Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2021
Efficacy of proportional sedation and deep sedation defined by sedation protocols: A multicenter, prospective, observational comparative study: Protocol-based palliative sedation.
To investigate the efficacy of two types of palliative sedation: proportional and deep sedation, defined by sedation protocols. ⋯ Proportional sedation achieved satisfactory symptom relief while maintaining some patients' consciousness, and deep sedation achieved good symptom relief while the majority of patients lost consciousness.
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J Pain Symptom Manage · Dec 2021
Observational StudyDoes it Matter Who Decides? Outcomes of Surrogate Decision-Making for Community-Dwelling, Cognitively Impaired Older Adults Near the End of Life.
Cognitively impaired older adults frequently need surrogate decision-making near the end-of-life. It is unknown whether differences in the surrogate's relationship to the decedent are associated with different end-of-life treatment choices. ⋯ Decedents with cognitive impairment or dementia were less likely to receive life-sustaining treatments when spouses versus children were involved with end-of-life treatment decisions but were no less likely to experience other measures of potentially burdensome end-of-life care.
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J Pain Symptom Manage · Dec 2021
Improved Physician Understanding of Patient End-Of-Life Preferences: A Quality Improvement Project.
Code status (CS) orders lack a universal definition. We aimed to improve provider understanding of order options. ⋯ Provider understanding of CS options can be improved with a combined QI intervention.
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J Pain Symptom Manage · Nov 2021
Perceptions of Hematology Among Palliative Care Physicians: Results of a Nationwide Survey.
Palliative care integration for patients with hematologic diseases has lagged behind solid-organ malignancies. Previous work has characterized hematologist perspectives, but less is known about palliative care physician views of this phenomenon. ⋯ These data inform efforts to integrate palliative care into hematologic care at large, echoing previous studies of hematologist perspectives. Palliative care physicians express enthusiasm for caring for these patients, desire for improved understanding of palliative care, and ongoing opportunities to improve hematology-specific knowledge and skills.