Cross-cultural Adaptation and Psychometric Validation of the French Version of the FAMCARE-Patient Questionnaire (FFP-16) for Outpatients with Advanced-stage Cancer
Satisfaction is known to be correlated with the quality of care; it indicates the adequacy of the caregivers ’ responses in meeting the needs and expectations of patients. The FAMCARE-Patient questionnaire has been used to quantify satisfaction level in outpatients with advanced-stage cancers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 20, 2020 Category: Palliative Care Authors: Fran çois Chaumier, Thomas Flament, Thierry Lecomte, Hélène Vegas, Marion Stacoffe, Eric Pichon, Bérangère Narciso, Morgane Caulet, Catherine Barbe, Anaïs Jaillais, Delphine Carmier, Marie-Agnès By, Marianne Bourdon, Jean-Benoît Hardouin Source Type: research

Comparing an artificial neural network to logistic regression for predicting ED visit risk among patients with cancer: a population-based cohort study
Prior work using symptom burden to predict ED visits among cancer patients has utilized traditional statistical methods such as logistic regression. Machine learning approaches for prediction, such as artificial neural networks, are gaining attention but are yet to be commonly applied in practice. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 20, 2020 Category: Palliative Care Authors: Rinku Sutradhar, Lisa Barbera Source Type: research

Association between heart rate and reversibility of the symptom, refractoriness to palliative treatment, and survival in dyspneic cancer patients
Dyspnea is one of the most distressing symptoms for terminally ill cancer patients and a predictor of poor prognosis. Identification of simple clinical signs, such as heart rate, indicating clinical course of each patient is of value. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 20, 2020 Category: Palliative Care Authors: Ichiro Mori, Isseki Maeda, Tatsuya Morita, Satoshi Inoue, Masayuki Ikenaga, Ryuichi Sekine, Takashi Yamaguchi, Takeshi Hirohashi, Tsukasa Tajima, Hiroaki Watanabe Source Type: research

The Scarf
On 9/14/2001 I was scheduled to take a vacation cruise to the Greek Isles from Istanbul. In Turkey, Muslim citizens approached me on the streets to express their sincere sorrow and profound regret for the attacks on America by extremists whose views they did not share. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 18, 2020 Category: Palliative Care Authors: Diane Portman Tags: Humanities Source Type: research

Online Couple-Based Meditation Intervention for Patients with Primary or Metastatic Brain Tumors and their Partners: Results of a Pilot Randomized Controlled Trial
Although patients with primary and metastatic brain tumors (BT) and their partners are at risk of experiencing high symptom burden, they are often excluded from psychosocial intervention studies. Thus, we sought to examine the feasibility and preliminary efficacy of a couple-based meditation (CBM) program targeting symptom and well-being outcomes. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 13, 2020 Category: Palliative Care Authors: Kathrin Milbury, Shiao-Pei Weathers, Sania Durrani, Yisheng Li, Meagan Whisenant, Jing Li, Bora Lim, Jeffrey S. Weinberg, Shelli Kesler, Lorenzo Cohen, Eduardo Bruera Source Type: research

Associations of caregiver-oncologist discordance in prognostic understanding with caregiver-reported therapeutic alliance and anxiety
Discordance in prognostic understanding between caregivers of adults with advanced cancer and the oncologist may shape caregivers ’ views of the oncologist and bereavement outcomes. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 13, 2020 Category: Palliative Care Authors: Kah Poh Loh, Huiwen Xu, Ronald M. Epstein, Supriya G. Mohile, Holly G. Prigerson, Sandra Plumb, Susan Ladwig, Sindhuja Kadambi, Melisa L. Wong, Colin McHugh, Amy An, Kelly Trevino, Fahad Saeed, Paul R. Duberstein Source Type: research

Editorial Board
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 12, 2020 Category: Palliative Care Source Type: research

Table of Contents
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 12, 2020 Category: Palliative Care Source Type: research

Triggered Palliative Care Consults: A Systematic Review of Interventions for Hospitalized and Emergency Department Patients
Palliative care improves the quality of care and may reduce utilization, but delays or absences of such services are common and costly in inpatient and Emergency Department (ED) settings. Triggered palliative care consults (PCC) offer one way to identify patients who would benefit from palliative care and to connect them with services early in their course. Consensus reports recommend use of triggers to identify patients for PCC, but no standards exist to guide trigger design or implementation. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 12, 2020 Category: Palliative Care Authors: Emmett A. Kistler, Erin Stevens, Erin Scott, Lisa L. Philpotts, Joseph A. Greer, Jeffrey L. Greenwald Tags: Review Article Source Type: research

