Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2018
The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?
The need for hospice and palliative care is growing rapidly as the population increases and ages and as both hospice and palliative care become more accepted. Hospice and palliative medicine (HPM) is a relatively new physician specialty, currently training 325 new fellows annually. Given the time needed to increase the supply of specialty-trained physicians, it is important to assess future needs to guide planning for future training capacity. ⋯ Current training capacity is insufficient to keep up with population growth and demand for services. HPM fellowships would need to grow from the current 325 graduates annually to between 500 and 600 per year by 2030 to assure sufficient physician workforce for hospice and palliative care services given current service provision patterns.
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J Pain Symptom Manage · Apr 2018
Development and Assessment of a Measure of Parent and Child Needs in Pediatric Palliative Care.
Pediatric palliative care has no evidence-based needs assessment measure. The Parent and Child Needs Survey (PCNeeds) is a new instrument designed to assess the needs of children in palliative care, including children receiving end-of-life care, and their families. ⋯ Initial psychometric analysis of the PCNeeds is encouraging, but further study of reliability and validity with more diverse respondents is needed.
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J Pain Symptom Manage · Apr 2018
Menopausal-Related Symptoms in Women One Year After Breast Cancer Surgery.
Approximately 60% to 100% of women with breast cancer experience at least one menopausal-related symptom. Little is known about associations between menopausal status and symptoms in women 12 months after breast cancer surgery. ⋯ Regardless of menopausal status, women reported relatively high occurrence rates for several menopausal symptoms. Associations between symptom occurrence rates and menopausal status depended on the patient's age. During the development of a survivorship care plan, clinicians need to assess symptom burden within the context of a woman's menopausal status and salient demographic and clinical characteristics. This approach will assist with the prescription of more effective interventions.
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J Pain Symptom Manage · Apr 2018
Comparative StudyComparison of Indicators for Achievement of Pain Control With a Personalized Pain Goal in a Comprehensive Cancer Center.
The achievement of a personalized pain goal (PPG) is advocated as an individualized pain relief indicator. ⋯ The achievement of PPG was a stricter pain relief indicator than PI and interference and may reflect a real need for pain control.
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J Pain Symptom Manage · Apr 2018
Observational StudyAdvance Care Planning in Community-Dwelling Patients With Dementia.
Little is known about advance care planning (ACP) among community-dwelling patients with dementia. ⋯ Our findings support need for greater ACP discussions between patients and proxies. Discussions regarding goals of care are likely to benefit patients through delivery of care congruent with their wishes and HCPs in terms of greater acceptance of patients' illness.