Charles F Von Gunten

Summary

Affiliation: San Diego Hospice
Country: USA

Publications

  1. ncbi Financing palliative care
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, 4311 Third Avenue, San Diego, CA 92103, USA
    Clin Geriatr Med 20:767-81, viii. 2004
  2. ncbi Interventions to manage symptoms at the end of life
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, California 92103 1407, USA
    J Palliat Med 8:S88-94. 2005
  3. pmc Development and evaluation of a palliative medicine curriculum for third-year medical students
    Charles F Von Gunten
    Institute for Palliative Medicine, San Diego Hospice, San Diego, CA 92103, USA
    J Palliat Med 15:1198-217. 2012
  4. doi Evolution and effectiveness of palliative care
    Charles F Von Gunten
    Institute for Palliative Medicine at San Diego Hospice and the University of California, San Diego, CA 92103, USA
    Am J Geriatr Psychiatry 20:291-7. 2012
  5. ncbi Flecainide for the treatment of chronic neuropathic pain: a Phase II trial
    Charles F Von Gunten
    Northwestern University, Chicago, Illinois, USA
    Palliat Med 21:667-72. 2007
  6. ncbi Fast facts and concepts #45. Medical management of bowel obstruction
    Charles von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:739-40. 2002
  7. ncbi The right stuff to advance the science of comfort
    Charles F Von Gunten
    Moores University of California San Diego Cancer Center, USA
    J Support Oncol 5:127-8. 2007
  8. ncbi The academic hospice
    Charles F Von Gunten
    San Diego Hospice and Palliative Care, San Diego, California, USA
    Ann Intern Med 143:655-8. 2005
  9. ncbi Residents from five training programs report improvements in knowledge, attitudes and skills after a rotation with a hospice program
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, CA 92103, USA
    J Cancer Educ 18:68-72. 2003
  10. ncbi Development of a medical subspecialty in palliative medicine: progress report
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92116, USA
    J Palliat Med 7:209-19. 2004

Research Grants

  1. Palliative Care Curriculum for 3rd-Year Medical Students
    Charles von Gunten; Fiscal Year: 2007
  2. Academic Palliative Care
    Charles von Gunten; Fiscal Year: 2008