PC-FACS February 3, 2020 for April 2020 Issue
Pain Biomarkers (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 12, 2020 Category: Palliative Care Authors: Andie Bernard Source Type: research

Online Module Builds Skills for Internal Medicine Interns in Responding to Emotions During Complex Serious Illness Conversations
Responding to emotion cues is an essential skill for communicating with patients and families, but many healthcare trainees have difficulty applying this skill within the context of a complex conversation. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 11, 2020 Category: Palliative Care Authors: Lindsay M. Gibbon, Caroline J. Hurd, Susan E. Merel Tags: Educational Exchange Source Type: research

Healthcare professionals ’ reports of cancer pain cues among older people with delirium: a qualitative-quantitative content analysis
Healthcare professionals (HCP) currently judge pain presence and intensity in patients with delirium despite the lack of a valid, standardized assessment protocol. However, little is known about how they make these judgements. This information is essential to develop a valid and reliable assessment tool. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 10, 2020 Category: Palliative Care Authors: Carol A. Graham, Gabriela Chaves, Rebecca Harrison, Lynn R. Gauthier, Rinat Nissim, Camilla Zimmermann, Vincent Chan, Gary Rodin, Bonnie Stevens, Lucia Gagliese Source Type: research

Estimation of Chronic post-surgical pain after thoracic surgery: case closed?
I read with great interest the article of Gjeilo and colleagues in a recent issue of the journal (1). The authors completed a prospective study on 264 patients undergoing surgery for primary lung cancer and concluded that pain was highly prevalent after surgery, and subgroups could be identified based on different pain trajectories. The authors should be commended for performing a well-designed study in an important topic (e.g. pain) in patients undergoing surgery (2, 3). The need to identify the highest risk patients so specific preventive analgesic strategies can be tailored to patients who will benefit the most is a ver...
Source: Journal of Pain and Symptom Management - February 8, 2020 Category: Palliative Care Authors: Jonathan Argo Source Type: research

Spiritual care, pain reduction and preferred place of death among advanced cancer patients in Soweto, South Africa
When religious and spiritual (R/S) care needs of patients with advanced disease are met, their quality of life (QoL) improves. We studied the association between R/S support and cancer patients ’ QoL at end-of-life in Soweto, South Africa. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 8, 2020 Category: Palliative Care Authors: Mpho Ratshikana-Moloko, Oluwatosin Ayeni, Jacob M. Tsitsi, Michelle L. Wong, Judith S. Jacobson, Alfred I. Neugut, Mfanelo Sobekwa, Maureen Joffe, Keletso Mmoledi, Charmaine L. Blanchard, Witness Mapanga, Paul Ruff, Herbert Cubasch, Daniel S. O ’Neil, T Tags: Original Article Source Type: research

Predictors of Intervention Session Completion in a Randomized Clinical Trial of a Behavioral Cancer Pain Intervention
Some patients with cancer are able to complete psychosocial pain management intervention sessions and others find it difficult to do so. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 8, 2020 Category: Palliative Care Authors: Joseph G. Winger, Christine Nunez, Sarah A. Kelleher, Krista K. Ingle, Vicky Gandhi, Francis J. Keefe, Tamara J. Somers Tags: Brief Report Source Type: research

Reliability and Validity of the Korean Language Version of the U.S. National Cancer Institute ’s Patient-Reported Outcomes Common Terminology Criteria for Adverse Events
To improve precision and accuracy in the capture of symptomatic adverse events by self-report, the US National Cancer Institute has developed a library of 124 patient-reported outcome (PRO) items reflecting 78 symptomatic AEs drawn from the Common Terminology Criteria for Adverse Events (CTCAE). The PRO-CTCAE ™ item library has been translated and linguistically validated in the Korean language. The aim of this study was to examine the psychometric properties of PRO-CTCAE-Korean. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 7, 2020 Category: Palliative Care Authors: Junghee Yoon, Sung Hoon Sim, Danbee Kang, Gayeon Han, Youngha Kim, Jinseok Ahn, Dongryul Oh, Eun Sook Lee, Sun Young Kong, Juhee Cho, Sandra A. Mitchell Source Type: research

