Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2024
ReviewExpressive Arts Interventions to Improve Psychosocial Well-being in Caregivers: A Systematic Review.
Over 43 million caregivers provide care and support in the United States. Increased stress and burden may contribute to poor psychosocial well-being. Recently, there has been an emergence of art-based interventions to improve well-being among care receivers and caregivers. A synthesis of this literature evaluating expressive arts interventions (EAIs) with caregivers is needed. ⋯ Caregivers are essential to the care of people with medically complex and life-limiting conditions. EAIs hold the potential to improve psychosocial outcomes for caregivers, are used globally, and can be culturally tailored. Future research should examine intervention duration and intensity, measures to address additional dimensions of psychsocial well-being, and implementation in additional caregiver populations.
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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
A phase II study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients.
The efficacy and tolerability of high-flow nasal cannula (HFNC) for relieving dyspnea in advanced cancer patients with limited prognosis requires elucidation. ⋯ To our knowledge, this trial is the first prospective study to assess the five-day efficacy and tolerability of HFNC for dyspnea in patients under palliative care. Although this did not reach the prespecified endpoint, about half of the patients showed 1.0 point improvement, a minimally clinically important difference (MCID) in the chronic lung disease. HFNC can be a palliative treatment option in advanced cancer patients with dyspnea.
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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
Pilot Implementation of the Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool.
Specialist palliative care services must balance provision of needs-based care within resource restraints. The Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool is a novel, evidence-based, 7-item prioritization tool, with recommended response times for any given score. ⋯ The RUN-PC Triage Tool is feasible to implement, with high clinician acceptability and virtually no additional time required. The recommended response times are feasible and highlight target areas for improvement. Implementation of the tool enables palliative care services to better characterize their referral population and, in turn, improve transparency around access to care.