Journal of pain and symptom management
-
J Pain Symptom Manage · Apr 2020
Randomized Controlled Trial Multicenter StudyImpact of a nurse-led advance care planning intervention on satisfaction, health related quality of life and health care utilization among patients with severe respiratory disease: A randomized patient preference trial.
Previous work has found that facilitated advance care planning (ACP) interventions are effective in increasing ACP uptake among patients with severe respiratory disease. ⋯ A facilitated ACP intervention among patients with severe respiratory disease did not have an impact on satisfaction, health-related quality of life, or 12-month mortality rate. Facilitated ACP may be associated with a different type of health care utilization during the end-of-life period.
-
J Pain Symptom Manage · Feb 2020
Multicenter Study Observational StudyPalliative sedation in patients hospitalized in internal medicine departments.
Palliative sedation is used to relieve end-of-life refractory symptoms. ⋯ Palliative sedation is used more often for terminal patients. There are differences in the administration of palliative sedation between patients with and without cancer.
-
J Pain Symptom Manage · Nov 2019
Letter Randomized Controlled Trial Multicenter StudyA randomised, double-blind, multi-site, pilot placebo-controlled trial of regular, low dose morphine on outcomes of pulmonary rehabilitation in COPD.
-
J Pain Symptom Manage · Oct 2019
Randomized Controlled Trial Multicenter StudyAdditive Duloxetine for Cancer-related Neuropathic Pain Nonresponsive or Intolerant to Opioid-Pregabalin Therapy: A Randomized Controlled Trial (JORTC-PAL08).
Although opioids and pregabalin are widely used for cancer-related neuropathic pain (CNP), no clinical trials exist to determine which medications are effective when an opioid-pregabalin combination therapy fails. ⋯ Adding duloxetine to opioid-pregabalin therapy might have clinical benefit in alleviating refractory CNP. Further studies are needed to conclude the efficacy of adding duloxetine.
-
J Pain Symptom Manage · Oct 2019
Randomized Controlled Trial Multicenter StudyToward Understanding the Relationship between Prioritized Values and Preferences for Cardiopulmonary Resuscitation Among Seriously Ill Adults.
Prioritizing among potentially conflicting end-of-life values may help patients discriminate among treatments and allow clinicians to align treatments with values. ⋯ Clinicians face challenges as they clarify patient values and align treatments with values. Patients' values predicted CPR preferences, but a substantial proportion of patients expressed CPR preferences that appeared potentially inconsistent with their primary value. Clinicians should question assumptions about relationships between values and CPR preferences. Further research is needed to identify ways to use values to guide treatment decisions.