Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2020
Randomized Controlled TrialSurrogate Decision Maker Stress in Advance Care Planning Conversations: A Mixed-Methods Analysis from a Randomized Controlled Trial.
Spokespersons serving as surrogate decision makers for their loved ones report high levels of stress. Despite known benefits, advance care planning (ACP) conversations often do not occur. More information is needed to understand spokesperson stress during ACP. ⋯ Identifying what factors impact spokesperson stress in ACP conversations can be used to help design ACP interventions to more appropriately address the needs and concerns of spokespersons.
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J Pain Symptom Manage · Dec 2020
ReviewExploring the Uptake of Advance Care Planning in Older Adults: An Integrative Review.
Advance care planning (ACP) is essential to elicit goals, values, and preferences of care in older adults with serious illness and on trajectories of frailty. An exploration of ACP uptake in older adults may identify barriers and facilitators. ⋯ Enhanced communication and ACP facilitators improve uptake of ACP. Clinicians should be cognizant of these factors. This review provides a guide for clinicians who are considering implementation strategies to facilitate ACP in real-world settings.
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J Pain Symptom Manage · Dec 2020
Pain Experience, Physical Function, Pain Coping, and Catastrophizing in Children with Sickle Cell Disease who had Normal and Abnormal Sensory Patterns.
Sickle cell disease (SCD) is associated with recurrent pain that could lead to abnormal sensory patterns (ASPs). ⋯ Children with SCD with ASP had worse functional disability, were expressing more affective pain quality, and had emotion-focused pain coping compared with NSP. Future studies are needed to examine the effectiveness of physical activities on the physical function as well as psychosocial interventions such as peer support and creative arts expression to minimize development of ASP in children with SCD.
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J Pain Symptom Manage · Dec 2020
Trends of utilization of palliative care and aggressive end-of-life care for patients who died of cancers and those who died of non-cancer diseases in hospitals.
Patients who died of cancers and those who died of noncancer diseases may receive different end-of-life care. ⋯ Utilization of palliative care is increasing. Patients who died of noncancer diseases received less palliative care but more aggressive end-of-life care than those who died of cancers.