Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2020
Changes in Attentional Function in Patients From Prior to Through 12 Months After Breast Cancer Surgery: Changes in Attentional Function Following Breast Cancer Surgery.
Although approximately 75% of patients with breast cancer report changes in attentional function, little is known about how demographic, clinical, symptom, and psychosocial adjustment (e.g., coping) characteristics influence changes in the trajectories of attentional function over time. ⋯ Findings can be used to identify patients with breast cancer at higher risk for impaired self-reported cognitive function and to guide the prescription of more personalized interventions.
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J Pain Symptom Manage · Jun 2020
ReviewA Qualitative Meta-Synthesis of the Experience of Fatigue across Five Chronic Conditions.
Fatigue is a symptom reported by patients with a variety of chronic conditions. However, it is unclear whether fatigue is similar across conditions. Better understanding its nature could provide important clues regarding the mechanisms underlying fatigue and aid in developing more effective therapeutic interventions to decrease fatigue and improve quality of life. ⋯ In adults with heart failure, multiple sclerosis, rheumatoid arthritis, chronic kidney disease, and chronic obstructive pulmonary disease, we found that fatigue was characterized by severe energy depletion, which had negative impacts on patients' lives and caused associated symptoms that exacerbated fatigue. Yet, fatigue is commonly misunderstood and inadequately acknowledged.
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J Pain Symptom Manage · Jun 2020
Personal and interpersonal factors and their associations with advance care planning documentation: A cross-sectional survey of older adults in Australia.
Personal and interpersonal factors may be influential in a person's decision to engage in advance care planning (ACP), including completion of ACP documentation. ⋯ Approximately half the participants reported having completed ACP documentation. The strongest predictor of ACP documentation completion was having spoken to anyone about ACP followed by having spoken to a doctor about ACP. These findings suggest that discussions about ACP are an important part of the process of completing ACP documentation.
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J Pain Symptom Manage · Jun 2020
Randomized Controlled TrialRandomized Controlled Trial of Advance Care Planning Video Decision Aid for the General Population.
Advance care planning (ACP) in a healthy general population could improve the quality of care when a health problem arises. ⋯ A well-constructed video decision support intervention can increase the intention to document ACP in the general population that presumably had little opportunity to discuss ACP with physicians.
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J Pain Symptom Manage · Jun 2020
Deep Natural Language Processing Identifies Variation in Care Preference Documentation.
Documentation of care preferences within 48 hours of admission to an intensive care unit (ICU) is a National Quality Forum-endorsed quality metric for older adults. Care preferences are poorly captured by administrative data. ⋯ Care preference documentation within 48 hours was absent in more than one-third of ICU admissions among patients aged 75 years and older and was more likely to occur in medical vs. cardiac or surgical ICUs.