Journals Journal of Pain and Symptom Ma...

Journal of Pain and Symptom Management
Miryam Yusufov, Stacy E F Melanson, Phillip Kang, Benjamin Kematick, Gordon D Schiff, Isaac S Chua
CONTEXT: Opioid therapy is a cornerstone for treatment of cancer-related pain, but standardized management practices for patients with cancer and aberrant urine drug test (UDT) results are lacking. OBJECTIVES: To identify the prevalence of UDT ordering (both screening and definitive testing) in the oncology setting and to examine clinician management practices for patients with cancer on opioid therapy with aberrant definitive UDT results. METHODS: We conducted a retrospective chart review of patients with cancer on opioid therapy at an academic cancer center in the United States...
April 8, 2024: Journal of Pain and Symptom Management
Dominique Cranstoun, Michael Baliousis, Hannah Lena Merdian, Mike Rennoldson
OBJECTIVES: Depression, frequently associated with cancer, significantly impacts health outcomes, necessitating effective treatments. This systematic review and meta-analysis aim to synthesise and critically evaluate the evidence from Randomised Controlled Trials (RCTs) for the efficacy of nurse-led psychological interventions in managing depression among adult cancer patients. It focuses on the unique contribution of these interventions to improving depression management in oncology care, an underrepresented area in the existing literature...
April 5, 2024: Journal of Pain and Symptom Management
Rajeev Shrestha, Bruce Hayes, Arjun Poudel, Daniel Munday
CONTEXT: The government of Nepal adopted 2017 Nepalese National Strategy for Palliative Care (NSPC), which proposed that Essential Palliative Care Medicines (EPCMs) listed by International Association for Hospice and Palliative Care (IAHPC) should be available at each healthcare institution. In 2017 after the issuing of NSPC, the Lancet Commission developed an EPCM list. OBJECTIVE: To evaluate the inclusion of EPCMs recommended by both IAHPC and Lancet in national medicinal programmes, their availability and affordability in Nepal...
April 4, 2024: Journal of Pain and Symptom Management
(no author information available yet)
No abstract text is available yet for this article.
April 3, 2024: Journal of Pain and Symptom Management
Christine L Watt, Ian C Smith, Jill Rice, Rebekah Murphy, Ari Breiner, Maria Duff, Danica Nogo, Shirley H Bush, Susan McNeely, Usha Buenger, Belinda Zehrt, Jocelyn Zwicker
BACKGROUND: Palliative care (PC) benefits patients with amyotrophic lateral sclerosis (ALS), however the needs of patients and caregivers and the optimal timing of PC discussions remains unclear. This study reports the analysis of PC consult notes from a larger feasibility trial. The specific aims of this analysis were to i) identify the PC needs of patients with ALS via qualitative analysis and ii) identify characteristics of patients and caregivers that could predict specific PC needs...
April 2, 2024: Journal of Pain and Symptom Management
Avery Caz Glover, Zhimeng Jia, Kathleen Waybill, Tamara Vesel
CONTEXT: Despite being one of the fastest growing ethnic groups in the U.S., there exists a gap in how treatment preferences among Chinese Americans are expressed and enacted upon in inpatient settings. OBJECTIVES: To compare the rates of advance care documentation and life-sustaining treatment between Chinese American and White American ICU decedents. METHODS: In this matched retrospective decedent cohort study, we included four ICUs within a tertiary medical center located in a Chinatown neighborhood...
April 2, 2024: Journal of Pain and Symptom Management
Mellar Davis
No abstract text is available yet for this article.
April 1, 2024: Journal of Pain and Symptom Management
Nicholas P DeGroote, Ebonee Harris, Anna Lange, Karen Wasilewski-Masker, James L Klosky, Joanne Wolfe, Dio Kavalieratos, Katharine E Brock
BACKGROUND AND AIMS: Telehealth can improve care for patients with progressive cancer enrolling in hospice. Coordinated telehealth visits (patient/family-hospital-hospice) may improve communication, satisfaction with and interdisciplinary hospice collaboration. This pilot examines the impact of three coordinated telehealth visits on these outcomes. METHODS: This is a prospective pilot study of 0-29-year-old patients with cancer initiating hospice care between 2021-2023...
