Recommendations for safe medication use in liver impairment: importance of transparency and reflections on analgesics, hypnotics and anti-emetics
Wilcock et al make the point that evaluation of medication is important in patients with severe hepatic impairment and a limited life expectancy.[1] We agree with the authors that more attention is needed to safe prescribing in these patients, and would like to share our experiences in the assessment of safe medication use in patients with cirrhosis. Over the last years, we developed a methodology to assess the safety of medication in cirrhosis based on literature review and expert opinion.[2] We evaluated over 209 medications[2], and although many recommendations of Wilcock were comparable to ours, we found significant di...
Source: Journal of Pain and Symptom Management - December 9, 2019 Category: Palliative Care Authors: Sander D. Borgsteede, Rianne A. Weersink, Eric Geijteman, Herold J. Metselaar, Nicole G.M. Hunfeld Source Type: research

Pulmonary Arterial Hypertension: A Palliative Medicine Review of the Disease, Its Therapies, and Drug Interactions
Pulmonary arterial hypertension (PAH) is often a progressive and ultimately fatal disease. It is characterized by an elevated mean pulmonary arterial pressure because of disease of the small pulmonary arterioles. PAH leads to a constellation of symptoms, including dyspnea, fatigue, syncope, chest discomfort, and peripheral edema. Disease-targeted therapies for PAH produce symptomatic and functional improvement, but long-term survival remains uncommon without lung transplantation. Palliative care is appropriate to support patients with advanced PAH who typically have a high symptom burden. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: David Christiansen, Sandra Porter, Lindsay Hurlburt, Andrea Weiss, John Granton, Kirsten Wentlandt Tags: Special Article Source Type: research

Patients' Self-Assessment of the Symptoms and Impact of Opioid-Induced Constipation: Results From a Prospective Observational Cohort Study of Japanese Patients With Cancer
Many patients who have cancer consider opioid-induced constipation (OIC) to be a burdensome side effect of opioid treatment. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Soichi Fumita, Hisao Imai, Toshiyuki Harada, Toshio Noriyuki, Makio Gamoh, Yusaku Akashi, Hiroki Sato, Yoshiyuki Kizawa, Akihiro Tokoro Tags: Original Article Source Type: research

Response to Letter to the Editor by Zhang et al
We thank Zhang et  al.1 for their valuable comments on our study. We would like to address their criticisms. First, we agree that the inclusion of other databases may have produced a different listing of randomized controlled trials (RCTs). We indeed did not search Chinese databases because of a lack of language ski lls and resources, as mentioned in our discussion. Furthermore, language barriers and high costs associated with translation prevented the author from including non-English literature. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Philipp von Trott, Shiao Li Oei, Christina Ramsenthaler Tags: Letter Source Type: research

Acupuncture for Breathlessness in Advanced Diseases: Methodological Issues
With great interest, we read the recent systematic review and meta-analysis written by von Trott et  al.1 regarding the efficacy and safety of acupuncture therapy for breathlessness severity in patients with advanced diseases. The authors of this article should be congratulated on the efforts they have made. However, we have three points to make. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Kai Zhang, Yan Li, Qilin Tang Tags: Letter Source Type: research

Re: Acupuncture for breathlessness in advanced diseases: methodological issues. – Reply
We thank Zhang et al. for their valuable comments on our study. We would like to address their criticisms. First, we agree that the inclusion of other databases may have produced a different listing of RCTs. We indeed did not search Chinese databases due to a lack of language skills and resources, as mentioned in our discussion: „Furthermore, language barriers and high costs associated with translation prevented the author from including non-English literature. Chinese databases were not searched. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Philipp von Trott, Shiao Li Oei, Christina Ramsenthaler Source Type: research

Acupuncture for breathlessness in advanced diseases: methodological issues.
With great interest, we read the recent systematic review and meta-analysis written by von Trott P et al (1) regarding the efficacy and safety of acupuncture therapy for breathlessness severity in patients with advanced diseases. The authors of this paper should be congratulated on the efforts they have made. However, we have three points to make. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Kai Zhang, Yan Li, Qilin Tang Source Type: research

