Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2024
Referral Versus Embedded Palliative Care Consultation Among People Hospitalized with Heart Failure: A Report from a Single Center Pilot Program.
Despite calls for integration into routine heart failure (HF) care, optimal palliative care delivery for people living with HF remains unclear. ⋯ Hospitalized people living with advanced HF who received an embedded palliative care consult were younger, had higher functional status and less illness severity compared to those served by a traditional, referral-based consult.
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J Pain Symptom Manage · Mar 2024
Spiritual coping in family caregivers of patients with advanced cancer: a cross-sectional study.
Family caregivers face significant challenges when providing care to individuals with advanced cancer. Spiritual coping strategies may support caregivers in addressing these challenges. ⋯ The spiritual coping of Chinese family caregivers should be considered by health care providers, who should focus on alleviating their anxiety and depression while improving self-efficacy and spiritual health, especially among nonreligious caregivers.
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J Pain Symptom Manage · Mar 2024
The Scope of Practice of an Embedded Pediatric Palliative Oncology Clinic.
Pediatric palliative care (PPC) improves end-of-life (EOL) outcomes for children with cancer. Though PPC visits are the 'intervention' in studies focused on EOL care, the content of PPC visits within pediatric oncology is poorly understood. ⋯ The scope of PPC practice is broad and varied. Each visit encompasses many subdomains, the most common being care coordination with oncology teams and helping patients/families cope with the disease. More domains were addressed in solid tumor visits and near EOL.
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J Pain Symptom Manage · Mar 2024
Observational StudyFactors associated with family surrogate decisional-regret trajectories.
The scarce research on factors associated with surrogate decisional regret overlooks longitudinal, heterogenous decisional-regret experiences and fractionally examines factors from the three decision-process framework stages: decision antecedents, decision-making process, and decision outcomes. This study aimed to fill these knowledge gaps by focusing on factors modifiable by high-quality end-of-life (EOL) care. ⋯ Surrogate membership in decisional-regret trajectories was associated with decision antecedent, decision-making process, and decision outcome factors. Effective interventions should target identified modifiable factors to address surrogate decisional regret.
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Pain attributable to sickle cell disease (SCD) is often unpredictable, recurrent, and requires complex treatments. Subanesthetic ketamine infusion has been studied in other diseases and disorders, but there is still limited data on its efficacy in pain management for SCD. ⋯ In pediatric patients with SCD, subanesthetic ketamine was safe as a continuous infusion and effectively reduced both pain scores and opioid requirements.