Palliative Medicine in Practice

Palliative Medicine in Practice "Palliative Medicine in Practice" - official journal of the Polish Association of Palliative Care.

A new single-centre experience from Guimarães (Portugal) describes a Home Support Mobile Unit (HSMU) delivering high-dos...
27/02/2026

A new single-centre experience from Guimarães (Portugal) describes a Home Support Mobile Unit (HSMU) delivering high-dose IV furosemide at home (predominantly continuous infusion) for patients with advanced heart failure (NYHA III–IV) and recurrent decompensations.

In 28 AHF patients treated between 2018–2025, home IV diuretics were associated with a meaningful drop in healthcare utilization (hospitalizations ± ED visits), with complications uncommon and manageable (mainly renal/electrolyte issues) under close HF nurse + cardiologist supervision.

If you’re building multidisciplinary, home-based/palliative HF pathways, this is a practical model worth looking at.

Authors: Margarida Castro, Bárbara Lage Garcia, Luísa Pinheiro, Filipa Cardoso, Emídio Mata, Mariana Tinoco, Mónica Rebelo, Bebiana Faria, João Português, António Lourenço, Filipa Almeida

Cancer care isn’t only about treatment — it’s also about how patients are received back into everyday life.Authors stand...
17/02/2026

Cancer care isn’t only about treatment — it’s also about how patients are received back into everyday life.

Authors standardize the Oncology Patients Social Acceptance Questionnaire (OSA-7): a brief 7-item tool designed to quantify social acceptance (and potential stigma-related distance) toward people with cancer.

In a Polish adult sample (n=200), the scale showed solid psychometrics and a clear one-factor structure — but the most “actionable” insight is that even generally supportive attitudes can still coexist with discomfort about how to talk/react in real-life relationships. That’s exactly the gap many psycho-oncology and public-education initiatives aim to close.

Authors: Mateusz Grajek, Tomasz Jurys

🧠 How does the public understand “futile therapy” in end-of-life / ICU decision-making?A nationwide Polish survey (n=1,0...
16/02/2026

🧠 How does the public understand “futile therapy” in end-of-life / ICU decision-making?

A nationwide Polish survey (n=1,019 adults) suggests that while many respondents can broadly identify futile therapy, detailed awareness of patients’ rights and legal/ethical frameworks remains limited—and a meaningful proportion still conflates withdrawal of futile therapy with euthanasia.

What should weigh most in discontinuation decisions: prognosis, suffering, patient will, or family input? The answers may surprise clinicians working at the bedside.

Authors: Patryk Wruck, Kinga Karbowiak, Dominika Gargula, Jakub Waliszewski, Julia Furtak, Jakub Klamecki, Szymon Pełczyński

Dear Authors, Dear Readers,To ensure the highest quality of scholarly communication and faster dissemination of research...
30/01/2026

Dear Authors, Dear Readers,

To ensure the highest quality of scholarly communication and faster dissemination of research, Palliative Medicine in Practice (Via Medica) will transition to a Continuous Publishing (CP) model starting 1 January 2026.

What is Continuous Publishing?
- Articles are published online as soon as peer review, editorial, production, and publishing workflows are complete—no need to wait for a full issue.

For Authors
- Shorter time from acceptance to publication
- Each article is the core unit (no issue assignment, no traditional page numbering)
- Clear identifiers: DOI, article number (e-locator), and annual volume attribution
- Peer-review, editorial requirements, and ethics remain unchanged
- The online article is the final version of record (corrections via erratum or, when justified, retraction)

For Readers
- Immediate access to the most recent content—no issue-based delays
- Clear archive organized by year and annual volume
- Modern, DOI-based citations for precise referencing

What stays the same
- The journal’s scientific scope
- Peer-review standards
- Indexing in scholarly databases
- The annual volume’s bibliographic and archival role

By adopting CP, we align the journal with contemporary scholarly communication, increase timeliness, and reduce time-to-access for our community.

Yours sincerely,
Publisher – Via Medica

❤️ New issue out now: “Palliative Medicine in Practice”, Vol. 19, No. 4 (2025)Dear Readers,we’re pleased to share the la...
30/12/2025

❤️ New issue out now: “Palliative Medicine in Practice”, Vol. 19, No. 4 (2025)

Dear Readers,
we’re pleased to share the latest issue of Palliative Medicine in Practice — the official journal of the Polish Association for Palliative Care. This number features 2 original research papers, 4 reviews, 2 brief communications, 1 case report, and a conference report.

