Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2016
EffenDys - Fentanyl buccal tablet for the relief of episodic breathlessness in patients with advanced cancer: a multicenter, open label, randomized, morphine-controlled, crossover, phase II trial.
Episodic breathlessness is a frequent and burdensome symptom in cancer patients but pharmacological treatment is limited. ⋯ The description of a faster and greater relief of episodic breathlessness by transmucosal fentanyl versus morphine justifies further evaluation by a full-powered trial.
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J Pain Symptom Manage · Nov 2016
Nationwide Japanese survey about deathbed visions: "My deceased mother took me to heaven".
Primary aim was to clarify the prevalence and factors associated with the occurrence of deathbed visions, explore associations among deathbed visions, a good death, and family depression. Additional aim was to explore the emotional reaction, perception, and preferred clinical practice regarding deathbed visions from the view of bereaved family members. ⋯ Deathbed vision is not an uncommon phenomenon. Clinicians should not automatically regard such visions as an abnormal phenomenon to be medically treated and rather provide an individualized approach.
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J Pain Symptom Manage · Nov 2016
Changes in relatives' perspectives on quality of death, quality of care, pain relief, and caregiving burden before and after a region-based palliative care intervention.
A region-based palliative care intervention (Outreach Palliative Care Trial of Integrated Regional Model Study) increased home death, access to specialist palliative care, quality of care, and quality of death and dying. ⋯ The dual strategies of transition of place of death to home and improving quality of care in hospitals should be recognized as important targets for improving region-level palliative care.
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J Pain Symptom Manage · Nov 2016
The Association Between Pain and Clinical Outcomes in Adolescents With Cystic Fibrosis.
Pain is a common problem in patients with cystic fibrosis (CF) and in adults is associated with lower quality of life and more pulmonary complications. Less is known about the impact of pain in adolescents with CF. ⋯ Pain in adolescents with CF is associated with lower HRQoL and more pulmonary exacerbations. Greater efforts are needed to manage pain in this population and to determine if treatment of pain improves other outcomes.
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J Pain Symptom Manage · Nov 2016
Validity and Reliability of Brief Fatigue Inventory (BFI)-Indonesian Version in Cancer Patients.
Cancer-related fatigue is one of the most commonly reported symptoms in cancer patients. Short but good assessment is essential to detect and manage this symptom. Brief Fatigue Inventory (BFI) is a valid and reliable short instrument to assess cancer-related fatigue. ⋯ Indonesian BFI is a reliable and valid instrument for Indonesian cancer patients.