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Journal of Pain and Symptom Management

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https://www.readbyqxmd.com/read/28196785/clinical-and-socio-demographic-predictors-of-home-hospice-patients-dying-at-home-a-retrospective-analysis-of-hospice-care-association-s-database-in-singapore
#1
Yee Song Lee, Ramaswamy Akhileswaran, Marcus Ong Eng Hock, Win Wah, David Hui, Sheryl Hui-Xian Ng, Gerald Koh
CONTEXT: Hospice care can be delivered in different settings but many patients choose to receive it at home because of familiar surroundings. Despite their preferences, not every home hospice patient manages to die at home. OBJECTIVE: To examine the independent factors associated with home hospice patient dying at home. METHOD: Retrospective analysis of Hospice Care Association (HCA)'s database. HCA is the largest home hospice provider in Singapore...
February 11, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28196784/addressing-palliative-care-clinician-burnout-in-organizations-a-workforce-necessity-an-ethical-imperative
#2
Krista L Harrison, Elizabeth Dzeng, Christine S Ritchie, Tait D Shanafelt, Arif H Kamal, Janet H Bull, Jon C Tilburt, Keith M Swetz
Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable and complex; access to care is often outstripped by need; and demand for clinical experts will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians...
February 11, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28196783/symptom-cluster-trajectories-during-chemotherapy-in-breast-cancer-outpatients
#3
Hsin-Tien Hsu, Kuan-Chia Lin, Li-Min Wu, Chiung-Hui Juan, Ming-Feng Hou, Shiow-Li Hwang, Yi Liu, Marylin J Dodd
CONTEXT: Breast cancer patients often experience multiple symptoms and substantial discomfort. Some symptoms may occur simultaneously and throughout the duration of chemotherapy treatment OBJECTIVES: The aim of this study was to investigate symptom severity and symptom cluster trajectories during chemotherapy in outpatients with breast cancer in Taiwan. METHODS: This prospective, longitudinal, repeated measures study administered a standardized questionnaire (M...
February 11, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28193501/empirical-clinical-research-in-continuous-deep-sedation-at-the-end-of-life
#4
LETTER
Mohamed Y Rady, Joseph L Verheijde
No abstract text is available yet for this article.
February 10, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28192228/re-impact-of-radiation-therapy-on-aggressive-care-and-quality-of-life-near-death
#5
LETTER
Sibel Ocak Serin, Gulsah Karaoren, António M Esquinas
No abstract text is available yet for this article.
February 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28192227/frail-phenotype-might-be-associated-with-higher-appendicular-but-not-truncal-fat-among-end-stage-renal-disease-patients
#6
LETTER
Chia-Ter Chao, Ding-Cheng Chan, Jenq-Wen Huang
No abstract text is available yet for this article.
February 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28192226/use-of-preventive-medication-in-patients-with-limited-life-expectancy-a-systematic-review
#7
REVIEW
Arjun Poudel, Patsy Yates, Debra Rowett, Lisa M Nissen
CONTEXT: Optimal prescribing in patients with limited life expectancy remains unclear. OBJECTIVES: This study systematically reviews the published literature regarding the use of preventive medication in patients with reduced life expectancy. METHODS: A systematic literature search was conducted using three databases (MEDLINE, EMBASE and CINAHL). Articles published in English from January 1995 to December 2015 were retrieved for analysis to identify peer-reviewed, observational studies assessing use of preventive medications in patients with limited life expectancy...
February 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28192225/a-randomized-trial-of-yoga-for-children-hospitalized-with-sickle-cell-vaso-occlusive-crisis
#8
Karen Moody, Bess Abrahams, Rebecca Baker, Ruth Santizo, Deepa Manwani, Veronica Carullo, Doris Eugenio, Aaron Carroll
CONTEXT: Sickle cell disease (SCD) vaso-occlusive crisis (VOC) remains an important cause of acute pain in pediatrics and the most common SCD complication. Pain management recommendations in SCD include nonpharmacological interventions. Yoga is one nonpharmacological intervention that has been shown to reduce pain in some populations, however, evidence is lacking in children with VOC. OBJECTIVES: The primary objective of this study was to compare the effect of yoga versus an attention control on pain in children with VOC...
February 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28192224/qualitative-study-on-the-perceptions-of-terminally-ill-cancer-patients-and-their-family-members-regarding-end-of-life-experiences-focusing-on-palliative-sedation
#9
Young Eun, In-Wha Hong, Eduardo Bruera, Jung Hun Kang
CONTEXT: Patients with terminal cancer experience refractory symptoms in the last days of life. Although palliative sedation (PS) is recommended for patients suffering unbearable symptoms with imminent death, it requires clear communication between physicians and patients/caregivers. Understanding the demands and perceptions of patients and caregivers in the end-of-life phase are needed for effective communication. OBJECTIVE: To explore patient experiences regarding end-of-life status and PS...
February 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28189769/decision-making-regarding-the-place-of-end-of-life-cancer-care-the-burden-on-bereaved-families-and-related-factors
#10
Sena Yamamoto, Harue Arao, Eiko Masutani, Miwa Aoki, Megumi Kishino, Tatsuya Morita, Yasuo Shima, Yoshiyuki Kizawa, Satoru Tsuneto, Maho Aoyama, Mitsunori Miyashita
CONTEXT: Decision-making regarding the place of end-of-life care is an important issue for patients with terminal cancer and their families. It often requires surrogate decision-making, which can be a burden on families. OBJECTIVES: To explore the burden on the family of patients dying from cancer related to the decisions they made about the place of end-of-life care, and investigate the factors affecting this burden. METHODS: This was a cross-sectional mail survey using a self-administered questionnaire...