Detail Information

Publications69

  1. ncbi Financing palliative care
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, 4311 Third Avenue, San Diego, CA 92103, USA
    Clin Geriatr Med 20:767-81, viii. 2004
    ..Cost avoidance is calculated based on the patterns of care of the patients seen compared with control patients. Most programs also use grants and philanthropy as part of their "mix."..
  2. ncbi Interventions to manage symptoms at the end of life
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, California 92103 1407, USA
    J Palliat Med 8:S88-94. 2005
    ..The health care system interventions that are effective in hospice care must be studied so that they can be broadly applied to the care of all dying Americans...
  3. pmc Development and evaluation of a palliative medicine curriculum for third-year medical students
    Charles F Von Gunten
    Institute for Palliative Medicine, San Diego Hospice, San Diego, CA 92103, USA
    J Palliat Med 15:1198-217. 2012
    ....
  4. doi Evolution and effectiveness of palliative care
    Charles F Von Gunten
    Institute for Palliative Medicine at San Diego Hospice and the University of California, San Diego, CA 92103, USA
    Am J Geriatr Psychiatry 20:291-7. 2012
    ..What is the evidence for the effectiveness of palliative medicine?..
  5. ncbi Flecainide for the treatment of chronic neuropathic pain: a Phase II trial
    Charles F Von Gunten
    Northwestern University, Chicago, Illinois, USA
    Palliat Med 21:667-72. 2007
    ..Management of neuropathic pain is challenging. Medications that interfere with sodium channel transport, such as lidocaine, mexilitene and flecainide, are promising as analgesics...
  6. ncbi Fast facts and concepts #45. Medical management of bowel obstruction
    Charles von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:739-40. 2002
  7. ncbi The right stuff to advance the science of comfort
    Charles F Von Gunten
    Moores University of California San Diego Cancer Center, USA
    J Support Oncol 5:127-8. 2007
  8. ncbi The academic hospice
    Charles F Von Gunten
    San Diego Hospice and Palliative Care, San Diego, California, USA
    Ann Intern Med 143:655-8. 2005
    ..Finally, the authors note that demographic and economic challenges in the United States and elsewhere only increase the need for academic hospice programs...
  9. ncbi Residents from five training programs report improvements in knowledge, attitudes and skills after a rotation with a hospice program
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, CA 92103, USA
    J Cancer Educ 18:68-72. 2003
    ..In addition, there is a Tuesday noon conference that follows a journal club format. Because of scheduling, residents from some programs are not able to attend all lectures and conferences...
  10. ncbi Development of a medical subspecialty in palliative medicine: progress report
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92116, USA
    J Palliat Med 7:209-19. 2004
    ..Such recognition will also encourage more physicians to enter the field and assure standards of care for those patients and their families who need it...
  11. ncbi Discussing do-not-resuscitate orders in the hospital setting: part 2
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, 4311 Third Avenue, San Diego, CA 92103 1407, USA
    J Palliat Med 5:417-8. 2002
  12. doi Optimism
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, California 92103, USA
    J Palliat Med 11:33-5. 2008
  13. ncbi Recommendations to improve end-of-life care through regulatory change in U.S. health care financing
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:35-41. 2002
    ....
  14. ncbi Why oncologists should refer patients earlier for hospice care
    Charles F Von Gunten
    Institute for Palliative Medicine at San Diego Hospice, San Diego, California 92103, USA
    Oncology (Williston Park) 25:1278-80, 1282-5. 2011
    ..In this article, prognostic data are summarized and a suggested approach for discussing hospice enrollment with patients is presented...
  15. ncbi Secondary and tertiary palliative care in US hospitals
    Charles F Von Gunten
    JAMA 287:875-81. 2002
    ..The case of Reverend J, a man with advanced cancer admitted to an acute palliative care unit in a teaching hospital, illustrates the use of secondary and tertiary clinical palliative care services in hospitals and health care systems...
  16. doi Pathophysiology of pain in cancer
    Charles F Von Gunten
    Institute for Palliative Medicine at San Diego Hospice, Third Avenue, San Diego, CA 92103, USA
    J Pediatr Hematol Oncol 33:S12-8. 2011
    ..Treatment modalities are chosen based on the demonstrated or presumed pathophysiology of cancer pain. When rational oral polypharmacy is used, cancer pain is controlled to the patient's satisfaction 70%-90% of the time...