🔹 ORIGINAL ARTICLES
• Spirituality and resilience in health professionals who provide palliative care — a correlational study in 106 clinicians shows a positive association between spirituality and resilience (Rho = 0.465, p < 0.001); self-awareness is the spirituality dimension most strongly linked to resilience. Practical takeaway: build protected spaces for reflective practice. (pp. 270–276)
• Palliative care physicians workforce in Saudi Arabia: demographics, distributions, and future challenges — 110 palliative physicians identified; physician-to-population ratio 1:292,500; only 9% of Ministry of Health hospitals provide palliative care. Highlights major regional disparities and calls for education and primary-care integration. (pp. 277–284)

🔹 REVIEW ARTICLES
• Spirituality in palliative care: a systematic review of aromatherapy interventions — comprehensive search; no eligible studies found → clear evidence gap for aromatherapy’s impact on spiritual well-being in PC. (pp. 285–290)
• Psychological aspects of mourning the loss to cancer — narrative review of bereavement mechanisms and risks of prolonged/complicated grief after oncologic death; emphasizes hospice/PC roles in prevention. (pp. 291–305)
• Perinatal palliative care in Poland: current legal status, organization, standards and guidelines — up-to-date overview of the legal/organizational framework and practice standards. (pp. 306–311)
• An overview of the role of artificial intelligence in palliative care: a quasi-systematic review — 17 studies summarized; current AI use concentrates on mortality prediction, emerging roles in CDS and communication; performance promising but practical communication tools still immature. (pp. 312–319)

🔹 BRIEF COMMUNICATIONS
• Integrating compassion and policy: Highlights from IAHPC Advocacy, 2025 — snapshot of IAHPC’s global efforts (WHA/WHO/INCB, LEAD2, interfaith & educational initiatives) to embed PC in UHC. (pp. 320–322)
• The role of family support in palliative care: challenges and best practices — literature review (PubMed, 09/2024): caregiver burden is substantial; training, multi-dimensional support and strong team communication are pivotal. (pp. 323–329)

🔹 CASE REPORT
• Combined tramadol and morphine overdose — a rare case report — successful management with naloxone and supportive care; underscores safety counseling and suicide-risk screening in opioid therapy. (pp. 330–333)

🔹 CONFERENCE REPORT
• Report from the IV International Zielonogórska Conference: Supportive Care, Palliative Medicine and Pain Management — national-scale meeting focused on integrating supportive and palliative care with oncology. (pp. 334–338)

Spiritual care competencies of physicians in palliative care — what does the evidence say?This scoping review (2013–2023...
10/12/2025

Spiritual care competencies of physicians in palliative care — what does the evidence say?
This scoping review (2013–2023; 12 studies) maps how physicians understand, learn, and deliver spiritual care in palliative settings. Key takeaways: spiritual care is integral to holistic practice; EAPC recommendations set clear competency domains (self-reflection, spiritual history & assessment, integrating needs into care plans, cultural/religious sensitivity); and concise, hands-on training measurably improves clinicians’ confidence—and in some studies, patient outcomes. The authors also note a research gap and implementation lag in Central/Eastern Europe, pointing to the need for tailored curricula. Curious about the tools (e.g., F**A, FACIT-Sp) and training formats that actually work?

Authors: Anna Francesca Łęcka; Małgorzata Joanna Fopka-Kowalczyk; Anna Bogusława Pilewska-Kozak; Małgorzata Krajnik.
📖 Full text: https://journals.viamedica.pl/palliative_medicine_in_practice/article/view/109048

Can sleep hygiene reduce anxiety and depression in dialysis patients?In this systematic review and meta-analysis, the au...
01/12/2025

Can sleep hygiene reduce anxiety and depression in dialysis patients?

In this systematic review and meta-analysis, the authors evaluated the impact of sleep hygiene interventions — including education and behavioral strategies — on anxiety and depression levels in patients undergoing hemodialysis.
The results from four randomized controlled trials show that sleep hygiene significantly reduces depressive symptoms and may also help alleviate anxiety, making it a promising complementary therapy in clinical nephrology and palliative care.

Authors: Imelda Ayunitias, Erna Rochmawati
📖 Read the full article: https://journals.viamedica.pl/palliative_medicine_in_practice/article/view/101864

Body image & social functioning in Polish patients with facial/head BCC on vismodegib — what really matters?Prospective ...
22/10/2025

Body image & social functioning in Polish patients with facial/head BCC on vismodegib — what really matters?
Prospective multicentre survey (n=61; 5 Polish centres; Jan–Nov 2021) of patients with facial/head BCC treated in the national drug program with vismodegib assessed perceived social functioning (custom questionnaire; Cronbach α=0.78) and Body Esteem Scale domains.
Key findings:
• Older age correlated with higher perceived support (family/friends) and fewer shame/avoidance responses. Social support appears protective.
• Social functioning limitations correlated with negative head/face body image (rho −0.41 and −0.354, respectively).
• No overall correlation between number of treatments and limitations in social functioning; a weak link existed only with the item “I limit contacts because I’m ashamed of how I look.”
• Frequently reported AEs on vismodegib: hair loss 50.8%, muscle cramps 49.2%, loss of appetite 49.2%, taste disturbance 39.3%.
Clinical takeaway: incorporate psycho-oncology and prehabilitation early; address UV risk education; monitor body-image concerns—especially in younger/lonelier patients or those with highly visible lesions.

Authors: Izabela Łasińska; Jan Gruszka; Natalia Ulaniecka; Radosław Trepanowski; Monika Słowińska; Sabina Gancorz; Agnieszka Pietruszka; Bożena Cybulska-Stopa; Tomasz Świtaj; Krzysztof Składowski; Piotr Rutkowski; Witold Owczarek; Jacek Mackiewicz.