Authors ’ Response to Estimation of chronic post-surgical pain after thoracic surgery: case closed?
We would like to express gratitude to Dr. Argo for reading and taking interest in our work1. In the letter “Estimation of chronic post-surgical pain after thoracic surgery: case closed?” 2 Dr. Argo raises interesting and important questions. He points to issues that are of concern in our study, but also more general when conducting studies of chronic postsurgical pain in any patient population. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 7, 2020 Category: Palliative Care Authors: Kari Hanne Gjeilo, Trine Oksholm, Turid Follestad, Alexander Wahba, Tone Rust øen Source Type: research

Pain-Associated Clusters Among Nursing Home Residents and Older Adults Receiving Home Care in Germany
There are no available data regarding pain-associated clusters among nursing home residents and older adults receiving home care with chronic pain. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 7, 2020 Category: Palliative Care Authors: Andrea Budnick, Ronny Kuhnert, Arlett Wenzel, Mimi Tse, Juliana Schneider, Reinhold Kreutz, Dagmar Dr äger Tags: Original Article Source Type: research

“Please Keep Mom Alive One More Day” - Clashing Directives of a Dying Patient and Her Surrogate.
All medical care providers are legally and ethically bound to respect their patients wishes. However, as patients lose decision-making capacity and approach end of life, their families or surrogates, who are confronted with grief, fear, self-doubt, and/or uncertainty, may ask physicians to provide treatment which contradicts the patients ’ previously-stated wishes. Our work discusses the legal and ethical issues surrounding such requests, and provides guidance for clinicians to ethically and compassionately respond - without compromising their professional and moral obligations to their patients. (Source: Journal of ...
Source: Journal of Pain and Symptom Management - January 31, 2020 Category: Palliative Care Authors: Sheron Latcha, Camille Lineberry, Nikoletta Lendvai, Christine A. Tran, Konstantina Matsoukas, Amy E. Scharf, Louis P. Voigt Source Type: research

Debatable Issues in Palliative Sedation; Authors' Reply to the Response by Robert Twycross
We appreciate the insightful comments from Dr. Robert Twycross and the chance to respond. He expressed concern about confusion related to the role of midazolam, the definition of palliative sedation (PS), the calculation of survival time, and the possibility of detrimental effect from continuous deep sedation (CDS). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 30, 2020 Category: Palliative Care Authors: Young-Woong Won, Jung Hun Kang Tags: Letter Source Type: research

Debatable issues in palliative sedation ; Author ’s reply to Robert Twycross’ response
We appreciate the insightful comments from Dr. Robert Twycross and the chance to respond. He expressed concern about confusion related to the role of midazolam, the definition of palliative sedation (PS), the calculation of survival time, and the possibility of detrimental effect from continuous deep sedation (CDS). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 30, 2020 Category: Palliative Care Authors: Young-Woong Won, Jung Hun Kang Tags: Letter Source Type: research

A response to Clinical patterns of continuous and intermittent palliative sedation in patients with terminal cancer: a descriptive, observational study by Young-Woong Won et al.
Discussion it is stated that ‘PS traditionally refers to CPS’ (Continuous PS). This is incorrect. The original definition from around 20 years ago deliberately made no distinction between continuous and intermittent, and light and deep sedation.1 Although since then many variant definitions have appeared in the literature, guidelines generally stress that PS implies an intended reduction in consciousness and excludes sedation secondary to symptom control measures. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 30, 2020 Category: Palliative Care Authors: Robert Twycross Tags: Letter Source Type: research

Openness Personality Trait Associated With Benefit From a Nonpharmacological Breathlessness Intervention in People With Intrathoracic Cancer: An Exploratory Analysis
Breathlessness is common in people with lung cancer. Nonpharmacological breathlessness interventions reduce distress because of and increase mastery over breathlessness. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 29, 2020 Category: Palliative Care Authors: Miriam J. Johnson, Samantha Nabb, Sara Booth, Mona Kanaan Tags: Brief Report Source Type: research