  17. ncbi Discussing do-not-resuscitate orders in the hospital setting: part 1
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, California 92103 1407, USA
    J Palliat Med 5:415-7. 2002
  18. doi Teaching the family what to expect when the patient is dying # 149
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, CA 92103, USA
    J Palliat Med 11:503-5. 2008
  19. pmc Psychiatry resident education in palliative care: opportunities, desired training, and outcomes of a targeted educational intervention
    Scott A Irwin
    The Institute for Palliative Medicine at the San Diego Hospice, San Diego, CA 92103, USA
    Psychosomatics 52:530-6. 2011
    ....
  20. ncbi Discussing hospice care
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, CA 92103, USA
    J Clin Oncol 21:31s-36s. 2003
  21. ncbi Evidence of improved knowledge and skills after an elective rotation in a hospice and palliative care program for internal medicine residents
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, San Diego, California, USA
    Am J Hosp Palliat Care 22:195-203. 2005
    ..An important limitation of the study is that it is an elective; further studies with a required rotation and/or a control group are needed to confirm the findings...
  22. ncbi Competency in end-of-life care: last hours of life
    Frank D Ferris
    Palliative Care Standards Outcome Measures, San Diego Hospice and Palliative Care, 4311 Third Avenue, San Diego, CA 92103 1407, USA
    J Palliat Med 6:605-13. 2003
    ..Care does not end until the family has been supported with their grief reactions and those with complicated grief helped to get care. Care at the end of life is a core competency...
  23. ncbi Assessment of the Education for Physicians on End-of-Life Care (EPEC) Project
    Katya Robinson
    The EPEC Project, Buehler Center on Aging, Northwestern University Medical School, Chicago, IL 60611, USA
    J Palliat Med 7:637-45. 2004
    ..An assessment of its use to help the project reach its targets was performed...
  24. ncbi Management of dyspnea
    Jay R Thomas
    Center for Palliative Studies, San Diego Hospice, a teaching affiliate of the University of California, San Diego School of Medicine, USA
    J Support Oncol 1:23-32; discussion 32-4. 2003
    ..In rare cases where symptomatic treatment is unable to control dyspnea to the patient's satisfaction, sedation is an effective, ethical option...
  25. ncbi Progress for palliative medicine as a subspecialty
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, CA, USA
    J Support Oncol 3:267-8. 2005
  26. ncbi Pain in terminally ill patients: guidelines for pharmacological management
    Jay R Thomas
    Center for Palliative Studies, San Diego Hospice, San Diego School of Medicine, University of California, San Diego, California, USA
    CNS Drugs 17:621-31. 2003
    ..Given the complex aetiology of pain states, combinations of classes of adjuvants may sometimes be needed for effective treatment...
  27. ncbi Discussing do-not-resuscitate status
    Charles F Von Gunten
    Center for Palliative Studies, San Diego, CA, USA
    J Clin Oncol 21:20s-25s. 2003
  28. ncbi Treatment of dyspnea in cancer patients
    Jay R Thomas
    Center for Palliative Studies, San Diego Hospice and School of Medicine, University of California at San Diego, USA
    Oncology (Williston Park) 16:745-50; discussion 750, 755, 758-60. 2002
    ..When prescribed appropriately, respiratory depression is not a significant concern. In the rare cases in which opioids are unable to control dyspnea, sedation is an effective, ethical, and legal option...
  29. ncbi Intravenous lidocaine relieves severe pain: results of an inpatient hospice chart review
    Jay Thomas
    San Diego Hospice and Palliative Care, San Diego, California 92103, USA
    J Palliat Med 7:660-7. 2004
    ..Parenteral lidocaine has been reported to relieve neuropathic pain and/or pain refractory to opioid therapy...
  30. doi Palliative cancer care a decade later: accomplishments, the need, next steps -- from the American Society of Clinical Oncology
    Frank D Ferris
    San Diego Hospice and Palliative Care, San Diego, CA, USA
    J Clin Oncol 27:3052-8. 2009
    ..Herein we summarize the major accomplishments of ASCO regarding palliative cancer and highlight current needs and make recommendations to realize the Society's vision of comprehensive cancer care by 2020...
  31. ncbi Physician-nurse conflict: can nurses refuse to carry out doctor's orders?
    Michael E Frederich
    San Diego Hospice, San Diego, California 92103, USA
    J Palliat Med 5:155-8. 2002
