Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2019
Review Meta AnalysisThe effectiveness of music therapy for terminally ill patients：A meta-analysis and systematic review.
The quality of death has increasingly raised concern because of the physical and psychological suffering of patients with advanced disease. Music therapy has been widely used in palliative care; however, its physical and mental effectiveness remains unclear. ⋯ This meta-analysis study demonstrated that music therapy served as an effective intervention to alleviate pain and psychological symptoms of terminally ill patients. However, considering the limitation of the quantity of the studies included, these results would need to be further confirmed.
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J Pain Symptom Manage · Feb 2019
Multicenter Study Observational StudyPalliative Care Clinician Overestimation of Survival in Advanced Cancer: Disparities and Association with End-of-Life Care.
Clinicians frequently overestimate survival time in serious illness. ⋯ Overestimation is common in PC, associated with lower hospice use and a potentially mutable source of racial/ethnic disparity in EOL care.
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J Pain Symptom Manage · Feb 2019
Symptom Trajectories Are Associated With Co-occurring Symptoms During Chemotherapy for Breast Cancer.
Symptoms are reported to co-occur during treatment for breast cancer. We previously identified three patterns of fatigue and two patterns of disturbed sleep, depressed mood, and anxiety in women undergoing chemotherapy for breast cancer using a Latent Growth Mixture Model. ⋯ Moderate-to-severe symptoms co-occur during cancer treatment for breast cancer. The dynamic process of multiple symptoms may be altered by future identification of a shared etiology.
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J Pain Symptom Manage · Feb 2019
Observational StudyRespiratory failure, non-invasive ventilation and symptom burden: an observational study.
Noninvasive ventilation (NIV) is commonly used to manage acute respiratory failure due to decompensated cardiorespiratory disease. We describe symptom burden in this population. ⋯ This study describes the patient-reported symptoms occurring during an episode of acute respiratory failure. Understanding the symptom profile of patients in this setting may allow clinicians to target symptom relief while simultaneously managing respiratory failure, enhancing care.
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J Pain Symptom Manage · Feb 2019
Does Caregiving Strain Increase as Patients With and Without Dementia Approach the End of Life?
Family caregivers play critical and demanding roles in the care of persons with dementia through the end of life. ⋯ Increased strain toward the end of life is particularly notable for dementia caregivers. Interventions are needed to address the needs of this population.