Journal of pain and symptom management
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J Pain Symptom Manage · Sep 2021
Clinical and Genetic factors associated with the Breast cancer-related Sleep Disorders: The "CAGE-Sleep" study- a cross-sectional study.
Despite being among the most reported concerns in breast cancer patients, sleep disturbances are still poorly assessed and managed in routine clinical practice. Correctly evaluating these symptoms and understanding the underlying clinical and genetic factors would help medical teams develop an adequate treatment strategy for each patient. ⋯ Our study confirms the relationship between anxiety/depression, cycle number, dyslipidemia and DRD2 polymorphism with insomnia and highlights the importance of treating all associated factors to improve the overall QOL of patients.
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J Pain Symptom Manage · Sep 2021
Experience with Advance Care Planning Discussions Among Pregnant Women with Congenital Heart Disease.
Women with adult congenital heart disease (ACHD) have an increased risk of adverse events during pregnancy. Advance care planning may therefore be an appropriate component of prenatal care. ⋯ Advance care planning is not a routine part of prenatal care in ACHD, and its role in this population requires further assessment.
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J Pain Symptom Manage · Sep 2021
Drug information needs of health care professionals in palliative care: a retrospective evaluation of a palliative care drug information service.
Drug therapy is an integral part of palliative care but pharmacotherapy can be challenging for health care professionals. Access to information is essential for health care providers to choose the best drug treatment for an individual patient. A drug information service can support health care professionals to obtain appropriate, unbiased information. ⋯ The information needs on palliative care pharmacotherapy seem to be particularly high among physicians. The demand for information in the area of application technology is particularly apparent and demonstrates a therapeutic gap in terms of availability of suitable preparations as well as necessary information.
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J Pain Symptom Manage · Sep 2021
Goals of Care Discussions and Moral Distress among Neonatal Intensive Care Unit Staff.
The relationship between quality of Goals of Care (GOC) conversations and moral distress among neonatal intensive care unit (NICU) providers is not known. ⋯ Change in moral distress among providers may be a useful metric of quality of GOC discussions. There are identifiable elements of GOC conversations that are associated with high-quality discussions. These elements warrant further study.
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J Pain Symptom Manage · Sep 2021
Parent Perceptions of Infant Symptoms and Suffering and Associations with Distress Among Bereaved Parents in the NICU.
Healthcare providers and parents face many challenges caring for infants at the end of life (EOL). Symptom assessment and management in critically ill infants can be especially difficult. However, the impact of the infant's EOL experience on bereaved parents is largely unknown. ⋯ Perceptions of symptoms and suffering were associated differently with mother and father adjustment after bereavement. While not necessarily causal, better symptom management at EOL could minimize distress for both infants and their parents.