Journal of pain and symptom management最新文献

Should an Acute Palliative Care Unit be Mandatory for Cancer Centers and Tertiary Care Hospitals? 癌症中心和三甲医院是否应强制设立急性姑息关怀病房？

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-10-18 DOI: 10.1016/j.jpainsymman.2024.10.010

Sebastiano Mercadante, Camilla Zimmermann, Jenny Lau, Declan Walsh

引用次数: 0

Essential Advance Care Planning Intervention Features in Low-Income Communities: A Qualitative Study. 低收入社区预先护理规划干预的基本特征：定性研究。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-09-24 DOI: 10.1016/j.jpainsymman.2024.09.018

Christine C Kimpel, Erica Frechman, Lorely Chavez, Cathy A Maxwell

{"title":"Essential Advance Care Planning Intervention Features in Low-Income Communities: A Qualitative Study.","authors":"Christine C Kimpel, Erica Frechman, Lorely Chavez, Cathy A Maxwell","doi":"10.1016/j.jpainsymman.2024.09.018","DOIUrl":"10.1016/j.jpainsymman.2024.09.018","url":null,"abstract":"Context: Older adults with low socioeconomic status (SES) participate in advance care planning (ACP) at lower rates than those with higher SES. Community feedback is an essential component of intervention design for communities with fewer social and health resources to ensure that the intervention is relevant and meaningful.Objectives: To understand the perspectives for potential interventions, we aimed to qualitatively explore participant priorities for ACP intervention development.Methods: Using a qualitative descriptive design, we recruited and conducted individual and one-time, semi-structured interviews with older adults (aged 50+) with low income (< $20,000/year) (n = 20), Recruitment methods included flyers and in-person recruitment and purposive and snowball sampling methods. Following a thematic analysis plan, themes emerged from recursive transcript review by two independent coders and inductive categorization of the most robust codes.Results: Two themes captured participants' perspectives regarding ACP intervention development: 1) specialist advocacy and reliability and 2) person-centered communication. Older adults with low SES prioritize ACP communication that is driven by their goals and that is led by trustworthy specialists that advocate for their needs.Conclusion: Our work highlights that intervention preferences were informed by the prior strain and struggle of waiting on other kinds of health and social services. We propose an adapted model for community research collaboration to promote equity in addition to practice and policy recommendations.","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":"e46-e52"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One Stone, Two Birds: Response to Letter to the Editor by Gurunthalingam et al. 一石二鸟：回应 Gurunthalingam 等人致编辑的信

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-10-30 DOI: 10.1016/j.jpainsymman.2024.10.019

Wenting Xu, Lin Wang, Cheng Tan

引用次数: 0

Does Sedation Affect Patients' Spiritual Experience at the End of Life? An Intersection Between Medicine and Spirituality. 镇静是否会影响患者临终时的精神体验？

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2023-10-21 DOI: 10.1016/j.jpainsymman.2023.10.023

Anne L Dalle Ave, Daniel P Sulmasy

引用次数: 0

Advance Care Planning Bundle: Using Technical and Adaptive Solutions to Promote Goal Concordant Care. 预先护理规划捆绑包：使用技术和适应性解决方案促进目标一致的护理。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-09-21 DOI: 10.1016/j.jpainsymman.2024.09.014

Sara Brigham, Lori Olson, Jessica Kalender-Rich, Ben Skoch, Joanna Veazey Brooks, Casey Pickering, Dustin Pierce, Angella Herrman, Maritza Campos, Randa Hallock, Karin Porter-Williamson