Patients ’ Self-Assessment of the Symptoms and Impact of Opioid-Induced Constipation: Results From a Prospective, Observational Cohort Study of Japanese Patients With Cancer
Many patients who have cancer consider opioid-induced constipation (OIC) to be a burdensome side effect of opioid treatment. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: Soichi Fumita, Hisao Imai, Toshiyuki Harada, Toshio Noriyuki, Makio Gamoh, Yusaku Akashi, Hiroki Sato, Yoshiyuki Kizawa, Akihiro Tokoro Source Type: research

Pulmonary arterial hypertension: A palliative medicine review of the disease, its therapies and drug interactions
Pulmonary arterial hypertension (PAH) is often a progressive and ultimately fatal disease. It is characterized by an elevated mean pulmonary arterial pressure due to disease of the small pulmonary arterioles. PAH leads to a constellation of symptoms including dyspnea, fatigue, syncope, chest discomfort, and peripheral edema. Disease-targeted therapies for PAH produce symptomatic and functional improvement, but long-term survival remains uncommon without lung transplantation. Palliative care is appropriate to support patients with advanced PAH who typically have a high symptom burden. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - December 2, 2019 Category: Palliative Care Authors: David Christiansen, Sandra Porter BScPhm, Lindsay Hurlburt, Andrea Weiss, John Granton, Kirsten Wentlandt Source Type: research

Impact of a Nurse-Led Advance Care Planning Intervention on Satisfaction, Health-Related Quality of Life, and Health Care Utilization Among Patients With Severe Respiratory Disease: A Randomized Patient-Preference Trial
Previous work has found that facilitated advance care planning (ACP) interventions are effective in increasing ACP uptake among patients with severe respiratory disease. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 29, 2019 Category: Palliative Care Authors: Craig Sinclair, Kirsten Anne Auret, Sharon Frances Evans, Fiona Jane, Siobhan Dormer, Anne Wilkinson, Kim Greeve, M. Audrey Koay, Fraser Brims Tags: Original Article Source Type: research

Impact of a nurse-led advance care planning intervention on satisfaction, health related quality of life and health care utilization among patients with severe respiratory disease: A randomized patient preference trial
Previous work has found facilitated advance care planning (ACP) interventions are effective in increasing ACP uptake among patients with severe respiratory disease. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 29, 2019 Category: Palliative Care Authors: Craig Sinclair, Kirsten Anne Auret, Sharon Frances Evans, Fiona Jane, Siobhan Dormer, Anne Wilkinson, Kim Greeve, M.A. Koay, Fraser Brims Tags: Original Article Source Type: research

Patterns of Symptom Management Medication Receipt  at End-of-Life Among Medicare Beneficiaries With Lung Cancer
Older adults with advanced lung cancer experience high symptom burden at end of life (EOL), yet hospice enrollment often happens late or not at all. Receipt of medications to manage symptoms in the outpatient setting, outside the Medicare hospice benefit, has not been described. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 25, 2019 Category: Palliative Care Authors: Maureen L. Saphire, Elizabeth H. Prsic, Maureen E. Canavan, Shi-Yi J. Wang, Carolyn J. Presley, Amy J. Davidoff Tags: Original Article Source Type: research

Patterns of Symptom Management Medication Receipt at End-of-Life Among Medicare Beneficiaries with Lung Cancer
Older adults with advanced lung cancer experience high symptom burden at end-of-life (EOL), yet hospice enrollment often happens late or not at all. Receipt of medications to manage symptoms in the outpatient setting, outside of the Medicare hospice benefit, has not been described. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 25, 2019 Category: Palliative Care Authors: Maureen Saphire, Elizabeth Prsic, Maureen E. Canavan, Shiyi Wang, Carolyn J. Presley, Amy J. Davidoff Source Type: research

Prevalence and Predictors of Burnout among Hospice and Palliative Care Clinicians in the US
Many clinical disciplines report high rates of burnout, which leads to low quality of care. Palliative care clinicians routinely manage patients with significant suffering, aiming to improve quality of life. As a major role of palliative care clinicians involves educating patients and caregivers regarding identifying priorities and balancing stress, we wondered how clinician self-management of burnout matches against the emotionally exhaustive nature of the work. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 25, 2019 Category: Palliative Care Authors: Arif H. Kamal, Janet H. Bull, Steven P. Wolf, Keith M. Swetz, Tait D. Shanafelt, Katherine Ast, Dio Kavalieratos, Christian T. Sinclair Source Type: research

