Journal of pain and symptom management
-
J Pain Symptom Manage · Jun 2023
Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: A qualitative study.
Stigma is known to impact the care of patients with opioid use disorder (OUD). ⋯ Healthcare provider stigma must be addressed as its effects are both quantitatively and qualitatively affecting patient care; in particular access to pain treatment. Continuity of care by known care providers may improve pain care for patients with cancer and OUD who are acutely hospitalized.
-
J Pain Symptom Manage · Jun 2023
Clinical TrialLevorphanol as a Second Line Opioid in Cancer Patients Presenting to an Outpatient Supportive Care Center: An Open-Label Study.
Levorphanol is a potent opioid agonist and NMDA receptor blocker with minimal drug interactions, and there are few reports of its use in cancer patients. ⋯ This study provided preliminary data that cancer patients could be successfully rotated to levorphanol using an ORR of 8.5. Levorphanol was associated with improved pain and symptom control and was well- tolerated.
-
J Pain Symptom Manage · Jun 2023
Observational StudyVisualizing how to use antipsychotics for agitated delirium in the last days of life.
How physicians use antipsychotics for agitated delirium in the last days of life varies markedly, which could hamper the quality of care. ⋯ The algorithm-based treatment could be feasible, effective, and safe. Visualizing how palliative care specialists provide pharmacological management could be beneficial for nonspecialist clinicians, and clinical, educational, and research implications warrant further empirical testing.
-
J Pain Symptom Manage · Jun 2023
Characteristics of untreated cancer patients admitted to an acute supportive/palliative care unit.
The characteristics of patients who had never received anticancer treatments at admission of an acute supportive palliative care unit (ASPCU) have never been explored. ⋯ Treatment-naive patients showed a higher level of symptom burden, which was less responsive to a comprehensive palliative treatment. In addition they more frequently died within three months in comparison with treated patients.
-
J Pain Symptom Manage · Jun 2023
A Statement on the Role and Qualifications of Health Care Chaplains for Research and Quality.
This statement fills a significant gap in the efforts to demonstrate outcomes of the chaplaincy role in health care and to provide direction for quality measurement related to spiritual care as a key domain of serious illness care. ⋯ This statement can potentially drive the standardization and alignment of all phases of health care chaplaincy preparation and practice.