📖 Full text: https://journals.viamedica.pl/palliative_medicine_in_practice/article/view/106508

📢 Palliative Medicine in Practice — New Issue Alert!We’re excited to share that Vol. 19, No. 3 (2025) is now online. Thi...
25/09/2025

📢 Palliative Medicine in Practice — New Issue Alert!
We’re excited to share that Vol. 19, No. 3 (2025) is now online. This issue brings fresh research on measurement tools in pediatric neuromuscular care and spiritual well-being, timely reviews on symptom management and family support, instructive case series, and a conference report from a milestone year for our community. Happy reading!

Dear Readers,
We are pleased to announce that the new issue of Palliative Medicine in Practice is available online. We hope you enjoy your reading!
— Editorial Board of Palliative Medicine in Practice

Editorial
• Palliative, supportive, and hospice care should be provided to all patients and caregivers who need it

Research papers
• The reliability and validity of the Greek version of the Pediatric Quality of Life Inventory™ 3.0 Duchenne muscular dystrophy module in children with Duchenne muscular dystrophy
• The qualitative analysis of the cultural adaptation process of FACIT-Sp-Ex among chronically ill patients in Poland

Review papers
• Are post-operative preventative measures effective in breast cancer-related lymphedema? A systematic review
• Effectiveness of sleep hygiene on anxiety and depression in patients undergoing hemodialysis
• Metamizole (dipyrone) for multimodal analgesia in postoperative pain in adults
• An overview of the role of family support in palliative care: a quasi-systematic review

Case reports
• Pigtail catheter as an alternative option for malignant pleural effusion other than pleurodesis: a case series
• Uterine phantom pain syndrome

Conference materials
• Report from the 17th International Conference of the Journal Palliative Medicine in Practice following the 19th EAPC Congress, and the 30th Anniversary of the Department of Palliative Medicine, Medical University of Gdańsk

📖 Explore the full table of contents on our website:
https://journals.viamedica.pl/palliative_medicine_in_practice/issue/archive?issueId=6681

🌿 Palliative Medicine in Practice — Under the Patronage of Leading Polish Medical SocietiesWe are pleased to announce th...
22/08/2025

🌿 Palliative Medicine in Practice — Under the Patronage of Leading Polish Medical Societies

We are pleased to announce that Palliative Medicine in Practice, the official journal of the Polish Association of Palliative Care ( Polskie Towarzystwo Opieki Paliatywnej ) — an Associate Member of the European Association for Palliative Care - EAPC Vzw (EAPC) — is now proudly under the patronage of:

🧠 The Polish Psycho-Oncology Society ( Polskie Towarzystwo Psychoonkologiczne )

💊 The Polish Association for the Study of Pain

This recognition highlights the journal's commitment to interdisciplinary collaboration and its crucial role in advancing palliative and supportive care for patients with cancer and chronic diseases.

Palliative Medicine in Practice is:

✅ Peer-reviewed

✅ Open access

✅ Published quarterly

✅ Indexed and international

Since 2007, the journal has served as an educational platform for a wide range of healthcare professionals: physicians, nurses, physiotherapists, psychologists, pharmacists, social workers, chaplains, and volunteers. It features original research, systematic reviews, clinical vignettes, editorials, and more — all reviewed through a rigorous double-blind process.

📘 The electronic version is the primary edition, with free access to all past and current volumes.

🔬 Editor-in-Chief: Prof. Wojciech Leppert, MD, PhD

We invite authors and readers alike to explore, contribute, and share in this growing body of knowledge dedicated to holistic, patient-centered care.

📎 Visit the journal online and submit your manuscript today!
https://journals.viamedica.pl/palliative_medicine_in_practice/index

🎓 Can duloxetine outperform pregabalin in managing chemotherapy-induced neuropathy?📚 A new randomized clinical trial, pu...
21/07/2025

🎓 Can duloxetine outperform pregabalin in managing chemotherapy-induced neuropathy?
📚 A new randomized clinical trial, published in Palliative Medicine in Practice, explores a critical question in supportive oncology: Which agent is more effective and better tolerated for chemotherapy-induced peripheral neuropathic pain (CIPN) — pregabalin or duloxetine?

🔷 Conducted at a tertiary care center in India, the study compared both drugs over a 4-week treatment period using validated tools such as the Numerical Rating Scale (NRS) and the DN4 questionnaire.

🔷 Beyond efficacy, the authors examined tolerability profiles and patient-reported outcomes, offering practical insight into real-world decision-making for managing CIPN.

💬 The findings reveal notable differences in both clinical outcomes and side-effect profiles — with implications for first-line pharmacologic choices in CIPN management.

👀 Want to see how pain scores changed week by week for both drugs?
🔍 Take a closer look at Figure 2 in the full article.

🔗 Full text available open access here:
👉 https://journals.viamedica.pl/palliative_medicine_in_practice/article/view/100998

Adres

Department Of Palliative Medicine, Department Of Family Medicine, MedicAleja University Of Gdańsk, Ul Dębinki 2
Gdansk
80-211

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