The status of complementary therapy services in Canadian palliative care settings

Oneschuk, D; Balneaves, Lynda G.; Verhoef, Marja J.; Boon, Heather; Demmer, Craig; Chiu, Li Hsuan

doi:10.1007/s00520-007-0284-1

Cited by 14 publications

(17 citation statements)

References 17 publications

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“…Systematic reviews of clinical trials into the effectiveness of acupuncture in palliative care (Garcia, 2013;Hu, 2016;Lian, 2014;Standish, 2008;Towler, 2013;Wei-Ling, 2013;Wu, 2015) and other quantitative studies evaluating impact using disease-specific outcome measures (Busuyi, 2014a,b;Dean-Clower, 2010;Kozak, 2008;Leng, 1999;Oneschuk, 2007;Romeo, 2015) show acupuncture as a potentially positive therapy. The studies collectively suggest that acupuncture may be valuable for palliative relief of symptoms.…”

Section: Funding Informationmentioning

confidence: 99%

Acupuncture in hospice settings: A qualitative exploration of patients’ experiences

et al. 2018

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Whilst acupuncture has the potential to impact on many aspects of health and well-being, including end-of-life care, there is little research regarding patients' experiences of its effects within the context of palliative care in hospice settings. The aim of this study was to address this gap, by exploring patients' experiences of acupuncture within this setting. In-depth, semi-structured interviews were conducted with a sample of eighteen patients who had received acupuncture as part of hospice care. Transcription of data, with thematic analysis, identified two overarching themes: (1) participant perceptions of the effects of acupuncture including pain control, improved physical and emotional health, spiritual well-being and awareness of health as a holistic phenomenon; and (2) factors which participants believed enabled acupuncture to have these effects including the quality of the practitioner relationship, engagement of participants in the process of their treatment and prior expectations that acupuncture could work. Acupuncture was found to be a highly acceptable, accessible and popular treatment with positive holistic effects reported across the domains of physical, mental and spiritual health and no serious adverse effects. By enabling awareness of the holistic nature of health and well-being, acupuncture was experienced as having the potential to contribute to a better death, an emergent theory that needs testing in further studies. In the meanwhile, the results of this study offer encouragement to hospices currently providing or considering investing in acupuncture provision.

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Section: Funding Informationmentioning

confidence: 99%

Acupuncture in hospice settings: A qualitative exploration of patients’ experiences

et al. 2018

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“…Complementary and alternative medicine therapies were mostly provided by volunteers, and at most settings, limited or no funding was available. 5 The goal of this study was to provide data on the extent to which CAM treatments were offered by Washington State hospices, the specific modalities used, and the means of paying for these services.…”

Section: Introductionmentioning

confidence: 99%

Use of Complementary and Alternative Medicine (CAM) by Washington State Hospices

Kozak

Kayes

McCarty

et al. 2008

Am J Hosp Palliat Care

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“…We used data collection methods similar to other online surveys of physicians (17, 18). The survey was posted online and hosted on a secure web server using an online survey hosting tool.…”

Section: Methodsmentioning

confidence: 99%

Practice Patterns and Perceptions About Parenteral Hydration in the Last Weeks of Life: A Survey of Palliative Care Physicians in Latin America

Torres-Vigil

Mendoza

Alonso-Babarro

et al. 2012

Journal of Pain and Symptom Management

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Context Parenteral hydration at the end of life is controversial and has generated considerable debate for decades. Objectives To identify palliative care physician parenteral hydration prescribing patterns and the factors that influence prescribing levels for patients during their last weeks of life. Methods A cross-sectional, representative online survey of Latin American palliative care physicians was conducted in 2010. Physicians were asked to report the percentage of their terminally ill patients for whom they prescribed parenteral hydration. Predictors of parenteral hydration prescribing levels were identified using logistic regression analysis. Results Two hundred thirty-eight of 320 physicians completed the survey (74% response rate). Sixty percent of physicians reported prescribing parenteral hydration to 40–100% of their patients during the last weeks of life. Factors influencing moderate/high prescribing levels were: agreeing that parenteral hydration is clinically and psychologically efficacious (odds ratio [OR] 3.5; 95% confidence interval [CI] 1.5 – 8.3), disagreeing that withholding parenteral hydration alleviates symptoms (OR 3.3, 95% CI 1.3 – 8.1), agreeing that parenteral hydration is essential for meeting the minimum standards of care (OR 3.2, 95% CI 1.4– 7.5), preferring the subcutaneous route of parenteral hydration for patient comfort and home use (OR 2.9, 95% CI 1.3 –6.5), and being younger than 45 years old (OR 2.6, 95% CI 1.3–5.2). Conclusion The strongest determinant of prescribing patterns was agreement with the clinical/psychological efficaciousness of parenteral hydration. Our results reflect parenteral hydration prescribing patterns and perceptions that substantially differ from the conventional/traditional hospice philosophy. These findings suggest that the decision to prescribe or withhold parenteral hydration is largely based on clinical perceptions and that most palliative care physicians from this region of the world individualize treatment decisions.

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The status of complementary therapy services in Canadian palliative care settings

Abstract: Overall, these findings were similar to those reported in a US-based hospice survey after which this survey was patterned. Possible reasons for these shared findings and important directions regarding the future of CT service provision in Canadian palliative care setting are discussed.

Cited by 14 publications

References 17 publications

Acupuncture in hospice settings: A qualitative exploration of patients’ experiences

Acupuncture in hospice settings: A qualitative exploration of patients’ experiences

Use of Complementary and Alternative Medicine (CAM) by Washington State Hospices

Practice Patterns and Perceptions About Parenteral Hydration in the Last Weeks of Life: A Survey of Palliative Care Physicians in Latin America

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