Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2020
Development and Validation of the Palliative Care Attitudes Scale (PCAS-9): A Measure of Patient Attitudes toward Palliative Care.
Palliative Care is underutilized, and research has neglected patient-level factors including attitudes that could contribute to avoidance or acceptance of Palliative Care referrals. This may be due in part to a lack of existing measures for this purpose. ⋯ Findings support the overall reliability, validity, and generalizability of the PCAS-9 in serious illness samples and have implications for increasing Palliative Care utilization via clinical care and future research efforts.
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J Pain Symptom Manage · Feb 2020
ReviewEnd-of-Life Care, Palliative Care Consultation, and Palliative Care Referral in the Emergency Department: A Systematic Review.
There is growing interest in providing palliative care (PC) in the emergency department (ED), but relatively little is known about the efficacy of ED-based PC interventions. A 2016 systematic review on this topic found no evidence that ED-based PC interventions affect patient outcomes or health care utilization, but new research has emerged since the publication of that review. ⋯ Existing data support that PC in the ED is feasible, may improve quality of life, and does not appear to affect survival.
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialA feasibility study to develop and test a cognitive behavioral stress management mobile health application for HIV-related fatigue.
Exacerbated by life stressors, fatigue is the most common symptom for people living with HIV. ⋯ We have proof of concept as to the feasibility, acceptability, and initial signals of efficacy for an mHealth intervention to help people with HIV-related fatigue better cope with stress and reduce their fatigue.
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J Pain Symptom Manage · Feb 2020
Randomized Controlled TrialEarly-Integrated Palliative home care and standard care for end-stage COPD (EPIC): A Phase II pilot RCT testing feasibility, acceptability and effectiveness.
Although early integrated palliative home care (PHC) is believed to be beneficial for patients with chronic obstructive pulmonary disease (COPD), trials testing this hypothesis are rare and show inconclusive results. ⋯ Our intervention on early integrated PHC for end-stage COPD is feasible and accepted but did not yield the anticipated preliminary effectiveness. Before moving to a Phase III trial, enhanced coordination of care, more GP involvement, more intensive training for PHCNs in COPD support, and revision of the trial design, for example, of targeted outcomes in line with individual patient goals and care preferences should be done.