Journal of pain and symptom management
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J Pain Symptom Manage · Apr 2022
Patients with acute respiratory failure at risk for high-intensity, costly care.
Patients with underlying chronic illness requiring mechanical ventilation for acute respiratory failure are at risk for poor outcomes and high costs. ⋯ Among patients with underlying chronic illness and acute respiratory failure, we identified characteristics associated with the highest costs of care. Identifying these patients may be of interest to healthcare systems and hospitals and serve as one indication to invest resources in palliative and supportive care programs that ensure this care is consistent with patients' goals.
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J Pain Symptom Manage · Apr 2022
Botulinum toxin injection for intractable pain in cancer patients with psoas muscle invasion.
Muscle invasion (MI) in patients with far-advanced cancer is often accompanied with pain. Conventional treatments used for pain relief may be associated with several side effects. ⋯ BTI relieved the intractable pain in these cases for at least 9-12 weeks without any reported side effects. We suggest that BTI can be an alternative method to relieve intractable pain associated with MI in patients with far-advanced cancer.
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J Pain Symptom Manage · Apr 2022
Do Palliative Care Providers Use Complementary and Integrative Medicine? A Nationwide Survey.
Given the high prevalence of burdensome symptoms in palliative care (PC) and increasing use of complementary and integrative medicine (CIM) therapies, research is needed to determine how often and what types of CIM therapies providers recommend to manage symptoms in PC. ⋯ To the best of our knowledge, this is the first national survey to characterize PC providers' CIM recommendation behaviors and assess specific therapies and common target symptoms. Providers recommended a broad range of CIM but do so less frequently than patients report using CIM. These findings should be of interest to any provider caring for patients with serious illness.
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J Pain Symptom Manage · Apr 2022
What is a good death? A choice experiment on care indicators for patients at end of life.
Health systems should aim to deliver on what matters most to patients. With respect to end of life (EOL) care, knowledge on patient preferences for care is currently lacking. ⋯ Results reveal that not all aspects of EOL care are equally valued. Not accounting for these differences would lead to inappropriate conclusions on how best to improve EOL care.
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J Pain Symptom Manage · Apr 2022
Normalization of Symptoms in Advanced Child Cancer: The PediQUEST-Response Case Study.
Children, adolescents and young adults with cancer continue to experience significant symptom suffering throughout their illness. ⋯ Normalization of symptoms is a pervasive barrier enacted by all involved in caring for children with advanced cancer. Strategies to overcome normalization are critical to ease child distress.