Journal of Pain and Symptom Management

Brooks Udelsman, Edward T Moseley, Rebecca L Sudore, Nancy L Keating, Charlotta Lindvall
CONTEXT: Documentation of care preferences within 48 hours of admission to an intensive care unit (ICU) is a National Quality Forum-endorsed quality metric for older adults. Care preferences are poorly captured by administrative data. OBJECTIVES: Using deep natural language processing, our aim was to determine the rate of care preference documentation in free-text notes and to assess associated patient factors. METHODS: Retrospective review of notes by clinicians using a deep natural language processing to identify care preference documentation, including goals-of-care and treatment limitations, within 48 hours of ICU admission within five ICUs (medical, cardiac, surgery, trauma surgery, and cardiac surgery) for adults ≥75 years of age...
January 9, 2020: Journal of Pain and Symptom Management
Catherine Henckel, Anna Revette, Scott F Huntington, James A Tulsky, Gregory A Abel, Oreofe O Odejide
CONTEXT: Patients with blood cancers have low rates of timely hospice use. Barriers to hospice use for this population are not well understood. Lack of transfusion access in most hospice settings is posited as a potential reason for low and late enrollment rates. OBJECTIVES: We explored the perspectives of blood cancer patients and their bereaved caregivers regarding the value of hospice services and transfusions. METHODS: Between June 2018 and January 2019, we conducted three focus groups with blood cancer patients with an estimated life expectancy ≤ 6months and two focus groups with bereaved caregivers of blood cancer patients...
January 9, 2020: Journal of Pain and Symptom Management
Jennifer A Palmer, Alyssa M Smith, Rabbi Sara Paasche-Orlow, George Fitchett
CONTEXT: Dementia marks an increasingly prevalent terminal illness for which palliative care, including spiritual care, could improve quality of life. Research gaps exist in understanding the intersection of dementia, spirituality, and palliative care. OBJECTIVES: We conducted the first scoping review examining the nature and breadth of peer-reviewed studies across these three topics to guide future research. METHODS: The scoping review followed methods from The Joanna Briggs Institute Reviewers' Manual (2015)...
January 7, 2020: Journal of Pain and Symptom Management
Komal P Singh, Anand Dhruva, Elena Flowers, Steven M Paul, Marilyn J Hammer, Fay Wright, Frances Cartwright, Yvette P Conley, Michelle Melisko, Jon D Levine, Christine Miaskowski, Kord M Kober
CONTEXT: Despite current advances in antiemetic treatments, approximately 50% of oncology patients experience chemotherapy-induced nausea (CIN). OBJECTIVES: The purpose of this study was to evaluate for differentially expressed genes and perturbed pathways associated with the gut-brain axis (GBA) across two independent samples of oncology patients who did and did not experience CIN. METHODS: Oncology patients (n=735) completed study questionnaires in the week prior to their second or third cycle of chemotherapy (CTX)...
January 7, 2020: Journal of Pain and Symptom Management
Marcus Sellars, Karen M Detering, Craig Sinclair, Ben White, Kimberly Buck, Rasa Ruseckaite, Josephine M Clayton, Linda Nolte
CONTEXT: Personal and interpersonal factors may be influential in a person's decision to engage in advance care planning (ACP), including completion of ACP documentation. OBJECTIVES: To conduct a cross-sectional survey of older adults accessing Australian general practices, hospitals and residential aged care facilities, with the aim of describing associations between personal factors and self-reported ACP documentation completion. METHODS: Eligible participants included in a national health record audit were approached to complete a survey measuring demographic and health characteristics, preferences for care, worries about the future, and experiences talking with others about ACP and completing ACP documentation...
December 30, 2019: Journal of Pain and Symptom Management
Choi Wan Chan, Paul Hong Lee, Alex Molassiotis, Harold Kwok Kuen Lee
CONTEXT: Little research has been conducted to investigate symptom clusters in post-chemotherapy neutropenic fever (NF), their relationships with inflammatory biomarkers, and febrile outcome measures in patients with hematological malignancy, a population with high febrile rates incurring considerable costs to the healthcare system. OBJECTIVES: The aim of the present study was to investigate these. METHODS: 104 NF episodes were observed in patients with hematological malignancy who were enrolled in the study...
December 27, 2019: Journal of Pain and Symptom Management
Angela Yeh
No abstract text is available yet for this article.
December 27, 2019: Journal of Pain and Symptom Management
Safiya Karim, Winson Y Cheung, Jingyu Bu, Ed Jess, Marc Kerba
BACKGROUND: Studies show that cancer patients use cannabis to manage symptoms and side effects. Medical cannabis is regulated by Health Canada; authorization patterns amongst cancer patients have not been well-described. We aimed to describe medical cannabis authorization in Alberta, Canada. METHODS: The Alberta Cancer Registry was used to identify all patients age ≥ 18 diagnosed with invasive cancer from April 01, 2014 to December 31, 2016. These cases were linked to records from the College of Physicians and Surgeons of Alberta...
December 27, 2019: Journal of Pain and Symptom Management
Terry E Hill, Cari Jarbouai, Nathaniel Robbins, Vidah Johnston, Brook Calton
No abstract text is available yet for this article.
December 27, 2019: Journal of Pain and Symptom Management
Emily E Johnston, Isaac Martinez, Erin Currie, Katharine E Brock, Joanne Wolfe
CONTEXT: Most of the 20,000 US children dying of serious illnesses annually die in the hospital. It is unknown if this hospital death predominance reflects family wishes or systemic issues such as lack of hospice access. Hence, we need to better understand location of death preferences for children and their families. OBJECTIVE: To better understand location of death preferences in North America, we reviewed the literature to examine the evidence for and against home death in seriously ill children (0-18years)...
