Journal of pain and symptom management
-
J Pain Symptom Manage · Jun 2015
Letter Comparative StudySingle-Dose Subcutaneous Benzodiazepines for Insomnia in Patients With Advanced Cancer.
-
J Pain Symptom Manage · Jun 2015
Randomized Controlled Trial Multicenter StudyFeasibility of Conducting a Palliative Care Randomized Controlled Trial in Children With Advanced Cancer: Assessment of the PediQUEST Study.
Pediatric palliative care randomized controlled trials (PPC-RCTs) are uncommon. ⋯ A PPC-RCT in children with advanced cancer was feasible, post-inclusion retention adequate; many families participated for altruistic reasons. Strategies that may further PPC-RCT feasibility include: increasing target population through large multicenter studies, approaching sicker patients, preventing exclusion of certain patient groups, and improving data collection at end of life.
-
J Pain Symptom Manage · Jun 2015
Self- and Carer-Rated Pain in People With Dementia: Influences of Pain in Carers.
Although pain is frequent in people with dementia (PwD), evidence on the prevalence and factors influencing ratings of pain in dementia is limited. Carer variables are often associated with bias in proxy ratings of pain, but few studies have examined the role of caregiver pain in influencing these ratings. ⋯ Our results indicate that pain is very frequently reported in PwD and that the presence of pain is associated with high levels of anxiety. Caregiver pain affects carers' perceptions of pain in PwD.
-
J Pain Symptom Manage · Jun 2015
Eliciting Personhood Within Clinical Practice: Effects on Patients, Families, and Health Care Providers.
Failure to acknowledge personhood is often the cause of patient and family dissatisfaction. We developed the Patient Dignity Question (PDQ) as a simple means of inquiring about personhood: "What do I need to know about you as a person to give you the best care possible?" ⋯ The PDQ offers an effective way of eliciting personhood, enhancing patient, family, and HCP experience alike.
-
J Pain Symptom Manage · Jun 2015
Improving End-of-Life Communication and Decision Making: The Development of a Conceptual Framework and Quality Indicators.
The goal of end-of-life (EOL) communication and decision making is to create a shared understanding about a person's values and treatment preferences that will lead to a plan of care that is consistent with these values and preferences. Improvements in communication and decision making at the EOL have been identified as a high priority from a patient and family point of view. ⋯ We have developed definitions, a conceptual framework, and quality indicators that researchers and health care decision makers can use to evaluate and improve the quality of EOL communication and decision making.