{"title":"Advance Care Planning Bundle: Using Technical and Adaptive Solutions to Promote Goal Concordant Care.","authors":"Sara Brigham, Lori Olson, Jessica Kalender-Rich, Ben Skoch, Joanna Veazey Brooks, Casey Pickering, Dustin Pierce, Angella Herrman, Maritza Campos, Randa Hallock, Karin Porter-Williamson","doi":"10.1016/j.jpainsymman.2024.09.014","DOIUrl":"10.1016/j.jpainsymman.2024.09.014","url":null,"abstract":"Background: Advance Care Planning (ACP) is critical to achieve goal-aligned care for patients. However, optimal implementation requires complex coordination and alignment across a healthcare system.Measures: A survey of rapid response providers assessed usefulness of the ACP quality improvement bundle and perceptions of use and adherence.Intervention: We implemented a bundle of advance care planning tools and interventions using the technical-adaptive framework. These included orders, documentation templates and processes, and standard education.Outcomes: Ninety-three rapid response providers completed the survey. 80.5% reported that overall, these quality improvement efforts have been very helpful or somewhat helpful in improving their ability to provide care consistent with the patient's goals.Conclusions/lessons learned: Implementation of technical and adaptive tools as a bundle for Advance Care Planning shows promise to improve and sustain goal-aligned care. Quality Improvement in ACP is a complex, iterative process involving both structural change and behavioral adaptation.","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":"e53-e60"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a Scale for Home-Visit Nurses to Start End-of-life Discussions with Cancer Patients. 为家访护士开发一个量表，以便与癌症患者展开临终讨论。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-09-11 DOI: 10.1016/j.jpainsymman.2024.09.003

Kurumi Asaumi, Masataka Oki, Wataru Ohashi

{"title":"Developing a Scale for Home-Visit Nurses to Start End-of-life Discussions with Cancer Patients.","authors":"Kurumi Asaumi, Masataka Oki, Wataru Ohashi","doi":"10.1016/j.jpainsymman.2024.09.003","DOIUrl":"10.1016/j.jpainsymman.2024.09.003","url":null,"abstract":"Context: Home-visit nurses find it challenging to determine the appropriate time to initiate end-of-life discussions with cancer patients.Objective: This study aimed to develop the Timing of End-of-Life Discussions (T-EOLD) scale to help home-visit nurses determine the appropriate time to initiate end-of-life discussions with cancer patients and to test its reliability and validity.Methods: The scale items were developed based on qualitative data extracted from interviews, literature reviews, and expert panel discussions. We conducted a preliminary study involving 93 home-visit nurses and evaluated the construct validity, consistency, and test-retest reliability of the scale. Finally, using a sample of 234 home-visit nurses, we conducted the primary study and assessed the construct validity and scale consistency.Results: A total of 41 items were initially developed. Floor effect, item-total correlation, good-poor, and exploratory factor analysis in the preliminary and primary studies yielded a three-factor, 16-item model. The model's goodness-of-fit was CFI = 0.94, GFI = 0.90, AGFI = 0.87, and RMSEA = 0.06. Cronbach's alpha for the overall scale was 0.91.Conclusions: The reliability and validity of the T-EOLD is acceptable, as it is an appropriate scale that home-visit nurses can use to determine the time to initiate end-of-life discussions with cancer patients. However, further study is required to examine T-EOLD's clinical utility, both nationally and internationally.","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":"1-9.e1"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental Attitudes Towards Palliative Care in Pediatric Oncology: Insights From Bereaved Families. 父母对儿科肿瘤姑息治疗的态度：来自丧亲家庭的启示

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-09-11 DOI: 10.1016/j.jpainsymman.2024.09.001

Isaac Martinez, Elizabeth S Davis, Courtney E Wimberly, Lisa Towry, Emily E Johnston, Kyle M Walsh

