Journal of pain and symptom management
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J Pain Symptom Manage · May 2023
ReviewRelationship between religion/spirituality and the aggressiveness of cancer care: a scoping review.
Religiosity/spirituality/religious-spiritual coping (RS) are resources used by cancer patients with cancer to help cope with the disease and may influence the preference and receipt of end-of-life (EOL) treatment. ⋯ RS is associated with more aggressive EOL treatments, as well as with lower rates of ACP in cancer patients. On the other hand, spiritual care provided by the medical team seems to be associated with less aggressive EOL care.
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J Pain Symptom Manage · May 2023
Patient Controlled Analgesia for Vaso-Occlusive Episodes in Children: A Retrospective Study.
To describe Patient-Controlled Analgesia (PCA) administration in pediatric patients admitted with sickle cell vaso-occlusive episode (VOE). ⋯ At our institution, patients with VOE received opioids and PCA within the first hours of admission. PCAs were started at a ratio of 1.5-1.8, considered normal continuous. While no specific PCA-ratio was clearly superior for pain control, lower ratios (high continuous infusion) were associated with not requiring PCA adjustments at 6 hours. Prospective studies are needed.
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J Pain Symptom Manage · May 2023
Parent and provider perspectives of a hospital-based bereavement support program in paediatric palliative care.
Bereavement is an individuated, nuanced experience, and its expression is different for each parent who has cared for a dying child. Evidence highlights support is valuable to navigate this loss. ⋯ Bereavement care to navigate the devastating loss of a child is of paramount importance and can offer significant and beneficial resources for families. Findings have supported service development in a major tertiary paediatric hospital facilitating improved access for families, particularly for those in regional and rural locations.
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J Pain Symptom Manage · May 2023
"It's Hard Not to Have Regrets:" Qualitative Analysis of Decisional Regret in Bereaved Parents.
Bereaved parents may have heightened risk for decisional regret; however, little is known about regret early in bereavement. ⋯ Many bereaved parents endorse decisional regret in early bereavement. Treatments and decision-making processes were most cited among parents both with and without regret. Identifying factors associated with heightened parental risk of decisional regret using longitudinal study is an important focus of future research.
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J Pain Symptom Manage · May 2023
Validation of the Surprise Question and the Development of a Multivariable Model.
The Surprise Question (SQ) (would you be surprised if this patient died within a year?) is a prognostic variable explored in chronic illnesses. Validation is limited to sensitivity, specificity, and predictive values. ⋯ The SQ, as a single factor, poorly predicts survival and should not be used to alter therapies. Adding additional objective variables improved prognostication, but further refinement and external validation are needed.