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
Measures of Patient and Surrogate Preparedness for End-of-Life Decision-Making.
Reliable and valid measures are critical in accurately assessing outcomes of advance care planning interventions (ACP) for end-of-life (EOL) decision-making. ⋯ The preparedness scales demonstrated strong psychometric properties. Future studies should examine scale performance in other populations.
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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.