  32. doi Pulmonary/Critical care physicians and hospice patients: billing specialty care for patients enrolled in a hospice program
    Shannon Moore
    Institute for Palliative Medicine at San Diego Hospice, San Diego, CA, USA
    Chest 137:1427-31. 2010
    ..Coding for specialist services related to hospice care is reviewed, as well as delineation of how and when reimbursement is better carried out through the Medicare hospice benefit, rather than through the usual reimbursement mechanisms...
  33. ncbi The role of palliative medicine in cancer patient care
    William M Mitchell
    University of California, San Diego, La Jolla 92093, USA
    Cancer Treat Res 140:159-71. 2008
  34. ncbi Assessment of palliative care needs
    Jeffrey N Stoneberg
    San Diego Hospice and Palliative Care, Center for Palliative Studies, 4311 Third Avenue, San Diego, CA 92103, USA
    Anesthesiol Clin 24:1-17. 2006
    ..We must devise a comprehensive and flexible plan so that any anticipated issues may be resolved quickly. As Sir William Osler stated, our goal as physicians is "to cure sometimes, to relieve often, to comfort always."..
  35. ncbi Correlation between myoclonus and the 3-glucuronide metabolites in patients treated with morphine or hydromorphone: a pilot study
    Shawn McCann
    The Institute for Palliative Medicine, San Diego Hospice, California, USA
    J Opioid Manag 6:87-94. 2010
    ..The 3-glucuronide metabolites of morphine and hydromorphone have been implicated as a causative factor for patients exhibiting myoclonus...
  36. ncbi Methadone: starting dosing information No. 86
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, 4311 Third Avenue, San Diego, CA 92103 1407, USA
    J Palliat Med 7:304-5. 2004
  37. pmc Ensuring competency in end-of-life care: controlling symptoms
    Frank D Ferris
    Buehler Center on Aging, Northwestern University, Chicago, USA
    BMC Palliat Care 1:5. 2002
    ..CONCLUSION: While some physicians will have specialist palliative care services upon which to call, most in the world will need to provide the initial approaches to symptom control at the end-of-life...
  38. ncbi Assessing the role of human recombinant hyaluronidase in gravity-driven subcutaneous hydration: the INFUSE-LR study
    Jay R Thomas
    San Diego Hospice and Palliative Care, San Diego, California
    J Palliat Med 10:1312-20. 2007
    ..Subcutaneous hydration has potential advantages over intravenous. Despite studies supporting the efficacy and safety of subcutaneous hydration it has not been studied extensively to date either with or without hyaluronidase...
  39. doi Nonpharmacological management of dyspnea
    Gary T Buckholz
    Institute for Palliative Medicine at San Diego Hospice, San Diego, California 92103, USA
    Curr Opin Support Palliat Care 3:98-102. 2009
    ..Dyspnea is a common symptom experienced by patients suffering from life-limiting illnesses. This review aims to summarize the nonpharmacological therapies that exist to treat this complex symptom...
  40. ncbi Current concepts in malignant bowel obstruction management
    Eric Roeland
    The Institute for Palliative Medicine at San Diego Hospice, 4311 Third Avenue, San Diego, CA 92103, USA
    Curr Oncol Rep 11:298-303. 2009
    ..This article discusses the current understanding of MBO pathophysiology and emphasizes current MBO management concepts; it then reviews surgical, interventional, and medical approaches...
  41. ncbi Clinical management of dyspnoea
    Jay R Thomas
    Center for Palliative Studies, San Diego Hospice, University of California, San Diego School of Medicine, San Diego, CA, USA
    Lancet Oncol 3:223-8. 2002
    ..In rare cases for which symptomatic treatment does not control dyspnoea to the patient's satisfaction, sedation is an effective, ethical option...
  42. ncbi Discussing hospice care
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice, San Diego, CA 92103, USA
    J Clin Oncol 20:1419-24. 2002
  43. ncbi Recognizing palliative medicine as a subspecialty: what does it mean for oncology?
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, University of California, San Diego, USA
    J Support Oncol 2:166-74. 2004
  44. ncbi The cancer education tribe needs to grow
    Charles F Von Gunten
    Center for Palliative Studies, San Diego Hospice and Palliative Care, USA
    J Cancer Educ 20:206-7. 2005
  45. ncbi Setting goals to maintain hope
    Jamie H Von Roenn
    Section of Medical Oncology, Northwestern University, Chicago, IL 60611, USA
    J Clin Oncol 21:570-4. 2003
  46. ncbi Mainstreaming palliative care
    Vyjeyanthi S Periyakoil
    Stanford University School of Medicine, Stanford, CA, USA
    J Palliat Med 10:40-2. 2007
  47. doi Oncologists and end-of-life care
    Charles F Von Gunten