March 31, 2024: Journal of Pain and Symptom Management
Shelli L Feder, Ling Han, Yan Zhan, Erica A Abel, Kathleen M Akgün, Terri Fried, Mary Ersek, Nancy S Redeker
CONTEXT: Clinical practice guidelines recommend palliative care for people with advanced heart failure (aHF), yet it remains underutilized. OBJECTIVES: We examined medical center variation in specialist palliative care (SPC) and identified factors associated with variation among people with aHF. METHODS: We conducted a retrospective cohort study of 21,654 people with aHF who received healthcare in 83 Veterans Affairs Medical Centers (VAMCs) from 2018-2020...
March 30, 2024: Journal of Pain and Symptom Management
Eran Ben-Arye, Ana Maria Lopez, Nihaya Daoud, Lilach Zoller, Eleanor Walker, Michal Davidescu, Katerina Shulman, Orit Gressel, Nili Stein, Shani Brosh, Elad Schiff, Noah Samuels
CONTEXT AND OBJECTIVES: Cancer centers are increasingly providing complementary medicine as part of an emerging discipline termed 'integrative oncology' (IO). The present study explored factors associated with disparities in referral and adherence to a freely-provided IO program. METHODS: The databases of three oncology centers in northern Israel were searched retrospectively for chemotherapy-treated oncology patients eligible for referral by their oncology healthcare professionals to an integrative physician (IP) consultation...
March 27, 2024: Journal of Pain and Symptom Management
James M Walter, Melanie M Smith, Noah Einstein, Elaine R Cohen, Gordon J Wood, Julia H Vermylen
INTRODUCTION: Fellows in critical care medicine (CCM) routinely help patients and families navigate complex decisions near the end of life. These "late goals of care" (LGOC) discussions require rigorous skills training and impact patient care. Innovation is needed to ensure that fellow training in leading these discussions is centered on reproducible competency-based standards. The aims of this study were to 1) describe the development of a simulation-based mastery learning (SBML) curriculum for LGOC discussions and 2) set a defensible minimum passing standard (MPS) to ensure uniform skill acquisition among learners...
March 23, 2024: Journal of Pain and Symptom Management
Regina Wittchen Sørensen, Nina Ingerslev Andersen, Karin Brochstedt Dieperink
CONTEXT: Over the last 30 years, non-pharmacological treatment with ear acupuncture, including National Acupuncture Detoxification Association (NADA) acupuncture, has become popular in Western society to relieve cancer-related symptoms. OBJECTIVES: This study aim is to explore whether NADA acupuncture plays a role in relieving suffering experienced by patients hospitalized in a specialized palliative care ward and their family caregivers and whether it contributes to their coping skills...
March 22, 2024: Journal of Pain and Symptom Management
Oscar Li, Royce Lee, Renee D Boss, Ming-Hsien Wang
Palliative care in the field of urology has largely been limited to adult oncologic conditions. Although there is a plethora of established literature suggesting the advantageous impact of palliative care, there is limited integration of palliative care in adult urology. This underutilization is further exacerbated in pediatric urology, and palliative care in pediatric urology remains an underexplored area despite the prevalence of several life-limiting conditions in this patient population. This paper highlights the potential need for palliative care intervention in a variety of urologic conditions in the pediatric population, including congenital lower urinary tract obstruction, neurogenic bladder dysfunction, exstrophy-epispadias complex, and congenital bilateral renal agenesis...
