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Journal of Pain and Symptom Management

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https://www.readbyqxmd.com/read/29792980/language-used-by-health-care-professionals-to-describe-dying-at-an-acute-care-hospital
#1
Kirsten Wentlandt, Philippe Toupin, Natalia Novosedlik, Lisa W Le, Camilla Zimmermann, Ebru Kaya
PURPOSE: To understand the language used to describe the deterioration and death of patients in an acute academic tertiary care centre, and to identify whether patient diagnoses or palliative care(PC) involvement was associated with clearer descriptions of this process. METHODS: We conducted a retrospective chart review of the final admission of 150 patients who died on an inpatient internal medicine unit. Conventional and summative content analysis was performed of the language used to describe, either directly or indirectly, that the patient's death was imminent...
May 21, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29792979/immune-checkpoint-inhibitor-toxicity-review-for-the-palliative-care-clinician
#2
Eric D Hansen, Xiao Wang, Amy A Case, Igor Puzanov, Tom Smith
Immune checkpoint inhibitors (ICI) have opened an exciting chapter in the treatment of patients with advanced cancer. For the palliative care clinician, however, ICI present several new challenges, including new ways to define treatment success, as well as treatment-related toxicities which differ in nature and timing from traditional chemotherapy. In this article, we review the mechanism of action of immune checkpoint inhibitors, as well as selected published data supporting the efficacy of ICI in patients with advanced cancer...
May 21, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29792978/caution-vigilance-and-personalization-a-must-for-any-opioid-conversion
#3
LETTER
Akhila Reddy, Yvonne Heung, Eduardo Bruera
No abstract text is available yet for this article.
May 21, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29792977/hydromorphone-conversion-dilemma-a-millennial-problem
#4
LETTER
Anessa M Foxwell, Tanya J Uritsky
No abstract text is available yet for this article.
May 21, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29783004/-the-thing-that-really-gets-me-is-the-future-symptomatology-in-older-homeless-adults-in-the-hope-home-study
#5
Adam Bazari, Maria Patanwala, Lauren M Kaplan, Colette L Auerswald, Margot B Kushel
CONTEXT: The homeless population is aging. Older homeless adults experience premature development of age-related conditions and an elevated symptom burden. Little is known about symptom experience among older homeless adults. OBJECTIVES: To characterize the experience, understanding, and management of physical, psychological, social (e.g. loneliness), and existential (e.g. regret, loss of dignity) symptoms among older homeless adults. METHODS: We conducted semi-structured interviews from June 2016 through March 2017 with a purposive sample of participants from the HOPE HOME cohort, a longitudinal study of homeless adults ages 50 and older...
May 18, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29775694/advance-care-planning-in-a-multi-cultural-family-centric-community-a-qualitative-study-of-healthcare-professionals-patients-and-caregivers-perspectives
#6
Sumytra Menon, Marijke Kars, Chetna Malhotra, Alastair V Campbell, J J M van Delden
CONTEXT: Advance care planning has been shown to improve end-of-life care but it was developed in the USA and most research has been conducted in western communities. OBJECTIVES: We aimed to study the attitudes and perceptions of patients with life-limiting illnesses, informal caregivers, doctors, nurses and medical social workers regarding advance care planning in a multi-cultural family-centric community. METHODS: We conducted an explorative qualitative study, using focus groups and individual in-depth interviews...
May 15, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29775693/comparison-of-coping-psychological-distress-and-level-of-functioning-in-patients-with-gastric-and-colorectal-cancer-prior-to-adjuvant-chemotherapy
#7
Caterina Calderón, Paula Jimenez-Fonseca, Carlos Jara, Raquel Hernández, Eva Martínez de Castro, Sonal Varma, Ismael Ghanem, Alberto Carmona-Bayonas
CONTEXT-: Patients with gastrointestinal cancers are at high risk for functional problems that are generally accompanied by a decline in their overall status and intense psychological distress. OBJECTIVES: This study compares the level of functioning in individuals with gastric cancer (GC) and colorectal cancer (CRC) and analyzes whether improved functioning can be explained by patients' psychological status and coping strategies. METHODS: Prospective, transversal, multicenter study in patients with non-metastatic GC and CRC prior to initiating adjuvant chemotherapy...
May 15, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29775692/exploring-canadian-physicians-experiences-providing-medical-assistance-in-dying-a-qualitative-study
#8
Narges Khoshnood, Marie-Clare Hopwood, Bhadra Lokuge, Allison Kurahashi, Anastasia Tobin, Sarina Isenberg, Amna Husain
CONTEXT: MAiD allows a practitioner to administer or prescribe medication for the purpose of ending a patient's life. In 2016, Canada was the latest country, following several European countries and American states, to legalize physician-assisted death. Although some studies report on physician attitudes towards MAiD or describe patient characteristics, there are few that explore the professional challenges faced by physicians who provide MAiD. OBJECTIVES: To explore the professional challenges faced by Canadian physicians who provide MAiD...
May 15, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29775691/pain-in-maintenance-hemodialysis-patients-a-multicenter-study
#9
Tatiana Talya Fleishman, Jacob Dreiher, Pesach Shvartman
CONTEXT: Pain is a common complaint in maintenance hemodialysis (MHD) patients, yet is often inadequately assessed and undertreated. OBJECTIVES: To evaluate the prevalence, characteristics, intensity, and impact of pain in MHD patients. METHODS: In a cross-sectional study conducted between 2013 and 2015, 336 MHD patients from five hemodialysis units in hospitals owned by Clalit were interviewed and evaluated. Study tools included the Brief Pain Inventory, The Leeds Assessment of Neuropathic Symptoms and Signs pain scale, demographic and clinical characteristics...
