Transforming Written and Spoken Words into Quantitative Data for Palliative Care Research Using Natural Language Processing (ME301)
1. Describe two natural language processing tools.2. Describe a method to reliably and accurately identify populations of interest (i.e. denominator) using electronic health record data.3. Design keyword libraries for rule-based natural language processing.4. Test zero-shot and few-shot text p rompting, using large language models.Chronic disease is the leading cause of death and disability in the United States, accounting for more than 1.7 million deaths each year. These patients accrue hundreds of millions of clinical notes over the course of their illness care, including documentation of data critical for palli...
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Charlotta Lindvall, Anne Walling, Prasanna Ananth Source Type: research
Liability for Under-prescribing Opioids in Vulnerable Patients with Severe Pain
1. Understand the main facts and legal reasoning behind the decisions of the Bergman and Slone cases.2. Understand the special features of vulnerable populations that place clinicians at increased risk for liability of abuse allegations when undertreating their chronic, severe pain. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Chad Kollas, Beth B. Kollas Source Type: research
Embedding Palliative Care (PC) in Nephrology Clinic: The Role of PC in Patients with Advanced Chronic Kidney Disease
1. Examine a collaborative approach for developing criteria for nephrologists to consider referring patients with advanced CKD to palliative care, exploring the potential role of race in this process.2. Describe the PC needs of patients with advanced CKD, by recalling the content of palliative care visits with patients with advanced CKD. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Carlo S. Basilio, Prasanti Ravipati, Elizabeth Figuracion, Mary K. Buss Source Type: research
Addressing the Systemic Biases that Fail Adolescents with Chronic Pain Syndromes
1. Identify and analyze the challenges and systemic biases that adolescents with complex, chronic pain syndromes face in navigating the pediatric healthcare system.2. Demonstrate strategies that interdisciplinary teams can employ to advocate for this population and lead the system in addressing its blind spots. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Max E. Lindeman, Madeline Braun, Natasha Piracha, Monica Bhatia, Claire Brieva, Ava R. Farrell Source Type: research
Costing a Nurse and Social Worker Palliative Telecare Intervention for People with Chronic Heart and Lung Diseases (RP304)
1. Explain methods for evaluating the costs and benefits of a clinical palliative care intervention.2. Apply the results of this economic analysis to engage stakeholders considering implementing a similar intervention. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Amanda Glickman, Kevin Wells, Evan Carey, Debra Ritzwoller, David B. Bekelman Source Type: research
Using Transdermal Buprenorphine to Treat Chronic Pruritus in a Young Adult with Lymphoma and Anxiety
1. By understanding the opioidergic etiology of pruritus and the theoretical rationale for treating pruritus with buprenorphine, learners will self-report the ability to propose future studies to investigate this potential therapeutic option for refractory pruiritus.2. Using a case-based approach to explore the psychosocial impact of chronic pruritus, learners will self-report the ability to apply a psychosocial lens to the treatment of this symptom, and to advocate for urgent and effective treatment options in their clinical practice. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Miranda Ravicz, Katharine Davidoff, Stephanie B. Kiser Source Type: research
Rivastigmine and the Cholinergic Components of Pain: A Case Study
1. Understand the role acetylcholine may have in acute and chronic pain.2. Consider potential mechanisms through which rivastigmine might impact pain in individuals with cognitive impairment. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Neil Nixdorff, Michael Smith, Adam Marks Source Type: research
Utility of Low-Dose Methadone for Chronic Dyspnea: A Case Series
1. Utilizing a case series approach, participants will gain the knowledge to evaluate the efficacy and safety of low-dose methadone as an alternative option for the management of chronic dyspnea in seriously ill patients, providing a foundation for future application in palliative care settings.2. By exploring the under-researched application of low-dose methadone for chronic dyspnea management, participants will recognize the importance of "out-of-the-box" thinking in identifying novel, cost-effective, and safe methods for treating difficult symptoms in palliative care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Takeshi Uemura, Jennifer H. O'Brien Source Type: research