An Individualized, Interactive, and Advance Care Planning Intervention Promotes Transitions in Prognostic Awareness States Among Terminally Ill Cancer Patients in Their Last Six Months —A Secondary Analysis of a Randomized Controlled Trial
To examine whether an advance care planning intervention randomized controlled trial facilitates terminally ill cancer patients' transitions to accurate prognostic awareness (PA) and the time spent in the accurate PA state in patients' last six months. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 29, 2020 Category: Palliative Care Authors: Chen Hsiu Chen, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Chia-Hsun Hsieh, Fur-Hsing Wen, Siew Tzuh Tang Tags: Original Article Source Type: research

“Openness” personality trait associated with benefit from a non-pharmacological breathlessness intervention in people with intra-thoracic cancer: an exploratory analysis
Breathlessness is common in people with lung cancer. Non-pharmacological breathlessness interventions reduce ‘distress due to’ and increase ‘mastery over’ breathlessness. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 29, 2020 Category: Palliative Care Authors: M.J. Johnson, S. Nabb, S. Booth, M. Kanaan Source Type: research

An individualized, interactive, advance-care planning intervention promotes transitions in prognostic-awareness states among terminally ill cancer patients in their last 6 months —A secondary analysis of a randomized controlled trial
To examine whether an advance-care planning (ACP) intervention, randomized controlled trial facilitates terminally ill cancer patients ’ transitions to accurate prognostic awareness (PA) and the time spent in the accurate-PA state in patients’ last 6 months. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 29, 2020 Category: Palliative Care Authors: Chen Hsiu Chen, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Chia-Hsun Hsieh, Fur-Hsing Wen, Siew Tzuh Tang Tags: Original Article Source Type: research

An evaluation of By My Side: Peer support in written form is acceptable and useful for parents bereaved by childhood cancer
Cancer is the leading cause of non-accidental death in childhood, with the death of a child representing a devastating loss for families. Peer support offers a valuable way to support parents ’ adjustment in bereavement. The By My Side book provides written peer support by sharing bereaved parents’ stories to normalise grief experiences and reduce parents’ isolation. It is available free of charge. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 29, 2020 Category: Palliative Care Authors: C. Raharjo, K. Hetherington, L. Donovan, J.E. Fardell, V. Russell, R.J. Cohn, N. Morgan, J. Siddiqui, C.E. Wakefield Source Type: research

Chronic Obstructive Pulmonary Disease: A palliative medicine review of the disease, its therapies and drug interactions
Despite significant advances in treatment, chronic obstructive pulmonary disease (COPD) remains a chronic and progressive disease that frequently leads to premature mortality. COPD is associated with a constellation of significant symptoms including dyspnea, cough, wheezing, pain, fatigue, anxiety, depression and insomnia, and is associated with increased morbidity. Palliative care is appropriate to support these patients. However, historically palliative care has focused on supporting patients with malignant disease, rather than progressive chronic diseases such as COPD. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 28, 2020 Category: Palliative Care Authors: Andrea Weiss, Sandra Porter, Dmitry Rozenberg, Erin O ’Connor, Tiffany Lee, Meyer Balter, Kirsten Wentlandt Source Type: research

Addressing Goals of Care —VitalTalk: Intensive Small Group Training (P01)
As a palliative care consultant from any professional background, discussing goals of therapy when things are not going well is the most common reason for an inpatient consult. Discussing goals of care is difficult because it requires the consultant to accomplish a number of interrelated, emotional tasks in a short period of time: deliver bad news, assess what is important to the patient, and make a recommendation about how to best proceed. Using a mix of short didactic talks and experiential practice, this workshop will help participants develop a toolkit of skills useful for handling these difficult conversations. (Sourc...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Stephen Berns, Juan C. Iregui, Tessie W. October, Abby R. Rosenberg Source Type: research

Hospice Medical Director Update and Exam Prep (P02)
Join peers and national experts to explore and further develop the skills needed to successfully navigate today's hospice environment. This intensive review will serve as part of your preparation for the Hospice Medical Director Certification Board exam and is based on the exam blueprint (www.hmdcb.org). The workshop also serves as a great orientation for those new to the hospice field or as a critical update for all hospice practitioners and managers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Ronald J. Crossno, Patrick White, Bethany Calkins, Bethany Snider Source Type: research

