Journal of palliative medicine
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Randomized Controlled Trial
Improving residents' end-of-life communication skills with a short retreat: a randomized controlled trial.
Internal medicine residents are largely unprepared to carry out end-of-life (EOL) conversations. There is evidence that these skills can be taught, but data from randomized controlled trials are lacking. ⋯ A short course for residents can significantly improve specific elements of resident EOL conversation performance, including the ability to respond to emotional cues.
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Comparative Study
Palliative care consultations in hospitalized stroke patients.
To determine the pattern and characteristics of palliative care (PC) consultations in patients with stroke and compare them with the characteristics of nonstroke consultations. ⋯ Patients with stroke are a common diagnosis seen on an inpatient palliative care consult service. Each stroke type represents patients with potentially distinct palliative care needs.
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Randomized Controlled Trial
Symptom burden in HIV-infected adults at time of HIV diagnosis in rural Uganda.
This study aimed to measure symptom burden prior to antitetroviral therapy (ART) initiation in a population of adults with low CD4 presenting for human immunodeficiency virus (HIV) care and treatment in Uganda, and to explore the relationship between World Health Organization (WHO) stage, CD4 count, and symptomatology. ⋯ This study demonstrates that the burden of HIV-related symptoms in individuals presenting for care in Uganda is significant and debilitating.
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The development of palliative care educational programs is ongoing in Japan. To assess the effectiveness of educational programs for general nurses, it is necessary to develop scales for evaluating them. ⋯ The validity and reliability of these scales were established. Therefore, the clarification of actual practices used and difficulties experienced will be possible using these scales.