Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2025
LetterThe Benefits of Virtual Reality Travel on Symptom Burden and Mental Health of Hemodialysis Patients.
Hemodialysis (HD) patients often face a heavy symptom burden, low subjective well-being, and high perceived stress. Traditional nonpharmacological interventions have limited effectiveness in improving this situation. Virtual reality (VR) technology, as an emerging approach, has shown significant advantages in alleviating symptom burden and enhancing mental health. ⋯ [www.chictr.org.cn], identifier [ChiCTR2400082781].
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I will never shake the memory of one of the first patients I worked with during clinical rotations. I was excited to begin my internal medicine rotation in my third year, marking my initiation into the world of inpatient care. On my first day, the residents on my team introduced themselves and discussed which patients would provide the best learning opportunities for students. That's how I ended up caring for John Doe.
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J Pain Symptom Manage · Mar 2025
Clinician Perspectives Highlight the Need for Early Dyadic Coping Skills for People Living with Amyotrophic Lateral Sclerosis.
A diagnosis of ALS can be challenging, and many people find ways to adapt. At the same time, emotional distress can arise early after an ALS diagnosis even when high quality multidisciplinary care is provided. When emotional distress occurs, it can become chronic over time, and can affect both the person living with ALS and their care-partner (together called a dyad). ⋯ RT-ALS program content and structure is acceptable to clinicians. It is imperative to next seek further input from dyads about whether this type of program would be of interest and if yes, to pilot and refine the program for feasibility testing and then efficacy.
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J Pain Symptom Manage · Mar 2025
Impact of a criteria-based inpatient Palliative Oncology consultation model on end-of-life outcomes.
Early, integrated palliative care (PC) improves outcomes in advanced cancer; however, inpatient PC referrals still exceed outpatient referrals nationwide. Recognizing need for enhanced integration, our cancer center implemented a criteria-based PC consultation model in inpatient oncology. ⋯ Embedded, criteria-based PC consultation in inpatient oncology was associated with earlier PC involvement, longer hospice LOS, and reduced EOL care intensity.