Clonidine for the Management of Refractory Distressing Hallucinations, a Case Report
Clonidine is an antihypertensive agent frequently used for alternative purposes, including drug withdrawal, neuropathic pain, anxiolysis, and treatment of emergent agitation post-anesthesia.1 –4 Unlike traditional treatments for agitation or hallucinations such as antipsychotics, clonidine has no activity on dopaminergic, serotonergic, or gamma-aminobutyric acid receptors in the central nervous system; its activity is mediated via agonism of the alpha-2 adrenoreceptor.4,5 The alpha-2 a drenoreceptor is implicated in promotion of natural sleep, decrease in delirium, anxiolysis, and neuropathic analgesia. (Source: Jour...
Source: Journal of Pain and Symptom Management - March 10, 2020 Category: Palliative Care Authors: Benjamin Thomas, Judith Jacques, Hilary Stiel Tags: Letter 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 - March 10, 2020 Category: Palliative Care Authors: Mellar P. Davis Tags: PC-FACS Source Type: research

Comparing symptom ratings by staff and family carers in residents dying in long-term care facilities in three European countries, results from a PACE-survey
Symptom management is essential in the end of life care of long-term care facility residents. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 10, 2020 Category: Palliative Care Authors: Marc Tanghe, Nele Van Den Noortgate, Luc Deliens, Tinne Smets, Bregje Onwuteaka-Philipsen, Harriet Finne-Soveri, Lieve Van den Block, Ruth Piers Source Type: research

PC-FACS March 3, 2020 for the May 2020 Issue
Roles of VGF and VEGF-A in Pain (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 10, 2020 Category: Palliative Care Authors: Andie Bernard Source Type: research

Letter to the Editor: Clonidine for the management of refractory distressing hallucinations, a case report
Clonidine is an antihypertensive agent frequently used for alternative purposes including drug withdrawal, neuropathic pain, anxiolysis, and treatment of emergent agitation post anaesthesia (1-4) Unlike traditional treatments for agitation or hallucinations such as antipsychotics, clonidine has no activity on dopaminergic, serotonergic or GABA receptors in the central nervous system; its activity is mediated via agonism of the alpha-2 adrenoreceptors (4,5). The alpha-2 adrenoreceptor is implicated in promotion of natural sleep, decrease in delirium, anxiolysis and neuropathic analgesia (6-8). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 10, 2020 Category: Palliative Care Authors: Benjamin Thomas, Judith Jacques, Hilary Stiel Source Type: research

Beliefs and perceptions about parenteral nutrition and hydration by family members of patients with advanced cancer admitted to palliative care units: a nationwide survey of bereaved family members in Japan
There has been a growing consensus that parenteral nutrition and hydration is to be forgone in terminally ill patients with cancer. However, it remains unclear what the beliefs and perceptions of parenteral nutrition and hydration by the family members are. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 10, 2020 Category: Palliative Care Authors: Koji Amano, Isseki Maeda, Tatsuya Morita, Kento Masukawa, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Mitsunori Miyashita Tags: Original Article Source Type: research

Weaning continuous cardiac inotropes at end of life: case studies and institutional clinical guidelines
The use of long-term, continuous intravenous inotropic support (CIIS) has increased over the past decade. (1) Published evidence indicates that CIIS improves New York Heart Association (NYHA) functional class but does not impact survival. (2) American College of Cardiology/American Heart Association (ACC/AHA) guidelines published in 2013 delineated indications for intravenous inotropic support. (3) Long-term CIIS as palliative therapy (i.e. aim is symptomatic improvement in patients who are not appropriate for surgical therapies) in patients with ACC/AHA Stage D congestive heart failure (CHF) despite optimal medical treatm...
Source: Journal of Pain and Symptom Management - March 4, 2020 Category: Palliative Care Authors: Hunter Groninger, Anirudh Rao, Diana Stewart, Mark Hofmeyer Source Type: research

Dyspnea as a fatigue-promoting factor in ALS and the role of objective indicators of respiratory impairment
There is no evidence-based treatment for fatigue in amyotrophic lateral sclerosis (ALS) and identification of treatable causes determine management strategies. Although dyspnea is a key symptom of ALS and effectively treatable, it has not been sufficiently investigated whether dyspnea may be a fatigue-promoting factor. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 4, 2020 Category: Palliative Care Authors: Susanne Vogt, Stefanie Schreiber, Giselher Pfau, Katja Kollewe, Hans-Jochen Heinze, Reinhard Dengler, Susanne Petri, Stefan Vielhaber, Michael Brinkers Tags: Brief Report Source Type: research

Home intranasal dexmedetomidine for refractory dystonia in Pediatric Palliative Care
We report on the use of intranasal (IN) dexmedetomidine at home as a safe and effective sedative option for an 18-months-old toddler with refractory dystonia in the context of a progressive epileptic encephalopathy. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 4, 2020 Category: Palliative Care Authors: Lucia De Zen, Sara Della Paolera, Irene Del Rizzo, Valentina Taucar, Aldo Skabar, Egidio Barbi Tags: Letter Source Type: research

