Journal of pain and symptom management
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J Pain Symptom Manage · May 2022
Palliative Care Exposure Relative to Predicted Risk of 6-Month Mortality in Hospitalized Adults.
The optimal strategy for implementing mortality-predicting algorithms to facilitate clinical care, prognostic discussions, and palliative care interventions remains unknown. ⋯ We developed and temporally validated a predictive mortality model for adults from a large retrospective cohort, which helps quantify the potential need for palliative care referrals based on risk strata. Machine learning algorithms for mortality require clinical interpretation, and additional studies are needed to design patient-centered and risk-specific interventions.
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J Pain Symptom Manage · May 2022
Palliative care in hospitalized middle-aged and older adults with COVID-19.
As COVID-19 overwhelms health systems worldwide, palliative care strategies may ensure rational use of resources while safeguarding patient comfort and dignity. ⋯ One in five middle-aged and older adults hospitalized with COVID-19 received palliative care in our cohort. Patients who were very old, multimorbid, frail, and had severe COVID-19 were more likely to receive palliative care. However, it was often delayed until advanced and invasive life support measures had already been implemented.
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J Pain Symptom Manage · May 2022
Reliability and Validity of the Japanese Pediatric Version of Memorial Symptom Assessment Scale.
Few instruments in Japanese assess health-related quality of life in pediatric cancer patients. ⋯ MSAS-J is a reliable and valid instrument to assess symptoms among Japanese children with cancer.
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J Pain Symptom Manage · May 2022
"Only I know now, of course, how to deal with it, or better to deal with it": A mixed methods phase II study of a cognitive and behavioral intervention for the management of episodic breathlessness.
Episodic breathlessness is characterized by increased breathlessness intensity, and it is burdensome for patients. A vicious cycle of breathlessness-anxiety/panic-breathlessness leads to emergencies that can rarely be alleviated by drugs. Non-pharmacological interventions seem to be beneficial: Can a brief cognitive and behavioral intervention help patients to better manage episodic breathlessness? ⋯ The brief cognitive and behavioral intervention and the study procedures are feasible, safe, and well accepted. We can describe a change for better management of episodic breathlessness in patients after the intervention, still, this needs to be evaluated in a Phase III trial for inclusion in the management of episodic breathlessness.