Journal of pain and symptom management
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In this article, we provide an overview of pharmacists' involvement with palliative care, starting with recent history, up to present day. The aim of this review is to highlight advances in the field of palliative care pharmacy and the integral role pharmacists have on the palliative care team. We conclude that despite participating on multidisciplinary palliative care teams for over 20 years, pharmacy still lacks a board certification in palliative care.
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J Pain Symptom Manage · Dec 2022
ReviewBarriers to palliative care access in patients with intellectual disability: a scoping review.
There is limited knowledge about inequalities regarding palliative care access among patients with intellectual disability. The present scoping review aimed to identify the existing barriers that limit access to palliative care (PC) in patients with intellectual disability. ⋯ Patients with intellectual disability do not get referred to PC frequently. Health professionals and caregivers do not recognize when it is necessary to make a referral, and they need to improve their communication abilities. Also, health care workers need more training in PC, pain management, anticipation of death, and use of opioids. More research and education on the palliative care needs and care for patients with intellectual disabilities is needed.
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J Pain Symptom Manage · Dec 2022
Race, affordability and utilization of supportive care in ovarian cancer patients.
Lack of access to supportive care (SC) among cancer patients have been well documented. However, the role of affordability in this disparity among ovarian cancer (OC) patients remain poorly understood. ⋯ Black OC patients and those living in lower educated areas were less likely to receive antidepressants as SC. Given the importance of post-primary treatment quality of life for cancer patients, interventions are needed to enhance equitable access to SC.
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J Pain Symptom Manage · Dec 2022
DYSPHAGIA IN SOLID TUMORS OUTSIDE THE HEAD, NECK OR UPPER GI TRACT: CLINICAL CHARACTERISTICS.
Dysphagia is common in cancer, but underlying pathophysiology and manifestations within patients are unknown. ⋯ Dysphagia management in those with cancer requires robust assessment to uncover clinically important needs like food texture modification and safe swallowing advice. Better assessment tools should be developed for this purpose. Oral health problems should be routinely screened in this population since they exacerbate dysphagia.