User:Moksha88/sandbox2

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Palliative Care

Outline

Current Proposed Rationale
Scope
Terminology
  1. Comparison with hospice
  2. Comfort care in hospitals
Practice
  1. Symptom assessment
  2. End-of-life care
  3. Dealing with distress
    1. Physical pain
    2. Psychosocial pain
    3. Spiritual pain
Children's palliative care
  1. Terminology
  2. Children's palliative care (by country)
  3. UK
  4. Australia and New Zealand
History
Society
  1. Costs and funding
  2. Certification and training for services
  3. Regional variation in services
  4. Acceptance


Initial Steps

Introduction:

  • double check and update references (especially on efficacy of palliative care).
  • information is redundant and hard to read; will pare down and simplify.

Scope

  • investigate the information re: palliative in the emergency department; this content seems random as is.
  • American Society of Clinical Oncology recommendations, as currently written, are confusing and need to be syntactically cleaned up.
  • remove info about board certification / move to history section

Terminology

  • grammar / syntax of this section needs to be edited.
  • remove redundant information

Comparison with Hospice

  • double check and update references; many seem lacking or inaccurate (ie: reference 19).
  • poor grammar / syntax in this section
  • remove redundancies and clarify comments made about terminology in the US vs non-US countries

Symptoms assessment

  • double check citations
  • can probably be expanded upon; currently content in this section is is limited

End -of-life care

  • needs to be cleaned up grammatically

Dealing with distress

  • add citation to include evidence for impact of interdisciplinary addressal of distress among palliative/hospice patients

Total pain

  • consider chaining this sub-header to pain and then reformatting the discussion into physical, psychosocial, and spiritual pain

Physical pain

  • no major changes; could expand upon and/or link other pages if time

Psychosocial pain

  • this section needs to be rewritten and clarified
  • double check citations

Children’s palliative care

  • add citations to terminology section
  • brainstorm new sections that have more clinical relevance and are additionally useful to patients, parents, and families
  • can also incorporate and link information for the children’s hospice care page

Children’s palliative care by country

  • this information seems less useful (though interesting) and more focused on promoting certain projects in Australia. Overall, this section is not substantive and I would argue to remove it

History

  • this section should be moved to follow either the introduction, scope, or terminology section
  • overall section is heavily focused on the history of hospice as opposed to the history of the development of palliative care as a field (though those histories appear closely linked). Would restructure and refocus this section to address the aforementioned concern

Society (ambiguous and unclear label)

  • rework cost section
  • consider creating new title that is clearer

References

  • incorporate new/updated citations
  • double check current citations

External Links

  • add helpful information as encountered during research process


Removed Text

Pediatric Palliative Care

UK

There are an estimated 49,000 children and young people in the UK living with a life-threatening or life-limiting condition that may require palliative care services.[1][2] A 2015 survey from the Royal College of Nursing (RCN) found that nearly a third of children's nurses said they don't have the resources to deliver adequate care in the home setting.[3]

Australia and New Zealand

The Paediatric Palliative Care Australia and New Zealand Corporation (PPCANZ) in conjunction with Palliative Care Australia supports a 'Paediatric Palliative Care' website[4] which provides practical information about paediatric palliative care to families who have a child with a life-limiting illness, as well as information about the people who support them. There is however very little empirical research regarding the support provided to children in palliative care. To help address the lack of research, the Palliative Care Unit at La Trobe University, Melbourne, Australia, is currently conducting an international modified delphi study to provide 'Recommendations for Speech-Language Pathologist (SLPs) in Paediatric Palliative Care Teams' (abbrev. RESP3CT). This study will conclude in 2020/2021 and hopefully provide greater information with regard to the collaborative role of SLPs assisting children, families and clinical staff regarding appropriate and multidisciplinary palliative care.[5]

  1. ^ Fraser L K, Parslow R C, McKinney P A, Miller M, Aldridge J M, Hain R, Norman P, (2012) Life Limiting and Life-threatening conditions in children and young people in the United Kingdom; Final Report for Together for Short Lives (Leeds)
  2. ^ Fraser L K, Parslow R C, McKinney P A, Miller M, Aldridge J M, Hain R, Norman P (2012). "Rising National Prevalence of Life-Limiting Conditions in Children in England". Paediatrics. 129 (4): E923–E929. doi:10.1542/peds.2011-2846. PMID 22412035.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. ^ "Children's Nurses Needed To Bridge Care Gap". The Huffington Post. 2016-10-06. Retrieved 2016-11-01.
  4. ^ "Paediatric Palliative Care – Australia and New Zealand".
  5. ^ Carey-Sargeant, Christa L.; Erickson, Shane; Mathisen, Bernice A.; Carey, Lindsay B.; Krikheli, Lillian (2018-12-04). "Speech-language pathologists in paediatric palliative care: A Delphi study protocol". BMJ Supportive and Palliative Care: bmjspcare–2018–001667. doi:10.1136/bmjspcare-2018-001667. PMID 30446492.
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