Learning to Here.
Published in Journal of pain and symptom management
Published in Journal of pain and symptom management
Published in Journal of pain and symptom management
In the Alleviating Breathlessness in Cancer Patients with Dexamethasone (ABCD) trial, dexamethasone did not improve dyspnea more than placebo in unselected cancer patients. However, it is unclear if patients with greater inflammation would be more likely to derive a treatment response. To examine the predictive utility of cytokines for dyspnea resp...
Published in Journal of pain and symptom management
Leading oncology societies recommend monitoring symptoms and support needs through patient-reported outcome measures (PROMs), but their use for assessing specialist palliative care (SPC) need has not yet been explored. Research on SPC integration has focused on staff-assessed screening tools, which are time-consuming. This study aimed to assess the...
Published in Journal of pain and symptom management
In 2009, Quill and colleagues stipulated that there are three types of sedation practices at the end of life: ordinary sedation, proportionate palliative sedation (PPS), and palliative sedation to unconsciousness (PSU). Of the three, PPS and PSU are described as "last-resort options" to relieve refractory symptoms, and PSU as the most ethically con...
Published in Journal of pain and symptom management
Spiritual pain and financial distress are two important dimensions of cancer care that are often overlooked. Both dimensions can have a significant impact on the quality of life of patients with cancer and their families. This study conducted a cross-cultural adaptation, feasibility study, and psychometric properties of the Edmonton Symptom Assessm...
Published in Journal of pain and symptom management
Dignity therapy (DT) is a well-researched psychotherapeutic intervention but it remains unclear whether symptom burden or religious/spiritual (R/S) struggles moderate DT outcomes. To explore the effects of symptom burden and R/S struggles on DT outcomes. This analysis was the secondary aim of a randomized controlled trial that employed a stepped-we...
Published in Journal of pain and symptom management
Evaluate clinical outcomes of stroke survivors in Peru discharged with artificial nutrition via a feeding tube (FT), and explore perspectives and experiences of these patients and their caregivers. Retrospective chart review to describe the prevalence of FT placement and characteristics of patients admitted with stroke to the Instituto Nacional de ...
Published in Journal of pain and symptom management
Though discrimination in healthcare settings is increasingly recognized, the discriminatory experiences of patients with serious illness has not been well studied. Describe racial differences in patient-reported experiences with discrimination in the healthcare setting and examine its association with mistrust. We used surveys containing patient-re...
Published in Journal of pain and symptom management
A growth mindset and mastery approach have gained attention as useful learning orientations in medical education, however few studies of interventions to foster these orientations exist. We sought to discover whether a communication skills session on delivering serious news could foster a communication growth mindset and/or a mastery approach in me...
Published in Journal of pain and symptom management
Children receiving palliative care have life-limiting or life-threatening conditions, which include symptoms ranging from unpleasant to intolerable suffering. We describe three diverse cases of medical marijuana within ambulatory pediatric palliative care, highlighting use for spasticity, refractory seizures, and cancer-related symptoms. Included a...