Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2022
ReviewProPACC: Protocol for a Trial of Integrated Specialty Palliative Care for Critically Ill Older Adults.
Each year, approximately one million older adults die in American intensive care units (ICUs) or survive with significant functional impairment. Inadequate symptom management, surrogates' psychological distress and inappropriate healthcare use are major concerns. Pioneering work by Dr. J. Randall Curtis paved the way for integrating palliative care (PC) specialists to address these needs, but convincing proof of efficacy has not yet been demonstrated. ⋯ This trial will provide robust evidence about the impact of integrating SPC with critical care on patient, family, and health system outcomes.
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J Pain Symptom Manage · Jun 2022
ReviewSurrogates of Patients With Severe Acute Brain Injury Experience Persistent Anxiety and Depression Over the 6 Months After ICU Admission.
Severe Acute Brain Injury (SABI) is neurologically devastating, and surrogates for these patients may struggle with particularly complex decisions due to substantial prognostic uncertainty. ⋯ Surrogates of PMV patients with SABI experience persistently elevated anxiety and depression symptoms over 6 months compared to surrogates of PMV patients without SABI. Further work is needed to understand contributors to prolonged distress in this higher risk population.
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We met each other through academic medicine, in search for answers, and found friendship. Its value in my life was abundant, unearned grace. In Dr. Curtis, I learned the truth of the words of Thomas Mann, "Illness was merely transformed love."
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J Pain Symptom Manage · Jun 2022
ReviewApplication of Critical Race Theory in Palliative Care Research: A Scoping Review.
Structural racism negatively impacts individuals and populations. In the medical literature, including that of palliative care, structural racism's influence on interracial differences in outcomes remains poorly examined. Examining the contribution of structural racism to outcomes is paramount to promoting equity. ⋯ Palliative care research frequently highlights racial differences in outcomes. Articles that examine racial differences often assume that differences need to be fixed but posit reasons for differences without the narratives of those most affected by them.
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J Pain Symptom Manage · Jun 2022
ReviewApplication of Critical Race Theory in Palliative Care Research: A Scoping Review.
Structural racism negatively impacts individuals and populations. In the medical literature, including that of palliative care, structural racism's influence on interracial differences in outcomes remains poorly examined. Examining the contribution of structural racism to outcomes is paramount to promoting equity. ⋯ Palliative care research frequently highlights racial differences in outcomes. Articles that examine racial differences often assume that differences need to be fixed but posit reasons for differences without the narratives of those most affected by them.