Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2014
Care evaluation scale-patient version: measuring the quality of the structure and process of palliative care from the patient's perspective.
Recently, greater emphasis has been placed on patient-reported outcomes. However, there are only a few measures to evaluate the quality of care from the patient's perspective. ⋯ The CES-P has sufficient validity and reliability. In addition, this scale is independent of the general physical condition of the patient.
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J Pain Symptom Manage · Jul 2014
Testing the factorial validity of scores from the caregiver pain medicine questionnaire.
The Caregiver Pain Medicine Questionnaire is designed to measure caregiver agreement with statements regarding pain management. However, little testing has been done to determine its reliability and validity. ⋯ The theoretical model hypothesized by the original study authors was not confirmed. Results lead us to conclude that the instrument is poor and should not be used. Further research is needed to define content domains and validate the items developed to assess them.
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J Pain Symptom Manage · Jul 2014
Patients' sense of security during palliative care-what are the influencing factors?
Having a sense of security is vitally important to patients who have a limited life expectancy. ⋯ These findings stress the importance of palliative care services in supporting dying patients' sense of security through symptom management with a wide scope and through supporting the patients' sense of mastery, identity, and perception of a secure care interaction and also through attention to the family members' situation.
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J Pain Symptom Manage · Jul 2014
The impact of body mass index dynamics on survival of patients with advanced pancreatic cancer receiving chemotherapy.
High body mass index (BMI) is linked to an increased risk of developing pancreatic cancer (PC). However, in patients with advanced PC (APC), especially those receiving palliative chemotherapy, the impact of BMI on survival has not been investigated fully. ⋯ In patients with APC undergoing palliative chemotherapy, decreases in BMI at APC diagnosis and during chemotherapy are more hazardous for OS than precancer BMI or baseline BMI (at diagnosis) as absolute values. Further studies are needed to validate this finding and investigate strategies to maintain BMI during chemotherapy in this setting.
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J Pain Symptom Manage · Jul 2014
Outpatient pain predicts subsequent one-year acute health care utilization among adults with sickle cell disease.
Patient demographic and clinical factors have known associations with acute health care utilization (AHCU) among patients with sickle cell disease (SCD), but it is unknown if pain measured predominantly in an outpatient setting is a predictor of future AHCU in patients with SCD. ⋯ Findings support use of outpatient CPI scores or pain intensity and age to identify at-risk young adults with SCD who are likely to benefit from improved outpatient pain management plans.