Journal of pain and symptom management
-
J Pain Symptom Manage · Jul 2022
Frequency and Prediction of Burnout Among Physicians Who Completed Palliative Care Fellowship Training - A 10 Year Survey.
Palliative Care (PC) physicians are vulnerable to burnout given the nature of practice. Reports suggest that burnout frequency is variable across different countries. ⋯ Burnout among former fellows trained in HPM between 2008 and 2018 is high. More research is needed to develop strategies to better prevent and manage burnout among HPM fellowship trained PC physicians.
-
J Pain Symptom Manage · Jul 2022
Multicenter Study Observational StudyAssociation of antipsychotic dose with survival of advanced cancer patients with delirium.
Delirium is common in patients with advanced cancer, and antipsychotics are widely used for its management. ⋯ Higher doses of antipsychotics were associated with increased mortality in terminally ill cancer patients with delirium. To minimize the potential mortality risk, antipsychotics should be started at low doses and titrated carefully.
-
J Pain Symptom Manage · Jun 2022
ReviewProPACC: Protocol for a Trial of Integrated Specialty Palliative Care for Critically Ill Older Adults.
Each year, approximately one million older adults die in American intensive care units (ICUs) or survive with significant functional impairment. Inadequate symptom management, surrogates' psychological distress and inappropriate healthcare use are major concerns. Pioneering work by Dr. J. Randall Curtis paved the way for integrating palliative care (PC) specialists to address these needs, but convincing proof of efficacy has not yet been demonstrated. ⋯ This trial will provide robust evidence about the impact of integrating SPC with critical care on patient, family, and health system outcomes.
-
J Pain Symptom Manage · Jun 2022
ReviewApplication of Critical Race Theory in Palliative Care Research: A Scoping Review.
Structural racism negatively impacts individuals and populations. In the medical literature, including that of palliative care, structural racism's influence on interracial differences in outcomes remains poorly examined. Examining the contribution of structural racism to outcomes is paramount to promoting equity. ⋯ Palliative care research frequently highlights racial differences in outcomes. Articles that examine racial differences often assume that differences need to be fixed but posit reasons for differences without the narratives of those most affected by them.