February 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28189768/the-2015-class-of-hospice-palliative-medicine-fellows-from-training-to-practice-implications-for-hpm-workforce-supply
#11
Dale Lupu, Ed Salsberg, Leo Quigley, Xiaoli Wu
CONTEXT: A relatively new specialty, Hospice and Palliative Medicine (HPM) is unusual in that physicians can enter from 10 different specialties. This study sought to understand where HPM physicians were coming from, where they were going to practice and the job market for HPM physicians. OBJECTIVES: Describe characteristics of the incoming supply of HPM physicians, their practice plans and experience finding initial jobs. METHODS: In October 2015, we conducted an on-line survey of physicians who completed accredited HPM fellowships the prior June...
February 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28188822/regarding-palliative-sedation
#12
LETTER
Robert Twycross
No abstract text is available yet for this article.
February 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28188821/re-the-equimeth2-trial
#13
LETTER
Rachel Parry, Samuel Fingas
No abstract text is available yet for this article.
February 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28185893/united-states-clergy-religious-values-and-relationships-to-end-of-life-discussions-and-care
#14
Michael J Balboni, Adam Sullivan, Andrea C Enzinger, Patrick T Smith, Christine Mitchell, John R Peteet, James Tulsky, Tyler VanderWeele, Tracy A Balboni
CONTEXT: While clergy interact with approximately half of U.S. patients facing end-of-life medical decisions, little is known about clergy-congregant interactions or clergy influence on end-of-life decisions. OBJECTIVE: To conduct a nationally representative survey of clergy beliefs and practices. METHODS: A mailed survey to a nationally representative sample of clergy completed in March 2015 with 1005 of 1665 responding (60% response rate)...
February 6, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28185892/lack-of-patient-clinician-concordance-in-cancer-patients-its-relation-with-patient-variables
#15
Kavita D Chandwani, Fengmin Zhao, Gary R Morrow, Teresa L Deshields, Lori M Minasian, Judith Manola, Michael J Fisch
CONTEXT: Patients with cancer are bothered by its diagnosis, treatment, and associated uncertainty. Lack of concordance (LOC) of patients' reporting of their symptoms and quality of life (QOL) with that of their clinicians has been observed in cancer care. However, information regarding the reporting of patients' bother due to aspects of cancer experience and their clinicians' assessment is lacking. OBJECTIVES: To describe cancer patients' bother due to aspects of their disease experience and explore the concordance (LOC) or a lack thereof between patients' and clinicians' reporting of patients' bother and factors associated with it...
February 6, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28185891/feasibility-of-a-telehealth-educational-program-on-self-management-of-pain-and-fatigue-in-adult-cancer-patients
#16
Gabrielle B Rocque, Karina I Halilova, Allyson L Varley, Courtney P Williams, Richard A Taylor, David G Masom, William J Wright, Edward E Partridge, Elizabeth A Kvale
BACKGROUND: Pain and fatigue are common symptoms among cancer patients and often lead to substantial distress. Innovative self-management programs for pain and fatigue are needed. OBJECTIVES: The primary objective was to assess the feasibility of a telehealth pain and fatigue self-management program among adult cancer patients. Secondary objectives included assessment of differences in patient characteristics, recruitment and retention of patients based on 2 screening strategies: (1) navigator-collected, patient-reported pain or fatigue and (2) in-clinic, physician-identified pain or fatigue...
February 6, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28104441/pc-facs-for-march-2017
#17
Marilyn Herleth
No abstract text is available yet for this article.
January 16, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28093312/palliative-medicine-and-preparedness-planning-for-patients-receiving-left-ventricular-assist-device-as-destination-therapy-challenges-to-measuring-impact-and-change-in-institutional-culture
#18
Brandon P Verdoorn, Angela J Luckhardt, Sara E Wordingham, Shannon M Dunlay, Keith M Swetz
CONTEXT: Although left ventricular assist devices as destination therapy (DT-LVAD) can improve survival, quality of life, and functional capacity in well-selected patients with advanced heart failure, there remain unique challenges to providing quality end-of-life care in this population. Palliative care involvement is universally recommended, but how to best operationalize this care and measure success is unknown. OBJECTIVES: To characterize the process of preparedness planning (PP) for patients receiving DT-LVAD at our institution and better understand opportunities for quality improvement or procedural transferability...
January 16, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28065700/integrating-supportive-care-principles-into-dialysis-decision-making-a-primer-for-palliative-medicine-providers
#19
Alvin H Moss
Despite advances in pre-dialysis care and dialysis technology, patients with advanced chronic kidney disease and end-stage renal disease continue to experience multiple comorbidities, a high symptom burden, a shortened life expectancy and substantial physical, emotional, and spiritual suffering. Patients with acute kidney injury and end-stage renal disease, especially if they are older, often undergo prolonged hospitalizations, greater use of intensive medical treatment, and limited survival. Unfortunately, most nephrologists are not trained to conduct shared decision-making conversations to elicit patients' values, preferences, and goals for treatment and address their patients' multifactorial suffering...
January 5, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28063869/healing-touch-positively-sharing-energy-in-a-pediatric-hospital
#20
Meaghann Weaver
No abstract text is available yet for this article.
January 4, 2017: Journal of Pain and Symptom Management
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