Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialFeasibility Trial of Cognitive Behavioral Therapy for Fatigue in Hemodialysis (BReF Intervention).
Fatigue affects at least half of patients who are on hemodialysis (HD) with considerable repercussions on their functioning, quality of life, and clinical outcomes. ⋯ There was promising evidence in support of the need and benefits of a cognitive behavioral therapy-based intervention for fatigue in HD. However, uptake was low, possibly as a result of an already high treatment burden in this setting. Considerations on the context of delivery are necessary before pursuing a definitive trial.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialThe Effects of Clinical Music Therapy on Resiliency in Adults Undergoing Infusion: A Randomized, Controlled Trial.
Eighty-seven patients newly diagnosed with lung, breast, or gastrointestinal cancer and undergoing chemotherapy in the infusion suite of a large urban hospital in New York City. ⋯ Our study shows MT's facility to propel resilience in patients newly diagnosed with cancer, particularly when promoting and pairing adaptation toward coping through the expression of perceived negative effects of emotional and physiological symptoms.
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J Pain Symptom Manage · May 2021
Palliative care in Latin America: Are we making any progress? Assessing development over time using macro indicators.
Monitoring and reporting palliative care development serves to identify progress as well as remaining challenges for improvement. ⋯ Significant advances in palliative care development in Latin America have been achieved. The ALCP-II Index is useful for assessing and comparing palliative care development across countries.
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J Pain Symptom Manage · May 2021
ReviewHuman Connection and Technology Connectivity: A Systematic Review of Available Telehealth Survey Instruments.
The current upsurge in telehealth use in palliative and hospice care warrants consideration of patient, family caregiver, and interdisciplinary palliative perspectives on telehealth modality and communication experiences. Currently, telehealth experiences and encounters are being described but not yet extensively evaluated by palliative care teams. ⋯ Palliative care teams may consider familiarity with telehealth survey instrument as an essential component to progress from description of telehealth use to evaluation of telehealth encounters. Current survey instrument outcome reports do not represent inclusivity or diversity, although telehealth is now being clinically applied across settings.
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J Pain Symptom Manage · May 2021
Inpatient Specialty-Level Palliative Care is Delivered Late in the Course of Hepatocellular Carcinoma and Associated with Lower Hazard of Hospital Readmission.
Little is known about receipt of specialty-level palliative care by people with hepatocellular carcinoma (HCC) or its impact on health care utilization. ⋯ Inpatient palliative care consultation was received by individuals with more advanced disease and associated with lower readmission hazard. These findings support further research and the development of HCC-specific programs that increase access to specialty-level palliative care.