Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2019
Family caregivers' subjective caregiving burden, quality of life, and depressive symptoms are associated with terminally ill cancer patients' distinct patterns of conjoint symptom distress and functional impairment in their last 6 months of life.
Family caregivers constitute a critical component of the end-of-life care system with considerable cost to themselves. However, the joint association of terminally ill cancer patients' symptom distress and functional impairment with caregivers' subjective caregiving burden, quality of life (QOL), and depressive symptoms remains unknown. ⋯ Patients' five distinct, conjoint symptom-functional states were significantly and differentially associated with their caregivers' worse subjective caregiving burden, QOL, and depressive symptoms while caring for patients over their last 6 months.
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J Pain Symptom Manage · Jan 2019
Pilot Qualitative Study of Informal Teachers in Interprofessional Collaboration and Practice.
Nonphysician members of the interprofessional palliative care team often participate in teaching physicians and others in the context of workplace learning due to the interprofessional collaborative nature of the specialty. ⋯ Nonphysician members of the interprofessional team interacted with physicians-in-training guided by their discipline-based skills and perspectives on patient care. They directed their informal teaching toward perceived educational gaps using reflection and debriefing. Future studies could explore the educational roles of health care professionals across diverse institutions and specialties.