Journal of pain and symptom management
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J Pain Symptom Manage · Jul 2020
Symptom Cluster of ICU nurses treating COVID-19 pneumonia patients in Wuhan, China.
In treating highly infectious coronavirus disease-19 (COVID-19) pneumonia, intensive care unit (ICU) nurses face a high risk of developing somatic symptom disorder (SSD).The symptom clusters in one population may show overlaps and involvements, a phenomenon that should be deliberately resolved to improve the management efficiency. ⋯ The ICU nurses in Wuhan showed varying and overlapping SSDs. These SSDs could be classified into three symptom clusters. Based on the characteristics of their SSDs, specific interventions could be implemented to safeguard the health of ICU nurses.
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J Pain Symptom Manage · Jul 2020
Scaling implementation of the Serious Illness Care Program through Coaching.
We designed group coaching calls to reinforce communication skill acquisition and Serious Illness Care Program uptake in adult primary care. ⋯ Group coaching of PCPs resulted in more than a twofold increase in documented serious illness conversations.
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J Pain Symptom Manage · Jul 2020
The Empathy Project: A Skills Development Game: Innovations in Empathy Development.
Empathy is increasingly described as a learnable skill and is included in professionalism requirements for health care providers, yet there are few effective tools for developing and practicing empathy skills. ⋯ This innovative game-based learning tool is of low cost and feasible to deploy. It could be easily incorporated into medical education curricula aimed at developing communication skills, especially the skill of responding to emotion with empathy. Future research is needed to assess the effects the innovation has on behavior as well as its impact on patient-centered outcomes.
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J Pain Symptom Manage · Jul 2020
Erratum to Attitudes of the General Public, Cancer Patients, Family Caregivers, and Physicians Toward Advance Care Planning: A Nationwide Survey Before the Enforcement of the Life-Sustaining Treatment Decision-Making Act [Journal of Pain and Symptom Management 57 (2019) 774-782].
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J Pain Symptom Manage · Jul 2020
ReviewHospital or Home? Where Should Children Die and How Do We Make that a Reality?
Most of the 20,000 U.S. children dying of serious illnesses annually die in the hospital. It is unknown if this hospital death predominance reflects family wishes or systemic issues such as lack of hospice access. Hence, we need to better understand location of death preferences for children and their families. ⋯ Adequate resources are needed to ensure children can die in their chosen location-be that home, hospital, or free-standing hospice. This review highlights research areas needed to better understand death location preference and programs and policies that will support home death for those that desire it.