Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2023
Shared Decision Making in the Geriatric Surgery Verification Program: Assessing Baseline Performance.
As part of the launch of the Geriatric Surgery Verification program in 2019, the American College of Surgeons issued care standards for older patients, including requirements for preoperative documentation of patients' goals. Hospital performance on these standards prior to the Geriatric Surgery Verification program is unknown. ⋯ Before GSV program implementation, clinicians for two major operations almost never met the GSV standard for preoperative discussion of patient goals. Interdisciplinary teams will need to adjust clinical practice to meet best-practice communication standards for older patients.
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J Pain Symptom Manage · Jun 2023
Observational StudyVisualizing how to use antipsychotics for agitated delirium in the last days of life.
How physicians use antipsychotics for agitated delirium in the last days of life varies markedly, which could hamper the quality of care. ⋯ The algorithm-based treatment could be feasible, effective, and safe. Visualizing how palliative care specialists provide pharmacological management could be beneficial for nonspecialist clinicians, and clinical, educational, and research implications warrant further empirical testing.
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J Pain Symptom Manage · Jun 2023
A Statement on the Role and Qualifications of Health Care Chaplains for Research and Quality.
This statement fills a significant gap in the efforts to demonstrate outcomes of the chaplaincy role in health care and to provide direction for quality measurement related to spiritual care as a key domain of serious illness care. ⋯ This statement can potentially drive the standardization and alignment of all phases of health care chaplaincy preparation and practice.
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J Pain Symptom Manage · Jun 2023
ReviewCommunity informed recruitment: a promising method to enhance clinical trial participation.
Low recruitment rates in palliative care clinical trials amongst Black and rural individuals have been attributed to lack of trust and procedural barriers. Community engagement strategies have increased clinical trial participation of under-represented populations. ⋯ A novel community-enhanced recruitment strategy demonstrated the potential to increase clinical trial participation from historically under-represented populations.
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J Pain Symptom Manage · Jun 2023
ReviewDon't Throw the Baby Out with the Bathwater: Meta-Analysis of Advance Care Planning and End-of-life Cancer Care.
There is ongoing discourse about the impact of advance care planning (ACP) on end-of-life (EOL) care. No meta-analysis exists to clarify ACP's impact on patients with cancer. ⋯ This meta-analysis demonstrated mixed evidence of the association between ACP and EOL cancer care, where tests of moderation suggested that the communication components of ACP carry more weight in influencing outcomes. Further disease-specific efforts to clarify models and components of ACP that work and matter to patients and caregivers will advance the field.