Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2017
Discordance of Patient-Reported and Clinician-Ordered Resuscitation Status in Patients Hospitalized with Acute Decompensated Heart Failure.
Accurate documentation of preferences for cardiopulmonary resuscitation at hospital admission is critical to ensure that patients receive resuscitation or not in accordance with their wishes. ⋯ Patient-reported and clinician-ordered resuscitation preferences were discordant in 20% of patients hospitalized with ADHF. The underlying etiology of these inconsistencies may reflect factors such as patient indecisiveness or patient-clinician miscommunication and requires further exploration.
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J Pain Symptom Manage · Apr 2017
Homeless Individuals Approaching the End of Life: Symptoms and Attitudes.
Over a million individuals in the United States experience homelessness annually and homeless individuals die at a higher rate than domiciled peers. Homeless individuals often have unique experiences at the end of life (EOL). ⋯ Homeless individuals may experience a high frequency of pain and other symptoms as they approach the EOL. Care for such individuals may require a tailored approach.