Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2017
Symptom Cluster Trajectories During Chemotherapy In Breast Cancer Outpatients.
Breast cancer patients often experience multiple symptoms and substantial discomfort. Some symptoms may occur simultaneously and throughout the duration of chemotherapy treatment. ⋯ Distinct symptom clusters were observed during the third cycle of chemotherapy. Systematic and ongoing evaluation of symptom cluster trajectories during cancer treatment is essential. Healthcare providers can use these findings to enhance communication with their breast cancer patients and to prioritize symptoms that require attention and intervention.
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J Pain Symptom Manage · Jun 2017
Evaluation of a Mastery Learning Intervention on Hospitalists' Code Status Discussion Skills.
Although code status discussions (CSD) occur frequently in the hospital setting, discussions often lack content necessary for informed decision making. Simulation-based mastery learning (SBML) has been used to improve clinical skills among resident physicians and may provide a novel way to improve hospitalists' CSD skills. ⋯ Few hospitalists demonstrated mastery of CSD skills at baseline; SBML was an effective way to improve these skills.