Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2017
ReviewAdvance Care Planning in Palliative Care for People with Intellectual Disabilities: a Systematic Review.
Advance care planning (ACP) is defined as a person-centered, ongoing process of communication that facilitates patients' understanding, reflection, and discussion of goals, values, and preferences for future care. There is evidence for the general palliative care population that ACP increases compliance with patients' end-of-life preferences and improves quality of care near the end of life. ⋯ There are some indications that ACP could be useful for people with ID, but more knowledge is needed about whether and how ACP should be used.
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PC-FACS(FastArticleCriticalSummaries for Clinicians inPalliativeCare) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PC-FACS, please encourage them to join the AAHPM at aahpm.org. Comments from readers are welcomed at pc-facs@aahpm.org.
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J Pain Symptom Manage · Dec 2017
ReviewPatient and caregiver-reported assessment tools for palliative care: summary of the 2017 AHRQ Technical Brief.
Assessment tools are data collection instruments that are completed by or with patients or caregivers and which collect data at the individual patient or caregiver level. ⋯ Few to no tools address the spiritual, ethical, or cultural domains or patient-reported experience with end-of-life care. While some data exist on psychometric properties of tools, the responsiveness of different tools to change and/or comparisons between tools have not been evaluated. Future research should focus on developing or testing tools that address domains for which few tools exist, evaluating responsiveness, and comparing tools.
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J Pain Symptom Manage · Dec 2017
Comparative StudyEnd-of-Life Experience of Older Adults Dying of End-Stage Renal Disease: a Comparison with Cancer.
Older adults with end-stage renal disease (ESRD) are a rapidly growing group of seriously ill patients. Yet, despite a mortality rate almost twice that of cancer, less is known about the impact of ESRD on patients' end-of-life experience. ⋯ Older adults dying of ESRD had lower rates of advance care planning and higher treatment intensity near the end of life than similar patients dying of cancer; both groups had similarly high rates of symptoms. Efforts are needed to make treatment more supportive and alleviate suffering for older adults with ESRD and their families near the end of life.
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J Pain Symptom Manage · Dec 2017
Letter Randomized Controlled TrialCorticosteroids as co-analgesics with opioids for cancer related pain: A feasibility study.