Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2023
Using design thinking to promote goals of care conversations with seriously ill patients.
Goals of care (GOC) conversations can improve serious illness outcomes such as pain and symptom management and patient satisfaction. ⋯ We found that design thinking techniques offered a useful bridge between RE-AIM strategy and clinical.
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J Pain Symptom Manage · Aug 2023
Multicenter StudyDo types of opioids matter for terminal cancer dyspnea? A preliminary multicenter cohort study.
Dyspnea is among the most distressing symptoms in the last weeks to days of life (terminal dyspnea). While physicians frequently use parenteral opioids other than morphine for terminal dyspnea, little is known about their effects in cancer patients. ⋯ Parenteral morphine, oxycodone, and hydromorphone may be similarly effective and safe for cancer patients with terminal dyspnea.
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J Pain Symptom Manage · Aug 2023
Implementation of Patient Reported Outcomes in Outpatient Palliative Care: From Paper to Computer.
This quality improvement project aimed to transition completion of Edmonton Symptom Assessment System (ESAS) at our supportive care clinic from paper to electronic format. ⋯ Transition to eESAS was a gradual process and was catalyzed by the pandemic.
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J Pain Symptom Manage · Aug 2023
The Use of Templates for Documenting Advance Care Planning Conversations: A Descriptive Analysis.
While professional societies and expert panels have recommended quality indicators related to advance care planning (ACP) documentation, including using structured documentation templates, it is unclear how clinicians document these conversations. ⋯ This study provides a preliminary exploration of ACP documentation and found that templates may influence what information is documented after an ACP conversation.