Unscrambling a Palliative Care Clinic's Initial Experience with Scrambler Therapy
1. Utilizing a discussion of the study's background, methodology and results, participants will self-report the effects of Scrambler Therapy on patients with chronic neuropathic symptoms.2. Utilizing a discussion of the study's pertinent findings and the authors ’ experience with Scrambler Therapy, participants will determine how this form of treatment may be useful to their own practice. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Renato V. Samala, Chirag A. Patel, Catherine Pappin, Susan McInnes, Kyle Neale, Ruth Lagman, Laura K. Shoemaker Source Type: research
Buprenorphine Use for Complex Pain in a Patient with HIV/AIDS and Inoperable Epidural Abscess
1. Describe the clinical challenges in treating acute and chronic pain in patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), and identify the potential benefits of buprenorphine use in patients with HIV/AIDS and complex pain.2. Understand the evidence for buprenorphine use in chronic, non-terminal pain in patients without a history of opioid use disorder (OUD). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Rachel Eliach, Michael Smith, Laura C. Taylor Source Type: research
Inpatient Rotation from High-Dose Oral Methadone to Sublingual Buprenorphine in a Patient with Chronic Pain
1. Participants will recognize the importance of individualizing protocols for transitioning patients from high-dose opioids to buprenorphine.2. Participants will understand the critical role of inpatient monitoring in managing withdrawal and breakthrough pain symptoms during the transition from high-dose oral methadone to sublingual buprenorphine. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Benjamin Schwarz, Michael Nalepa Source Type: research
Variability in the prevalence of depression among adults with chronic pain: UK Biobank analysis through clinical prediction models
The prevalence of depression among people with chronic pain remains unclear due to the heterogeneity of study samples and definitions of depression. We aimed to identify sources of variation in the prevalence ... (Source: BMC Medicine)
Source: BMC Medicine - April 19, 2024 Category: Internal Medicine Authors: Lingxiao Chen, Claire E Ashton-James, Baoyi Shi, Maja R Radoj čić, David B Anderson, Yujie Chen, David B Preen, John L Hopper, Shuai Li, Minh Bui, Paula R Beckenkamp, Nigel K Arden, Paulo H Ferreira, Hengxing Zhou, Shiqing Feng and Manuela L Ferreira Tags: Research article Source Type: research
Manual therapists ’ appraisal of optimal non-pharmacological conservative management of patients with lumbar spinal stenosis. An international Delphi study.
Lumbar Spinal Stenosis (LSS) is a slow progressive degenerative disorder associated with chronic pain and disability. Although consensus-based international guidelines for invasive treatment of patients with LSS exist, few consensus-based guidelines for optimal conservative management strategies have been published. (Source: Journal of Bodywork and Movement Therapies)
Source: Journal of Bodywork and Movement Therapies - April 19, 2024 Category: Physiotherapy Authors: Konstantinos Prentzas, Zacharias Dimitriadis, Ren ée De Ruijter, Sionnadh McLean Source Type: research
Pharmacological Evidence of Eugenia Brasiliensis Leaves in a Reserpine-Induced Fibromyalgia Model: Antinociceptive, Emotional, Anti-Inflammatory, and Neurotrophic Effects
AbstractFibromyalgia (FM) is a painful chronic condition that significantly impacts the quality of life, posing challenges for clinical management. Given the difficulty of understanding the pathophysiology and finding new therapeutics, this study explored the effects of a medicinal plant,E. brasiliensis, in an FM model induced by reserpine in Swiss mice. Animals were treated with saline 0.9% (vehicle), duloxetine 10 mg/kg (positive control), or hydroalcoholic extract ofE. brasiliensis leaves 300 mg/kg (HEEb). Nociceptive parameters, as well as locomotion, motor coordination, strength, anxiety, and depressive-like behaviors...
Source: Molecular Neurobiology - April 19, 2024 Category: Neurology Source Type: research
A Systemic Review of the Psychosocial Aspects of Chronic Pain in Youth With Sickle Cell Disease
The psychosocial aspects of chronic pain among youth with sickle cell are poorly described and may be better understood within a biopsychosocial model of chronic pain as applied to youth living with sickle cell disease. (Source: Pain Management Nursing)
Source: Pain Management Nursing - April 19, 2024 Category: Nursing Authors: Megan Coco, Angela R. Starkweather, Crystal L. Park, Wendy Henderson Tags: Review Article Source Type: research
