Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2016
A Comparison of Circumstances at the End of Life in a Hospital Setting for Children with Palliative Care Involvement Versus Those Without.
Specialized pediatric palliative care (PPC) services have become more common in urban pediatric hospital settings, although little is known about palliative care specialist involvement. ⋯ The integration of a PPC team was associated with fewer diagnostic/monitoring procedures and improved pain management documentation in this study of 114 children who died as inpatients.
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J Pain Symptom Manage · Nov 2016
Nationwide Japanese survey about deathbed visions: "My deceased mother took me to heaven".
Primary aim was to clarify the prevalence and factors associated with the occurrence of deathbed visions, explore associations among deathbed visions, a good death, and family depression. Additional aim was to explore the emotional reaction, perception, and preferred clinical practice regarding deathbed visions from the view of bereaved family members. ⋯ Deathbed vision is not an uncommon phenomenon. Clinicians should not automatically regard such visions as an abnormal phenomenon to be medically treated and rather provide an individualized approach.
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J Pain Symptom Manage · Nov 2016
The Association Between Pain and Clinical Outcomes in Adolescents With Cystic Fibrosis.
Pain is a common problem in patients with cystic fibrosis (CF) and in adults is associated with lower quality of life and more pulmonary complications. Less is known about the impact of pain in adolescents with CF. ⋯ Pain in adolescents with CF is associated with lower HRQoL and more pulmonary exacerbations. Greater efforts are needed to manage pain in this population and to determine if treatment of pain improves other outcomes.