Journal of pain and symptom management
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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.
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J Pain Symptom Manage · Jan 2012
Randomized Controlled TrialEffects of methylphenidate on fatigue and depression: a randomized, double-blind, placebo-controlled trial.
Fatigue is highly prevalent in populations with advanced illness and is often associated with depressed mood. The role of psychostimulant therapy in the treatment of these conditions remains ill defined. ⋯ MP reduced symptoms of fatigue and depression when compared with placebo. The effect of MP on fatigue was dose-dependent and sustained over the duration of the study.
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J Pain Symptom Manage · Jan 2012
Randomized Controlled Trial Comparative StudyScrambler therapy may relieve chronic neuropathic pain more effectively than guideline-based drug management: results of a pilot, randomized, controlled trial.
Neuropathic pain is common, disabling, and often difficult to treat. ⋯ In this pilot randomized trial, Scrambler therapy appeared to relieve chronic neuropathic pain better than guideline-based drug management.