Journal of pain and symptom management
-
J Pain Symptom Manage · Sep 2014
Multicenter StudyNurse and physician barriers to spiritual care provision at the end of life.
Spiritual care (SC) from medical practitioners is infrequent at the end of life (EOL) despite national standards. ⋯ SC training is suggested to be critical to the provision of SC in accordance with national care quality standards.
-
J Pain Symptom Manage · Aug 2014
Multicenter Study Comparative StudyComparative effectiveness of senna to prevent problematic constipation in pediatric oncology patients receiving opioids: a multicenter study of clinically detailed administrative data.
Pediatric oncology patients often receive prolonged courses of opioids, which can result in constipation. ⋯ Initiating senna therapy, compared with other oral bowel medications, diminishes the subsequent risk of surrogate markers of problematic constipation in this population.
-
J Pain Symptom Manage · Jun 2014
Multicenter Study Clinical TrialA report on the long-term use of fentanyl pectin nasal spray in patients with recurrent breakthrough pain.
As patients with cancer are living longer, there is a need to ensure that treatments used for palliative care are well tolerated and effective during long-term use. ⋯ FPNS appeared to provide sustained benefit and was well tolerated during long-term treatment of BTPc.
-
J Pain Symptom Manage · Jun 2014
Randomized Controlled Trial Multicenter StudyA randomized trial of weekly symptom telemonitoring in advanced lung cancer.
Lung cancer patients experience multiple, simultaneous symptoms related to their disease and treatment that impair functioning and health-related quality of life (HRQL). Computer technology can reduce barriers to nonsystematic, infrequent symptom assessment and potentially contribute to improved patient care. ⋯ Feasibility of using a technology-based system for systematic symptom monitoring in advanced lung cancer patients was demonstrated. Future research should focus on identifying patients most likely to benefit and other patient, provider, and health system factors likely to contribute to the system's success.
-
J Pain Symptom Manage · Jun 2014
Multicenter StudyClinical trial participation as part of end-of-life cancer care: associations with medical care and quality of life near death.
Clinical trials are a common therapeutic option for patients with advanced incurable cancer. ⋯ Clinical trial participation is associated with aggressive EOL care. Aggressive EOL care appears to explain the association between trial participation and QOL near death.