Journal of pain and symptom management
-
J Pain Symptom Manage · Mar 2020
Neuropsychological Symptoms and Intrusive Thoughts Are Associated With Worse Trajectories of Chemotherapy-Induced Nausea.
Although chemotherapy-induced vomiting is well controlled with evidence-based antiemetic regimens, chemotherapy-induced nausea (CIN) remains a significant clinical problem. ⋯ These findings suggest that common symptoms associated with cancer and its treatment are associated with increased severity of CIN. Targeted interventions for these symptoms may reduce the burden of unrelieved CIN.
-
J Pain Symptom Manage · Mar 2020
Intensivist Religiosity and Perceived Conflict During a Simulated ICU Family Meeting.
Conflict is frequently reported by both clinicians and surrogate decision makers for adult patients in intensive care units. Because religious clinicians view religion as an important dimension of end-of-life care, we hypothesized that religious critical care attendings (intensivists) would be more comfortable and perceive less conflict when discussing a patient's critical illness with a religious surrogate. ⋯ Religious intensivists were more likely to perceive conflict during a simulated family meeting.
-
J Pain Symptom Manage · Mar 2020
DISTINCT STRESS PROFILES AMONG ONCOLOGY PATIENTS UNDERGOING CHEMOTHERAPY.
Cancer and its treatment are inherently stressful and stress impacts important patient outcomes. Patients vary considerably in their response to stress. Understanding this variability requires a patient-centered multidimensional approach. ⋯ A subset of patients warrants intensive psychosocial intervention to reduce stress and improve adaptation to cancer. Intervention efforts may be informed by further study of Resilient patients.
-
J Pain Symptom Manage · Mar 2020
Yoga for Cancer-related Fatigue in Survivors of Hematopoietic Cell Transplantation: A Feasibility Study.
Cancer-related fatigue (CRF) is one of the most common symptoms experienced by cancer patients after hematopoietic cell transplantation (HCT). Yoga is an approach with supportive evidence to improve CRF in different cancer populations, but to our knowledge, it has not been tested in an adult HCT population. ⋯ The results of this study suggest that a restorative yoga intervention in adult HCT survivors is safe and feasible. The incidence of GVHD may have impacted adherence. Strategies to improve accrual acceptance, retention, and adherence are needed.
-
J Pain Symptom Manage · Mar 2020
Piloting Me and My Wishes-Videos of Nursing Home Residents' Preferences.
A key challenge in nursing homes (NHs) is how to attain and clarify resident preferences for care and then communicate these preferences to family members and staff. ⋯ This research supports the feasibility and acceptability of a videotaping approach (Me & My Wishes) for viewing, listening, and discussing residents' preferences for daily and EOL care.