Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2023
Review Meta AnalysisHome-Based Specialized Pediatric Palliative Care: A Systematic Review and Meta-Analysis.
Although specialized pediatric palliative care (SPPC) teams increasingly provide home-based care, the evidence of its impact has not yet been systematically evaluated. ⋯ This systematic review suggests that home-based SPPC is associated with increased likelihood of home death, and might be associated with improved quality of life and reduced symptom burden. The small number of studies and an overall high risk of bias, however, makes the overall strength of evidence low.
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J Pain Symptom Manage · Apr 2023
Creating a dedicated palliative care team for ICU Spanish speaking patients in response to COVID-19.
The Latinx population faced higher rates of infection and severe illness during the COVID-19 pandemic, resulting in an increased need for palliative care services. ⋯ The creation of a focused clinical program targeting a historically marginalized population offered opportunity for early palliative care intervention in clinical care for Spanish-speaking patients. This underscores the need for Spanish-language concordant palliative care to improve serious illness care, and end-of-life care, by providing continuity of care, spiritual care, and ICU team support.
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J Pain Symptom Manage · Apr 2023
Randomized Controlled TrialEffects of Spiritual Care on Well-being of Intensive Care Family Surrogates: A Clinical Trial.
Critical illness of a family member is associated with high emotional and spiritual distress and difficult medical decisions. ⋯ Proactive, semistructured spiritual care delivered by chaplains improves well-being for ICU surrogates. Results provide evidence for inclusion of chaplains in palliative and intensive care teams.
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J Pain Symptom Manage · Apr 2023
Randomized Controlled TrialEffects of a Patient Question Prompt List on Question Asking and Self-Efficacy During Outpatient Palliative Care Appointments.
Question prompt lists (QPLs) promote participation during medical appointments, including in the context of serious illness care. However, no studies have used parameters of a theoretical framework to examine the effects of QPL use in outpatient palliative care. ⋯ Despite their promise in previous studies, results of the current study suggest that QPLs may lack potency to shift patient and care partner question asking in palliative care appointments, and that other mechanisms outlined in Self-Efficacy Theory may characterize the relation between question asking and self-efficacy.
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J Pain Symptom Manage · Apr 2023
Standard Naloxone Prescribing for Palliative Care Cancer Patients on Opioid Therapy: A Single-Site Quality Improvement Pilot to Assess Attitudes and Access.
Limited data exist on when to offer naloxone to cancer patients on opioid therapy. ⋯ Opioid safety education and naloxone prescribing can be done quickly and is well-received by clinicians and patients.