Let's Play Hot Potato! Controversial Topics in the Pharmacopalliation of Serious Illness (P03)
This “not-to-be-missed” preconference is a veritable smorgasbord of head-thumpers! Every day we get emails warning about medication use including benzodiazepines, gabapentinoids, and cannabis. Do these pharmacologic entities increase the risk of death when combined with opioids, or reduce risk? Do th ey have a role in caring for patients? What does the latest evidence show to support opioid equivalencies, including methadone and levorphanol? Why has the equianalgesic table changed and what data supports it? Another head-thumper is how do we manage delirium in serious illness, especially when non -pharmacologic ...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Mary Lynn. McPherson, Mellar P. Davis, Kathryn A. Walker, Akhila S. Reddy, Judith A. Paice, Kasey Malotte, Jeremy M. Hirst, Amy L. Davis Source Type: research

ACHPN Certification Review Course (P04)
The purpose of this HPNA-Endorsed ACHPN Review Course is to promote education of the APRN seeking augmentation of their professional development through specialty hospice and palliative advanced registered nursing certification. This 1-day provider-directed, provider-paced live intensive course is designed  to assist with preparation for the advanced hospice and palliative nurse certification exam through didactic course presentation with active learner engagement, case study examinations, practice exam questions, and self-check/reflection to highlight self-identifying topics that require further pre paration and stud...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Jennifer Gentry, Bronwyn Long Source Type: research

HPM Fellowship Directors Forum: Training the Next Generation —Innovations and Multi-Generational Training in Fellowship (P05)
HPM fellowships will need to evolve and innovate to meet the needs of our growing field, its heterogeneous trainees, and our multigenerational learners. The fellowship directors' preconference will help participants draw inspiration from examples of innovation within the HPM fellowship community, and learn how the ACGME can support such innovations from a senior member of its executive staff. The session will also include a workshop on strategies for effective intergenerational communication. This year's program will begin with a description of innovations supported by the ACGME. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Molly E. Collins, Gary T. Buckholz, April R. Christensen, Eric S. Holmboe, F. Amos Bailey, Laura E. Dingfield, Kathleen P. Doyle, Annette K. Nijjar, Janae K. Heath Source Type: research

AAHPM Leadership Forum: Ignite —Using StrengthsFinder Leadership Strategies to Increase the Performance of You and Your Team in Palliative Care and Hospice Settings (P06)
Would you like to discover what makes you stand out? This half-day session will focus on utilizing a strengths-based approach to create consistent and positive outcomes to everyday challenges in hospice and palliative care settings. Strengths are the unique combination of talents, knowledge, and skills that every person possesses. Participants will complete a StrengthsFinder assessment that will help to identify personal strengths to focus on to become a more effective leader. They will learn how to develop these strengths and leverage them in their everyday friction points. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Christina Rowe Source Type: research

Preparing for Good Grief: Grief and Loss in the Hospice and Palliative Context (P07)
Grief and bereavement are universal human experiences, and inevitable outcomes for those who lose a family member or close friend. For hospice and palliative care providers, understanding the complexities of this universal yet individualized experience, and providing support to the bereaved is a critical part of our field. This practical, interactive workshop will provide an overview of current theories, best practices, and approaches to support healthy grief and manage loss in a modern society. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Stacy S. Remke, Allie E. Shukraft, Katherine P. Supiano, Stephanie P. Wladkowski Source Type: research

Building Partnerships Between Spiritual Care Experts and Generalists in Integrating Spiritual Care for Seriously and Chronically Ill Patients and Their Families (P08)
Spiritual Care is an essential domain of Palliative Care as stated in the World Health Assembly's resolution of Palliative Care. Spiritual distress is highly prevalent in seriously ill and dying patients and in their families. Total pain cannot be fully addressed without addressing spiritual distress. One of the challenges in integrating spiritual care in clinical settings is lack of training. ISPEC is a curriculum program whose aim is to train clinicians and spiritual care professionals in spiritual care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Christina Puchalski, Betty Ferrell, Trace Haythorn, Marvin O. Delgado Guay, Richard W. Bauer Source Type: research

Advanced Treatments and Technology: Weaning and Deactivating (P09)
Science with treatment and technology advancement, such as inotropes, pacemakers/AICDs, ventilators, and VADs (ventricular assist devices) continues to offer patients opportunities for improved health and survival. With progressive illness, such technologies and treatments may no longer be associated with health and may in fact decrease quality of life and increase suffering with unclear or unwanted life prolongation. Moreover, advance care planning through an advance directive, clinical orders, or stated wishes by the patient or surrogate as part of a goals-of-care conversation often address the role of advanced treatment...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Joseph W. Shega, Quinten Robertson Source Type: research

