Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2021
Caregiving Experience and Other Factors Associated with Having End-of-Life Discussions: A Cross-sectional Study of a General Japanese Population.
The factors associated with end-of-life discussion (EOLD) are not well elucidated; an understanding of these factors may help facilitate EOLD. ⋯ For health-care providers, it may be worth recognizing that the care experience of their patient's caregiver might affect the caregiver's own EOLD in the future.
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J Pain Symptom Manage · Mar 2021
Racial/ethnic differences in staff-assessed pain behaviors among newly-admitted nursing home residents.
Nonverbal pain behaviors are effective indicators of pain among persons who have difficulty communicating. In nursing homes, racial/ethnic differences in self-reported pain and pain management have been documented. ⋯ Among residents requiring staff assessment of pain because they are unable to self-report, nursing home staff documented pain and its treatment less often in Non-Hispanic blacks and Hispanics than in non-Hispanic white residents. Studies to understand the role of differences in expression of pain, explicit bias, and implicit bias are needed to inform interventions to reduce disparities in pain documentation and treatment.
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J Pain Symptom Manage · Mar 2021
Psychological Distress in Bereaved Caregivers of Patients with Advanced Cancer.
Individuals caring for patients with advanced cancer (caregivers) experience psychological distress during the patient's illness course. However, data on the prevalence of bereaved caregivers' psychological distress and its relationship with the quality of patient's end of life (EOL) care are limited. ⋯ Many bereaved caregivers of patients with advanced cancer experience symptoms of depression and anxiety, which are associated with their perceptions of distress in their loved ones at the EOL.
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J Pain Symptom Manage · Mar 2021
Randomized Controlled TrialThe Effect of Aromatherapy Massage with Lavender and Citrus Aurantium Essential Oil on Quality of Life of Patients on Chronic Hemodialysis: A Parallel Randomized Clinical Trial Study.
Poor quality of life is a major problem in hemodialysis patients. ⋯ In this study, both aromatherapy massages have positive effects on the quality of life of hemodialysis patients. Therefore, nurses are advised to use these aromatherapy massages to improve the quality of life of hemodialysis patients.
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J Pain Symptom Manage · Mar 2021
Sources of palliative care knowledge among patients with advanced or metastatic gynecologic cancer.
A minority of patients with advanced or metastatic gynecologic cancer utilize palliative care and lack of knowledge may be a barrier to receiving palliative care services. ⋯ Most women receiving treatment for advanced gynecologic cancer have heard of palliative care from sources other than their cancer care providers. Knowledge about palliative care and source of knowledge about palliative care were not associated with palliative care utilization. Awareness of palliative care and palliative care utilization may be improved by increasing the low rate of health provider-based education and engaging cancer patients' social networks.