Journal of pain and symptom management
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Keepsakes are a relatively unexplored form of bereavement support that is frequently provided as part of the 3 Wishes Project (3WP). The 3WP is a palliative care intervention in which individualized wishes are implemented in the adult intensive care unit for dying patients and their families. ⋯ Keepsakes are common wishes that clinicians in the intensive care unit are able to provide and sometimes cocreate with families when patients are dying. Both the offering to create the keepsake and receipt of the final product are perceived by family members as helpful.
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Is oncology a spiritual practice? It is important, if not essential, to recognize how patients contextualize their illness. Medical education does not prepare us for the tangential effects of illness, and we therefore miss opportunities to treat the spiritual domains of human suffering. Through experiences from mentors, both within medical oncology and palliative care, I learned what true patient centered medicine entails-lcaring for patients-lbody and soul.
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J Pain Symptom Manage · Nov 2020
Pediatric Chronic Critical Illness: Training teams to address the communication challenges of patients with repeated and prolonged hospitalizations.
Children with chronic critical illness (CCI) have repeated and prolonged hospitalizations. Discrete communication challenges characterize their inpatient care. ⋯ Interdisciplinary communication training regarding long stay patients is feasible and valued by novice and seasoned clinicians. The novel integration of intrateam communication skills alongside team-family skills reflects the reality that the care of children with CCI challenges clinicians to communicate well with each other and families. Teaching interdisciplinary teams to share communication skills has the potential to overcome reported limitations of existing inpatient discussions, which can be dominated by one or two physicians and lack contributions from diverse team members.
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J Pain Symptom Manage · Nov 2020
ReviewThe effect of caregiver-facilitated pain management interventions in hospitalized patients on patient, caregiver, provider and health system outcomes: A systematic review.
Alternative pain management interventions involving caregivers may be valuable adjuncts to conventional pain management interventions. ⋯ Caregiver-facilitated pain management interventions using an activate engagement strategy may be effective in reducing pain of hospitalized neonates. Caregiver-facilitated pain management interventions improved pain outcomes in most adult studies; however, the number of studies of adults is small warranting caution pending further studies.
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J Pain Symptom Manage · Nov 2020
Randomized Controlled TrialIn Search of Hospice Information: Consumer Information Available on Hospice Compare and Yelp.
Little is known about strategies for enrolling patients in home-based palliative care programs despite the need to conduct effectiveness studies of this emerging industry. ⋯ Our findings suggest that medical claims data may not be useful for engaging patients potentially eligible for palliative care research trials. We recommend that alternative identification and recruitment strategies be considered.