Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2020
Burnout And Resilience after a Decade in Palliative Care (BARD): What 'Survivors' have to teach us. A Qualitative Study of Palliative Care Clinicians with more than 10 years of experience.
Burnout is common among palliative care clinicians (PCCs). Resilience helps to reduce burnout, compassion fatigue, and is associated with longevity in palliative care. ⋯ Our findings highlight the evolving process of transformational growth that PCCs must repeatedly undergo as they strive toward sustained resilience and longevity. It also stresses the importance of taking individual and collective responsibility toward building a culture of personal and team resilience.
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J Pain Symptom Manage · Jan 2020
Psychometric Properties of the Arabic Version of the Functional Assessment of Chronic Illnesses Therapy-Fatigue (FACIT-F) in Arabic Cancer Patients.
The Functional Assessment of Chronic Illness Therapy (FACIT) is a measurement system that was developed to assess the health-related quality of life among patients with cancer and other chronic illnesses. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) is a 40-item questionnaire, and it is one of the most frequently used instruments to assess fatigue in cancer populations. The aim of this study was to evaluate the psychometric properties of the Arabic FACIT-F among patients diagnosed with cancer. ⋯ The Arabic versions of the FACIT-Fatigue and FACT-G demonstrated good reliability and validity for assessing fatigue and quality of life in patients diagnosed with cancer.
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J Pain Symptom Manage · Jan 2020
Comparative StudyComparing methadone rotation to consensus opinion.
Methadone is a complex but useful medication for pain management in palliative care. Recent expert opinions have been published on the safe and effective use of methadone. ⋯ The utilization of a standardized protocol was associated with better patient outcomes.
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J Pain Symptom Manage · Jan 2020
Development and Validation of the ACP-CAT for Assessing the Quality of Advance Care Planning Communication.
High-quality advance care planning (ACP) discussions are important to ensure patient receipt of goal-concordant care; however, there is no existing tool for assessing ACP communication quality. ⋯ ACP-CAT provides a validated measure of ACP communication quality for assessing video-recorded encounters and can be further studied for its applicability with clinicians in different clinical contexts.
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J Pain Symptom Manage · Jan 2020
Patient-reported symptom severity among 22,650 cancer outpatients in the last 6 months of life.
Understanding the magnitude and risk factors for symptom burden of patients with cancer at the end of life is critical to guiding effective patient- and system-level interventions. ⋯ Despite an integrated symptom screening program, rates of severe patient-reported symptom scores before death were high for outpatients with cancer. Patient subgroups at increased risk of severe symptom burden may benefit from targeted interventions. Ongoing review of routinely collected symptom data may be used to assess the supportive care needs and guide targeted interventions at the health-system level.