Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2020
Traumatic Events Among Cancer Patients that Lead to Compassion Fatigue in Nurses: A Qualitative Study.
Cancer care nurses are frequently exposed to patients' traumatic experiences and are at high risk of compassion fatigue. ⋯ This study identified the components and frequencies of traumatic events among patients with cancer that lead to the onset of nurse compassion fatigue. Such information will aid in understanding the triggers of compassion fatigue, allowing for possible preparation to reduce the risk of this occupational hazard.
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J Pain Symptom Manage · Feb 2020
Multicenter Study Observational StudyPalliative sedation in patients hospitalized in internal medicine departments.
Palliative sedation is used to relieve end-of-life refractory symptoms. ⋯ Palliative sedation is used more often for terminal patients. There are differences in the administration of palliative sedation between patients with and without cancer.
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialEarly-Integrated Palliative home care and standard care for end-stage COPD (EPIC): A Phase II pilot RCT testing feasibility, acceptability and effectiveness.
Although early integrated palliative home care (PHC) is believed to be beneficial for patients with chronic obstructive pulmonary disease (COPD), trials testing this hypothesis are rare and show inconclusive results. ⋯ Our intervention on early integrated PHC for end-stage COPD is feasible and accepted but did not yield the anticipated preliminary effectiveness. Before moving to a Phase III trial, enhanced coordination of care, more GP involvement, more intensive training for PHCNs in COPD support, and revision of the trial design, for example, of targeted outcomes in line with individual patient goals and care preferences should be done.
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialA feasibility study to develop and test a cognitive behavioral stress management mobile health application for HIV-related fatigue.
Exacerbated by life stressors, fatigue is the most common symptom for people living with HIV. ⋯ We have proof of concept as to the feasibility, acceptability, and initial signals of efficacy for an mHealth intervention to help people with HIV-related fatigue better cope with stress and reduce their fatigue.
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J Pain Symptom Manage · Feb 2020
Observational StudyThe Association of Surrogate Decision Makers' Religious and Spiritual Beliefs with End of Life Decisions.
Although religion and spirituality are important to surrogate decision makers, little is known about the role of religion in decision making regarding life-sustaining treatments. ⋯ Few religious variables are associated with end-of-life preferences or treatment. Belief in miracles and intrinsic religiosity may affect treatment and should be identified and explored with surrogates by trained chaplains or other clinicians with appropriate training.