Opportunities for Palliative Care in Patients With Burn Injury —A Systematic Review
Patients with significant burn injuries likely have palliative care needs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Allyson C. Cook, Jessica A. Langston, Joshua D. Jaramillo, Kristin E. Edwards, Hong-nei Wong, Rebecca A. Aslakson, The American Academy of Hospice and Palliative Medicine Research Committee Writing Group Tags: Special Series: Science in Action: Evidence and Opportunities for Palliative Care Across Diverse Populations and Care Settings Source Type: research

Twelve  Years in Pain: Case Report on the Management of Complex Pain in Syringomyelia
We present the case of a patient with severe complex pain due to syringomyelia, who required a combination of ketamine and methadone, with multidisciplinary specialist palliative care (SPC) team input. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Bernadette Brady, Laura Mulqueen, Joan Cunningham Tags: Letter Source Type: research

Postdoctoral Research Training in Palliative Care: Lessons Learned From a T32 Program
Our aging population and advances in chronic disease management that prolong the time that patients live with a chronic illness have combined to create an enormous need for improved palliative care research across diverse diseases. In this article, we describe the structure and processes of a National Institutes of Health-funded T32 postdoctoral research fellowship at the University of Washington and our experiences in developing and implementing the program. We recognize a broad definition of palliative care research, including research focused on improving quality of life, minimizing symptoms, providing psychological and...
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Erin K. Kross, Abby R. Rosenberg, Ruth A. Engelberg, J. Randall Curtis Tags: Special Article Source Type: research

Post-doctoral research training in palliative care: lessons learned from a T32 program
Our aging population and advances in chronic disease management that prolong the time that patients live with a chronic illness have combined to create an enormous need for improved palliative care research across diverse diseases. In this article, we describe the structure and processes of an NIH-funded T32 post-doctoral research fellowship at the University of Washington and our experiences in developing and implementing the program. We recognize a broad definition of palliative care research, including research focused on improving quality of life, minimizing symptoms, providing psychological and spiritual support, and ...
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Erin K. Kross, Abby R. Rosenberg, Ruth A. Engelberg, J. Randall Curtis Source Type: research

Opportunities for Palliative Care in Patients with Burn Injury – A Systematic Review
Patients with significant burn injuries likely have palliative care needs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Allyson C. Cook, Jessica A. Langston, Joshua D. Jaramillo, Kristin Edwards, Hong-nei Wong, Rebecca A. Aslakson, The American Academy of Hospice and Palliative Medicine Research Committee Writing Group Source Type: research

12 Years In Pain: Case Report on the Management of Complex Pain in Syringomyelia
We present the case of a patient with severe complex pain due to syringomyelia, who required a combination of ketamine and methadone, with multidisciplinary Specialist Palliative Care (SPC) team input. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 24, 2019 Category: Palliative Care Authors: Bernadette Brady, Laura Mulqueen, Joan Cunningham Source Type: research

Editorial Board
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 22, 2019 Category: Palliative Care Source Type: research

Table of Contents
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 22, 2019 Category: Palliative Care Source Type: research

Author Index
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 22, 2019 Category: Palliative Care Source Type: research

Feasibility of using communication coaching to teach palliative care clinicians Motivational Interviewing
Palliative care clinicians often have challenging conversations with patients or family caregivers who express ambivalence about goals or feel reluctant to discuss topics. Motivational Interviewing (MI) has tools to address ambivalence and reluctance. The aim of this pilot was to test the feasibility, acceptability, and preliminary efficacy of an MI communication coaching intervention. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 22, 2019 Category: Palliative Care Authors: Kathryn I. Pollak, Xiaomei Gao, Robert M. Arnold, Kelly Arnett, Sue Felton, Diane L. Fairclough, Jean S. Kutner Source Type: research

Yoga for Cancer-related Fatigue in Survivors of Hematopoietic Cell Transplantation: A Feasibility Study
Cancer-related fatigue (CRF) is one of the most common symptoms experienced by cancer patients following hematopoietic cell transplantation (HCT). Yoga is an approach with supportive evidence to improve CRF in different cancer populations, but to our knowledge, has not been tested in an adult HCT population. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 22, 2019 Category: Palliative Care Authors: Mohamad Baydoun, Debra L. Barton, Mark Peterson, Lauren P. Wallner, Moira A. Visovatti, Cynthia Arslanian-Engoren, Sung Won Choi Source Type: research

