Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2015
Observational StudySymptom clusters predict mortality among dialysis patients in Norway: a prospective observational cohort study.
Patients with end-stage renal disease on dialysis have reduced survival rates compared with the general population. Symptoms are frequent in dialysis patients, and a symptom cluster is defined as two or more related co-occurring symptoms. ⋯ Clustering of uremic symptoms predicted mortality. Assessing co-occurring symptoms rather than single symptoms may help to identify dialysis patients at high risk for mortality.
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J Pain Symptom Manage · Jan 2015
Comparative StudyMeaning in life experience at the end of life: validation of the Hindi version of the Schedule for Meaning in Life Evaluation and a cross-cultural comparison between Indian and German palliative care patients.
The experience of Meaning in Life (MiL) is a major protective factor against feelings of hopelessness and wishes for hastened death in palliative care (PC) patients. However, most instruments for MiL assessment have been developed only in Western countries so far. Little is known about MiL experience in Asian PC patients. ⋯ Preliminary results indicate good feasibility and validity of the Hindi version of the SMiLE. MiL experience also seems to be a coping resource for Indian PC patients.
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J Pain Symptom Manage · Jan 2015
Multicenter Study Observational StudySymptom burden of cancer patients: validation of the German M. D. Anderson Symptom Inventory: a cross-sectional multicenter study.
Cancer patients frequently suffer from various symptoms often impairing functional status and quality of life. To enable timely supportive care, these symptoms must be assessed adequately with reliable tools. ⋯ The MDASI-German version is a valid tool for measuring patient-reported symptom severity and symptom interference in German cancer patients. It is easily applicable and can be used by German clinicians and researchers for screening and monitoring purposes and the comparison of international data.
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J Pain Symptom Manage · Jan 2015
Multicenter StudyFeasibility of using algorithm-based clinical decision support for symptom assessment and management in lung cancer.
Distressing symptoms interfere with the quality of life in patients with lung cancer. Algorithm-based clinical decision support (CDS) to improve evidence-based management of isolated symptoms seems promising, but no reports yet address multiple symptoms. ⋯ The CDS systems, such as SAMI-L, have the potential to fill a gap in promoting evidence-based care.
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J Pain Symptom Manage · Jan 2015
Randomized Controlled TrialEMPOWER: an intervention to address barriers to pain management in hospice.
Concerns about pain medications are major barriers to pain management in hospice, but few studies have focused on systematic methods to address these concerns. ⋯ EMPOWER is a promising model to reduce barriers to pain management in hospice.