Journal of pain and symptom management
-
J Pain Symptom Manage · Apr 2024
Predictive models for palliative care needs of advanced cancer patients receiving chemotherapy.
Early palliative care is recommended within eight-week of diagnosing advanced cancer. Although guidelines suggest routine screening to identify cancer patients who could benefit from palliative care, implementing screening can be challenging due to understaffing and time constraints. ⋯ Our models could forecast specialist palliative care needs for advanced cancer patients on chemotherapy. Using five variables as predictors could replace screening tools and has the potential to contribute to earlier palliative care.
-
J Pain Symptom Manage · Apr 2024
Discriminatory healthcare experiences and medical mistrust in patients with serious illness.
Though discrimination in healthcare settings is increasingly recognized, the discriminatory experiences of patients with serious illness has not been well studied. ⋯ In this cross-sectional study of patients with serious illness, discriminatory experiences were associated with worse mistrust in the medical system, particularly for Black and NA/AN participants. These findings suggest that race-conscious approaches are needed to address discrimination and mistrust in marginalized patients with serious illness and their families.
-
J Pain Symptom Manage · Apr 2024
Outcomes and experiences of patients and their caregivers after severe stroke requiring tube feeding in Peru.
Evaluate clinical outcomes of stroke survivors in Peru discharged with artificial nutrition via a feeding tube (FT), and explore perspectives and experiences of these patients and their caregivers. ⋯ We identified a high burden of palliative and supportive needs among severe stroke survivors with NGTs and their caregivers suggesting opportunities to improve poststroke care through education, communication, and support.
-
J Pain Symptom Manage · Apr 2024
Piloting a Patient Tool to Aid Palliative Care Referrals during Advanced Lung Cancer Treatment.
Patient misperceptions are a strong barrier to early palliative care discussions and referrals during advanced lung cancer treatment. ⋯ The palliative care education and screening tool is acceptable to patients and may address misperceptions and motivate palliative care discussions during treatment.
-
J Pain Symptom Manage · Apr 2024
Lifelong Learning Indicators in Medical Students After a Novel Communication Skills Session.
A growth mindset and mastery approach have gained attention as useful learning orientations in medical education, however few studies of interventions to foster these orientations exist. ⋯ A novel communication skills session on delivering serious news fostered a communication growth mindset in third year medical students. Most students exhibited a mastery approach to learning; this approach was more likely when they had a growth mindset.