Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2021
CARING ADVANCED CANCER PATIENTS AT HOME DURING COVID-19 OUTBREAK: BURNOUT AND PSYCHOLOGICAL MORBIDITY AMONG PALLIATIVE CARE PROFESSIONALS IN ITALY.
Providing palliative care (PC) at home for patients with advanced cancer has become essential during the COVID-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging situation because of increased number of discharged patients, reduced availability of health-care facilities, and physical/relational barriers between them and patients. ⋯ In the age of COVID-19, the awareness of being at the forefront of containing the pandemic along with the sense of responsibility toward their high-risk patients may arouse PCPs' psychological distress, but, on the other hand, this condition may improve their sense of professional satisfaction and personal accomplishment.
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J Pain Symptom Manage · Feb 2021
Racial Disparities in End-of-Life Care between Black and White Adults with Metastatic Cancer.
The comfort of patients with cancer near the end of life (EOL) is often undermined by unnecessary and burdensome treatments. There is a need for more research examining racial disparities in EOL care, especially in regions with a history of racial discrimination. ⋯ Findings have implications for informing health care decision making near the EOL for patients, families, and clinicians, especially in regions with a history of racial discrimination and disparities.
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J Pain Symptom Manage · Feb 2021
The content validity of the items related to the social and spiritual dimensions of the Utrecht Symptom Diary - 4 Dimensional from a patient's perspective: a qualitative study.
In palliative care, caregivers often lack words and competences to discuss patients' needs in social and spiritual dimensions. The Utrecht Symptom Diary-4 Dimensional (USD-4D) is an instrument that can be used to monitor symptoms and needs in the physical, psychological, social, and spiritual dimensions and to optimize communication between patients and caregivers. ⋯ The USD-4D constitutes a content valid PROM from the patient's perspective. The items support patients in identifying needs in the social and spiritual dimensions and in the conversation to further explore these needs.
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J Pain Symptom Manage · Feb 2021
Letter Controlled Clinical TrialFeasibility of an online integrative oncology treatment program during COVID-19.
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J Pain Symptom Manage · Feb 2021
ReviewEffect of virtual reality therapy in reducing pain and anxiety for cancer related medical procedures: A systematic narrative review.
Virtual reality (VR) has emerged as a novel form of nonpharmacological analgesia therapy. We wished to review the use of VR to treat pain and anxiety in cancer-related medical procedures and chemotherapy. ⋯ There is inconclusive evidence on the significance of immersive VR in reducing pain (five studies) or anxiety (six studies) for patients with cancer undergoing medical interventions or receiving chemotherapy. Further research on the effect of immersive VR as a tool for medical procedures and/or patients with cancer undergoing treatment is required.