Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2022
Symptom Management Experience of End-of-Life Family Caregivers: a Population-Based Study.
In the United States, 30% of all deaths occur at home. Effective symptom management is integral to quality end-of-life (EOL) care. Family caregivers play a major role in EOL symptom management. Recent federal policies emphasize the need to improve training and support for family caregivers. ⋯ These findings underscore the need to improve training and support for family caregivers in EOL symptom management.
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J Pain Symptom Manage · Dec 2022
ReviewBarriers to palliative care access in patients with intellectual disability: a scoping review.
There is limited knowledge about inequalities regarding palliative care access among patients with intellectual disability. The present scoping review aimed to identify the existing barriers that limit access to palliative care (PC) in patients with intellectual disability. ⋯ Patients with intellectual disability do not get referred to PC frequently. Health professionals and caregivers do not recognize when it is necessary to make a referral, and they need to improve their communication abilities. Also, health care workers need more training in PC, pain management, anticipation of death, and use of opioids. More research and education on the palliative care needs and care for patients with intellectual disabilities is needed.
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J Pain Symptom Manage · Dec 2022
Predictors of unrelieved symptoms in All of Us Research Program participants with chronic conditions.
Over half of American adults are diagnosed with a chronic condition, with an increasing prevalence being diagnosed with multiple chronic conditions. These adults are at higher risk for having unrelieved, co-occurring symptoms, known as symptom clusters. ⋯ We found meaningful relationships between demographic, healthcare access and utilization, and health-related factors and symptom phenotypes. With the increasing trends of American adults with one or more chronic conditions and a demand to individualize care in the precision health era, it is critical to understand the factors that lead to unrelieved symptoms.
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J Pain Symptom Manage · Dec 2022
Specialty-Aligned Palliative Care: Responding to the Needs of a Tertiary Care Health System.
Expanding specialty palliative care within complex health systems involves consideration of patients' unmet needs, clinicians' perceptions of palliative care, and the availability of palliative care resources. Prior to this quality improvement (QI) project, palliative care services in our health system primarily served oncology patients. ⋯ Careful needs assessment and stakeholder engagement can result in goal-directed and data-driven expansion of palliative care services within tertiary health care systems.
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J Pain Symptom Manage · Dec 2022
Rapid titration with intravenous oxycodone for severe cancer pain and oral conversion ratio.
to assess a dose titration with intravenous oxycodone to achieve rapid pain relief of cancer pain of severe intensity. The second objective was to provide a conversion ratio with the oral route. ⋯ Rapid intravenous oxycodone dose titration resulted in rapid pain relief. The intravenous-oral conversion ratio of 1:2 is reliable. Further studies are necessary to confirm this preliminary observation.