Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2021
Palliative Care Consultation in Hospitalized Patients with COVID-19: A Retrospective Study of Characteristics, Outcomes, and Unmet Needs.
Few studies have described the characteristics and palliative care needs in hospitalized patients with coronavirus disease 2019 (COVID-19). ⋯ During this pandemic, understanding inpatient specialized palliative care needs and the vulnerable populations driving these causes may encourage health-care agencies and local, state, and federal governments to support the dedicated palliative care workforce.
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J Pain Symptom Manage · Aug 2021
Feasibility of Safe Opioid Prescribing in Outpatient Palliative Care: A Quality Improvement Project.
No guidelines for safe opioid prescribing in palliative care exist, which contributes to limited monitoring of opioid misuse in palliative care. ⋯ Safe opioid prescribing measures are feasible in outpatient palliative care and can facilitate identification of individuals at risk for opioid misuse and prompt early interventions for misuse.
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J Pain Symptom Manage · Aug 2021
Advance Care Planning Among Older Adults of Turkish Origin in Belgium: Exploratory Interview Study.
Although conversations about future medical treatment and end-of-life care are considered to be important, ethnic minorities are much less engaged in advance care planning (ACP). ⋯ The provision of tailored information about ACP to older adults of Turkish origin in Belgium and the promotion of awareness about the importance of ACP among their children (when patients desire), as well as the use of professional interpreters, could facilitate ACP engagement in this population.
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J Pain Symptom Manage · Aug 2021
Randomized Controlled TrialFixed-Dose Netupitant and Palonosetron for Chronic Nausea in Cancer Patients: A Double-Blind, Placebo Run-In Pilot Randomized Clinical Trial.
No clinical trials have examined the effect of netupitant/palonosetron (NEPA) on chronic nausea in patients with cancer. ⋯ NEPA and placebo were associated with similar magnitude of within-group improvement in chronic nausea without significant between-group differences (Clinicaltrials.gov NCT03040726).
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J Pain Symptom Manage · Aug 2021
ReviewA scoping review of end-of-life communication in international palliative care guidelines for acute care settings.
End-of-life communication in acute care settings can be challenging and many patients and families have reported low satisfaction with those conversations. ⋯ Palliative and end-of-life guidelines applicable to acute care settings outline the purpose of end-of-life communication and address how, when, and by whom such conversations are best initiated and facilitated. How guidelines are developed and what aspects of communications are included and emphasized may differ across countries related to role differences of physicians and nurses and national laws and regulations.