Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2021
An interprofessional team-based intervention to address barriers to initiating palliative care in pediatric oncology: a multiple-method evaluation of feasibility, acceptability, and impact.
Many children with advanced cancer are not referred to palliative care despite both professional recommendations to do so and bereaved parental preference for earlier support from sub-specialty palliative care. ⋯ An adaptive intervention to reduce barriers to initiating palliative care for pediatric oncology teams is feasible and acceptable.
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J Pain Symptom Manage · Dec 2021
Improved Physician Understanding of Patient End-Of-Life Preferences: A Quality Improvement Project.
Code status (CS) orders lack a universal definition. We aimed to improve provider understanding of order options. ⋯ Provider understanding of CS options can be improved with a combined QI intervention.
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J Pain Symptom Manage · Dec 2021
Efficacy of proportional sedation and deep sedation defined by sedation protocols: A multicenter, prospective, observational comparative study: Protocol-based palliative sedation.
To investigate the efficacy of two types of palliative sedation: proportional and deep sedation, defined by sedation protocols. ⋯ Proportional sedation achieved satisfactory symptom relief while maintaining some patients' consciousness, and deep sedation achieved good symptom relief while the majority of patients lost consciousness.
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J Pain Symptom Manage · Dec 2021
Observational StudyEnd-of-life planning depends on socio-economic and racial background: Evidence from the US Health and Retirement Study (HRS).
Americans express a strong preference for participating in decisions regarding their medical care, yet they are often unable to participate in decision-making regarding their end-of-life care. ⋯ Understanding differences that increase end-of-life planning is important to incentivize patients' participation. Advance planning should be encouraged and accessible to people of all ages as it is inevitable for the provision of patient-centered and cost-effective care.
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J Pain Symptom Manage · Dec 2021
Recommendations for Preventing Medication Diversion and Misuse in Hospice Care: A Modified Delphi Study.
Recommendations are needed to help minimize the risks of medication diversion and misuse in the hospice setting. ⋯ These recommendations were created by experts in the field to reduce the risk of medication diversion and misuse. Further steps towards implementation may appropriately reduce these risks.