Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2019
ReviewA Systematic Review of Training in Symptom Management in Palliative Care within Postgraduate Medical Curriculums.
Symptom management is a priority area within palliative care core competencies for generalist providers. Although several educational initiatives exist, a comprehensive evidence synthesis on the effectiveness of symptom management training on trainees' learning and patient-reported outcomes is lacking. ⋯ Current educational training programs in symptom management appear to improve trainees' comfort, preparedness, and knowledge in assessing and managing patients' symptoms at the end of life. More rigorous research to evaluate the impact of this training on residents and organizational performance is now required.
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J Pain Symptom Manage · Jan 2019
Randomized Controlled TrialTriggered Palliative Care for Late-stage Dementia: a Pilot Randomized Trial.
Persons with late-stage dementia have limited access to palliative care. ⋯ Specialty palliative care consultation for hospitalized patients with late-stage dementia is feasible and promising to improve decision-making and some treatment outcomes.
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J Pain Symptom Manage · Jan 2019
ReviewControl and context are central for people with advanced illness experiencing breathlessness: A systematic review and thematic-synthesis.
Breathlessness is common and distressing in advanced illness. It is a challenge to assess, with few effective treatment options. To evaluate new treatments, appropriate outcome measures that reflect the concerns of people experiencing breathlessness are needed. ⋯ People with advanced illness living with breathlessness have concerns in multiple domains, supporting a concept of "total breathlessness." This adapted model can help to guide comprehensive clinical assessment and inform future outcome measurement in clinical practice and research.
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J Pain Symptom Manage · Jan 2019
Randomized Controlled TrialThe possible Preventive Role of Pregabalin in Post-mastectomy Pain Syndrome: A Double-Blinded Randomized Controlled Trial.
Chronic postmastectomy pain syndrome (PMPS) has a considerable negative impact on the quality of life of breast cancer patients. ⋯ Perioperative oral pregabalin 75 mg twice daily, starting at the morning of surgery and continued for one week, could reduce the frequency of postmastectomy pain syndrome.
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J Pain Symptom Manage · Jan 2019
Multicenter Study Comparative Study Observational StudyThe impact of Nursing Homes staff education on end-of-life care in residents with advanced dementia: a quality improvement study.
End-of-life care in nursing homes (NHs) needs improvement. We carried out a study in 29 NHs in the Lombardy Region (Italy). ⋯ The short educational intervention modified some practices relevant to the quality of end-of-life care of advanced dementia patients in NHs, possibly raising and reinforcing beliefs and attitudes already largely present.