Journal of pain and symptom management
-
J Pain Symptom Manage · Apr 2020
Randomized Controlled TrialFeasibility of using communication coaching to teach palliative care clinicians Motivational Interviewing.
Palliative care clinicians often have challenging conversations with patients or family caregivers who express ambivalence about goals or feel reluctant to discuss topics. Motivational Interviewing (MI) has tools to address ambivalence and reluctance. ⋯ This pilot study indicates that coaching palliative care clinicians is feasible and shows promise that coaching can improve palliative care clinician communication.
-
J Pain Symptom Manage · Apr 2020
Randomized Controlled Trial Multicenter StudyImpact of a nurse-led advance care planning intervention on satisfaction, health related quality of life and health care utilization among patients with severe respiratory disease: A randomized patient preference trial.
Previous work has found that facilitated advance care planning (ACP) interventions are effective in increasing ACP uptake among patients with severe respiratory disease. ⋯ A facilitated ACP intervention among patients with severe respiratory disease did not have an impact on satisfaction, health-related quality of life, or 12-month mortality rate. Facilitated ACP may be associated with a different type of health care utilization during the end-of-life period.