Pancreatic enzymes (pancrelipase)
Pancreatic exocrine insufficiency occurs when there is insufficient production or delivery of pancreatic enzymes required for the digestion and absorption of food. It is associated with relatively poor outcomes, including reduced quality of life and survival.1 Common causes are cancer of the head/body of the pancreas, chronic pancreatitis, pancreatic resection and cystic fibrosis. It can occur following duodenectomy, gastrectomy or untreated coeliac disease via a reduction in cholecystokinin and thereby post-prandial pancreatic stimulation. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 21, 2019 Category: Palliative Care Authors: Andrew Wilcock, Laura McGeeney, Emma Kidd, Mary Mihalyo, Sarah Charlesworth Source Type: research

Mapping levels of palliative care development in 198 countries: the situation in 2017
Palliative care is gaining ground globally and is endorsed in high level policy commitments, but service provision, supporting policies, education and funding are incommensurate with rapidly growing need. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 21, 2019 Category: Palliative Care Authors: David Clark, Nicole Baur, David Clelland, Eduardo Garralda, Jes ús López-Fidalgo, Stephen Connor, Carlos Centeno Tags: Original Article Source Type: research

An Interventional Study for the Early Identification of Patients with Palliative Care Needs and the Promotion of Advance Care Planning and Advance Directives
Programs identifying patients needing palliative care and promoting advance care planning (ACP) are rare in Asia. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 20, 2019 Category: Palliative Care Authors: Yung-Feng Yen, Ya-Ling Lee, Hsiao-Yun Hu, Yun-Ju Lai, Wen-Jung Sun, Ming-Chung Ko, Chu-Chieh Chen, J Randall Curtis, Sheng-Jean Huang, Dachen Chu Tags: Original Article Source Type: research

Clinical consumption of opioid analgesics in China: a retrospective analysis of the national and regional data 2006 –2016
This study analyzed the clinical consumption, estimated the needs of pain treatment, and evaluated the adequacy of opioid analgesics consumption in mainland China and its seven regions. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 20, 2019 Category: Palliative Care Authors: Zhiran Huang, Xiawen Su, Yifan Diao, Shiyang Liu, Mengjia Zhi, Shuai Geng, Jing Sun, Yuanli Liu Tags: Original Article Source Type: research

Medical Cannabis as an Effective Treatment for Refractory Symptoms of Paraneoplastic Stiff Person Syndrome
Stiff person syndrome (SPS) is a disorder characterized by fluctuating, progressive and painful spasms of the limbs, trunk and face. The condition is frequently associated with other diseases, including malignancies1. Up to 10% of SPS cases are paraneoplastic (PSPS) and occur with various types of cancer 2. SPS is thought to be immune-mediated, with up to 60% of patients demonstrating antibodies to glutamic acid decarboxylase (GAD), the rate-limiting enzyme for the production of the inhibitory neurotransmitter γ-aminobutyric acid (GABA). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 16, 2019 Category: Palliative Care Authors: Diane Portman, Kristine A. Donovan, Margarita Bobonis Source Type: research

Letter to the Editor regarding “Prevalence and Predictors of Burnout Among Hospice and Palliative Care Professionals from 2016 Apr;51(4):690-6
Dear Colleagues at the JPSM, We are palliative care researchers and clinicians with a deep interest in the wellness and sustainability of our workforce. As proponents of the need for accurate data on burnout in our field, we want to bring to your attention some important errors from our 2016 publication regarding the prevalence of burnout in the palliative care workforce1. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 14, 2019 Category: Palliative Care Authors: Arif Kamal, Janet H. Bull, Steven P. Wolf, Keith M. Swetz, Tait D. Shanafelt, Katherine Ast, Dio Kavalieratos, Christian T. Sinclair Source Type: research

Pc-facs
PC-FACS (Fast Article Critical Summaries for Clinicians in Palliative Care) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PCFACS, please encourage them to join the AAHPM at aahpm.org. Comments from readers are welcomed at pcfacs@aahpm.org. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 13, 2019 Category: Palliative Care Authors: Mellar P. Davis Tags: PC-FACS Source Type: research

