癌症患者住院自行车干预的可行性和有效性的初步研究:“Oncobike”
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.516
Ece Soysal, B. Egeli, T. Mutluer, I. Necef, T. Banaz, Enes Topkaya, Yusuf Acar, Banu O Sozmen, O. Falay
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引用次数: 0
Implementing a pediatric resident curriculum to improve confidence with breaking bad news to patients and their families 实施儿科住院医师课程,以提高向患者及其家属透露坏消息的信心
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.534
H. Kraushaar, N. Garber, D. D. Ross
Background: The American Academy of Pediatrics advocates for program development in pediatric palliative care (PPC) for all tertiary care centers serving children. Effective and compassionate delivery of bad news is an essential PPC skill relevant to all pediatricians, yet many residency and fellowship programs do not provide dedicated instruction on the subject. Trainees are often expected to develop communication skills independently through observation and trial and error, which can lead to wide variations in skill level. Objectives: To pilot a curriculum for pediatric residents to improve confidence with delivering bad …
背景:美国儿科学会倡导为所有为儿童服务的三级护理中心制定儿科姑息治疗(PPC)计划。有效而富有同情心地传达坏消息是所有儿科医生必备的PPC技能,然而许多住院医师和奖学金项目并没有提供这方面的专门指导。受训人员通常被期望通过观察和试错来独立发展沟通技巧,这可能导致技能水平的巨大差异。目的:试点儿科住院医师课程,以提高信心与交付不良…
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引用次数: 0
Transdermal Buprenorphine in Children with Complex Chronic Conditions: A Case Series 经皮丁丙诺啡治疗儿童复杂慢性疾病:一个病例系列
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.550
Seema Amin, Mindy J. Dickerman, Elissa G Miller, Carly Levy
Introduction: Although the incidence of severe chronic abdominal pain is unknown in children with complex chronic conditions (CCC), it can be a distressing and challenging symptom to treat when present. Severe chronic abdominal pain in children with CCC can result from multiple different causes, including but not limited to severe dysmotility, intestinal pseudo-obstruction, and chronic pancreatitis. Although primary pediatricians and/or primary subspecialists often manage this chronic pain, our palliative care team is often consulted for additional pain …
虽然严重慢性腹痛在复杂慢性疾病(CCC)儿童中的发生率尚不清楚,但当出现时,它可能是一种令人痛苦和具有挑战性的症状。CCC患儿的严重慢性腹痛可由多种不同的原因引起,包括但不限于严重的运动障碍、肠道假性梗阻和慢性胰腺炎。虽然初级儿科医生和/或初级专科医生经常处理这种慢性疼痛,但我们的姑息治疗团队经常被咨询额外的疼痛……
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引用次数: 0
Holding Presence and Moving Forward: Pediatric Residents Lived Experience Providing Care for Dying Children 保持存在和前进:儿科住院医师的生活经验,为垂死的儿童提供照顾
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.531
A. Trowbridge, Lindsay M. Gibbon, Laura I. Buck, Lauren Schmidt, R. Engelberg, H. Starks
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引用次数: 0
Integration of Palliative Care into Pediatric Brain Tumor Population: Assessing Patient and Family Perspectives on Palliative Care 姑息治疗融入儿童脑肿瘤人群:评估患者和家庭对姑息治疗的看法
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.536
Sarah Martinez, L. Weintraub, Joann Porter, K. Wash
Background: Pediatric oncology is a field of medicine that requires complex treatment approaches and multidisciplinary care. While historically used interchangeably with hospice care, palliative care offers an additional layer of support and benefit to the patients and their families that is not exclusive to end-of-life treatment. Despite prognosis, there is evidence that early integration of palliative care services leads to improved quality of life and symptom management. Currently, the Melodies Center for Childhood Cancer and Blood Disorders at Albany Medical Center does not …
背景:儿童肿瘤学是一个需要复杂治疗方法和多学科护理的医学领域。虽然历史上与临终关怀交替使用,但姑息治疗为患者及其家属提供了额外的支持和利益,而不是临终治疗所独有的。尽管预后不佳,但有证据表明,早期整合姑息治疗服务可改善生活质量和症状管理。目前,奥尔巴尼医疗中心的儿童癌症和血液疾病旋律中心没有…
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引用次数: 0
Leading The Witness: Pediatric Palliative Program Improvement Through Instructional Investigation 领导证人:通过教学调查改善儿科姑息治疗项目
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.539
C. C. Paine, K. Richter
Background: Palliative Care consultation can often be limited primarily to the practice areas of those staffing the program. In Pediatrics, this is further complicated by the difficulties of prognostication in chronically-ill children and confusion surrounding the purpose of Palliative Care in a non-terminal but seriously ill child. Quality Improvement initiatives that are limited to directive interventions, such as consult triggers or structured educational offerings, can often be viewed as invasive or presumptuous by colleagues that see palliative practice as part of their own specialty. In these circumstances, we have found …
背景:姑息治疗咨询通常主要局限于那些工作人员的实践领域。在儿科,慢性疾病儿童的预后困难以及围绕非晚期但重病儿童的姑息治疗目的的混淆使情况进一步复杂化。质量改进计划仅限于指导性干预,如咨询触发器或结构化教育产品,通常会被将姑息治疗实践视为自己专业的一部分的同事视为侵入性或自以为是。在这种情况下,我们发现……
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引用次数: 0
Increasing Palliative Care Team Involvement in Pediatric Oncology Patients 增加姑息治疗团队参与儿科肿瘤患者
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.535
J. Linebarger, Sana Farooki, Oluwaseun Olaiya, L. Tarbell, N. Clark, Kelstan Ellis, J. Stroh, Karen Lewing
Background: Palliative care involvement with pediatric oncology patients improves quality of life and the likelihood of receiving goal-concordant end-of-life care. However, barriers to involvement exist. Between Jan 1, 2017 and Dec 31, 2018, the pediatric oncology department cared for 30 patients who died of refractory cancer with a 5-year event free survival (EFS) of 30 days prior to death occurred for 43%. This is less than the United States News and World Report benchmark of 75% for palliative care involvement >30 days prior to …
背景:姑息治疗参与儿科肿瘤患者改善生活质量和接受目标一致的临终关怀的可能性。然而,参与的障碍是存在的。在2017年1月1日至2018年12月31日期间,儿科肿瘤科治疗了30例死于难治性癌症的患者,其中43%的患者在死亡前30天的5年无事件生存率(EFS)为零。这低于《美国新闻与世界报道》在…前30天以上参与姑息治疗的75%的基准。
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引用次数: 0
Charlie's Way: Changing Institutional Practices for Post-Mortem Care In Pediatrics By Bypassing The Morgue. 查理之道:通过绕过停尸房改变儿科死后护理的制度实践。
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.520-A
Rachel E. Diamond, B. Murante, Jennifer Pasley
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引用次数: 0
Tracheostomy as a Bridge to Hope: Family Decision Making Surrounding Tracheostomy in a Variety of Clinical Settings 气管切开术是通往希望的桥梁:在各种临床环境中,围绕气管切开术的家庭决策
Pub Date : 2021-02-24 DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.548-A
B. Lambert, S. Gouda, Brett K Palama, K. Hoehn
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引用次数: 0
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Section on Hospice and Palliative Medicine Program
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