Ethical Competencies for Clinical Excellence (P10)
In clinical practice, we face ethical conundrums daily. We may be prepared to honor financial and physical limits in our relationships with patients and families, but ethical boundaries in the face of suffering are  about far more than these surface areas. They require exquisite emotional health, intelligence, and resilience. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Carla Cheatham, Jessica Zitter Source Type: research

Cannabis: A New Addition to the Palliative Care Toolkit (P11)
Increasing numbers of patients living with serious illness are requesting access to medical cannabis as well as guidance about its use for pain and symptom management, as a disease-modifying drug for cancer and other diseases, and as a strategy to avoid chronic opioid and benzodiazepine use. Select palliative care clinics have incorporated cannabis into their therapeutic toolkit, and “cannabis consultations” have become an entry point for accessing palliative care for some patients. In many states, physicians and advance practice providers are responsible for counseling and registering patients for medical cann...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Drew A. Rosielle, Ali John Zarrabi, Kathleen Broglio, Ivan Zama, Diana C. Martins-Welch, Kimberly A. Curseen Source Type: research

Practical Strategies for Building and Growing an Effective, High-Functioning Interdisciplinary Team (P12)
A high-functioning interdisciplinary team (IDT) is at the core of high-quality palliative care. However, sustaining an effective team can be difficult. How do you establish a collaborative, team-based culture? Has your team ever experienced high turnover, seemingly unmanageable consult volumes, tensions among team members, role confusion, or less than effective IDT performance? Do you or any of your team members occasionally feel isolated and are all voices being heard? How does your team maintain clinical quality? How does your team work together to solve problems or issues that were causing stress? Whether due to growth,...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Stephanie DePiano, Amy Frieman, Kaitlyn Bender, Tom Gualtieri-Reed Source Type: research

Educators Forum: ‘Getting Better All the Time’—Giving Faculty Tools for Effective Feedback and Quality Improvement (P13)
Hospice and Palliative Care (HAPC) educators are constantly striving to improve their efforts for learners of diverse backgrounds and stages of education. This session will focus on two of the most pressing and quickly developing topics in education: feedback and quality improvement (QI). The session will be facilitated by five recognized educators and experts in these fields. Effective feedback is desired by all, but rarely thought to be delivered. This is true even in HAPC, a field with a great emphasis on communication. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Dominic A. Moore, Anna Beck, Holly B. Yang, Arif H. Kamal, Joshua Lakin Source Type: research

Multidisciplinary and Multimodal Approaches for Refractory Symptoms (P14)
Palliative care multidisciplinary teams are commonly consulted to help with refractory cases, and in most cases our tool box is adequate to address the various levels of suffering. However, in some instances, our traditional palliative care tool box is not enough, which leads teams to search for additional modalities that we can add to our tool box. There is emerging literature and clinical practice protocols which guide us to expanding our toolbox. These include uncommon opioids in the palliative care setting, such as tapentadol, levorphanol, and buprenorphine. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Rabia S. Atayee, Kyle P. Edmonds, Tim Furnish, Angela House, Sarah Housman, Benjamin S. Kematick, Jennifer Kim, Bridget C. Scullion, Karolina Soriano Source Type: research

Improving the Care of Diverse Patient Populations: Let's Advance the Dialogue for Strategies to Address and Navigate the Elephant in the Room (P15)
Cultural beliefs shape one's perceptions of illness, support structure, prognosis, and degree of suffering and may inform preferences for palliative and end-of-life care. Cultural identification encompasses many things − age, gender identity, ethnicity, ability, age, language, sexual orientation, religion, nationality, socioeconomic status. The cultural identifications and beliefs of people living with serious illness are similarly varied and their values, needs and preferences have the potential to dramatically differ from that of the clinicians caring for them. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Aziz Ansari, Michael Barnett, Helen Chen, Ronit Elk, Heather Harris, Perla Macip-Rodriguez, Ruth Thomson, Shellie Williams Source Type: research

