Journal of palliative medicine
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To determine what questions family caregivers want to discuss with health care providers (HCPs) in order to prepare for the death of a loved one. ⋯ Family caregivers of patients with terminal illness need more than prognostic information in order to prepare for the death. HCPs should be aware that caregivers may not ask important questions and that unanswered questions may contribute to caregiver distress. Awareness of caregivers' questions can help HCPs improve the care provided to caregivers by better preparing them for the death of their loved one.
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Comparative Study
Comparison of symptom burden among patients referred to palliative care with hematologic malignancies versus those with solid tumors.
Patients with hematologic malignancies have reduced and later access to palliative care services (APCS) than do those with solid tumors. It is unclear whether these patients develop a high symptom burden at the end of life that requires special palliative care interventions. The purposes of this retrospective study were to determine whether symptoms are less severe in patients with hematologic than in those with solid malignancies on APCS and whether symptom severity is associated with early APCS. ⋯ Hematologic patients had increased delirium and drowsiness and later APCS The overall symptom severity was similar in both groups of patients and did not correlate with early APCS. Future prospective studies are needed to better define APCS patterns in this group.