Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2021
Efficacy of proportional sedation and deep sedation defined by sedation protocols: A multicenter, prospective, observational comparative study: Protocol-based palliative sedation.
To investigate the efficacy of two types of palliative sedation: proportional and deep sedation, defined by sedation protocols. ⋯ Proportional sedation achieved satisfactory symptom relief while maintaining some patients' consciousness, and deep sedation achieved good symptom relief while the majority of patients lost consciousness.
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J Pain Symptom Manage · Dec 2021
Observational StudyDoes it Matter Who Decides? Outcomes of Surrogate Decision-Making for Community-Dwelling, Cognitively Impaired Older Adults Near the End of Life.
Cognitively impaired older adults frequently need surrogate decision-making near the end-of-life. It is unknown whether differences in the surrogate's relationship to the decedent are associated with different end-of-life treatment choices. ⋯ Decedents with cognitive impairment or dementia were less likely to receive life-sustaining treatments when spouses versus children were involved with end-of-life treatment decisions but were no less likely to experience other measures of potentially burdensome end-of-life care.
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J Pain Symptom Manage · Dec 2021
Improved Physician Understanding of Patient End-Of-Life Preferences: A Quality Improvement Project.
Code status (CS) orders lack a universal definition. We aimed to improve provider understanding of order options. ⋯ Provider understanding of CS options can be improved with a combined QI intervention.