Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2022
Balancing Work and Hospice Caregiving-A Closer Look at Burden, Preparedness, and Mental Health.
Navigating end-of-life is stressful and many caregivers feel unprepared for caregiving tasks. Being employed may further increase caregiver burden. ⋯ To better support employed caregivers, hospice team members should be ready to address concerns about finances, daily schedule changes, and family support and screen for preparedness for caregiving. Developing strategies to help employed hospice caregivers feel more prepared may mitigate adverse mental health outcomes.
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J Pain Symptom Manage · Feb 2022
Caregivers' death-preparedness states impact caregiving outcomes and patients' end-of-life care.
Preparing family caregivers, cognitively, emotionally, and behaviorally, for their relative's death is an actionable component of high-quality end-of-life care. We aimed to examine the never-before-examined associations of conjoint cognitive prognostic awareness and emotional preparedness for death with caregiving outcomes and end-of-life care received by cancer patients. ⋯ Family caregivers' death-preparedness states were associated with caregiving outcomes and their relative's end-of-life care. Cultivating caregivers' accurate prognostic awareness and improving their emotional preparedness for their relative's death may facilitate more favorable end-of-life-caregiving outcomes and may limit potentially nonbeneficial end-of-life care.
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J Pain Symptom Manage · Feb 2022
Comparison of Depressive Symptom Outcomes in Hospitalized Adult Cancer Patients Receiving Music Therapy or Massage Therapy.
Depressive symptoms are prevalent and associated with greater healthcare utilization among hospitalized adults with cancer. Music therapy and massage therapy are available at many National Cancer Institute (NCI)-Designated Cancer Centers and recommended by the American Society of Clinical Oncology for depressive symptoms, but a paucity of studies have compared these two therapies. ⋯ Among hospitalized adult cancer patients, both music therapy and massage therapy were associated with reduced depressive symptoms, but music therapy was associated with a greater reduction than massage therapy.
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J Pain Symptom Manage · Feb 2022
Safety and feasibility of home transfusions in Pediatric Palliative Care: a preliminary report.
While hematological symptoms are considered difficult to manage in a Pediatric Palliative Care setting, home may still represent a safe and convenient place for transfusions in patients with advanced malignancy or chronic conditions. This research focuses on the safety and feasibility of a home transfusion program. ⋯ This study supports the safety and feasibility of home transfusion in Pediatric Palliative Care.
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J Pain Symptom Manage · Feb 2022
The impact of aging on symptom prevalence and management in terminally ill patients with cancer.
With global population aging, the number of older patients with cancer is increasing. However, few data are available on palliative care for these patients. ⋯ We found age to be inversely related to symptom prevalence and medical interventions among terminally ill patients with cancer, contributing to the understanding of the experience of older patients with cancer.