Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2018
Randomized Controlled TrialMeasuring the psychosocial dimensions of quality of life in advanced cancer patients: Psychometrics of the German Quality of Life at the End of Life-Cancer-Psychosocial (QUAL-EC-P) Questionnaire.
Quality of life (QoL) is a central focus of care in advanced cancer. Specialized instruments, such as the Quality of Life at the End of Life-Cancer (QUAL-EC), may be useful to assess psychosocial issues associated with QoL unique to this population. ⋯ The QUAL-EC-P questionnaire may be used to assess the psychosocial aspects of QoL and promote their clinical discussion in patients with advanced cancer.
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J Pain Symptom Manage · Mar 2018
Randomized Controlled TrialEffects of Tai Chi Exercise on Cancer-Related Fatigue in Patients with Nasopharyngeal Carcinoma Undergoing Chemoradiotherapy: A Randomized Controlled Trial.
Tai Chi exercise has been shown to improve cancer-related fatigue (CRF) and autonomic nervous system (ANS) balance in some cancer patients or survivors; however, such effects are yet to be verified in nasopharyngeal carcinoma (NPC) patients undergoing chemoradiotherapy. ⋯ Tai Chi exercise is conducive to alleviate CRF in NPC patients undergoing chemoradiotherapy. The improvement in ANS balance might fit into the process of Tai Chi for CRF management in this population.
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J Pain Symptom Manage · Feb 2018
Randomized Controlled Trial Multicenter StudyResults of a Double-Blind, Randomized, Placebo-Controlled Study of Nabiximols Oromucosal Spray as Adjunctive Therapy in Advanced Cancer Patients With Chronic Uncontrolled Pain.
Prior Phase 2/3 studies found that cannabinoids might provide adjunctive analgesia in advanced cancer patients with uncontrolled pain. ⋯ Nabiximols might have utility in patients with advanced cancer who receive a lower opioid dose, such as individuals with early intolerance to opioid therapy.
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J Pain Symptom Manage · Feb 2018
Randomized Controlled TrialWhich physicians' behaviors on death pronouncement affect family-perceived physician compassion? A randomized, scripted, video-vignette study.
Although the death of a loved one is a devastating family event, little is known about which behaviors positively affect families' perceptions on death pronouncements. ⋯ To convey compassion on death pronouncement, we recommend that physicians initiate prompt examination, explain that the physician has received a sign-out, perform examination respectfully, ascertain the time of death with a wristwatch, and reassure the families that the patient did not experience pain.
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J Pain Symptom Manage · Dec 2017
Letter Randomized Controlled TrialCorticosteroids as co-analgesics with opioids for cancer related pain: A feasibility study.