{"title":"Parental Attitudes Towards Palliative Care in Pediatric Oncology: Insights From Bereaved Families.","authors":"Isaac Martinez, Elizabeth S Davis, Courtney E Wimberly, Lisa Towry, Emily E Johnston, Kyle M Walsh","doi":"10.1016/j.jpainsymman.2024.09.001","DOIUrl":"10.1016/j.jpainsymman.2024.09.001","url":null,"abstract":"Context: Palliative care (PC) has shown significant growth in the US and is associated with improved patient and caregiver experiences. Nevertheless, there are concerns that PC is underutilized in pediatric oncology. Understanding parental attitudes towards PC is crucial to improving PC utilization.Objectives: This study aimed to explore bereaved parent attitudes towards PC in pediatric oncology.Methods: This study used data from Alex's Lemonade Stand: My Childhood Cancer Bereavement Survey. The survey included questions regarding bereaved parents' attitudes towards PC.Results: The survey included 72 bereaved families. Parents completed the survey a median of 11 years after their child's death. PC was involved in 71% of cases. These families were more likely to have do not resuscitate (DNR) orders, an advanced care plan, hospice care, a planned death location, and for their child to die outside the hospital. Although most parents (86%) agreed that it is a doctor's obligation to inform all patients with cancer about PC. PC referrals appeared to happen later than parents preferred. Lack of PC involvement was primarily due to PC not being offered or sudden death of the child.Conclusions: Parental hesitancy should not be viewed as a barrier to PC involvement. Although parents held mixed attitudes about PC, families accepted PC, desired earlier referrals, and believed it was a doctor's obligation to offer PC. These findings highlight the need for timely PC referrals, improved education, and increased awareness of PC services to enhance the integration of PC in pediatric oncology.","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":"e27-e36"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concerns Regarding Adherence to Inclusion Criteria in Meta-Analysis of Gabapentinoids for Pruritus. 加巴喷丁类药物治疗瘙痒的 Meta 分析中对纳入标准的关注。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-09-26 DOI: 10.1016/j.jpainsymman.2024.09.019

Meenalotchini Prakash Gurunthalingam, Madhusudan Prasad Singh, Sanjeev Khanth, Vikas Katiyara, Pugazhenthan Thangaraju

引用次数: 0

Effectiveness of music therapy, aromatherapy, and massage therapy on patients in palliative care with end-of-life needs: A systematic review. 音乐疗法、芳香疗法和按摩疗法对有临终需求的姑息关怀患者的疗效：系统综述。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-08-13 DOI: 10.1016/j.jpainsymman.2024.07.024

Freeman Jodie, Klingele Anna, Wolf Ursula

{"title":"Effectiveness of music therapy, aromatherapy, and massage therapy on patients in palliative care with end-of-life needs: A systematic review.","authors":"Freeman Jodie, Klingele Anna, Wolf Ursula","doi":"10.1016/j.jpainsymman.2024.07.024","DOIUrl":"10.1016/j.jpainsymman.2024.07.024","url":null,"abstract":"Background: Music therapy, aromatherapy and massage therapy are widely used in palliative care in patients near end-of-life with the aim to reduce symptom burden and improve quality of life (QoL). Recent research shows an increase in popularity and use of complementary and integrative medicine however a more thorough evidence base about their usefulness is required.Objectives: The aim of this study was to evaluate the available evidence on the use of music therapy, aromatherapy and massage therapy in palliative and hospice care and summarize findings.Methods: A defined search strategy was used in reviewing literature from two major databases, MEDLINE and Embase for the period between 2010 and 2022. Studies were selected for further evaluation based on intervention type and relevancy. After evaluation using quality assessment tools, findings were summarised, and potential benefits were identified.Results: Out of 1261 studies initially identified, 26 were selected for further evaluation. Sixteen evaluated music therapy, four aromatherapy and massage therapy. The most represented outcomes were pain, anxiety, well-being and QoL. Many studies demonstrated a short-term benefit in symptom improvement. Qualitative studies showed that these complementary methods are highly valued.Conclusion: Main results found that music and massage therapy had the most potential benefits on a range of outcome parameters, including pain and QoL. Future studies may consider using more qualitative and/or mixed methods to provide a more comprehensive evaluation of treatment.","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":"102-113"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complimentary Role of Comprehensive Palliative Care Treatment to Intrathecal Therapy: Case Report. 综合姑息治疗在鞘内治疗中的作用：病例报告。

IF 3.2 2区医学

Journal of pain and symptom management Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI: 10.1016/j.jpainsymman.2024.10.023

Sebastiano Mercadante

引用次数: 0