Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2020
Review Meta AnalysisThe Diagnostic Accuracy of Critical Care Pain Observation Tool (CPOT) in ICU Patients: A Systematic Review and Meta-Analysis.
The critical care pain observation tool (CPOT) has been widely used to assess pain in ICU patients, and its validity and reliability have been tested in various contexts. ⋯ CPOT has moderate diagnostic parameters with a threshold of two or three, suggesting that it is a fair but not excellent tool. More research on the validity of the CPOT in specific subgroups is needed to broaden its applicability in critical care.
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J Pain Symptom Manage · Oct 2020
Review Meta AnalysisChanging practices in the use of continuous sedation at the end of life. A systematic review of the literature.
The use of continuous sedation until death (CSD) has been highly debated for many years. It is unknown how the use of CSD evolves over time. Reports suggest that there is an international increase in the use of CSD for terminally ill patients. ⋯ The frequency of CSD seems to increase over time, possibly partly because of an extension of indications for sedation, from mainly physical symptoms to also nonphysical symptoms.
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J Pain Symptom Manage · Oct 2020
Randomized Controlled Trial Multicenter StudyPatient-reported receipt of goal-concordant care among seriously ill outpatients - prevalence and associated factors.
Goal-concordant care is an important indicator of high-quality care in serious illness. ⋯ Seriously ill outpatients who prioritize a goal of relief of pain and discomfort are less likely to report receipt of goal-concordant care than patients who prioritize extending life. Future interventions designed to improve receipt of goal-concordant care should focus on identifying patients who prioritize relief of pain and discomfort and promoting care aligned with that goal.
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J Pain Symptom Manage · Oct 2020
Randomized Controlled TrialReligious Coping in Cancer: A quantitative analysis of expressive writing samples from patients with renal cell carcinoma.
Past religiosity/spirituality (R/S) research has mainly relied on self-report instruments, which may result in self-presentation and defensive biases. ⋯ Behavioral coding of EW samples supported the literature suggesting that positive RC is common among patients with cancer. Although negative RC may be relatively rare, it may be associated with psychological distress.