Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2022
ReviewUse of theoretical frameworks in the development and testing of palliative care interventions.
Palliative care (PC) research has grown over the last 20 years. Yet, the causal components and pathways of PC interventions remain unclear. ⋯ Most PC trials do not cite a theoretical foundation for their intervention design. Future work should focus on developing and validating new theoretical frameworks and modifying existing theories and models to better explain the mechanisms of the variety of PC interventions.
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J Pain Symptom Manage · Mar 2022
ReviewIn-hospital beravement services as an act of care and a challenge: An integrative review.
Globally, people most often die within hospitals. As such, healthcare providers in hospitals are frequently confronted with dying persons and their bereaved relatives. ⋯ Current in-hospital bereavement care can be seen as an act of care that is provided ad-hoc, resulting from the good-will of individual staff members. A tiered or stepped approach based on needs is preferred, as it allocates funds towards individuals-at-risk. Effective partnerships between hospitals and the community can be a useful, sustainable and cost-effective strategy.
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J Pain Symptom Manage · Mar 2022
Arranging hospice care from the Emergency Department: A single center retrospective study.
Arranging hospice services from the Emergency Department (ED) can be difficult due to physician discomfort, time constraints, and the intensity of care coordination needed. We report patient and visit characteristics associated with successful transition from the ED directly to hospice. ⋯ Transitioning patients to hospice care from the ED is possible within a typical ED length of stay with assistance from a case manager/social work team.
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J Pain Symptom Manage · Mar 2022
Withdrawal of Temporary Mechanical Circulatory Support in Patients with Capacity.
Little is known about the real-time decision-making process of patients with capacity to choose withdrawal of temporary mechanical circulatory support (MCS). ⋯ While it is rare for patients on MCS to request withdrawal, such cases provide insight into reasons for withdrawal and the important roles of multidisciplinary teams in helping patients and families through end-of-life decision-making.
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J Pain Symptom Manage · Mar 2022
An Evaluation of Publicly Available Smartphone Apps to Support Unpaid Cancer Caregivers.
With advancements in mobile technology and increased access to smartphones, the use of Mobile Health applications (apps) has surged. These apps provide an innovative avenue for supporting cancer caregivers who face increasing burden and lack formal support; however, the quality of these apps has not been formally evaluated. ⋯ Superior cluster apps scored acceptably for quality and privacy and low for security and usefulness. Findings will assist clinicians, caregivers, and families identify apps to support cancer caregivers.