Journal of pain and symptom management
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J Pain Symptom Manage · Dec 2012
Randomized Controlled TrialPilot randomized controlled trial of a patient-controlled cognitive-behavioral intervention for the pain, fatigue, and sleep disturbance symptom cluster in cancer.
Pain, fatigue, and sleep disturbance commonly co-occur in patients receiving treatment for advanced cancer. ⋯ Findings suggest that the CB intervention may be an efficacious approach to treating the pain, fatigue, and sleep disturbance symptom cluster. Future research is planned to confirm efficacy and test mediators and moderators of intervention effects.
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J Pain Symptom Manage · Nov 2012
Randomized Controlled TrialSurvey burden for family members surveyed about end-of-life care in the intensive care unit.
Family surveys are an important source of information about quality of end-of-life care in the intensive care unit (ICU). The burden associated with completing such surveys is not well studied. ⋯ Most families reported no to low burden. Family members who live with their loved one are particularly vulnerable to survey burden and those of older patients report less burden. The association between low quality-of-care ratings and survey burden suggests that the response bias in this type of research is toward overestimating quality of care.
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J Pain Symptom Manage · Sep 2012
Randomized Controlled TrialAn exploratory survey of end-of-life attitudes, beliefs, and experiences of adolescents with HIV/AIDS and their families.
For youths with life-limiting conditions, little is known regarding families' understanding of their adolescent's wishes for end-of-life (EOL) care. ⋯ Although important areas of congruence emerged, equally important areas, such as the timing of these conversations and adolescents' EOL needs and wishes, are not known by their families. Families need help initiating conversations to assure that their adolescents' EOL wishes are known to them.
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J Pain Symptom Manage · Sep 2012
Randomized Controlled TrialThe PRO-SELF(©) Pain Control Program improves patients' knowledge of cancer pain management.
Inadequate knowledge is one barrier to effective cancer pain management. ⋯ The use of a knowledge and attitude survey, like the PES, as part of a psychoeducational intervention provides an effective foundation for patient education in cancer pain management. This individualized approach to education about pain management may save staff time and improve patient outcomes.
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J Pain Symptom Manage · Jul 2012
Randomized Controlled TrialA pilot randomized controlled trial of an oral care intervention to reduce mucositis severity in stem cell transplant patients.
Oral mucositis remains a significant problem in autologous stem cell transplantation (ASCT). ⋯ Oral cryotherapy plus an oral care protocol appears to be beneficial in reducing severity of mucositis compared with an oral care protocol alone.