Journal of pain and symptom management
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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
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.
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J Pain Symptom Manage · Dec 2020
Palliative and end-of-life care in a small Caribbean country: A mortality follow-back study of home deaths.
Empirical information on circumstances of dying from advanced illness in developing countries remains sparse. Evidence indicates that out-of-hospital end-of-life care can have significant benefits such as increased satisfaction for the patient and caregivers and cost-effective for a health-care system. Services that are aimed to deliver care at private homes may be a good model for low- and middle-income countries or other low-resourced settings. ⋯ The largest part of end-of-life care at home in Trinidad and Tobago is provided by family members, whereas professional caregivers feature less prominently. To ensure quality in end-of-life care, better access to analgesics is needed, and adequate support and education for family members as well as general practitioners are highly recommended.