Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2019
Observational StudyRespiratory failure, non-invasive ventilation and symptom burden: an observational study.
Noninvasive ventilation (NIV) is commonly used to manage acute respiratory failure due to decompensated cardiorespiratory disease. We describe symptom burden in this population. ⋯ This study describes the patient-reported symptoms occurring during an episode of acute respiratory failure. Understanding the symptom profile of patients in this setting may allow clinicians to target symptom relief while simultaneously managing respiratory failure, enhancing care.
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J Pain Symptom Manage · Feb 2019
Multicenter Study Observational StudyPalliative Care Clinician Overestimation of Survival in Advanced Cancer: Disparities and Association with End-of-Life Care.
Clinicians frequently overestimate survival time in serious illness. ⋯ Overestimation is common in PC, associated with lower hospice use and a potentially mutable source of racial/ethnic disparity in EOL care.
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J Pain Symptom Manage · Feb 2019
A brief measure for the assessment of competence in coping with death: The Coping with Death Scale short version.
The coping with death competence is of great importance for palliative care professionals, who face daily exposure to death. It can keep them from suffering compassion fatigue and burnout, thus enhancing the quality of the care provided. Despite its relevance, there are only two measures of professionals' ability to cope with death. Specifically, the Coping with Death Scale (CDS) has repeatedly shown psychometric problems with some of its items. ⋯ Results indicated the psychometric boundaries of the short version of the CDS.
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J Pain Symptom Manage · Feb 2019
Multicenter StudyModerating effects of forgiveness on relationship between empathy and health-related quality of life in hemodialysis patients: a structural equation modeling approach.
Health-related quality of life (QOL) is a recommended clinical tool to assess hemodialysis patients and a primary end point to observe the effectiveness of overall disease management. Empathy is associated with positive outcomes such as pain relief and reduced anxiety and distress. Numerous studies have tested the relationships among empathy, forgiveness, and QOL; however, a mechanism of forgiveness has not been fully explored in hemodialysis patients. ⋯ The results imply that empathy significantly directly and indirectly influences health-related QOL. Empathy among hemodialysis patients should be monitored and effectively managed to improve positive effects on their health-related QOL. Nurses should consider implementing empathy interventions with an emphasis on building forgiveness strategies to help hemodialysis patients improve their health-related QOL.
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J Pain Symptom Manage · Feb 2019
Symptom Trajectories Are Associated With Co-occurring Symptoms During Chemotherapy for Breast Cancer.
Symptoms are reported to co-occur during treatment for breast cancer. We previously identified three patterns of fatigue and two patterns of disturbed sleep, depressed mood, and anxiety in women undergoing chemotherapy for breast cancer using a Latent Growth Mixture Model. ⋯ Moderate-to-severe symptoms co-occur during cancer treatment for breast cancer. The dynamic process of multiple symptoms may be altered by future identification of a shared etiology.