Getting Started (or Going Further) in Value-Based Payment Models (P16)
With a new Medicare alternative payment model for serious illness care, new Medicare Advantage benefits, and continued growth in both commercial health plan and ACO interest, palliative care programs have more opportunities for value-based payment arrangements than ever before. But to take advantage of these and other value-based payment models, you must know how to find potential partners, understand costs, and operate efficiently. Led by expert facilitators and real-world program leaders engaged in value-based partnerships right now, this half-day preconference workshop will feature interactive exploration of value-based...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Phillip E. Rodgers, Tom Gualtieri-Reed, Joan M. Hanson, John S. Morris, Laura Patel, J. Russell Kieffer Source Type: research

A Gentle Journey: Transitioning from Childhood to Adulthood with Palliative Care (P17)
In Adult and Pediatric Palliative Care, consultation early in the disease trajectory is considered a best practice. Palliative care patients may live weeks, months, or years and may develop very trusting professional relationships with their providers. For pediatric patients with longstanding illness, these provider relationships may include family members and external caregivers as well. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Daniel M. Karlin, Jeannette (Jeannie) Meyer Source Type: research

Not for the Faint of Heart: Caring for Patients with Advanced Heart Failure (P18)
Today,  people are living longer with heart disease while its prevalence is increasing. Historical trends that have limited the integration of palliative care in cardiology and HF care are shifting. Over the last 10 years, there has been growing evidence to support palliative care interventions for HF pat ients and their families, as well as integrating interdisciplinary HF, palliative care, and hospice. Patients with HF require complex pharmacological and self-care regimens to control symptoms and prevent recurrent hospitalizations. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Erin Donaho, Beth Fahlberg, Joan T. Panke Source Type: research

Psychiatrist in My Pocket: Essential Psychiatric Skills for the Palliative Care Provider (P19)
Addressing the emotional difficulties of patients facing serious illness can present a variety of unique challenges. For instance, depressive disorders can have variable presentations across patient populations due to the complex interplay of symptoms of emotional distress with the symptoms of serious illness. It is challenging to navigate the diagnostic spectrum of grief, persistent complex bereavement disorder, demoralization, adjustment disorder with depressive features, and major depressive disorder. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Alexander Gamble, Paul A. Riordan, Allison E. Jordan, Jason A. Webb, Keri O. Brenner, David Buxton Source Type: research

Bridging the Gap: Telehealth Applications in Palliative Care (P20)
As with many specialties, it is difficult to sustain palliative care programs in rural areas. This is particularly true in areas such as the Southeast where non-urban hospitals tend to be small and for-profit, two characteristics associated with lacking palliative care services. Early efforts to address rural inequities focused on moving specialists into areas of need, but some of these succumbed to a lack of consistent volume and revenue for the time expended by specialists. More recently, efforts to address rural inequities have shifted to using technology to bridge the distances. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Danielle Noreika, J. Brian Cassel, Jennifer A. Hicks, Elizabeth K. Burpee, Kim Twisdale, Janet H. Bull Source Type: research

Afternoon at the Museum: Connection and Meaning at the San Diego Museum of Art (P21)
The practice of hospice and palliative care provides the privilege of presence with patients, families, and colleagues at some of life's most important moments. These moments require close observation, and we often need to connect these observations to infer the deeper meaning for those involved. Within our daily practice and growing clinical demands, nurturing observational skills and reflective capacities in ourselves and our trainees can be a challenge. However, these approaches can be sustaining and restoring. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Laura J. Morrison, Ali John Zarrabi, Joshua Hauser, Barbara Reville, Paul L. DeSandre, Corinne Zimmermann, Elizabeth Gundersen, Gordon J. Wood Source Type: research

Developing Collaborations with Development Professionals: An Essential Competency for Palliative Care Teams (TH301)
A hallmark of comprehensive palliative care is an intra-professional team which is expert in addressing physical, spiritual and psycho-social distress. Funding this team can be challenging. Many essential team members are unable to bill insurance for their services, and the structure of insurance payments may not adequately compensate team members, such as nurses and doctors who bill. Therefore, palliative care programs rely on direct financial support from hospitals and philanthropy. Given budgetary challenges facing both community and academic medical centers, the need to maximize relationships with potential donors is p...
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Jennifer Kapo, Rodney O. Tucker, Natasha McCabe, Diane E. Meier Source Type: research