Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2018
ReviewA Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, Fourth Edition.
Palliative care continues to be a rapidly growing field aimed at improving quality of life for patients and their caregivers. ⋯ A substantial body of evidence exists to support clinical practice guidelines for quality palliative care, but the quality of evidence is limited.
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J Pain Symptom Manage · Dec 2018
Pain and Emergency Department Use in the Last Month of Life Among Older Adults with Dementia.
Pain may be a potentially modifiable risk factor for expensive and burdensome emergency department (ED) visits near the end of life for older adults with dementia. ⋯ Among older adults with dementia, unmet need for pain management was associated with more frequent ED visits in the last month of life.
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J Pain Symptom Manage · Dec 2018
Comparative StudyPhenotypic Characterization of Paclitaxel-Induced Peripheral Neuropathy in Cancer Survivors.
Although paclitaxel is one of the most commonly used drugs to treat breast, ovarian, and lung cancers, little is known about the impact of paclitaxel-induced peripheral neuropathy (PIPN) on cancer survivors. ⋯ The findings from this large descriptive study are the first to document the impact of PIPN on survivors' symptom burden, functional status, and QOL.
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J Pain Symptom Manage · Dec 2018
Randomized Controlled Trial Multicenter Study Comparative StudyHyoscine Butylbromide for the Management of Death Rattle: Sooner Rather Than Later.
Death rattle (DR) is a dramatic sign in the dying patient. Existing studies with anticholinergic agents are controversial, as this class of drugs has been commonly administered without considering the rationale of the mechanism of action. A meaningful use of these drugs may provide a better outcome. ⋯ The prophylactic use of HB is an efficient method to prevent DR, whereas the late administration produces a limited response, confirming data from traditional studies performed with anticholinergics. This could be considered a new paradigm to manage a difficult and dramatic sign, such as DR.
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J Pain Symptom Manage · Dec 2018
Multicenter Study Observational StudySpiritual Well-being Among Palliative Care Patients With Different Religious Affiliations: A Multicenter Korean Study.
Spiritual well-being (SWB) is very important in palliative care patients. ⋯ Although faith practices may be particularly helpful to improve spiritual well-being among Christians, further research is needed to determine what individual spiritual activities can support non-Christians.