Journal of pain and symptom management
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J Pain Symptom Manage · Sep 2024
Improving Goal-Concordant Care in Intensive Care Unit Admissions from the Emergency Department in a Comprehensive Cancer Center.
As patients approach the end of life, discussion of their treatment goals is essential to avoid unnecessary suffering and deliver care in a manner consistent with their overall values. ⋯ Through our multipronged approach, we significantly improved the rates of ACP documentation among providers admitting patients from the ED to the ICU.
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J Pain Symptom Manage · Sep 2024
Meta AnalysisShifting views on cancer pain management: a systematic review and network meta-analysis.
Strong opioids are the cornerstone in the treatment of cancer-related pain. ⋯ The results suggest that methadone possibly deserves further promotion as first-line treatment for the treatment of cancer-related pain.
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J Pain Symptom Manage · Sep 2024
ReviewUse of Goals in Cancer Pain Management: A Systematic Review.
Cancer pain is multidimensional and management should be individualized to patient goals. The current standard for pain goal assessment is the personal pain goal (PPG), a numeric rating for tolerable pain intensity. However, the PPG may not accurately capture a personally meaningful goal for tailoring pain management. ⋯ Currently, assessments for cancer pain goals do not include function, activities, moods, medication effects, or safety that patients wish to achieve as a pain management outcome. Development and testing of multidimensional patient pain goals assessments is warranted so that goals can be consistently assessed, documented, and personally meaningful.