Palliative Care Symptom Assessment for Patients with Cancer in the Emergency Department: Validation of the Screen for Palliative and End-of-Life Care Needs in the Emergency Department Instrument

Richards, Christopher T; Gisondi, Michael A.; Chang, Chih‐Hung; Courtney, D Mark; Engel, Kirsten G.; Emanuel, Linda L.; Quest, Tammie E.

doi:10.1089/jpm.2010.0456

Cited by 47 publications

(82 citation statements)

References 102 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Unlike previously published PC screening tools, this one should not require a provider to perform an additional patient interview, nor should it require a PC specialist or case manager for completion. 15,69,70,72 Ultimately, for this screening tool to increase rates of PC consultation as well as decrease the long latency between hospital admission and PC consultation, the results of the screening tool must be put to use. Multiple interventions based on this screening tool are conceivable.…”

Section: Discussionmentioning

confidence: 99%

“…All ED PC referral or integration projects that we examined had some measure of success in terms of increasing PC evaluation and referral from the ED. [69][70][71][72][73] Common weaknesses of prior efforts included absence of evidenced-based development of an ED-specific screening tool, narrow inclusion criteria (i.e., cancer patients only), use of lengthy PC patient assessment tools, and reliance on additional staff to perform screening.…”

Section: Critical Review Of the Literature And Initial Screening Toolmentioning

confidence: 99%

See 1 more Smart Citation

Content Validation of a Novel Screening Tool to Identify Emergency Department Patients With Significant Palliative Care Needs

et al. 2015

View full text Add to dashboard Cite

Background: The emergency department (ED) is increasingly used by patients with life-limiting illness. These patients are frequently admitted to the hospital, where they suffer from poorly controlled symptoms and are often subjected to marginally effective therapies. Palliative care (PC) has emerged as the specialty that cares for patients with advanced illness. PC has been shown to reduce symptoms, improve quality of life, and decrease resource utilization. Unfortunately, most patients who could benefit from PC are never identified. At present, there exists no validated screening tool to identify significant unmet PC needs among ED patients with life-limiting illness.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Critical Review Of the Literature And Initial Screening Toolmentioning

confidence: 99%

Content Validation of a Novel Screening Tool to Identify Emergency Department Patients With Significant Palliative Care Needs

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Emergency and palliative medicine experts from Northwestern University and Emory University developed the Screening for Palliative Care Needs in the Emergency Department (SPEED) instrument, the first comprehensive symptom assessment tool validated for use with oncology patients with palliative or end-of-life care needs in the ED (Richards et al, 2011).…”

Section: Clinician Responsementioning

confidence: 99%

Palliative Social Work in the Emergency Department

Lawson

2012

Journal of Social Work in End-Of-Life & Palliative Care

View full text Add to dashboard Cite

Recognizing that seriously ill patients and their families utilize emergency departments (EDs) for distressing symptoms, changing goals of care, or at the end of life, palliative care and emergency medicine departments are partnering to enhance the care provided to patients with life-limiting illnesses and their families. A social work model for identifying patients with unmet palliative care needs in the ED is included to illustrate the process as well as specific psychosocial interventions that palliative social workers can provide in this environment. As increasing numbers of palliative and emergency medicine departments partner to both improve ED care for patients with life-threatening illness and initiate palliative care consults earlier in hospitalizations, palliative and ED social workers have an opportunity to join their physician and nurse colleagues who are making inroads in this important and growing area.

show abstract

“…In this way the term cluster symptoms comes to light when two or more symptoms are interrelated since they can share the same etiology and produce a cumulative effect on the person's functioning [6]. Richards et al [7] found that patients with a high prevalence of pain were more likely to be treated with high-dose pain relief than those who did not. The incidence of pain at the onset of the disease pathway is estimated at 50% and is increased to approximately 75% at advanced stages which means that the survivor does not experience it only as an immediate treatment outcome [6].…”

Section: Introductionmentioning

confidence: 99%

Control of Pain and Dyspnea in Patients with Oncologic Disease in Acute Care: Non-Pharmacological Interventions

Fonseca¹

2017

MOJYPT

View full text Add to dashboard Cite

Objective: To identify non-pharmacological strategies in the control of pain and dyspnea in patient with oncological disease in acute care. (2011, 2014) and Cancer Care Ontario (2010) resulting in a total of 15 articles. Results:The gold standard to an adequate symptom control is a systematized assessment. Non-pharmacological measures psycho-emotional support, hypnosis, counseling, training, instruction, therapeutic adherence, music therapy, massage, relaxation techniques, telephone support, functional and respiratory reeducation increase health gains. Conclusion:The control of oncologic pain and dyspnea require a comprehensive and multimodal approach.Keywords: Oncologic pain; Dyspnea; Nursing interventions; Acute care IntroductionGlobally more than 14 million new cases of cancer will occur each year and the number of people with this disease expected to triple by 2030 as a result of survival [1,2]. Survivors continue to experience significant limitations compared to those without a history of cancer [3]. The presence of symptoms persists permanently resulting from the direct adverse effects of cancer, treatment, exacerbation and onset of new ones associated with recurrence or second tumor [4,5].Pain, dyspnea, fatigue, emotional distress arises simultaneously and is interdependent. In this way the term cluster symptoms comes to light when two or more symptoms are interrelated since they can share the same etiology and produce a cumulative effect on the person's functioning [6]. Richards et al. [7] found that patients with a high prevalence of pain were more likely to be treated with high-dose pain relief than those who did not. The incidence of pain at the onset of the disease pathway is estimated at 50% and is increased to approximately 75% at advanced stages which means that the survivor does not experience it only as an immediate treatment outcome [6]. In an advanced stage of the oncological disease dyspnea is one of the symptoms that assumes particular relevance often arises associated with pain (about 45%) represented a cluster symptoms inducer of greater anxiety and fatigue. That is responsible for the demand for health care so it is fundamental a serious investment in their control [8]. The objective of this systematic review of the literature is to identify non-pharmacological strategies in the control of pain and dyspnea of the patients with oncological disease in acute care. Research StrategyWas formulated a question in PI[C]O format: What are the non-pharmacological strategies (Intervention) for the control of pain and dyspnea (Outcomes) in the patients with oncology (Population) in acute care (Setting)? The electronic database used was based on EBSCO (MEDLINE with Full TEXT, CINAHL, Plus with Full Text, British Nursing Index) and descriptors were searched in the following order (guideline or evidence based practice or randomized controlled trial) and (symptoms control or dyspnea or tachypnea or Cheyne stokes respiration or respiratory symptoms or chronic pain or cancer pain or (oncology nu...

show abstract

Palliative Care Symptom Assessment for Patients with Cancer in the Emergency Department: Validation of the Screen for Palliative and End-of-Life Care Needs in the Emergency Department Instrument

Abstract: The SPEED instrument demonstrates reliability and validity for screening for palliative care needs of patients with cancer presenting to the emergency department.

Cited by 47 publications

References 102 publications

Content Validation of a Novel Screening Tool to Identify Emergency Department Patients With Significant Palliative Care Needs

Content Validation of a Novel Screening Tool to Identify Emergency Department Patients With Significant Palliative Care Needs

Palliative Social Work in the Emergency Department

Control of Pain and Dyspnea in Patients with Oncologic Disease in Acute Care: Non-Pharmacological Interventions

Contact Info

Product

Resources

About