Palliative care

Interventions for the reduction of prescribed opioid use in chronic non-cancer pain

Abstract Background This is the first update of the original Cochrane Review published in 2013. The conclusions of this review have not changed from the 2013 publication. People with chronic non-cancer pain who are prescribed and are taking opioids can have a history of long-term, high-dose opioid use without effective pain relief. In those without […]

Share

Foam dressings for treating pressure ulcers

Abstract Background Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on […]

Share

Drug therapy for symptoms associated with anxiety in adult palliative care patients

Abstract Background This is an update of a Cochrane Review first published in 2004 (Issue 1) and previously updated in 2012 (Issue 10). Anxiety is common in palliative care patients. It can be a natural response to the complex uncertainty of having a life-limiting illness or impending death, but it may represent a clinically significant […]

Share

Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease

Abstract Background This review is an update of a previously published review in the Cochrane Database of Systematic Reviews Issue 1, 2013 on Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease. Patients with advanced progressive disease often experience muscle weakness, which can impact adversely on their ability to be independent and their […]

Share

Admission avoidance hospital at home

Abstract Background Admission avoidance hospital at home provides active treatment by healthcare professionals in the patient’s home for a condition that otherwise would require acute hospital inpatient care, and always for a limited time period. This is the third update of the original review. Objectives To determine the effectiveness and cost of managing patients with […]

Share

Hospital at home: home-based end of life care

Abstract Background The policy in a number of countries is to provide people with a terminal illness the choice of dying at home. This policy is supported by surveys indicating that the general public and people with a terminal illness would prefer to receive end-of-life care at home. This is the fourth update of the […]

Share

Percutaneous endoscopic gastrostomy versus percutaneous radiological gastrostomy for swallowing disturbances

Abstract Background Gastrostomy has been established as the standard procedure for administering long-term enteral nutrition in individuals with swallowing disturbances. Percutaneous gastrostomy is a less-invasive approach than open surgical gastrostomy, and can be accomplished via endoscopy (percutaneous endoscopic gastrostomy or PEG) or sonographic or fluoroscopic guidance (percutaneous radiological gastrostomy or PRG). Both techniques have different […]

Share

Support surfaces for pressure ulcer prevention

Abstract Background Pressure ulcers (i.e. bedsores, pressure sores, pressure injuries, decubitus ulcers) are areas of localised damage to the skin and underlying tissue. They are common in the elderly and immobile, and costly in financial and human terms. Pressure-relieving support surfaces (i.e. beds, mattresses, seat cushions etc) are used to help prevent ulcer development. Objectives This […]

Share

Palliative pharmacological sedation for terminally ill adults

Abstract Background Terminally ill people experience a variety of symptoms in the last hours and days of life, including delirium, agitation, anxiety, terminal restlessness, dyspnoea, pain, vomiting, and psychological and physical distress. In the terminal phase of life, these symptoms may become refractory, and unable to be controlled by supportive and palliative therapies specifically targeted […]

Share

Pharmacological treatments for fatigue associated with palliative care

Abstract Background This review updates the original review, ‘Pharmacological treatments for fatigue associated with palliative care’ and also incorporates the review ‘Drug therapy for the management of cancer-related fatigue’. In healthy individuals, fatigue is a protective response to physical or mental stress, often relieved by rest. By contrast, in palliative care patients’ fatigue can be […]

Share
  • The review abstracts published on this site are the property of John Wiley & Sons, Ltd., and of the Cochrane Review Groups that have produced the reviews.
Share
Share