Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2020
Review Meta AnalysisThe effect of music on pain in the adult intensive care unit: A systematic review of randomized controlled trials.
Multimodal analgesic approaches are recommended for intensive care unit (ICU) pain management. Although music is known to reduce pain in acute and chronic care settings, less is known about its effectiveness in the adult ICU. ⋯ Music interventions of 20-30 minutes are efficacious to reduce pain in adult ICU patients able to self-report.
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J Pain Symptom Manage · Jun 2020
ReviewAdvance care planning for individuals with chronic obstructive pulmonary disease: a scoping review of the literature.
Individuals with chronic obstructive pulmonary disease (COPD) typically experience a gradual worsening of the illness in the years before death. Owing to difficulties in predicting the disease trajectory or the timing of acute exacerbations, advance care planning (ACP) may be of particular importance for individuals with COPD. ⋯ The findings of this review confirm agreement among health care professionals and patients with COPD and their carers that ACP should be incorporated into routine COPD management. The use of transition points may help health care professionals overcome the barrier of prognosis uncertainty and identify patients who might benefit from ACP.
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J Pain Symptom Manage · Jun 2020
Online Module Builds Skills for Internal Medicine Interns in Responding to Emotions During Complex Serious Illness Conversations.
Responding to emotion cues is an essential skill for communicating with patients and families, but many health care trainees have difficulty applying this skill within the context of a complex conversation. ⋯ About 71% of interns (n = 65 of 92) completed the online module and open-ended survey question. About 89% of participants responded that they would use a naming, understanding, respecting, supporting, or exploring statement in response to an emotion cue. Nearly two-thirds of participants articulated their rationale for using naming, understanding, respecting, supporting, or exploring statements (e.g., preparing patients to process complex medical information, eliciting information about patient perspective.) CONCLUSION: Our online emotion cue module is a novel tool for deliberate practice of advanced skills for responding to emotion cues in serious illness conversations. In future studies, we will investigate whether our module's efficacy is enhanced by using it as a part of a flipped classroom curriculum with an in-person simulation session.
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J Pain Symptom Manage · Jun 2020
Differences in the opioid consumption of terminally ill schizophrenic and non-schizophrenic cancer patients: Analysis of secondary national population data.
It is uncertain whether terminally ill schizophrenic cancer patients are hypoalgesic or have disparities in pain management. ⋯ Near the end of life, cancer patients with schizophrenia use less opioid than their nonschizophrenic counterparts. Cognitive impairment may be a cause in the disparity in end-of-life care for terminally ill schizophrenic cancer patients. Thus, we should formulate a more accurate pain scale system and pay attention to their need for pain treatment.