Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2022
Randomized Controlled TrialVulnerability and Resilience: Phenomenological Analysis of Cancer Patients Value Directives.
Personal values are individual conceptions of the desirable appraisals and actions that guide our attitudes and behaviour. Advance care planning (ACP) now emphasises the consideration of personal life goals and values expressed as a Values Directive (VD) to guide discussions concerning medical treatment. ⋯ Cancer patients seek to make meaning of their experiences, concurrently posturing vulnerability and resilience, despite conflicting emotions and experiences. Given that the choices people make as they approach dying relate to their most deeply held values, ACP conversations should explore how patients draw from their values and life goals to optimise their adaptations to illness.
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J Pain Symptom Manage · Nov 2022
ReviewA Review of Race and Ethnicity in Hospice and Palliative Medicine Research: Representation Matters.
Despite documented racial and ethnic disparities in care, there is significant variability in representation, reporting, and analysis of race and ethnic groups in the hospice and palliative medicine (HPM) literature. ⋯ Our findings suggest there are important opportunities to standardize reporting of race and ethnicity, strive for diversity, equity, and inclusion among research participants, and prioritize the study of racial and ethnic disparities in HPM research.
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J Pain Symptom Manage · Nov 2022
Observational StudyEnd of Life Cost Savings in the Palliative Care Unit Compared to Other Services.
Hospital deaths carry a significant healthcare cost that has been confirmed to be lower when palliative care units (PCUs) are available. ⋯ Data from this study show that cost is significantly lower when the patients are treated by a PCU during their last hospital stay when they pass away.