International journal of palliative nursing
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International expert consensus is that psychosocial intervention is likely to help advanced cancer patients and their family carers affected by weight loss and poor appetite. ⋯ This preliminary study of MAWE suggests that it provides benefits as a supportive intervention. Further testing is warranted using a more robust experimental design.
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This paper describes the development of a tool for palliative care nurses to initiate and facilitate advance care planning (ACP) conversations in community palliative care practice. Seven community palliative care services located across Australia participated in a multi-site action research project. Data included participant observation, individual and focus group interviews with palliative care health professionals, and medical record audit. ⋯ From this framework a Conversation Starter Tool for ACP was developed. The Tool was then used in orientation and continuing nurse education programmes. It provided palliative care nurses the opportunity to introduce and progress ACP conversations.
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Despite the introduction of numerous guidelines and pharmacological interventions to manage cancer pain, poor assessment and under-medication remain common. ⋯ These cancer patients were experiencing high levels of pain, which was undertreated. Providing adequate pain management is a priority, hence more education, training, and resources are needed in Jordan to reduce cancer patients' suffering.