Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2019
'Just as I expected': A longitudinal cohort study of the impact of response expectancies on side effect experiences during radiotherapy for prostate cancer.
Previous research has indicated that pretreatment response expectancies of side effects often predict subsequent toxicity severity. However, this has been largely based on female patients undergoing chemotherapy. ⋯ In this older male sample, response expectancies of side effects predicted experiences throughout treatment, including the period before toxicities were medically expected. Response expectancies of sexual side effects were robust, independent predictors of subsequent toxicities across treatment, especially issues with orgasm, warranting focus in practice and future research.
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J Pain Symptom Manage · Feb 2019
Case ReportsThe use of "QUAD Shot" in Anal Canal Squamous Cell Carcinoma: A Case Study with Review of the Literature.
Patients with locoregional anal carcinoma who do not qualify for standard definitive chemoradiation are candidates for a short course of palliative hypofractionated radiotherapy such as QUAD Shot. ⋯ QUAD Shot is both efficacious and safe for palliation in patients with anal carcinoma.
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J Pain Symptom Manage · Feb 2019
Clinimetric Properties Of The Brief Fatigue Inventory Applied To Oncological Patients Hospitalized For Chemotherapy.
The clinimetric properties of the Brief Fatigue Inventory (BFI) were not previously assessed in oncological patients hospitalized for chemotherapy. ⋯ BFI applied to oncological patients hospitalized for chemotherapy replicates its original version with adequate reliability, validity, and internal responsiveness. However, in this population, the BFI showed a floor effect.
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J Pain Symptom Manage · Feb 2019
Provision of Palliative and Hospice Care to Children in the Community: A Population Study of Hospice Nurses.
Approximately 500,000 children in the United States suffer from life-limiting illnesses each year, many of whom are hospice eligible each year. Few hospice agencies, however, offer formal pediatric programs. ⋯ Children with serious illness who receive care from local hospices often interface with nurses who lack training, experience, and comfort in the provision of palliative and hospice care to pediatric patients. These findings should inform future development and investigation of educational resources, training programs, and child- and family-centered policies to improve the delivery of palliative and hospice care to children in the community.
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J Pain Symptom Manage · Feb 2019
Edema of advanced cancer: prevalence, etiology and conservative management - a single hospice cross sectional study.
Edema of advanced cancer, seldom recognized in the literature, significantly impairs patient quality of life. ⋯ Limb edema of advanced cancer occasionally treated by physical therapy concerns patients with numerous comorbidities and precipitating factors. It can be managed sufficiently with decongestive or supportive physiotherapy, depending on patients' life prognosis, symptom burden, edema stage, and progression.