PC-FACS November 1, 2019
Effect of Nalbuphine on Pain (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 13, 2019 Category: Palliative Care Authors: Andie Bernard Source Type: research

Trajectories of pain in patients undergoing lung cancer surgery: a longitudinal prospective study
Lung cancer surgery is among the surgical procedures associated with the highest prevalence of pain, but prospective longitudinal studies following the pain trajectory are scarce. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 13, 2019 Category: Palliative Care Authors: Kari Hanne Gjeilo, Trine Oksholm, Turid Follestad, Alexander Wahba, Tone Rust øen Source Type: research

Emotional Communication in Advanced Pediatric Cancer Conversations
Cancer is a life-changing diagnosis accompanied by significant emotional distress, especially for children with advanced disease. However, the content and processes of discussing emotion in advanced pediatric cancer remain unknown. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 13, 2019 Category: Palliative Care Authors: Bryan A. Sisk, Annie B. Friedrich, James DuBois, Jennifer W. Mack Source Type: research

The Role of Palliative Care in Burns: A Scoping Review
Patients with severe burns may face distressing symptoms with a high risk of mortality as a result of their injury. The role of palliative care in burns management remains unclear. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 13, 2019 Category: Palliative Care Authors: Jonathan Bayuo, Katherine Bristowe, Richard Harding, Frank Bediako Agyei, Anita Eseenam Agbeko, Pius Agbenorku, Prince Kyei Baffour, Gabriel Allotey, Paa Ekow Hoyte-Williams Source Type: research

Underprescription of Step III Opioids in French Cancer Survivors With Chronic Pain: A Call for Integrated Early Palliative Care in Oncology
Chronic pain (CP) is a major concern in cancer survivors. Often under-reported by patients, it is both underassessed and undertreated by care providers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Asmaa Janah, Anne-D éborah Bouhnik, Rajae Touzani, Marc-Karim Bendiane, Patrick Peretti-Watel Tags: Original Article Source Type: research

Multisymptom Profile Predicts Increased Risk of Poor Outcomes After Initial Placement of Implantable Cardioverter Defibrillator
Patients with implantable cardioverter defibrillators (ICDs) are at risk for multiple physical and psychological symptoms. Identification of specific symptom profiles associated with poor outcomes may elucidate novel strategies to enhance symptom management. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Megan M. Streur, Elaine A. Thompson, Cynthia M. Dougherty Tags: Original Article Source Type: research

Piloting Me and My Wishes —Videos of Nursing Home Residents' Preferences
A key challenge in nursing homes (NHs) is how to attain and clarify resident preferences for care and then communicate these preferences to family members and staff. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Gail L. Towsley, Bob Wong, Tahereh Mokhtari, William Hull, Susan C. Miller Tags: Original Article Source Type: research

Intention-to-Treat Analyses for Randomized Controlled Trials in Hospice/Palliative Care: The Case for Analyses to be of People Exposed to the Intervention
Minimizing bias in randomized controlled trials (RCTs) includes intention-to-treat analyses. Hospice/palliative care RCTs are constrained by high attrition unpredictable when consenting, including withdrawals between randomization and first exposure to the intervention. Such withdrawals may systematically bias findings away from the new intervention being evaluated if they are considered nonresponders. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Slavica Kochovska, Chao Huang, Miriam J. Johnson, Meera R. Agar, Marie T. Fallon, Stein Kaasa, Jamilla A. Hussain, Russell K. Portenoy, Irene J. Higginson, David C. Currow Tags: Original Article Source Type: research

Multi-Symptom Profile Predicts Increased Risk of Poor Outcomes Following Initial Placement of Implantable Cardioverter Defibrillator
Patients with implantable cardioverter defibrillators (ICD) are at risk for multiple physical and psychological symptoms. Identification of specific symptom profiles associated with poor outcomes may elucidate novel strategies to enhance symptom management. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Megan M. Streur, Elaine A. Thompson, Cynthia M. Dougherty Tags: Original Article Source Type: research

