Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2019
Multicenter Study Comparative Study Observational StudyThe impact of Nursing Homes staff education on end-of-life care in residents with advanced dementia: a quality improvement study.
End-of-life care in nursing homes (NHs) needs improvement. We carried out a study in 29 NHs in the Lombardy Region (Italy). ⋯ The short educational intervention modified some practices relevant to the quality of end-of-life care of advanced dementia patients in NHs, possibly raising and reinforcing beliefs and attitudes already largely present.
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J Pain Symptom Manage · Jan 2019
Multicenter StudyHeart Rate Variability as an indicator of nociceptive pain in disorders of consciousness?
Heart rate variability is thought to reflect the affective and physiological aspects of pain and is emerging as a possible descriptor of the functional brain organization contributing to homeostasis. ⋯ Our results suggest a less complex autonomic response to noxious stimuli in VS/UWS patients. Such method may help to better understand sympathovagal response to potentially painful stimulation in brain-injured patients.
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J Pain Symptom Manage · Jan 2019
Letter Randomized Controlled Trial Multicenter Study Comparative StudyComparability of the Australian national Cancer Symptom Trials (CST) group's study populations to national referrals to non-CST specialist palliative care services participating in the Palliative Care Outcomes Collaboration (PCOC).
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J Pain Symptom Manage · Dec 2018
Randomized Controlled Trial Multicenter Study Comparative StudyHyoscine Butylbromide for the Management of Death Rattle: Sooner Rather Than Later.
Death rattle (DR) is a dramatic sign in the dying patient. Existing studies with anticholinergic agents are controversial, as this class of drugs has been commonly administered without considering the rationale of the mechanism of action. A meaningful use of these drugs may provide a better outcome. ⋯ The prophylactic use of HB is an efficient method to prevent DR, whereas the late administration produces a limited response, confirming data from traditional studies performed with anticholinergics. This could be considered a new paradigm to manage a difficult and dramatic sign, such as DR.
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J Pain Symptom Manage · Dec 2018
Multicenter Study Observational StudySpiritual Well-being Among Palliative Care Patients With Different Religious Affiliations: A Multicenter Korean Study.
Spiritual well-being (SWB) is very important in palliative care patients. ⋯ Although faith practices may be particularly helpful to improve spiritual well-being among Christians, further research is needed to determine what individual spiritual activities can support non-Christians.