May 15, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29772282/talking-about-palliative-sedation-with-the-family-informed-consent-versus-assent-and-a-better-framework-for-explaining-potential-risks
#10
LETTER
Jun Hamano, Tatsuya Morita, Masanori Mori, Yosuke Uchitomi
No abstract text is available yet for this article.
May 14, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29772281/geriatric-oncology-spirituality-and-palliative-care
#11
Lodovico Balducci
Cancer is a major cause of morbidity and mortality for older individuals. Palliative care is essential to improve the outcome of cancer treatment in terms of quality of life and treatment satisfaction. This review examines the influence of spirituality on aging in general and on the management of older cancer patients. A spiritual perspective has been associated with successful aging, and with better tolerance of physical and emotional stress, including the ability to cope with serious diseases and with isolation...
May 14, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29772280/an-analysis-of-palliative-care-development-in-africa-a-ranking-based-on-region-specific-macro-indicators
#12
John Y Rhee, Eduardo Garralda, Eve Namisango, Emmanuel Luyirika, Liliana de Lima, Richard A Powell, Jesús López-Fidalgo, Carlos Centeno
CONTEXT: To date, there is no study comparing palliative care (PC) development among African countries. OBJECTIVE: To analyze comparatively PC development in African countries based on region-specific indicators. METHODS: Data were obtained from the APCA Atlas of PC in Africa and a comparative analysis conducted. Nineteen indicators were developed and defined through qualitative interviews with African PC experts and a two-round modified Delphi consensus process with international experts on global PC indicators...
May 14, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29772279/pc-facs-may-1-2018
#13
Andie Bernard
No abstract text is available yet for this article.
May 14, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29753102/it-s-not-what-you-think-associations-between-perceived-cognitive-and-physical-status-and-prognostic-understanding-in-patients-with-advanced-cancer
#14
Keiko Kurita, Eugenia L Siegler, M Cary Reid, Renee C Maciejewski, Holly G Prigerson
CONTEXT: Patients with advanced cancer often overestimate their time left to live. Those who have heightened awareness of their cognitive and physical deficits at the end of life may have a better prognostic understanding. OBJECTIVES: We sought to investigate the extent to which patients' self-reports of physical well-being and cognitive function were associated with prognostic understanding. METHODS: Logistic regression analyzed data from Coping with Cancer II, a National Cancer Institute-funded study of patients with advanced cancer from nine US cancer clinics...
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29753101/validation-of-the-amharic-version-of-the-brief-fatigue-inventory-bfi-am-for-assessment-of-cancer-related-fatigue-in-ethiopian-cancer-patients
#15
Girma Tekle Gebremariam, Abel Tesfaye Anshabo, Wondemagegnhu Tigeneh, Ephrem Engidawork
BACKGROUND: Even though cancer related fatigue (CRF) is a highly prevalent and distressing symptom associated with cancer and its treatment; it is mostly under-screened, under-assessed and under-treated. The Brief Fatigue Inventory (BFI) is a reliable and valid instrument to assess CRF. OBJECTIVE: To validate the BFI-Am for assessment of CRF in Ethiopian cancer patients. METHODS: The BFI-Am was developed from its original English version through standard forward-backward translation approach...
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29753100/quality-of-life-symptoms-and-self-management-strategies-after-gastroesophageal-cancer-surgery
#16
LETTER
Oliver S Eng, Jae Y Kim, Nora Ruel, Dan J Raz, Loretta Erhunmwunsee, Laleh G Melstrom, Joseph Chao, Yanghee Woo, Joseph Kim, Virginia Sun
No abstract text is available yet for this article.
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29753099/validation-of-the-dyspnea-exertion-scale-of-breathlessness-in-people-with-life-limiting-illness
#17
Jacob Sandberg, Miriam J Johnson, David C Currow B Med, Magnus Ekström
BACKGROUND: Although chronic breathlessness is common in life-limiting illnesses, validated, feasible instruments to measure functional impact of the symptom in this population are scarce. We aimed to validate the Dyspnea Exertion Scale (DES) compared with the modified Medical Research Council (mMRC) breathlessness scale for test-retest reliability, concurrent validity and responsiveness in people with life-limiting illness. METHODS: A total of 188 participants, 66% male, with chronic breathlessness mostly (70%) due to chronic pulmonary disease (COPD) self-reported evening scores of mMRC, DES, Numerical rating scale (NRS) and Eastern Cooperative Oncology Group (ECOG) over 9 days...
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29730455/the-paradox-of-hospice-for-caregivers-of-cancer-patients
#18
LETTER
Audrey S Wallace, Debra Parker Oliver, George Demiris, Karla Washington, Jamie Smith
No abstract text is available yet for this article.
May 3, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29729350/secondary-traumatization-and-proneness-to-dissociation-among-palliative-care-workers-a-cross-sectional-study
#19
Tali Samson, Pesach Shvartzman
CONTEXT: Exposure to dying patients can contribute to secondary traumatic stress among palliative care workers. Peritraumatic dissociation, an individual's personal proneness to dissociation during exposure to a stressful event, is the strongest predictor of post-traumatic stress, but existing research on its relationship to secondary traumatic stress is limited. OBJECTIVE: To compare the level of secondary traumatic stress among palliative workers with clinical levels of peritraumatic dissociation compared to those without clinical levels of peritraumatic dissociation...
May 2, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29729349/gabapentin-to-prevent-acute-phantom-limb-pain-in-pediatric-patients-undergoing-amputation
#20
LETTER
Mark C Kendall, Lucas J Castro-Alves
No abstract text is available yet for this article.
May 2, 2018: Journal of Pain and Symptom Management
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