Distinct stress profiles among oncology patients undergoing chemotherapy
Cancer and its treatment are inherently stressful and stress impacts important patient outcomes. Patients vary considerably in their response to stress. Understanding this variability requires a patient-centered multidimensional approach. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Dale J. Langford, Bruce Cooper, Steven Paul, Janice Humphreys, Marilyn J. Hammer, Jon Levine, Yvette P. Conley, Fay Wright, Laura B. Dunn, Christine Miaskowski Tags: Original Article Source Type: research

Intention-to-treat analyses for randomised controlled trials in hospice/palliative care: the case for analyses to be of people exposed to the intervention
This study aimed to quantify this impact within ITT principles. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Slavica Kochovska, Chao Huang, Miriam J. Johnson, Meera Agar, Marie Fallon, Stein Kaasa, Jamilla A. Hussain, Russell K. Portenoy, Irene J. Higginson, David C. Currow Tags: Original Article Source Type: research

Under-prescription of Step III opioids in French cancer survivors with chronic pain: a call for integrated early palliative care in oncology
Chronic pain (CP) is a major concern in cancer survivors. Often underreported by patients, it is both under-assessed and undertreated by care providers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Asmaa Janah, Anne-D éborah Bouhnik, Rajae Touzani, Marc-Karim Bendiane, Patrick Peretti-Watel Tags: Original Article Source Type: research

A Stepped-Wedge Randomized Controlled Trial: Effects of eHealth Interventions for Pain Control among Adults with Cancer in Hospice
Unrelieved cancer pain at the end of life interferes with achieving patient-centered goals. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Diana J. Wilkie, Yingwei Yao, Miriam O. Ezenwa, Marie L. Suarez, Brenda W. Dyal, Anayza Gill, Theresa Hipp, Robert Shea, Jacob Miller, Karen Frank, Nargis Nardi, Michael Murray, Julie Glendenning, Jessica Perez, Jesus D. Carrasco, David Shuey, Veronica An Tags: Original Article Source Type: research

When patients take charge of opioids: Self-management concerns and practices among cancer outpatients in the context of opioid crisis
With concerns about opioid prescribing practices prominent in the professional and lay literature, there is less focus on patients ’ self-management of opioids for cancer pain and potential safety risks. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Salimah H. Meghani, Jesse Wool, Jessica Davis, Katherine A. Yeager, Jun J. Mao, Frances K. Barg Tags: Original Article Source Type: research

Piloting Me and My Wishes —Videos of Nursing Home Residents’ Preferences
A key challenge in nursing homes is how to attain and clarify resident preferences for care and then communicate these preferences to family members and staff. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 8, 2019 Category: Palliative Care Authors: Gail L. Towsley, Bob Wong, Tahereh Mokhtari, William Hull, Susan C. Miller Tags: Original Article Source Type: research

Neuropsychological Symptoms and Intrusive Thoughts Are Associated With Worse Trajectories of Chemotherapy-Induced Nausea
While chemotherapy-induced vomiting is well-controlled with evidenced-based anti-emetic regimens, chemotherapy-induced nausea (CIN) remains a significant clinical problem. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 2, 2019 Category: Palliative Care Authors: Komal Singh, Steven M. Paul, Kord M. Kober, Yvette P. Conley, Fay Wright, Jon D. Levine, Paule V. Joseph, Christine Miaskowski Source Type: research

Medical Aid in Dying, Hastened Death, and Suicide: A  Qualitative Study of Hospice Professionals' Experiences From Washington State
Many jurisdictions around the world have passed medical aid in dying (MAID) laws allowing competent eligible individuals facing life-limiting illness to self-administer prescribed medication to control timing of death. These laws do not prevent some patients who are receiving hospice services from dying by suicide without assistance. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2019 Category: Palliative Care Authors: Sheri Mila Gerson, Nancy J. Preston, Amanda F. Bingley Tags: Original Article Source Type: research

Medical Aid in Dying, Hastened Death and Suicide: A Qualitative Study of Hospice Professionals ’ Experiences from Washington State
Many jurisdictions around the world have passed medical aid in dying laws allowing competent, eligible individuals facing life-limiting illness to self-administer prescribed medication to control timing of death. These laws do not prevent some patients who are receiving hospice services from dying by suicide without assistance. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 1, 2019 Category: Palliative Care Authors: Sheri Mila Gerson, Nancy Preston, Amanda Bingley Tags: Original Article Source Type: research