Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2017
Randomized Controlled TrialDignity Therapy and Life Review for Palliative Care Patients: A Randomised Controlled Trial.
Dignity therapy (DT) is a psychotherapeutic intervention with increasing evidence of acceptability and utility in palliative care settings. ⋯ This study provides initial evidence that the specific process of legacy creation is able to positively affect sense of generativity, meaning, and acceptance near end of life. High acceptability and satisfaction rates for both DT and LR and positive impacts on families/carers of DT participants provide additional support for clinical utility of these interventions. Further evaluation of specific mechanisms of change post-intervention is required given DT's uncertain efficacy on other primary outcomes.
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J Pain Symptom Manage · Feb 2017
Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnoea-12 Questionnaire.
The Dyspnea-12 (D-12) Questionnaire is a well-validated instrument in respiratory illnesses for breathlessness assessment, but its psychometric properties have not been tested in lung cancer. ⋯ The D-12 is a valid and reliable self-reported questionnaire for use in breathlessness assessment in lung cancer patients.
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J Pain Symptom Manage · Feb 2017
Estimating the global need for palliative care for children: A cross-sectional analysis.
The need for children's palliative care (CPC) globally is unknown. To understand the scope of the need and to advocate to meet it, more accurate estimates are needed. ⋯ The estimation of need for CPC is a critical step in meeting the needs of children with life-threatening conditions and provides a sound platform to advocate for closure of the unacceptably wide gaps in coverage.
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J Pain Symptom Manage · Feb 2017
Clinicians' views of educational interventions for carers of patients with breathlessness due to advanced disease: findings from an online survey.
Carers' needs in advanced disease, and specifically in relation to breathlessness, are well evidenced. Publications on educational interventions for carers of patients with advanced disease that focus on symptoms are scarce and absent for breathlessness. ⋯ This survey revealed an appetite among clinicians for an educational intervention for carers of patients with breathlessness in advanced disease and provided important insights to underpin a future Phase II randomized controlled trial.
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J Pain Symptom Manage · Feb 2017
Psychosocial care provided by physicians and nurses in palliative care: A mixed methods study.
Psychosocial care is an important component of palliative care, which is also provided by physicians and nurses. ⋯ Understanding the process of psychosocial care and integrating it with specialized mental health care in a team could improve the quality of psychosocial care in palliative care.