Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2019
Review Meta AnalysisThe effect of exercise on quality of life, fatigue, physical function and safety in advanced solid tumor cancers: a meta-analysis of randomized control trials.
People with metastatic cancers experience poor quality of life (QoL), fatigue, and decreased physical function. Exercise improves these symptoms in the curative setting, but the efficacy and safety of exercise in the metastatic setting is uncertain. ⋯ Exercise is associated with clinically meaningful improvements in QoL, function, and 6-MWT in some patients with metastatic cancer. Despite poor reporting of safety, there was no signal of increased harm from exercise in this setting.
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J Pain Symptom Manage · Nov 2019
Palliative Care Opportunities Among Adults with Congenital Heart Disease - A Systematic Review.
Little is known about advance care planning (ACP) and palliative care needs among adults with congenital heart disease (ACHD). ⋯ While few ACHD patients complete advance directives, our findings support that many ACHD patients recognize the value of initiating end-of-life and goals of care conversations early on in the course of illness. Future studies investigating communication and implementation strategies of ACP as well as the symptom experience of patients with ACHD are needed.