Journal of pain and symptom management
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J Pain Symptom Manage · May 2016
Palliative Care Education in Emergency Medicine Residency Training: A Survey of Program Directors, Associate Program Directors, and Assistant Program Directors.
Emergency medicine (EM) residents perceive palliative care (PC) skills as important and want training, yet there is a general lack of formal PC training in EM residency programs. A clearer definition of the PC educational needs of EM trainees is a research priority. ⋯ There are specific barriers and opportunities for PC competency training and gaps in resident skill level. Specifically, there are discrepancies in competency importance and residency skill in the management of the dying child, nonbeneficial interventions, and ethical and legal issues that could be a focus for educational interventions in PC competency training in EM residencies.
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J Pain Symptom Manage · May 2016
Breathlessness During the Last Week of Life in Palliative Care: An Australian Prospective, Longitudinal Study.
Breathlessness is a major cause of suffering and distress, and little is known about the trajectory of breathlessness near death. ⋯ Although breathlessness has been reported to worsen in the last months, the mean severity remained stable in the final week of life. In specialized palliative care, one in three people experienced significant breathlessness especially in respiratory disease.