Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2020
ReviewPreferences and experiences of Muslim patients and their families in Muslim-majority countries for end-of-life care: a systematic review and thematic analysis.
Care for people with progressive illness should be person centered and account for their cultural values and spiritual beliefs. There are an estimated 1.7 billion Muslims worldwide, largely living in low-income and middle-income countries. ⋯ Despite the scarce evidence of relatively low quality, the analysis revealed core themes. To achieve palliative care for all in line with the total pain model, beliefs must be identified and understood in relation to decision-making processes and practices.
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J Pain Symptom Manage · Dec 2020
Randomized Controlled TrialSurrogate Decision Maker Stress in Advance Care Planning Conversations: A Mixed-Methods Analysis from a Randomized Controlled Trial.
Spokespersons serving as surrogate decision makers for their loved ones report high levels of stress. Despite known benefits, advance care planning (ACP) conversations often do not occur. More information is needed to understand spokesperson stress during ACP. ⋯ Identifying what factors impact spokesperson stress in ACP conversations can be used to help design ACP interventions to more appropriately address the needs and concerns of spokespersons.
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J Pain Symptom Manage · Dec 2020
Randomized Controlled TrialThe Feasibility and Acceptability of a Cognitive Behavioral Therapy-based intervention for Patients with Advanced Colorectal Cancer.
Advanced colorectal cancer and its treatment can bring about challenges associated with psychological distress. ⋯ The CBT-based intervention was feasible and acceptable to patients in Singapore. There is no sufficient evidence to warrant a larger trial in this sample with low baseline distress. Future work should identify and target those who are most in need of support.
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J Pain Symptom Manage · Dec 2020
ReviewExploring the Uptake of Advance Care Planning in Older Adults: An Integrative Review.
Advance care planning (ACP) is essential to elicit goals, values, and preferences of care in older adults with serious illness and on trajectories of frailty. An exploration of ACP uptake in older adults may identify barriers and facilitators. ⋯ Enhanced communication and ACP facilitators improve uptake of ACP. Clinicians should be cognizant of these factors. This review provides a guide for clinicians who are considering implementation strategies to facilitate ACP in real-world settings.
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J Pain Symptom Manage · Dec 2020
Rehabilitation for cancer patients in inpatient hospices / palliative care units and achievement of a good death: analyses of combined data from nationwide surveys among bereaved family members.
In end-of-life care, rehabilitation for patients with cancer is considered to be an important means for improving patients' quality of death and dying. ⋯ Rehabilitation in palliative care units may contribute to several domains of quality of death and dying, particularly maintaining hope and pleasure. Further research is needed to investigate whether palliative rehabilitation contributes to the achievement of a good death.