Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2020
Perspectives Regarding Hospice Services and Transfusion Access: Focus Groups with Blood Cancer Patients and Bereaved Caregivers.
Patients with blood cancers have low rates of timely hospice use. Barriers to hospice use for this population are not well understood. Lack of transfusion access in most hospice settings is posited as a potential reason for low and late enrollment rates. ⋯ Our analysis suggests that although patients with blood cancers value hospice services, they also consider transfusions vital to their QOL. Innovative care delivery models that combine the elements of standard hospice services with other patient-valued services like transfusions are most likely to optimize end-of-life care for patients with blood cancers.
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J Pain Symptom Manage · Jun 2020
Review Meta AnalysisThe effect of music on pain in the adult intensive care unit: A systematic review of randomized controlled trials.
Multimodal analgesic approaches are recommended for intensive care unit (ICU) pain management. Although music is known to reduce pain in acute and chronic care settings, less is known about its effectiveness in the adult ICU. ⋯ Music interventions of 20-30 minutes are efficacious to reduce pain in adult ICU patients able to self-report.
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J Pain Symptom Manage · Jun 2020
ReviewThe relationship of palliative care with assisted dying where assisted dying is lawful: A systematic scoping review of the literature.
A central approach of palliative care has been to provide holistic care for people who are dying, terminally ill, or facing life-limiting illnesses while neither hastening nor postponing death. Assisted dying laws allow eligible individuals to receive medically administered or self-administered medication from a health provider to end their life. The implementation of these laws in a growing number of jurisdictions therefore poses certain challenges for palliative care. ⋯ The studies in this review cast only partial light on challenges faced by palliative care when assisted dying is legal. There is pressing need for more research on the involvement of palliative care in the developing practices of assisted dying, across a growing number of jurisdictions.