Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2019
Intensity of Cancer Care Near the End-of-Life at a Tertiary Care Cancer Center in Jordan.
Chemotherapy use in the last month of life is an indicator of poor quality of end-of-life care. ⋯ A sizable minority of patients with cancer at KHCC received chemotherapy at the end of life. Younger patients and those with hematological malignancies were more likely to receive chemotherapy, whereas those referred to palliative care were significantly less likely to receive chemotherapy at the end of life.
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J Pain Symptom Manage · Jun 2019
A Tool to Assess Patient and Surrogate Knowledge About the POLST (Physician Orders for Life-Sustaining Treatment) Program.
It is especially important that patients are well informed when making high-stakes, preference-sensitive decisions like those on the Physician Orders for Life-Sustaining Treatment (POLST) form. However, there is currently no way to easily evaluate whether patients understand key concepts when making these important decisions. ⋯ The 19-item POLST Knowledge Survey demonstrated adequate reliability and responsiveness to change. Findings suggest the survey could be used to identify knowledge deficits and provide targeted education to ensure adequate understanding of key clinical decisions when completing POLST.
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J Pain Symptom Manage · Jun 2019
Observational StudyInterprofessional Teamwork During Family Meetings in the Pediatric Cardiac Intensive Care Unit.
Parents of children in the pediatric cardiac intensive care unit (CICU) report inadequate communication and a lack of empathy during conversations with their clinicians. ⋯ Coordination of team members' roles in the meetings may improve parental engagement necessary for decision-making and empathic responses that are often missed.
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J Pain Symptom Manage · Jun 2019
Brazilian Version of Cancer Fatigue Scale: Validation of the Brazilian Version of Cancer Fatigue Scale in Patients With Breast Cancer.
Scales to assess the fatigue in patients with cancer may help the clinical decision-making process. ⋯ Here, we validated the Cancer Fatigue Scale in breast cancer Brazilian women meaning its use for the identification and evaluation of cancer-related fatigue in patients with breast cancer.