Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2019
Randomized Controlled TrialA Fixed Nitrous Oxide and Oxygen Mixture for Analgesia in Children With Leukemia With Lumbar Puncture-induced Pain: A Randomized, Double-blind Controlled Trial.
Leukemia is the most common cancer in the childhood population. Lumbar puncture (LP) plays central role in the diagnosis and treatment process, but options for analgesia are limited. ⋯ This study demonstrated that self-administered fixed N2O/O2 is efficient to reduce pain related to LP in children with leukemia.
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J Pain Symptom Manage · Jun 2019
Patient patterns and perspectives on using opioid regimens for chronic cancer pain.
With increasing attention to the undertreatment of cancer pain in parallel with concerns about opioid misuse, little is known about how patients with advanced cancer adhere to opioid regimens for chronic cancer pain. ⋯ Patients commonly felt conflicted about using prescribed long-acting opioids to manage cancer pain due to concurrent perceptions of their risks and benefits, and they set their own parameters for opioid-taking practices. Intentional and unintentional deviations from prescribed opioid schedules highlight the need to enhance adherence communication, education, and counseling, to optimize the use of long-acting opioids as a component of cancer pain management.
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J Pain Symptom Manage · Jun 2019
Association of persistent intense thirst with delirium among critically ill patients: A cross-sectional study.
Thirst is a prevalent distressing symptom often reported by patients in the intensive care unit (ICU). Little is known about the association of thirst with delirium. ⋯ Intense thirst persisting for more than 24 hours was associated with increased risk for delirium.
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J Pain Symptom Manage · Jun 2019
The effects of adding reassurance statements: Cancer patients' preferences for phrases in end-of-life discussions.
When discussing end-of-life issues with cancer patients, the addition of reassurance statements is considered helpful. However, patients' preferences for such statements have not been systematically demonstrated. ⋯ Cancer patients systematically preferred reassurance statements. In end-of-life discussions, especially with patients with task-oriented coping, clinicians may provide additional reassurance statements.
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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.