Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2024
Contributing to Non-concordance between End-of-Life Care and Advance Care Planning.
Despite making do-not-resuscitate or comfort care decisions during advance care planning, terminally ill patients sometimes receive life-sustaining treatments as they approach end of life. ⋯ This study reveals that factors related to relational autonomy, emotional support, and health literacy may contribute to non-concordance between advance care planning and end-of-life care. In the future, developing an advance care planning model emphasizes respecting relational autonomy, providing emotional support, and enhancing health literacy could help patients receiving a goal concordant and holistic end-of-life care.
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J Pain Symptom Manage · Jun 2024
Palliative Medicine Fellows' Discussions, Perceptions, and Training Regarding Medical Cannabis.
Medical cannabis is increasingly considered for palliation of pain, nausea/vomiting, anorexia, and other symptoms. ⋯ Most HPM fellows report formal training in the use of medical cannabis. Over half of trainees reported discussing medical cannabis with patients, but few considered themselves sufficiently informed to make cannabis-related clinical recommendations. These results suggest both a need for expanded high-quality evidence for medical cannabis in palliative care and for improved formal education for HPM fellows.
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J Pain Symptom Manage · Jun 2024
Psychologists as Pivotal Members of the Pediatric Palliative Care Team.
Pediatric psychologists possess unique expertise to positively impact the care provided to children with serious illness and their families. Despite increasing recognition regarding the value of psychology in palliative care, psychologists are not yet routinely integrated into pediatric palliative care (PPC) teams. ⋯ With strong skills in research, clinical care, education, and advocacy, pediatric psychologists are exceptionally equipped to provide care to children with serious illness and their families. Given their unique contributions, it is critical future efforts are directed towards advocating for the inclusion of psychologists into PPC, with the ultimate goal of improving care for children with serious illness and their families.
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J Pain Symptom Manage · Jun 2024
Editorial LetterMissing Data and the Last Observation Carried Forward.