Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2022
Music Therapy for Pain in Black and White Cancer Patients: A Retrospective Study.
Racial pain disparities present challenges to cancer symptom management. Music therapy has demonstrated benefits for pain and is a promising treatment option for diverse populations due to music's multicultural presence. However, Black cancer patients are under-represented in music therapy trials. ⋯ Black and white patients reported clinically meaningful pain reduction through varying music therapy approaches. Our findings may help inform cultural adaptations of music therapy to address racial pain disparities in oncology.
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J Pain Symptom Manage · Nov 2022
Pediatric and adult cardiologists' and respirologists' referral practices to palliative care.
Children and adults with advanced cardiac or respiratory disease may benefit from specialized palliative care (SPC), but there has been little SPC research in this area. ⋯ There are important differences between pediatric and adult clinicians' beliefs about and referral practices to SPC. This may reflect unique features of pediatric diseases, provider characteristics, care philosophies, or service availability.
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J Pain Symptom Manage · Nov 2022
Utilization of palliative care in veterans admitted with heart failure experiencing homelessness.
Patients experiencing housing insecurity have numerous barriers affecting their utilization of medical care. ⋯ Housing stability may be a factor in Veterans receiving PC during hospitalization for heart failure. While the logistical challenges of delivering PC and hospice to people experiencing homelessness are daunting, advocating for these services shows commitment to reducing suffering in life-limiting Illness.
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J Pain Symptom Manage · Nov 2022
Care Intensity and Palliative Care in Chronically Critically Ill Infants.
Increasingly, chronically critically ill (CCI) infants survive to discharge from Neonatal Intensive Care Units (NICUs). Little is known about their care intensity and the primary and specialty palliative care families receive at and following discharge. ⋯ CCI infants receive intensive medical care including multiple medical technologies, medications, and specialty follow up at discharge and remain complex at one year of life. Most receive primary interprofessional palliative care in the NICU, however these infants and their families may have limited access to specialty palliative care in the short- and long-term.
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J Pain Symptom Manage · Nov 2022
Psycho-existential Symptom Assessment Scale (PeSAS) Screening in Palliative Care.
Psycho-existential symptoms are common yet often missed or neglected in palliative care. Screening can be an effective way to recognize and respond to this need. ⋯ Clinicians can be trained to screen with the Psycho-existential Symptom Assessment Scale, which serves as a valuable measure to better recognize symptoms of psycho-existential distress among palliative care patients. Implementation barriers included the prior ethos of the service, confidence in talking about these themes, electronic data entry, and perceived time pressures.