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When Management of Cancer-Related Pain Is Complicated by Coexisting Opioid Use Disorder: A Case Review
Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients with cancer do not experience barriers to adequate pain management, most of these guidelines are not intended for patients with cancer-related pain or for those receiving palliative...
Source: Journal of Hospice and Palliative Nursing - February 27, 2022 Category: Nursing Tags: Ethics Series Source Type: research

HPNA March/April 2022 Association News
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 27, 2022 Category: Nursing Tags: DEPARTMENTS: Association News Source Type: research

HPNA President’s Message
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 27, 2022 Category: Nursing Tags: DEPARTMENTS: President’s Message Source Type: research

Remembering Eric J. Cassell, MD, MACP in Life & Death: Prolific Palliative & Hospice Care Pioneer Helped Lay Foundations for Palliative & Hospice Nursing Practice
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - February 27, 2022 Category: Nursing Tags: DEPARTMENTS: From the Editor Source Type: research

Palliative Wound Care: Case Studies
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: DEPARTMENTS: NCPD Test Source Type: research

Nurses' Values and Perspectives on Medical Aid in Dying: A Survey of Nurses in the United States
No abstract available (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: DEPARTMENTS: NCPD Test Source Type: research

Moving and Handling Children After Death: An Inductive Thematic Analysis of the Factors That Influence Decision Making by Children's Hospice Staff
Hospices for children and adolescents in the United Kingdom provide care to the bodies of deceased children in specially designed chilled bedrooms called “cool rooms.” In an effort to develop resources to support hospice practitioners to provide this specialist area of care, this study aimed to identify the factors that influence decision making when moving and handling children's bodies after death in a hospice cool bedroom. An internet-based survey was sent to all practitioners employed by 1 children's hospice. A total of 94.9% of eligible staff responded (n = 56). An inductive approach to thematic analysis was under...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Experience of African American Surrogate Decision Makers of Patients With Dementia
Dementia cases are expected to grow for African Americans and surrogate decision makers (SDMs) will have a significant role at the end of life (EOL). This qualitative exploratory case study used Cognitive Task Analysis and an integrated conceptual framework to understand the EOL decision experience of African American SDMs for patients with advanced dementia. Using a holistic multiple-case design, 8 African American SDMs were interviewed about their experiences with the decision-making process, including role acceptance, role enactment, and emotional outcomes of decision making. Thirteen themes germane to understanding the...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Effects of an Interprofessional Spiritual Care Education Project
Spiritual care is a critical aspect of end-of-life care that is often undervalued and underaddressed by hospice health care teams. The purpose of this quality improvement project was to determine if the implementation of an evidence-based spiritual care protocol changed practices regarding the initial assessment of spiritual needs, frequency of reassessment of needs, the inclusion of spiritual interventions, and staff perspectives on spiritual care. The preimplementation and postimplementation data evaluation displayed increased compliance with spiritual needs assessment within 5 days of admission, increased reassessment i...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

A National Study to Compare Effective Management of Constipation in Children Receiving Concurrent Versus Standard Hospice Care
Constipation is a distressing and uncomfortable symptom children experience at end of life. There is a gap in knowledge about how different approaches to hospice care delivery might improve pediatric symptom management of constipation. The purpose of this study was to evaluate the effectiveness of pediatric concurrent hospice versus standard hospice care to manage constipation. Medicaid data (2011-2013) were analyzed. Children who were younger than 21 years enrolled in hospice care and had a hospice enrollment between January 1, 2011, and December 31, 2013, were included. Instrumental variable analysis was used to test the...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Building Strong Clinician-Researcher Collaborations for Successful Hospice and Palliative Care Research
Hospice and palliative care research aim to build a knowledge base to guide high-quality care for people with serious illness and improve their quality of life. Considering its focus on patient and family caregiver's experiences, hospice and palliative care research activities primarily take place in real-world clinical settings where seriously ill patients and their family caregivers receive care (eg, nursing homes, clinics, inpatient units). Conducting research in these settings poses many challenges because researchers, clinicians, and administrators may have different priorities—and scientific control is difficult. T...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Essential Versus Nonessential: The Ethics of Conducting Non-COVID Research in a Population of Persons Living With Serious Illness During the COVID-19 Pandemic
This article (a) considers case perspectives of all stakeholders involved in a randomized controlled trial conducted in the acute care hospital setting during the COVID-19 pandemic, (b) describes the ethical dilemma and ethical principles in the context of the case, (c) discusses lessons learned while resuming clinical research activities, and (d) provides an ethical framework for the decision-making processes around vulnerability and safety in conducting research during a pandemic with persons living with serious illness. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Palliative Care in a Pandemic: A Retrospective Review of the Impact of Early Palliative Care Consultation During the Coronavirus Disease 2019 Pandemic
During the coronavirus disease 2019 (COVID-19) pandemic, patients experienced rapid clinical decline requiring urgent conversations about their wishes for care. Palliative care advanced practice registered nurses developed a workflow to provide early palliative care consultation to every COVID-19 patient under investigation admitted to a 368-bed acute care hospital in the United States. A retrospective exploratory study was conducted on the initial surge from March 1 to May 31 of 2020. A nonrandomized 2-group design used descriptive and inferential statistics to compare elicitation of patient care preferences for patients ...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Self-perceived Burden: A Critical Evolutionary Concept Analysis
The purpose of this article is to critically analyze the concept of self-perceived burden. The Rodgers Evolutionary Model is augmented with concept critique, a dialogic process grounded in critical hermeneutics. Self-perceived burden is a relatively mature concept with psychological, relational, and dimensional attributes that are shaped by culture and sociopolitical structures. The antecedents are demographics, circumstances, diagnoses, symptoms, prognosis, comorbidities, and knowledge and beliefs. The consequences are psychological, decisional, relational, and existential. Sociocultural factors such as universal health c...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research

Effects of Bathing in a Tub on Physical and Psychological Symptoms of End-of-Life Cancer Patients: An Observational, Controlled Study
This observational, controlled study explored the effects of bathing on the physical and psychological aspects of terminal cancer patients on a palliative care ward. With nurses' assistance, the patients evaluated and recorded the severity of their symptoms at 10:00 am, 30 minutes after initial bathing, and at 5:00 pm. The bathing care was provided as routine care according to the patients' wishes. Twelve symptoms were measured using 9 items (numbers 1-9) from the Edmonton Symptom Assessment System-Revised Japanese version and 3 items from the Cancer Fatigue Scale. Outcomes were compared between bathing days and nonbathing...
Source: Journal of Hospice and Palliative Nursing - January 16, 2022 Category: Nursing Tags: Feature Articles Source Type: research