Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2017
Randomized Controlled TrialDignity Therapy and Life Review for Palliative Care Patients: A Qualitative Study.
Dignity therapy (DT) is a psychotherapeutic intervention whose aim was to bolster the sense of purpose, meaning, and sense of dignity in patients with terminal disease. ⋯ This study provides further insight into what palliative care patients consider to be most important and meaningful to them when taking part in DT and LR. Creating legacy documents is likely to result in session content that is different in several key areas compared with LR, even when controlling for interview questions, therapist influences, and session length. Consideration of the above is essential in optimizing psychotherapeutic outcomes near end of life.
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J Pain Symptom Manage · Oct 2017
Comparative StudyFull title: Policy measures to support palliative care at home: a cross-country case comparison in three European countries.
The proportion of people in need of palliative care worldwide is rising, and the majority wish to receive this care at home. Many countries have created policy measures to support palliative care at home. ⋯ European countries with similar contextual characteristics offer comparable policy measures to support palliative care at home in addition to the available primary care services. However, important differences exist in the criteria for access and the extent of what is offered.
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J Pain Symptom Manage · Oct 2017
The Spanish adaptation of the Palliative Performance Scale (version 2) among cancer patients at the end of life: Psychometric Properties.
Palliative Performance Scale (PPS) is a reliable tool to assess performance status in cancer patients receiving palliative care (PC). Spanish validated and culturally adapted tools are needed. ⋯ PPS-SPANISH showed reliability and validity, and it is suitable to assess performance status in cancer patients receiving PC.
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J Pain Symptom Manage · Oct 2017
Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States.
Entrustable Professional Activities (EPAs) represent the key physician tasks of a specialty. Once a trainee demonstrates competence in an activity, they can then be "entrusted" to practice without supervision. A physician workgroup of the American Academy of Hospice and Palliative Medicine sought to define Hospice and Palliative Medicine (HPM) EPAs. ⋯ A set of 17 EPAs was developed using national input of practicing physicians and program directors and an iterative expert workgroup consensus process. The workgroup anticipates that EPAs can assist fellowship directors with strengthening competency-based training curricula.
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J Pain Symptom Manage · Oct 2017
Healthcare Professionals' Attitudes About Physician-Assisted Death: An Analysis of Their Justifications and the Roles of Terminology and Patient Competency.
Health care professionals (HCPs) are crucial to physician-assisted death (PAD) provision. ⋯ HCPs endorsed patient-centered justifications over other reasons, including role-specific duties. Suicide and euthanasia language did not bias HCPs against PAD, challenging claims that such value-laden terms hinder dialogue. More research is required to understand the significance of competency in shaping attitudes toward PAD.