Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2024
Randomized Controlled TrialDyadic Yoga for Head and Neck Cancer Patients Undergoing Chemoradiation and their Family Caregivers.
Concurrent chemoradiation to treat head and neck cancer (HNC) may result in debilitating toxicities. Targeted exercise such as yoga therapy may buffer against treatment-related sequelae; thus, this pilot RCT examined the feasibility and preliminary efficacy of a yoga intervention. Because family caregivers report low caregiving efficacy and elevated levels of distress, we included them in this trial as active study participants. ⋯ Yoga therapy appears to be a feasible, acceptable, and possibly efficacious behavioral supportive care strategy for HNC patients undergoing chemoradiation. A larger efficacy trial is warranted.
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J Pain Symptom Manage · Jun 2024
Randomized Controlled TrialMusic listening in stem cell transplantation and acute myeloid leukemia: A randomized clinical trial.
Music listening (ML) has been shown to have a beneficial effect on patients with cancer. However, novel intervention approaches are needed. ⋯ ML based on our innovative iso-principle strategy, conducted using GloMus, reduced the symptom burden in patients undergoing allogeneic- and inpatient autologous-SCT (ClinicalTrials.gov number, NCT05696457).
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J Pain Symptom Manage · Jun 2024
Contributing to Non-concordance between End-of-Life Care and Advance Care Planning.
Despite making do-not-resuscitate or comfort care decisions during advance care planning, terminally ill patients sometimes receive life-sustaining treatments as they approach end of life. ⋯ This study reveals that factors related to relational autonomy, emotional support, and health literacy may contribute to non-concordance between advance care planning and end-of-life care. In the future, developing an advance care planning model emphasizes respecting relational autonomy, providing emotional support, and enhancing health literacy could help patients receiving a goal concordant and holistic end-of-life care.
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J Pain Symptom Manage · Jun 2024
Pragmatic Clinical TrialPandemic Effects on Stability of End-of-Life Preferences and Patient-Surrogate Dyad Congruence.
Whether a largescale disaster alters people's previous decisions about their end-of-life care is unknown. ⋯ The pandemic alone did not appear to influence patients' goals-of-care preferences or dyad congruence. This finding supports the stability of value-based end-of-life preferences in general, even during a disaster.
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J Pain Symptom Manage · Jun 2024
Factors associated with hospital admission in the last month: A retrospective single center analysis.
Driven by concerns about care quality, patient experience, and national metrics, health systems are increasingly focusing on identifying risk factors for patients who are hospitalized in the last month of life. ⋯ As patients with heart or liver disease or metastatic cancer had the highest odds of admission in the last month, collaborative interventions between primary, palliative, and specialty care may improve quality of care at the end of life.