Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2025
Designing and delivering a poetry workshop for clinician well-being during the COVID-19 pandemic: A case study.
Facilitated poetry writing workshops are used in healthcare settings as a therapeutic approach to address stressful factors that negatively influence clinician well-being. However, owing to the novelty of this intervention and a tendency to combine poetry with other types of narrative-based techniques, proponents of poetic medicine are calling for harmonization across programs in the US. This would facilitate the study of poetry in medicine and the multiple facets of well-being it is said to promote. To address these points, we partnered with a well-established poetry center to develop and study a facilitated poetry writing workshop program for palliative care and emergency medicine clinicians during the COVID-19 pandemic. ⋯ Healthcare systems seeking to incorporate poetry into their wellness programming may build upon our findings to create flexible workshops suited to their clinician audience and program intent.
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J Pain Symptom Manage · Mar 2025
Using Human-Centered Design to Improve Serious Illness Care for Older Adults with Advanced Dementia.
Older adults with advanced dementia increasingly receive potentially non-beneficial, high-intensity life-sustaining treatments and goal-discordant care in the United States. Interventions to address this issue have shown limited success. ⋯ The HCD process generated ideas at multiple healthcare system levels to address an enduring challenge in serious illness care by involving clinicians, researchers, and designers in intervention design.
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J Pain Symptom Manage · Mar 2025
AAHPM Assessment Workgroup: Hospice and Palliative Medicine Fellowship Assessment Needs & Directions.
Medical education is moving towards competency based medical education (CBME). This provides opportunities and challenges for the field of Hospice and Palliative Medicine (HPM). The American Academy of Hospice and Palliative Medicine (AAHPM) created the Assessment Workgroup to spearhead a shared vision and process to implement high-quality assessment of fellow performance. ⋯ There is a lack of training and resources for HPM PDs in fellow assessment, and a need for faculty development. Fellows are engaged and should be invited as collaborators in this work. The AAHPM Assessment Workgroup is creating a nationally available resource of tools and accompanying faculty development materials.
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J Pain Symptom Manage · Mar 2025
Bereaved family quality of life varies with comorbid psychological distress and ICU-care quality.
Health-related quality of life (HRQOL) is highly endorsed, but HRQOL studies scarcely investigate the following: ICU family members; modifiable end-of-life (EOL) ICU-care factors; conjoint associations with prolonged grief disorder (PGD), post-traumatic stress disorder (PTSD), and depression; and long-term bereavement outcomes. ⋯ Bereaved family members' HRQOL was significantly associated with PGD-PTSD-depressive-symptom states and QODD classes-both modifiable through high-quality EOL ICU care.
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J Pain Symptom Manage · Mar 2025
Model for an International Case Sharing Program to Enhance Global Palliative Care Education.
In Thailand, the field of palliative medicine is growing but access and training remain limited. We sought to expand education of resident physicians at Chiang Mai University (CMU) in Thailand through development of an international case sharing program. ⋯ We present a sustainable, convenient, low-cost, cross-cultural palliative care case conference model that has the potential to enrich palliative care education globally.