Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2018
Breakthrough Medication in Unresponsive Palliative Care Patients: Indications, Practice, and Efficacy.
An unresponsive patient's need and their response to breakthrough medication is determined by clinical assessment and/or observational measures. How closely these methods match the patient's experience is unknown. ⋯ This study provides additional evidence for the efficacy and effectiveness of breakthrough medication and the merit of observational measures in determining a patient's response. The onset of action is evident at 30 minutes after injection. Family assessment of patient comfort may be more nuanced than that of nurses, and they not uncommonly rate patient discomfort higher than nurses.
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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.
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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
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.