March 21, 2024: Journal of Pain and Symptom Management
Charlotte Qi Liu, Ling Jiang, Ka Yan Ho, Katherine K W Lam, Winsome Lam, Funa Yang, Ting Mao, Mei Sun, Biyu Shen, Jacqueline Mc Ho, P K Liu, S Y Chiu, Frances-Kam-Yuet Wong
CONTEXT: Although spiritual intervention is crucial in the care of childhood cancer patients (CCPs), its effectiveness has not yet been systematically evaluated. OBJECTIVES: To determine the effectiveness of existing spiritual interventions on psychological, spiritual outcomes, and quality of life (QoL) in CCPs. METHODS: We searched eight databases to identify relevant randomized controlled trials and quasi-experimental studies. Risk of bias was assessed using the Cochrane risk-of-bias tool for randomized trials...
March 20, 2024: Journal of Pain and Symptom Management
Elisa Williams, Catrina White, Ankona Banerjee, Melody Hellsten, Kenneth J Nobleza, Duc T Nguyen, Jessica Casas, Jill Ann Jarrell
CONTEXT: Studies suggest the feasibility and acceptability of telehealth in outpatient pediatric palliative care. However, there is a need for data that describes the implementation and quality of telehealth, relying on objective and validated measures. OBJECTIVE: We sought to compare the provision of pediatric palliative care by delivery method. METHODS: We conducted a retrospective electronic health record review of patients seen by our outpatient palliative care team over a two-year period...
March 19, 2024: Journal of Pain and Symptom Management
Mi-Kyung Song, Sudeshna Paul, Jordan Pelkmans, Sandra E Ward
CONTEXT: Whether a largescale disaster alters people's previous decisions about their end-of-life care is unknown. OBJECTIVES: We examined the effects of a disaster, the COVID-19 pandemic, on stability of end-of-life care preferences among dialysis patients and on patient-surrogate goals-of-care congruence. METHODS: We used a natural experimental design to examine goals-of-care preferences pre- and post-exposure to the pandemic during a pragmatic trial testing SPIRIT (Sharing Patient's Illness Representations to Increase Trust), an evidence-based advance care planning (ACP) intervention...
March 19, 2024: Journal of Pain and Symptom Management
(no author information available yet)
No abstract text is available yet for this article.
March 13, 2024: Journal of Pain and Symptom Management
Maxwell Vergo, Katie Silvius, Lisa Stephens, Jenna LaVoie, Jonathan Jolin, Heather Wood
CONTEXT: People living with serious illness and their care partners rely on team-based specialty hospice and palliative care (HPC) in order to achieve high quality end of life outcomes. In HPC, physician and nurse practitioner (NP) scope of practice has significant overlap so training together may offer benefits to clinicians and patients. OBJECTIVES: Assessment of clinical competencies in a post-graduate training program consisting of NPs and physicians training and learning side-by-side...
March 11, 2024: Journal of Pain and Symptom Management
Shih-Chieh Lee, Chih-Yuan Shih, Shan-Ting Chen, Ching-Yi Lee, Shin-Rung Li, Chia-Chun Tang, Jaw-Shiun Tsai, Shao-Yi Cheng, Hsiang-Liang Huang
CONTEXT: Despite making do-not-resuscitate or comfort care decisions during advance care planning, terminally ill patients sometimes receive life-sustaining treatments as they approach end of life. OBJECTIVES: To examine factors contributing to non-concordance between end-of-life care and advance care planning. METHODS: In this longitudinal retrospective cohort study, terminally ill patients with a life expectancy shorter than six months, who had previously expressed a preference for do-not-resuscitate or comfort care, were followed up after palliative shared care intervention...
March 11, 2024: Journal of Pain and Symptom Management
Jessica E Ma, Maren K Olsen, Cara L McDermott, C Barrett Bowling, S Nicole Hastings, Tyler White, David Casarett
CONTEXT: Driven by concerns about care quality, patient experience, and national metrics, health systems are increasingly focusing on identifying risk factors for patients who are hospitalized in the last month of life. OBJECTIVE: To evaluate patient factors associated with hospital admission in the last month. METHODS: We analyzed a retrospective cohort of 8488 patients with a primary care visit in a tertiary health system in the last year of life using a linked electronic health record and decedent dataset...
March 11, 2024: Journal of Pain and Symptom Management
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