Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2012
Multicenter StudyProviding palliative care for cancer patients: the views and exposure of community general practitioners and district nurses in Japan.
The role of general practitioners (GPs) and district nurses (DNs) is increasingly important to achieve dying at home. ⋯ Japanese GPs have little experience in caring for cancer patients dying at home, whereas DNs have more experience. To achieve quality palliative care programs for cancer patients at the regional level, educating GPs about opioids and psychiatric medications, easily available palliative care consultation services, systems to support home care technology, and coordinated systems to alleviate family burden is of importance.
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J Pain Symptom Manage · Jan 2012
Randomized Controlled Trial Multicenter Study Comparative StudyProfessional judgments about advance care planning with community-dwelling consumers.
There is limited research on how community-based long-term care (CBLTC) providers' personal characteristics and attitudes affect their decisions to initiate advance care planning (ACP) conversations with consumers. ⋯ This study shows the lack of normative consensus about ACP and highlights the need for consistent educational programs regarding the role of the CBLTC provider in the ACP process.