December 27, 2019: Journal of Pain and Symptom Management
Cara L McDermott, Ruth A Engelberg, J Randall Curtis
No abstract text is available yet for this article.
December 27, 2019: Journal of Pain and Symptom Management
Dmitry Rozenberg, Nicole Sitzer, Sandra Porter, Andrea Weiss, Rebecca Colman, Darlene W Reid, Shane Shapera, Jolene Fisher, Kirsten Wentlandt
Despite several advances in treatment, idiopathic pulmonary fibrosis (IPF) remains a progressive, symptomatic, and terminal disease in patients not suitable for lung transplantation. With disease progression, IPF often leads to a constellation of symptoms including dyspnea, cough, anxiety, and depression. Palliative care is appropriate to support these patients. However, traditional curriculum in palliative care has often focused on supporting patients with malignant disease and clinicians are not universally trained to manage patients with progressive non-malignant diseases such as IPF...
December 27, 2019: Journal of Pain and Symptom Management
Login S George, Paul K Maciejewski, Andrew S Epstein, Megan Shen, Holly G Prigerson
CONTEXT: Clinicians often worry that patients' recognition of the terminal nature of their illness may impair psychological well-being. OBJECTIVES: To determine if such recognition was associated with decrements to psychological well-being that persisted over time. METHODS: Eighty-seven advanced cancer patients, with an oncologist-expected life-expectancy of less than 6 months, were assessed before and after an oncology visit to discuss cancer restaging scan results, and again at follow-up (median time between assessments, approximately 6 weeks)...
December 27, 2019: Journal of Pain and Symptom Management
Hao-Ying Lin, Jyh-Gang Hsieh, Chia-Jung Hsieh, Ying-Wei Wang
CONTEXT: It is uncertain whether terminally ill schizophrenic cancer patients are hypoalgesic or have disparities in pain management. OBJECTIVES: To analyze the dosage of opioids used in terminally ill cancer patients with and without schizophrenia. METHODS: This is a population-based retrospective cohort study based on data derived from the Taiwan National Health Insurance Research Database. Patients aged > 20 and newly diagnosed between 2000 and 2012 with at least one of the six most common cancers were included...
December 26, 2019: Journal of Pain and Symptom Management
Melissa Richard-Lalonde, Céline Gélinas, Madalina Boitor, Emilie Gosselin, Nancy Feeley, Sylvie Cossette, Linda L Chlan
CONTEXT: Multimodal analgesic approaches are recommended for ICU pain management. Although music is known to reduce pain in acute and chronic care settings, less is known about its effectiveness in the adult ICU. OBJECTIVES: Determine the effects of music interventions on pain in the adult ICU, compared with standard care or noise reduction. METHODS: This review was registered on PROSPERO (CRD42018106889). Databases were searched for randomized controlled trials (RCTs) of music interventions in the adult ICU, with the search terms ["music*" and ("critical care" or "intensive care")]...
December 24, 2019: Journal of Pain and Symptom Management
Arpan Patel, Nina Kogekar, Ritu Agarwal, Cynthia Cohen, James Phillip Esteban, Kamron Pourmand, Eugenia Tsai, Alyson Harty, Andre Pelham-Braithwaite, Ponni Perumalswami, Douglas Dieterich, Thomas Schiano
BACKGROUND: Despite significant morbidity and mortality among patients with decompensated cirrhosis (DC), reported rates of advance directive (AD) completion and goals of care discussions (GCD) between patients and providers are very low. We aimed to improve these rates by implementing a hepatologist-led advance care planning (ACP) intervention. MEASURES: Rates of AD and GCD completion, as well as self-reported barriers to ACP. INTERVENTION: Provider-led ACP in patients with DC without a prior documented AD...
December 24, 2019: Journal of Pain and Symptom Management
Sheri Mila Gerson, Gitte Koksvik, Naomi Richards, Lars Johan Materstvedt, David Clark
CONTEXT: A central approach of palliative care has been to provide holistic care for people who are dying, terminally ill or facing life-limiting illnesses while neither hastening nor postponing death. Assisted dying laws allow eligible individuals to receive medically administered or self-administered medication from a health provider to end their life. The implementation of these laws in a growing number of jurisdictions therefore poses certain challenges for palliative care. OBJECTIVES: To analyse the research literature about the relationship of assisted dying with palliative care, in countries where it is lawful...
December 24, 2019: Journal of Pain and Symptom Management
(no author information available yet)
No abstract text is available yet for this article.
December 23, 2019: Journal of Pain and Symptom Management
Robin Bennett Kanarek
No abstract text is available yet for this article.
December 23, 2019: Journal of Pain and Symptom Management
Wendy H Oldenmenger, Anne Lucas, Gertruud F H van der Werff, Katherine Webber, Dick Visser, Annette W G van der Velden, Carin C D van der Rijt
CONTEXT: Essential for adequate management of breakthrough cancer pain is a combination of accurate (re-)assessment and a personalized treatment plan. The Breakthrough pain Assessment Tool (BAT) has been proven to be a brief, multidimensional, reliable and valid questionnaire for the assessment of breakthrough cancer pain. OBJECTIVES: The aim of this study was to examine the validity and reliability of the Dutch Language version of the BAT (BAT-DL) in patients with cancer...
December 23, 2019: Journal of Pain and Symptom Management
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