    J Palliat Med 11:813. 2008
  48. ncbi Evidence for our opinions
    Charles F Von Gunten
    J Palliat Med 8:1084-5. 2005
  49. ncbi Initial voluntary program standards for fellowship training in palliative medicine
    J Andrew Billings
    Massachusetts General Hospital, Boston, Massachusetts, USA
    J Palliat Med 5:23-33. 2002
    ..An accreditation group modeled after an ACGME residency review committee will be formed to review and adopt the standards, then accredit programs voluntarily...
  50. ncbi Arrogance ignorance paradox
    Charles F Von Gunten
    J Palliat Med 8:898-9. 2005
  51. ncbi Pseudoaddiction
    Karin Porter-Williamson
    University of Kansas, Kansas City, Missouri, USA
    J Palliat Med 6:937-9. 2003
  52. ncbi Prevent and relieve suffering: professional palliative care
    Charles F Von Gunten
    Cancer Invest 21:963-4. 2003
  53. ncbi Improving knowledge in palliative medicine with a required hospice rotation for third-year medical students
    Karin Porter-Williamson
    Division of General and Geriatric Medicine, University of Kansas Medical Center, USA
    Acad Med 79:777-82. 2004
    ..S. and Canadian medical schools to teach end-of-life care. The purpose of this study was to evaluate a new required curriculum in palliative medicine for third-year medical students...
  54. doi Subcutaneous methylnaltrexone for the treatment of opioid-induced constipation in patients with advanced illness: a double-blind, randomized, parallel group, dose-ranging study
    Russell K Portenoy
    Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, New York 10003, USA
    J Pain Symptom Manage 35:458-68. 2008
    ..In conclusion, methylnaltrexone relieved opioid-induced constipation at doses >or=5mg in patients with advanced illness, and did not reduce analgesia or cause opioid withdrawal symptoms...
  55. ncbi Outcomes from a national multispecialty palliative care curriculum development project
    David E Weissman
    Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Palliat Med 10:408-19. 2007
    ..Between 1999 and 2004 this project was expanded to include 358 U.S. programs, from four specialties, based on new training requirements in internal medicine, family medicine, neurology, and general surgery...
  56. ncbi Who makes the rules?
    Charles F Von Gunten
    J Palliat Med 9:2-3. 2006
  57. ncbi Evaluating the California Hospital Initiative in Palliative Services
    Steven Z Pantilat
    Department of Medicine, University of California at San Francisco, 94143 0903, USA
    Arch Intern Med 166:227-30. 2006
    ..CHIPS included an introductory conference followed by 10 months of mentoring with telephone calls, e-mails, on-site consultation at the hospital, and a reunion conference...
  58. ncbi What role should the nephrologist play in the provision of palliative care?
    E L Siegler
    Division of Geriatrics and Gerontology, Weill Medical College of Cornell University, New York, New York 10021, USA
    J Palliat Med 5:759-62. 2002
  59. ncbi Bone marrow biopsy symptom control and palliative care consultation
    Charles F Von Gunten
    J Pain Symptom Manage 33:236-7. 2007
  60. ncbi Palliative care: infant or adolescent?
    Charles F Von Gunten
    J Palliat Med 7:746-7. 2004
  61. ncbi Is anything changing for the better?
    Charles F Von Gunten
    J Palliat Med 8:264-5. 2005
  62. ncbi Humpty-Dumpty Syndrome
    Charles F Von Gunten
    Palliat Med 21:461-2. 2007
  63. ncbi Innovations in palliative care
    Charles F Von Gunten
    J Palliat Med 8:694-5. 2005
  64. doi Missed opportunities: commentary on "The sentinel"
    Timothy J Moynihan
    Department of Medical Oncology, Mayo Clinic, 200 First St Southwest, Rochester, MN 55905, USA
    J Clin Oncol 26:1762-3. 2008
  65. ncbi Fellowship training in palliative medicine
    Charles F Von Gunten
    J Palliat Med 9:234-5. 2006
  66. ncbi Culture eats strategy for lunch
    Charles F Von Gunten
    J Palliat Med 10:1002. 2007
  67. doi Never mind
    Charles F Von Gunten
    J Palliat Med 11:669-70. 2008
  68. ncbi EPEC. Education for Physicians on End-of-Life Care
    Linda L Emanuel
    Am J Hosp Palliat Care 19:17; author reply 17-8. 2002
  69. doi Palliative Medicine. Impact
    Charles F Von Gunten
    J Palliat Med 11:536-7. 2008

Research Grants2

  1. Palliative Care Curriculum for 3rd-Year Medical Students
    Charles von Gunten; Fiscal Year: 2007
    ..Data will be compared with residents who have not been through the course as well as with residents and faculty participating in another study of education. ..
  2. Academic Palliative Care
    Charles von Gunten; Fiscal Year: 2008
    ..All reentered investigators are seeking NCI funding and have the potential to become independent investigators. ..