Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2021
Randomized Controlled TrialUnderstanding the Role of Knowledge in Advance Care Planning Engagement.
Advance care planning remains underutilized. A better understanding of the role of education in promoting engagement is needed. ⋯ Knowledge deficits regarding advance care planning are common and associated with the same sociodemographic factors linked to other healthcare disparities. While improving knowledge is an important component of intervention, it is unlikely sufficient in and of itself to increase engagement.
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J Pain Symptom Manage · Oct 2021
Randomized Controlled TrialTRAINING STAFF IN LONG-TERM CARE FACILITIES - EFFECTS ON RESIDENTS' SYMPTOMS, PSYCHOLOGICAL WELL-BEING, AND PROXY SATISFACTION.
Long-term care facility (LTCF) residents have unmet needs in end-of-life and symptom care. ⋯ Our rigorous randomized controlled trial on palliative care training intervention demonstrated mild effects on residents' symptoms and no robust effects on psychological well-being or on proxies' satisfaction with care.
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J Pain Symptom Manage · Oct 2021
Meta AnalysisAssociation of Palliative Care Intervention with Health Care Use, Symptom Burden and Advance Care Planning in Adults with Heart Failure and Other Noncancer Chronic Illness.
Palliative care (PC) improves outcomes in noncancer illness. We hypothesized the benefit is driven by studies of heart failure (HF) patients exclusively versus studies of other noncancer illnesses. ⋯ PC is particularly effective at reducing potentially unwanted hospital admissions for patients with HF compared to other noncancer illnesses. Our findings should further encourage efforts to increase PC access to HF patients.
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J Pain Symptom Manage · Oct 2021
Multicenter StudyMeanings emerging from Dignity Therapy amongst Cancer Patients.
Generativity is a process whereby patients nearing the end of life invest in those they will soon leave behind. In recent years, the trajectory of cancer has changed, as new therapies have prolonged survival and patients often live with metastatic disease for several years. For these patients and for the healthcare professionals who care for them it can be useful to understand if the concept of generativity is clinically salient. ⋯ Conversations about generativity could inform clinicians on how to communicate about existential and meaning-based issues across different stages of illness.