Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2021
Clinical TrialPerceptions of Need for Palliative Care in Recently Hospitalized Patients With Systolic Heart Failure.
The symptom burden associated with heart failure (HF) remains high despite improvements in therapy and calls for the integration of palliative care into traditional HF care. Little is also known about how patients with HF perceive palliative care and patient-level characteristics associated with the need for palliative care, which could influence the utilization of palliative care in HF management. ⋯ HF patients' beliefs about palliative care may affect utilization of palliative care. Specific characteristics can help identify patients with HF who may benefit from palliative care involvement. Education targeted towards patients with selected attributes may help incorporate palliative care into HF management.
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J Pain Symptom Manage · Dec 2021
The association of family functioning with possible major depressive disorders and complicated grief among bereaved family members of patients with cancer: Results from the J-HOPE4 study, a nationwide cross-sectional follow-up survey in Japan.: Family function association with depression.
Family functioning is a modifiable factor associated with major depressive disorder (MDD) and complicated grief (CG) among the bereaved families of patients with advanced cancer; however, the evidence regarding this association is limited. ⋯ Family function was affected by post-bereavement possible MDD and not by CG. Our findings suggest that health care providers can identify risk factors for MDD among bereaved, dysfunctional family members.
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J Pain Symptom Manage · Dec 2021
Observational StudyEnd-of-life planning depends on socio-economic and racial background: Evidence from the US Health and Retirement Study (HRS).
Americans express a strong preference for participating in decisions regarding their medical care, yet they are often unable to participate in decision-making regarding their end-of-life care. ⋯ Understanding differences that increase end-of-life planning is important to incentivize patients' participation. Advance planning should be encouraged and accessible to people of all ages as it is inevitable for the provision of patient-centered and cost-effective care.
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J Pain Symptom Manage · Dec 2021
"Still Caring for the Family": Condolence Expression Training for Pediatric Residents.
Insufficient communication from the medical team following a child's death may compound parental grief. Pediatric residents care for children who die, yet the landscape of condolence expression education within residency programs has not been studied. ⋯ Pediatric residents lack comfort with and training in condolence expression and desire education to address these gaps. These findings should inform development and investigation of educational resources and training opportunities for residents to learn and practice compassionate provision of condolences to grieving families.
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J Pain Symptom Manage · Dec 2021
Recommendations for Preventing Medication Diversion and Misuse in Hospice Care: A Modified Delphi Study.
Recommendations are needed to help minimize the risks of medication diversion and misuse in the hospice setting. ⋯ These recommendations were created by experts in the field to reduce the risk of medication diversion and misuse. Further steps towards implementation may appropriately reduce these risks.