Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2025
ReviewLanguage justice as health equity in palliative care: A scoping review.
Communication is the foundation of optimal healthcare provision. Linguistic diversity is a reality in palliative care settings. ⋯ To provide equitable care reflecting language justice, investigators and clinicians should include interpreters, patients, and families as integral team members. The increase in number of interventional studies suggests evidence of the value interpreters add to the palliative care team. Collaborating with linguistically diverse stakeholders reflects language justice and holds promise for ensuring optimal communication.
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J Pain Symptom Manage · Mar 2025
Bereaved family quality of life varies with comorbid psychological distress and ICU-care quality.
Health-related quality of life (HRQOL) is highly endorsed, but HRQOL studies scarcely investigate the following: ICU family members; modifiable end-of-life (EOL) ICU-care factors; conjoint associations with prolonged grief disorder (PGD), post-traumatic stress disorder (PTSD), and depression; and long-term bereavement outcomes. ⋯ Bereaved family members' HRQOL was significantly associated with PGD-PTSD-depressive-symptom states and QODD classes-both modifiable through high-quality EOL ICU care.
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J Pain Symptom Manage · Mar 2025
Multicenter StudyEvaluation of a Reiki Volunteer Program within Two Cancer Infusion Centers.
Reiki is a biofield therapy from Japan currently used in many US hospitals. Evidence supports Reiki's effectiveness for addressing cancer and treatment-related symptoms such as pain and anxiety. However, no study to date has assessed changes in nausea following Reiki received during infusion treatments or assessed patients from multiple healthcare locations. ⋯ Outpatients receiving Reiki during infusion reported clinically significant improvements in all symptoms, high levels of satisfaction, and a qualitatively positive healing experience. More research is needed to assess long term changes following Reiki, including with an expanded program at additional healthcare locations.
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J Pain Symptom Manage · Mar 2025
Model for an International Case Sharing Program to Enhance Global Palliative Care Education.
In Thailand, the field of palliative medicine is growing but access and training remain limited. We sought to expand education of resident physicians at Chiang Mai University (CMU) in Thailand through development of an international case sharing program. ⋯ We present a sustainable, convenient, low-cost, cross-cultural palliative care case conference model that has the potential to enrich palliative care education globally.
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J Pain Symptom Manage · Mar 2025
Using Human-Centered Design to Improve Serious Illness Care for Older Adults with Advanced Dementia.
Older adults with advanced dementia increasingly receive potentially non-beneficial, high-intensity life-sustaining treatments and goal-discordant care in the United States. Interventions to address this issue have shown limited success. ⋯ The HCD process generated ideas at multiple healthcare system levels to address an enduring challenge in serious illness care by involving clinicians, researchers, and designers in intervention design.