Journal of pain and symptom management
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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
"I Don't Do Religion": Using Nature Photographs to Engage Patients in Spiritual Reflection.
When caring for healthcare patients, professional chaplains may find an increasing proportion of individuals in the U. S. who do not identify as religious and who may benefit from creative approaches to discussing their spiritual and existential concerns. One approach to engaging patients is using a "third voice," as shared in a personal narrative in which a chaplain uses landscape photographs to engage a patient for discussion of spiritual and existential concerns. The content of the conversation may inform decisions about treatment, quality of life, and person-centered care.
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J Pain Symptom Manage · Nov 2022
Editorial CommentWhat Can a Systematic Review of Cannabis Trials Tell Us?