Journal of pain and symptom management
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J Pain Symptom Manage · May 2024
Chatbot Performance in Defining and Differentiating Palliative Care, Supportive Care, Hospice Care.
Artificial intelligence (AI) chatbot platforms are increasingly used by patients as sources of information. However, there is limited data on the performance of these platforms, especially regarding palliative care terms. ⋯ We identified important concerns regarding the accuracy, comprehensiveness, reliability, and readability of outputs from AI platforms. Further research is needed to improve their performance.
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J Pain Symptom Manage · May 2024
Difficulties of Cancer Patients' Relatives in End-of-Life Discussions: Validation of a Questionnaire.
Despite the potential benefits and the desire for end-of-life communication, it rarely occurs in the familial context. Relatives play a significant role in the communication process; thus, it is crucial to understand the difficulties that they face. ⋯ The results indicate that the DEOLD-FI-r is a valid and reliable instrument for the systematic assessment of difficulties in family end-of-life communication. By focusing on relatives, it complements the already validated patient-version.
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J Pain Symptom Manage · May 2024
Questions from family members during the dying process and moral distress experienced by ICU nurses.
For a hospitalized patient, transitioning to comfort measures only (CMO) involves discontinuation of life-prolonging interventions with a goal of allowing natural death. Nurses play a pivotal role during the provision of CMO, caring for both the dying patient and their family. ⋯ There is discordance between nurses' preferences for inclusion in discussions about the transition to CMO and their actual presence. Moral distress is common for nurses when providing CMO and feeling prepared to answer questions from family members may attenuate distress.