Journal of Pain and Symptom Management

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Table of Contents

November 1, 2017 - 12:00am
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Editorial Board

November 1, 2017 - 12:00am
Categories: Pain News Feed

Impact of Targeted Therapy on the Quality of End-of-Life Care for Patients with Non-Small-Cell Lung Cancer: A population-based study in Taiwan

October 19, 2017 - 12:00am
Targeted therapies with epidermal growth factor receptor tyrosine kinase inhibitors have been widely used in the treatment of advanced non-small cell lung cancer (NSCLC). However, little research has focused on the use of targeted therapies at the end-of-life (EOL).
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Causes of hospital admissions in Domus: a randomized controlled trial of specialized palliative cancer care at home

October 19, 2017 - 12:00am
Avoidable hospital admissions are important negative indicators of quality of end-of-life care. Specialized palliative care (SPC) may support patients in remaining at home. Therefore, the purpose of this study was to investigate if SPC at home could prevent hospital admissions in patients with incurable cancer.
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A nationwide survey about palliative sedation involving Japanese palliative care specialists: Intentions and key factors used to determine sedation as proportionally appropriate

October 19, 2017 - 12:00am
Although there has long been debate about physicians’ intentions and what physicians consider to be proportionally appropriate when performing palliative sedation, few large studies have been performed.
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Body Composition Early Identifies Cancer Patients with Radiotherapy at Risk for Malnutrition

October 16, 2017 - 12:00am
The side effects of radiotherapy (RT) and the occurrence of comorbidity often result in appetite loss in patients, which leads to serious nutritional problems, significantly affecting the patients’ treatment results and disease prognosis.
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Changes in the occurrence, severity, and distress of symptoms in patients with gastrointestinal cancers receiving chemotherapy

October 16, 2017 - 12:00am
Studies on multiple dimensions of the symptom experience of patients with gastrointestinal cancers are extremely limited. Purpose was to evaluate for changes over time in the occurrence, severity, and distress of seven common symptoms in these patients.
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Bringing the Medical Home back Home in the Context of Population Health - Home-Based Primary Care and Home-Based Palliative Care

October 11, 2017 - 12:00am
With the growth of value-based care, payers and health systems have begun to appreciate the need to provide enhanced services to homebound adults. Recent studies have shown that home-based medical services for this high-cost, high-need population reduce costs and improve outcomes. Home-based medical care services have two flavors that are related to historical context and specialty background—home-based primary care and home-based palliative care. While the type of services provided by home-based primary care and home-based palliative care (together termed “home-based medical care”) overlap, home-based primary care tends to encompass longitudinal and preventive care, while home-based palliative care often provides services for shorter durations focused more on distress management and goals of care clarification.
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Addressing a Patient’s Hope for a Miracle

October 10, 2017 - 12:00am
Ill patients may make decisions to continue aggressive life-prolonging care based on hope for a miraculous recovery, and clinicians can find goals of care discussions with these patients extremely challenging. Thus, palliative care providers may be asked to help in these discussions. The concept of “miracle” can express a multitude of hopes, fears, and religious commitments. Effective, sensitive engagement requires the palliative care provider to attend to these variegated hopes, fears, and commitments.
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Clinical Variety may help prevent Burnout after a Decade in Palliative Care

October 10, 2017 - 12:00am
Factors that promote longevity and resilience in Palliative Care has not been well studied.
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Continuous cardiac inotropes in patients with end-stage heart failure: an evolving experience

October 10, 2017 - 12:00am
Heart failure experts recommend initiation of continuous inotrope therapy, such as milrinone or dobutamine, for clinically decompensating patients with stage D heart failure. Although originally intended to serve solely as a bridge to more definitive surgical therapies, more and more patients are receiving inotrope therapy for purely palliative purposes. In these cases, questions arise regarding care at the end of life. What criteria determine ongoing clinical benefit? Should the inotrope be continued until death? Should inotrope dosing be increased within recommended guidelines to improve symptoms? What is the role of inotropes in hospice care? Here, we describe such a case as a springboard to contemplate the evolving role of inotrope therapies and how hospice and palliative providers may interface with this rapidly developing face of advanced heart failure care.
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Identifying opportunities to improve pain among patients with serious illness

October 10, 2017 - 12:00am
Pain is a common and distressing symptom. Pain management is a core competency for palliative care (PC) teams.
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Oncologists’ and patients’ perceptions of initial, intermediate, and final goals of care conversations

October 10, 2017 - 12:00am
While recommendations are for goals of care (GoC) conversations to happen early and often, their timing and content over the disease course remain unclear.
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The impact of supporting family caregivers pre-bereavement on outcomes post-bereavement: Adequacy of end of life support and achievement of preferred place of death

October 10, 2017 - 12:00am
This study investigated the extent to which using the Carer Support Needs Assessment Tool (CSNAT) intervention during the caregiving period has affected bereaved family caregivers’ perceptions of adequacy of support, their grief and wellbeing and achievement of their preferred place of death.
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Nationwide Quality of Hospice Care: Findings from the Centers for Medicare & Medicaid Services (CMS) Hospice Quality Reporting Program (HQRP)

October 9, 2017 - 12:00am
With increasing use of the Medicare hospice benefit, policymakers recognize the need for quality measurement to assure that terminally ill patients receive high quality care and have the information they need when selecting a hospice. Towards these goals, CMS has been collecting standardized patient-level quality data via the Hospice Item Set (HIS) since July 1, 2014.
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Table of Contents

October 1, 2017 - 12:00am
Categories: Pain News Feed

Editorial Board

October 1, 2017 - 12:00am
Categories: Pain News Feed

The Effectiveness of Psychosocial Interventions for Psychological Outcomes in Paediatric Oncology: A Systematic Review

September 26, 2017 - 12:00am
This review summarises the current randomised controlled trials literature on psychological and physical outcomes of psychosocial interventions in paediatric oncology.
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Psychometric Analysis of the Parenting Concerns Questionnaire in Women with Metastatic Cancer

September 22, 2017 - 12:00am
Parenting concerns are a major source of distress for patients with advanced cancer. However, validated tools to measure this construct in advanced cancer patients are lacking.
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Cytokine Gene Polymorphisms Associated With Various Domains Of Quality Of Life In Women With Breast Cancer

September 22, 2017 - 12:00am
Little is known about the phenotypic and molecular characteristics associated with various domains of quality of life (QOL) in women following breast cancer surgery.
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