Journal of Pain and Symptom Management

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Updated: 28 min 35 sec ago

Author Index to Volume 54 (2017)

December 1, 2017 - 12:00am
Aass N, See Grotmol KS, 889
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Table of Contents

December 1, 2017 - 12:00am
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Editorial Board

December 1, 2017 - 12:00am
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Integration of complementary medicine in supportive cancer care: A call for Middle-Eastern collaborative research

November 24, 2017 - 12:00am
The widespread use of traditional herbal medicine among oncology patients reflects the centrality of traditional Complementary/Integrative medicine (CIM) throughout the Middle-East, from Morocco in the West to Iran in the East1. Alternative medicine (in Arabic, Al Tibb Al-Badil) in this region occurs when patients seek non-conventional treatments for their disease, using herbal remedies instead of conventional oncology therapies. Rooted in traditional Islamic medicine, the use of herbal remedies plays a central role in the local medical culture, and is considered to be safe and non-invasive, with many of these compounds found in the local Arab cuisine.
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Do live discharge rates increase as hospices approach their Medicare aggregate payment caps?

November 24, 2017 - 12:00am
The rate of live discharge from hospice and the proportion of hospices exceeding their aggregate caps have both steadily increased for the last 15 years, becoming a source of federal scrutiny. The cap restricts aggregate payments hospices receive from Medicare during a 12-month period. The risk of repayment and the manner in which the cap is calculated may incentivize hospices coming close to their cap ceilings to discharge existing patients prior to the end of the cap year.
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End of Life Care in Imprisoned Persons

November 24, 2017 - 12:00am
In 2014, there were 2,224,400 incarcerated people in the United States 1. In 2013, 4,446 inmates died while in custody of local or state prisons. Suicide and heart disease were the top two causes of death, at 34% and 27% respectively 2. While the age distribution of imprisoned persons has not changed over time, the age of prison populations has increased by 80% between 2000 and 2009 2, 3. Additionally, deaths of incarcerated people have been demonstrated to occur at a younger chronological age when compared to the general population 4.
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Difficulties in pain management using oxycodone and fentanyl in enzalutamide-treated patients with advanced prostate cancer

November 21, 2017 - 12:00am
Pain treatment in patients with bone metastasized advanced prostate cancer is often challenging. A range of treatment modalities are available to control prostate cancer-specific pain, such as androgen deprivation therapies, taxane-based chemotherapy, radionuclide therapy with radium-223 or palliative radiotherapy. In addition, analgesics are commonly used for direct symptom management.
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Towards a fully-fledged integration of spiritual care and medical care

November 20, 2017 - 12:00am
In this article we aim to set out current problems that hinder a fully-fledged integration of spiritual and medical care that address these obstacles. We discuss the following five statements: 1. Spiritual care requires a clear and inclusive definition of spirituality; 2. Empirical evidence for spiritual care interventions should be improved; 3. Understanding patients' experiences of contingency is paramount to deliver effective spiritual care; 4. Attention to spiritual needs of patients is a task for every health care practitioner; 5.
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The limitations of “how are you feeling?”

November 20, 2017 - 12:00am
When we ask our children, “how are you feeling?” (or, “how was your day?” or another similar question), we commonly get a simple and socially appropriate response like “fine,” “good,” or “okay.” What do these answers really tell us? It is not until we probe with specific questions that we get informative answers.
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The diagnostic sensitivity of the Memorial Delirium Assessment Scale (MDAS) - Spanish version

November 15, 2017 - 12:00am
Although Memorial Delirium Assessment Scale (MDAS) is a successful tool for delirium evaluation and monitoring, it is nevertheless important to determine whether cut-off scores vary according to the studied population.The main objective of this study is to evaluate the diagnostic sensitivity of the recently validated Spanish version of the MDAS. The secondary objective is to analyze possible diagnostic differences when used in a hospice or general hospital setting.
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Investigation of the practices, legislation, supply chain and regulation of opioids for clinical pain management in Southern Africa: A multi-sectoral, cross-national, mixed methods study

