Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2021
Nurse Perspectives on Urinary Incontinence in the Home Hospice Setting.
To date, no studies have characterized the impacts of urinary incontinence (UI) at the end of life in the home hospice (HH) setting. UI is highly prevalent at the end of life and adversely affects quality of life. ⋯ UI is a prevalent and debilitating condition in HH patients. There is a need for studies to further characterize the impacts of UI on HH patients and their caregivers. Formal training on UI subtypes and management is needed to facilitate proper documentation, research, and improve patient outcomes.
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J Pain Symptom Manage · Aug 2021
"I wish I could die so I would not be in pain" - a qualitative study of palliative care needs among people with cancer or HIV/AIDS in Vietnam and their caregivers.
Although cancer and HIV/AIDS are common causes of death in Vietnam, limited data exist on their palliative care needs. As palliative care becomes part of Universal Health Coverage, evidence is needed to scale up appropriate care. ⋯ The findings demonstrate common, multidimensional, and severe suffering among people living with cancer or HIV/AIDS and their caregivers in Vietnam. These qualitative data should guide development of optimum clinical assessment tools and palliative care services for these populations.
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J Pain Symptom Manage · Aug 2021
The psychosocial impact of spouse-caregiver chronic health conditions and personal history of cancer on well-being in advanced cancer patients and their caregivers.
Caregiving during advanced cancer presents many physical and psychological challenges, especially for caregivers who are coping with their own history of cancer or their own chronic health conditions. There is growing recognition that caregiver health and patient health are interdependent. ⋯ Providers should be aware of caregiver chronic conditions and cancer history, given the potential negative effects on patient psychosocial well-being.
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J Pain Symptom Manage · Aug 2021
Patterns of Specialty Palliative Care Utilization Among Patients Receiving Palliative Radiotherapy.
Palliative radiation therapy (RT) is frequently used to ameliorate cancer-associated symptoms and improve quality of life. ⋯ Fewer than half of patients receiving palliative RT utilized specialty PC. Initiatives are needed to increase PC, especially for patients with lung cancer and neurological symptoms, and to empower radiation oncologists to refer patients to specialty PC.
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J Pain Symptom Manage · Aug 2021
Randomized Controlled TrialFixed-Dose Netupitant and Palonosetron for Chronic Nausea in Cancer Patients: A Double-Blind, Placebo Run-In Pilot Randomized Clinical Trial.
No clinical trials have examined the effect of netupitant/palonosetron (NEPA) on chronic nausea in patients with cancer. ⋯ NEPA and placebo were associated with similar magnitude of within-group improvement in chronic nausea without significant between-group differences (Clinicaltrials.gov NCT03040726).