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"The important thing isn't proving you can achieve a goal, but living every moment along the way, even the side trips".
Lisa Wingate


Insensible losses – did anyone inform the family?

This narrative paper is focused on a single patient admission, and discusses how a patient (and family) centred approach can be easily overlooked during handover of a clinically deteriorating patient. The author, a medical student, draws on this one case and highlights how in a busy Emergency and ICU it is easy to forget to inform the family.

Source: Health Affairs April 2015: 34(4), 707-710


UpToDate: palliative care speciality

UpToDate contains palliative care specialty content which provides current answers to clinical questions. Clinicians can:

  • Integrate the most current information on palliative care into practice, including the specific clinical and psychosocial issues that are relevant to patients facing life-threatening illnesses and their families
  • Obtain evidence-based recommendations for assessment and management of pain and common non-pain symptoms in palliative care patients
  • Acquire guidance on psychosocial issues and communication skills
  • Describe the variety of settings (ambulatory and nonambulatory) in which palliative care can be delivered, and the specific patient populations for whom palliative care is appropriate
  • Address the legal, ethical, and cultural aspects of providing palliative care

Source: UpToDate palliative care  - licensed only for use on-site at Austin Health.

Palliative care week 2015

End-of-life care by expert clinical nurses

This study clarified practices in end-of-life care for non-malignant chronic illness patients by expert nurses in general hospitals. Authors found measures to cope with pain for patients not receiving life-prolonging treatment were insufficient in general hospitals; and while it was difficult to agree on care between medical professionals and to maintain care in other facilities, expert nurses grasped patients' wishes on a daily basis and made arrangements for them to permeate through family and community care systems.

Source: Palliative care research, May 2015; 10(2):108-115
Full text available in Japanese, abstract available in English.

Further reading:

European palliative care guidelines: how well do they meet the needs of people with impaired cognition?
Authors conclude the European national palliative care guidelines may not meet the needs of the growing population of people dying with cognitive impairment. New guidelines should consider suggesting the use of observational pain tools for people with cognitive impairment. Better recognition of their needs in palliative care guidelines may drive improvements in care.
Source: BMJ supportive & palliative care, Online first: 13 April 2015

The preferences and perspectives of family caregivers towards place of care for their relatives at the end-of-life. A systematic review and thematic synthesis of the qualitative evidence
Source: BMJ supportive & palliative care, Online first: 19 May 2015


The nurse’s role in medication safety

This commentary piece discusses the vital role nurses play in the safe delivery of medication. The author briefly examines systems, human, and environmental factors in medication administration errors and near misses before suggesting changes in nursing practice that could make medication delivery safer.

Source: Nursing, April 2015: 45(4)


Oral contraceptives & venous thromboembolism risk

"In these population based, case-control studies using two large primary care databases, risks of venous thromboembolism associated with combined oral contraceptives were, with the exception of norgestimate, higher for newer drug preparations than for second generation drugs."

Source: BMJ May 2015: 350:h2135


Patient safety primers

The Patient Safety Primers from the (US) Agency for Healthcare Research and Quality (AHRQ) discuss key concepts in patient safety. Each primer defines a topic, offers background information on its epidemiology and context, and provides links to relevant materials.

Source: AHRQ Patient safety primers, 2015


New book spotlight


Evidence-based practice of palliative medicine / edited by Nathan E. Goldstein, R. Sean Morrison. Elsevier / Saunders, c2013.
More than 80 questions define this textbook's domain. They span a diverse range of topics from how to start dosing opioids in an outpatient setting to specific questions about dosing steroids, the use of bisphosphonates, prognostication and difficult conversations, as well as what models of palliative care are appropriate in different settings and what the benefits are of palliative care.

Nelson textbook of pediatrics / edited by Robert M. Kliegman and three others. Twentieth edition, Elsevier / Saunders, c2016.
The 20th edition addresses the growing data accumulated from basic, clinical, and population-based research. Knowledge of human development, behavior, and diseases from the molecular to sociologic levels is increasing rapidly, leading to greater understanding of health and illness in children and substantial improvements in health quality for those who have access to health care.

New books on display

Annual update in intensive care and emergency medicine 2015 / editor, Jean-Louis Vincent.Springer, 2015.

Current diagnosis and treatment. Geriatrics / editors, Brie A. Williams, Anna Chang, Cyrus Ahalt and 5 others. McGraw-Hill Education Medical, 2014.
(Also available as an eBook)

DBT skills training manual / Marsha M. Linehan. Second edition, The Guilford Press, 2015.
This text provides complete instructions for orienting individuals with a wide range of problems to Dialectical Behaviour Therapy (DBT) and teaching them mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. Handouts and worksheets are available in the companion volume.

DBT skills training handouts and worksheets / Marsha M. Linehan. Second edition, The Guilford Press, 2015.


Journals spotlight

These links provide access to the current table of contents:

American journal of medicine

American journal of roentgenology

Archives of physical medicine and rehabilitation


Clinical psychology and psychotherapy

Cognitive, affective, & behavioral neuroscience

Critical care medicine


JOGNN: Journal of obstetric, gynecologic, and neonatal nursing

Journal of neurosurgery

Journal of traumatic stress


Looking for the latest journal issues?
All our journal titles with electronic access are available via the A-Z Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the A-Z Journal List, please use our online document delivery form.


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