November 15, 2017 - 12:00am
Sub-Saharan Africa faces an increasing incidence and prevalence of life-limiting and life-threatening conditions. These conditions are associated with a significant burden of pain linked to high morbidity and disability that is poorly assessed and undertreated. Barriers to effective pain management partly relate to lack of access to opioid analgesia and challenges in their administration.
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Factors Associated with Attrition in a Multicenter Longitudinal Observational Study of Patients with Advanced Cancer

November 15, 2017 - 12:00am
Attrition is common in longitudinal observational studies in palliative care. Few studies have examined predictors of attrition.
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Measuring the psychosocial dimensions of quality of life in advanced cancer patients: Psychometrics of the German Quality of Life at the End of Life–Cancer–Psychosocial (QUAL-EC-P) Questionnaire

November 15, 2017 - 12:00am
Quality of life is a central focus of care in advanced cancer. Specialized instruments, such as the QUAL-EC, may be useful to assess psychosocial issues associated with quality of life unique to this population.
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Challenges to safe and effective pain management in patients with super obesity: case report and literature review

November 15, 2017 - 12:00am
The prevalence of obesity continues to rise in the United States and impacts on morbidity, mortality and overall costs in health care considerably. In 2013-2014, more than one-third (37.9%) of U.S. adults were classified as obese, and the prevalence of those with a body mass index (BMI) ≥40kg/m2, was 7.7%. (1) The heaviest groups (BMI >50kg/m2) increases in prevalence at the fastest rates. (2) Pertinent to healthcare providers—the larger the patient, the more health care resources utilized and the worse the survival.
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Reflection on the Role of the Spirit in Finding Meaning and Healing as Clincians

November 14, 2017 - 12:00am
Reflections on the Role of the Spirit in Finding Meaning and Healing as Clinicians is based on a presentation for the George Washington Spirituality and Health Summer Institute July 13, 2017. The presentation invited health care professionals to explore contemplative practices as ways to invite the Spirit into strengthening their resilience in caring for themselves and others. As clinicians there is often a longing to be grounded in a regular contemplative practice centering one’s inner life and to acknowledge the creative energy of the Spirit in relationships.
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Developing a path to improve cultural competency in Islam among palliative care professionals

November 14, 2017 - 12:00am
An evolving body of health care disparity research consistently demonstrates lower quality of care and significant access difficulties for seriously ill minority populations receiving palliative care1,2. Several e factors contribute to minority health care disparities, including widespread misunderstandings of various minority cultural and religious beliefs among the general public and clinicians.
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Relating to the experience of contingency in patients with advanced cancer; an interview study in American patients

November 14, 2017 - 12:00am
Being diagnosed with incurable cancer can be a life changing experience, evoking different spiritual questions and needs. Confronting a serious life-threatening event that occurs not only often unexpected but can also disrupt a person’s self-image and ideals of their personhood. This confrontation makes it difficult for people to integrate it into their personal life story – otherwise referred to as an experience of contingency. Different modes of relating to the contingent life event of having cancer have been studied in a Dutch patient population.
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Acute pain perception during different sampling methods for respiratory culture in cystic fibrosis patients

November 14, 2017 - 12:00am
Reliable identification of lower respiratory tract pathogens is crucial in the management of cystic fibrosis (CF). As part of another study (NCT02363764) investigating the bacterial yield of three sampling methods: nasal swabs (NS), cough swabs (CS) and (induced) sputum samples ((I)SS) in both expectorating (EPs) and non-expectorating (NEPs) patients with CF, the present study aimed to explore the prevalence of respiratory culture sampling-related pain as assessed by self-report within a cohort of children and adults.
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Author's Response

November 13, 2017 - 12:00am
We thank Dr. Morgan and her colleagues for their comments; however, we believe that they have misinterpreted our manuscript at several key points. Firstly, our manuscript did not address whether "people with gastrointestinal cancer did not benefit from the admission to sub-acute rehabilitation," nor did we draw conclusions in relation to all patients with gastrointestinal (GI) cancer. Rather, we focused on progressive metastatic GI cancer patients who were discharged to subacute rehabilitation (SAR) following inpatient admission.
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Timing of Referral and Characteristics of Uninsured, Medicaid, and Insured Patients Referred to the Outpatient Supportive Care Center at a Comprehensive Cancer Center

November 9, 2017 - 12:00am
Low-income patients face barriers to palliative care access, which might negatively influence symptom management and advanced care planning.
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