Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2024
Palliative Care Clinicians' Views on Metrics for Successful Specialist Palliative Care Delivery in the ICU.
A quarter of palliative care (PC) clinicians' consultations are now requested from the intensive care unit (ICU). Despite this high usage, a standardized set of quality metrics for PC delivery in the ICU does not exist. ⋯ Our findings provide insight into PC clinician perspectives on quality metrics and identify major barriers that need to be addressed to successfully implement quality measurement in the ICU setting.
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J Pain Symptom Manage · Jul 2024
Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs.
Clinical practice guidelines recommend palliative care for people with advanced heart failure (aHF), yet it remains underutilized. ⋯ SPC reach varies widely across VAMCs for people with aHF. Outpatient palliative is common among high-reach VAMCs but its role in reach warrants further investigation. Strategies used by high-reach VAMCs may be potential targets to test for implementation and dissemination.
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J Pain Symptom Manage · Jul 2024
Cultural values influence on rural family caregivers' decision-making for ill older adult loved ones.
Rural older adult Americans receive more intense treatment at end of life. Studies indicate that those who participate in goals of care conversations receive care more concordant with their values. Yet, rates of documented goals of care discussions are lower in rural and Black communities. Although multi-factorial, the role that rural family caregivers (FCGs) play in decision-making for ill loved ones is understudied. ⋯ This study is a foundational step in understanding how rural FCGs beliefs and values influence decision-making. We recommend incorporating those constructs into the development of culturally responsive decision-support interventions.
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J Pain Symptom Manage · Jul 2024
Effect of music therapy on chemotherapy anticipatory symptoms in adolescents: a mixed methods study.
This study explores the feasibility and effects of music therapy on anticipatory nausea and vomiting, stress, pain and quality of life in adolescents undergoing chemotherapy. ⋯ Results support the feasibility of introducing music therapy with adolescents undergoing chemotherapy. Perceived stress and psychological/physical wellbeing were improved in participants.