Journal of pain and symptom management
-
J Pain Symptom Manage · Jul 2017
Effects of End-of-Life Discussions on the Mental Health of Bereaved Family Members and Quality of Patient Death and Care.
End-of-life discussions are crucial for providing appropriate care to patients with advanced cancer at the end of their lives. ⋯ End-of-life discussions may contribute to reducing depression and complicated grief in bereaved family members and enable patients to experience quality end-of-life care and a good death.
-
J Pain Symptom Manage · Jul 2017
Is higher acceptance associated with less anticipatory grief among patients in palliative care?
Patients in palliative care can experience substantial psychological suffering. Acceptance-based interventions from approaches such as Acceptance and Commitment Therapy have demonstrated effectiveness in helping people cope with a range of life challenges. However, there is a dearth of research examining mechanisms of therapeutic change for patients in palliative care. ⋯ The present study provides preliminary data suggesting that interventions that target acceptance may be indicated in patients in palliative care.
-
J Pain Symptom Manage · Jul 2017
Randomized Controlled TrialRandomized evaluation of cognitive-behavioral therapy and graded exercise therapy for post-cancer fatigue.
Cancer-related fatigue is prevalent and disabling. When persistent and unexplained, it is termed post-cancer fatigue (PCF). Cognitive behavioral therapy (CBT) and graded exercise therapy (GET) may improve symptoms and functional outcomes. ⋯ Combined CBT/GET improves fatigue and functional outcomes for a subset of patients with post-cancer fatigue. Further studies to improve the response rate and the magnitude of the benefit are warranted.
-
J Pain Symptom Manage · Jul 2017
Multicenter StudySpecialty Palliative Care Consultations for Nursing Home Residents with Dementia.
U.S. nursing home (NH) residents with dementia have limited access to specialty palliative care beyond Medicare hospice. ⋯ Consultations appear to reduce acute care use and (potentially) burdensome transitions for dying residents with dementia. Reductions were greater when consultations were earlier.