Journal of pain and symptom management
-
J Pain Symptom Manage · Oct 2018
Randomized Controlled Trial Comparative StudyImproving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial.
Advance care planning (ACP) engagement includes a wide range of behaviors and actions related to discussions and documentation, yet few ACP intervention studies measure the full process. ⋯ Both PREPARE plus an easy-to-read AD and an AD-only markedly increased ACP engagement in a full range of ACP behaviors, including discussions and documentation, and engagement was nearly 100% with PREPARE + AD. Future ACP studies should examine a full range of ACP behaviors beyond ADs and the impact of PREPARE and easy-to-read AD implementation on health care systems.
-
J Pain Symptom Manage · Oct 2018
Randomized Controlled TrialCryotherapy Relieves Pain and Edema After Inguinal Hernioplasty in Males With End-Stage Renal Disease: A Prospective Randomized Study.
Tension-free hernioplasty under local anesthetic infiltration is a reasonable choice for end-stage renal disease patients with hernia. ⋯ Owing to its favorable cost, convenience, and low frequency of adverse effects, cryotherapy is useful for end-stage renal disease populations after hernioplasty to relieve pain and scrotal edema.
-
J Pain Symptom Manage · Oct 2018
Randomized Controlled TrialFan Therapy Is Effective in Relieving Dyspnea in Patients With Terminally Ill Cancer: A Parallel-Arm, Randomized Controlled Trial.
Dyspnea is a common distressing symptom among patients with advanced cancer. ⋯ Fan-to-face is effective in alleviating dyspnea in patients with terminally ill cancer.
-
J Pain Symptom Manage · Sep 2018
Letter Randomized Controlled TrialThe Paradox of Hospice for Caregivers of Cancer Patients.
-
J Pain Symptom Manage · Aug 2018
Randomized Controlled TrialThemes Addressed by Couples With Advanced Cancer During a Communication Skills Training Intervention.
Couple-based communication interventions have beneficial effects for patients with cancer and their partners. However, few studies have targeted patients with advanced stages of disease, and little is known about how best to assist couples in discussing issues related to life-limiting illness. ⋯ Findings suggest that couples likely would be receptive to an intervention that combines training in communication skills with guidance in focusing on issues related to life completion to assist with transitions at end of life. Such interventions might enhance both individuals' abilities to cope with illness-related symptoms and demands, enjoy the time they have together, and derive meaning from the experience.