Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2024
Comparison of Prognostic Abilities of Palliative Prognostic Index, Laboratory Prognostic Score, and Palliative Prognostic Score.
Few studies have compared the prognostic value of scoring systems based on physical and blood parameters in terminally ill patients with cancer. ⋯ The prognostic abilities of PPI, LPS, and PaP were comparable. The most adequate estimation occurred for patients with AS for 14-59 days. A more accurate prognostic model is needed for patients with longer survival.
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J Pain Symptom Manage · Apr 2024
Mechanical ventilation in older adults with dementia: opportunities to promote goal-concordant care.
Recent studies show increasing use of mechanical ventilation among people living with dementia. There are concerns that this trend may not be driven by patient preferences. ⋯ Future efforts to promote goal-concordant care surrounding mechanical ventilation use for people living with dementia should involve identifying barriers to goal-concordant care in pre-hospital settings, assessing the timeliness of in-hospital GOCD, and developing strategies for in-the-moment crisis communication across settings.
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J Pain Symptom Manage · Apr 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.
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J Pain Symptom Manage · Apr 2024
"At Least I Can Push this Morphine":PICU Nurses' Approaches to Suffering Among Dying Children.
Parents of children who die in the pediatric intensive care unit (PICU) carry memories of their child's suffering throughout a lifelong grieving experience. Given their prolonged time at the bedside, PICU nurses are poised to attend to dying children's suffering. ⋯ While physical suffering may be remedied with direct nursing care, holistically attending to EOL suffering in the PICU requires both bolstering external processes and strengthening PICU nurses' internal resources. Improving psychosocial training and optimizing interprofessional care systems could better support dying children and their families.
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J Pain Symptom Manage · Apr 2024
Attitudes and beliefs regarding Pain Medicine: results of a national palliative physician survey.
Pain is a prevalent symptom in patients with serious illness and often requires interventional approaches for adequate treatment. Little is known about referral patterns and collaborative attitudes of palliative physicians regarding pain management specialists. ⋯ This study shows that Palliative Care physicians have highly positive attitudes toward Pain Medicine specialists, but referrals remain low. Facilitating professional collaboration via joint educational/clinical sessions is one possible solution to drive ongoing interprofessional care in patients with complex pain.