Journal of pain and symptom management
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J Pain Symptom Manage · May 2023
Case ReportsPainting and Poetry from a Bereaved Family and the Caring Physician.
This is a case description and personal account shared by a palliative care physician whose team provided specialist palliative care support to a patient who attempted immolation. This case depicts a family at risk of complicated grief due to the violent nature of self-inflicted burns and the lingering social stigmatization of suicide. Here, we explore important psycho-emotional considerations and share our experience using art and poetry to build therapeutic connections with the grieving family.
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J Pain Symptom Manage · May 2023
Multicenter Study Observational StudySystemic opioids for dyspnea in cancer patients: A real-world observational study.
Although Systemic opioids are recommended as a pharmacological treatment for cancer-related dyspnea, their effectiveness and safety needs to be investigated in a real-world context OBJECTIVES: To evaluate the effectiveness and safety of systemic regular opioids for dyspnea in cancer patients, in the real-world palliative care practice. ⋯ Regular systemic opioids were effective for dyspnea in real-world cancer patients.
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J Pain Symptom Manage · May 2023
ReviewRelationship between religion/spirituality and the aggressiveness of cancer care: a scoping review.
Religiosity/spirituality/religious-spiritual coping (RS) are resources used by cancer patients with cancer to help cope with the disease and may influence the preference and receipt of end-of-life (EOL) treatment. ⋯ RS is associated with more aggressive EOL treatments, as well as with lower rates of ACP in cancer patients. On the other hand, spiritual care provided by the medical team seems to be associated with less aggressive EOL care.
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J Pain Symptom Manage · May 2023
Patient-Caregiver Dyads' Prognostic Information Preferences and Perceptions in Advanced Cancer.
Prognostic information is considered important for advanced cancer patients and primary informal caregivers to prepare for the end of life. Little is known about discordance in patients' and caregivers' prognostic information preferences and prognostic perceptions, while such discordance complicates adaptive dyadic coping, clinical interactions and care plans. ⋯ Physicians should be sensitive to discordant prognostic information preferences and prognostic perceptions among patient-caregiver dyads in advanced cancer care.
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J Pain Symptom Manage · May 2023
Telehospice for Cancer Patients Discharged from A Tertiary Care Hospital In Western Kenya.
Worldwide, most patients lack access to hospice services. ⋯ Patient and family participation in Telehospice is feasible and may provide an interim solution to managing end-of-life patients who lack access to home hospice.