Journal of pain and symptom management
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The maintenance of dignity is an important concept in palliative care, and the loss of dignity is a significant concern among patients with advanced cancer. ⋯ The prevalence of a problematic loss of dignity among patients with severe chronic obstructive pulmonary disease is at least as high as among those receiving palliative cancer care. Loss of dignity may represent a concern among people with medical illnesses more broadly, and not just in the context of "death with dignity" at the end of life. Furthermore, interdisciplinary care may help to restore a sense of dignity to those individuals who are able to participate in rehabilitation.
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J Pain Symptom Manage · Mar 2016
Improving Emergency Providers' Attitudes Towards Sickle Cell Patients in Pain.
Provider biases and negative attitudes are recognized barriers to optimal pain management in sickle cell disease, particularly in the emergency department (ED). ⋯ Brief video-based educational interventions can improve emergency providers' attitudes toward patients with sickle pain crises, potentially curtailing pain crises early, improving health outcomes and patient satisfaction scores.
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J Pain Symptom Manage · Mar 2016
Development and Evaluation of the Psychometric Properties of the CKD-MBD Knowledge and Behavior Questionnaire (CKD-MBD-KB) for Patients with Chronic Kidney Disease.
Chronic kidney disease-mineral and bone disorder (CKD-MBD) is one of the most complicated morbidities among patients with end-stage renal disease. At present, a specific questionnaire assessing relevant knowledge and behavior for patients with CKD-MBD is still unavailable. ⋯ This CKD-MBD-KB questionnaire has been confirmed to have adequate psychometric properties (good reliability and validity) and may be useful in the assessment of patient-related knowledge, intervention programs, and treatment protocols.
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J Pain Symptom Manage · Mar 2016
Effective Management of Breathlessness in Advanced Cancer Patients with a Program-Based, Multidisciplinary Approach: The "SOB Program" in Hong Kong.
Breathlessness is common in patients with advanced cancer. Using a multidisciplinary approach for relieving this challenging symptom was believed to be just a theory. The "SOB Program" was implemented in our institution in March 2013. ⋯ A multidisciplinary approach for breathlessness control is both feasible and practical. Similar services can be promoted in other palliative care centers.