Journal of pain and symptom management
-
J Pain Symptom Manage · Nov 2014
Pain assessment using the critical-care pain observation tool in chinese critically ill ventilated adults.
The psychometric properties of the Critical-Care Pain Observation Tool (CPOT) need to be tested in general intensive care unit patient populations in China. ⋯ The CPOT has good psychometric properties and can be used as a reliable and valid instrument for pain assessment in Chinese critically ill ventilated adults.
-
J Pain Symptom Manage · Nov 2014
Randomized Controlled TrialA randomized trial of the effectiveness of topical "ABH Gel" (Ativan(®), Benadryl(®), Haldol(®)) vs. placebo in cancer patients with nausea.
The topical gel known as "ABH gel," comprising lorazepam (Ativan(®)), diphenhydramine (Benadryl(®)), and haloperidol (Haldol(®)), is frequently used to treat nausea because of its perceived efficacy, relatively low cost, and ease of use in the home setting. There are limited scientific data on this medication, however. Recent pilot studies showed no absorption of the active ingredients of the gel, prompting further prospective studies into the cause of the perceived efficacy in the clinical setting. ⋯ ABH gel in its current formulation should not be used in cancer patients experiencing nausea.
-
J Pain Symptom Manage · Nov 2014
Multicenter StudyQuality of life in patients with advanced cancer at the end of life as measured by the McGill quality of life questionnaire: a survey in China.
Quality of life (QOL) is the main outcome measure for patients with advanced cancer at the end of life. The McGill Quality of Life Questionnaire (MQOL) is designed specifically for palliative care patients and has been translated and validated in Hong Kong and Taiwan. ⋯ Our results revealed the aspects of QOL that need more attention for Chinese palliative care patients with advanced cancer. The association between the characteristics of patients, Karnofsky Performance Status, and their QOL also was identified.
-
J Pain Symptom Manage · Nov 2014
Perceived discrimination in health care is associated with a greater burden of pain in sickle cell disease.
Perceived discriminatory experiences in society have been associated with a higher burden of pain among some minority patient populations. ⋯ Perceived disease-based, but not race-based, discrimination was found to be associated with a greater range of self-reported pain among patients with SCD. If causal, this finding could signal an important new approach to mitigating the burden of pain experienced by persons with SCD.
-
J Pain Symptom Manage · Nov 2014
Variation of opioid use in pediatric inpatients across hospitals in the u.s.
Appropriate use of opioids is essential to manage moderate-to-severe pain in children safely and effectively, yet published guidance regarding opioid treatment for pediatric patients is limited, potentially resulting in excessive variation in opioid use in pediatric patients across hospitals in the U.S. ⋯ The substantial hospital-level variation in opioid use in pediatric inpatients suggests room for improvement in clinical practice.