Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2024
The COVID-19 pandemic: Bereavement outcomes between hospital and home deaths in palliative care.
Australian COVID-19 public health measures reduced opportunities for people to communicate with healthcare professionals and be present at the death of family members/friends. ⋯ These findings highlight the need for health services to recognize bereavement as fundamental to palliative and health care and provide pre- and post death grief and bereavement care to ensure supports are available particularly for those managing end-of-life at home, and that such supports are in place prior to as well as at the time of the death.
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J Pain Symptom Manage · Feb 2024
ReviewThe Impact of Advance Care Planning on Healthcare Professionals' Well-being: A Systematic Review.
Advance care planning (ACP) improves care for patients with chronic illnesses and reduces family stress. However, the impact of ACP interventions on healthcare professionals' well-being remains unknown. ⋯ This review is the first to explore the impact of ACP interventions on healthcare professionals' well-being. ACP interventions appear to have a positive impact, but high-quality studies are scarce. Further research is needed, particularly using more rigorous and systematic methods to implement interventions and report results.
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J Pain Symptom Manage · Feb 2024
In every detail: spiritual care in pediatric palliative care perceived by healthcare providers.
Spiritual care is an essential domain of pediatric palliative care. The current mainland China faces a lack of national guidance and a shortage of specialized personnel to provide spiritual care in a traditional developing country. ⋯ This study illustrated that current spiritual support, though not formally organized, is provided individually in pediatric palliative care services in mainland China. Strategies for a practice guide, education and training for professionals, and cultural building need to be rationally developed to strengthen and structure spiritual support integrated into pediatric palliative care.
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J Pain Symptom Manage · Feb 2024
Preparing Preclinical Medical Students for Routine Code Status Discussions: A Mixed-Methods Study.
Medical students are expected to gain competency in inquiring about patients' goals of care, per the Association of American Medical Colleges' Entrustable Professional Activities. While students may be part of teams that conduct routine code status discussions (CSDs), formal training in this skill prior to clinical clerkships is lacking. ⋯ A workshop to train medical students to conduct routine CSDs can be included as part of a preclinical medical education curriculum. Students reported that the workshop increased their confidence in conducting CSDs and demonstrated an increase in corresponding knowledge, preparing them to deliver person-centered care on their clerkships.
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J Pain Symptom Manage · Feb 2024
Multicenter Study Controlled Clinical TrialNursing care for spiritual pain in terminal cancer patients: A non-randomized controlled trial.
Spiritual well-being is important for terminal cancer patients; however, appropriate interventions remain to be established. ⋯ SpiPas-SCP-N for spiritual pain may have a positive impact on terminal cancer patients. Future research using larger samples, randomized design, and the meaning/peace subscale of FACIT-Sp as the primary outcome is necessary as well as supervision and continuous training in daily nursing practice.