Death anxiety in patients with metastatic non-small cell lung cancer with and without brain metastases
Death anxiety is common in patients with metastatic cancer, but its relationship to brain metastases and cognitive decline is unknown. Early identification of death anxiety and its determinants allows proactive interventions to be offered to those in need. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 4, 2020 Category: Palliative Care Authors: Annemarie C. Eggen, Anna K.L. Reyners, Gerald Shen, Ingeborg Bosma, Mathilde Jalving, Natasha B. Leighl, Geoffrey Liu, Nadine M. Richard, Kenneth Mah, David B. Shultz, Kim Edelstein, Gary Rodin Tags: Brief Report Source Type: research

Health Care Providers' Views on the Transition Between Hospital and Primary Care in Patients in the Palliative Phase: A Qualitative Description Study
Inadequate handovers between hospital and home can lead to adverse health outcomes. A group particularly at risk is patients at the end of life because of complex health problems, frequent care transitions, and involvement of many professionals. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 2, 2020 Category: Palliative Care Authors: Isabelle Flierman, Rosanne van Seben, Marjon van Rijn, Marjolein Poels, Bianca M. Buurman, Dick L. Willems Tags: Original Article Source Type: research

Healthcare providers ’ views on the transition between hospital and primary care in patients in the palliative phase: a qualitative description study
Inadequate handovers between hospital and home can lead to adverse health outcomes. A group particularly at risk are patients at the end of life because of complex health problems, frequent care transitions and involvement of many professionals. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - March 2, 2020 Category: Palliative Care Authors: I. Flierman, R. van Seben, M. van Rijn, M. Poels, B.M. Buurman, D.L. Willems Tags: Original Article Source Type: research

The Empathy Project: A Skills-Development Game
Empathy is increasingly described as a learnable skill and is included in professionalism requirements for health care providers, yet there are few effective tools for developing and practicing empathy skills. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 28, 2020 Category: Palliative Care Authors: Jasmine A. Hudnall, Kimberly E. Kopecky Tags: Educational Exchange Source Type: research

Estimation of Pediatric End-of-Life Palliative Care Needs in China: A  Secondary Analysis of Mortality Data From the 2017 National Mortality Surveillance System
Pediatric palliative care aims to achieve the best possible quality of life for children with life-threatening/life-limiting conditions and their families.1 Globally, it is estimated that more than 21 million children need palliative care every year.2 In China, pediatric palliative care is in the early stage of development. The importance of pediatric palliative care and its needs are mostly under-recognized. There are sporadic hospital-based services, and only a few hospices, which are mostly located in major cities (e.g., Beijing and Shanghai), can provide pediatric palliative care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 28, 2020 Category: Palliative Care Authors: Qi Lu, Shi-Ting Xiang, Kwok Yin Lin, Ying Deng, Xun Li Tags: Letter Source Type: research

The Empathy Project: A Skills Development Game
Empathy is increasingly described as a learnable skill and is included in professionalism requirements for healthcare providers, yet there are few effective tools for developing and practicing empathy skills. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 28, 2020 Category: Palliative Care Authors: Jasmine Hudnall, Kimberly E. Kopecky Tags: Educational Exchange Source Type: research

Estimation of pediatric end-of-life palliative care needs in China: a secondary analysis of mortality data from the 2017 National Mortality Surveillance System
Pediatric palliative care aims to achieve the best possible quality of life for children with life-threatening/life-limiting conditions and their families (1). Globally, it is estimated that over 21 million children need palliative care every year (2). In China, pediatric palliative care is in the early stage of development. The importance of pediatric palliative care, and its need are mostly under-recognized. There are sporadic hospital-based services and only a few hospices, which are mostly located in major cities (e.g. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 28, 2020 Category: Palliative Care Authors: Qi Lu, Shi-Ting Xiang, Kwok Yin Lin, Ying Deng, Xun Li Tags: Letter Source Type: research

Frequency of Burnout Among Palliative Care Physicians Participating in a Continuing Medical Education Course
Palliative care (PC) physicians are vulnerable for burnout given the nature of practice. The burnout frequency may be variable and reported between 24% and 38% across different countries. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 25, 2020 Category: Palliative Care Authors: Suresh K. Reddy, Sriram Yennu, Kimberson Tanco, Aimee E. Anderson, Diana Guzman, Syed M. Ali Naqvi, Humaira Sadaf, Janet Williams, Diane D. Liu, Eduardo Bruera Tags: Brief Report Source Type: research

Frequency of Burn-Out among Palliative Care Physicians Participating in a Continuing Medical Education Course
Palliative Care (PC) physicians are vulnerable for burnout given the nature of practice. The burnout frequency may be variable and reported between 24 to 38 % across different countries. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 25, 2020 Category: Palliative Care Authors: Suresh K. Reddy, Sriram Yennu, Kimberson Tanco, Aimee Anderson, Diana Guzman, Syed M. Ali Naqvi, Humaira Sadaf, Janet Williams, Diane Liu, Eduardo Bruera Source Type: research

Suicide Attempt After Determination of Ineligibility for Assisted Death: A Case Series
Medical assistance in dying (MAID) and similar right-to-die laws are becoming increasingly common in jurisdictions across North America and elsewhere. To be eligible for MAID in Canada, requesters must have a serious illness, intolerable suffering, and a reasonably foreseeable natural death. They must also undergo two assessments to confirm eligibility. Although a growing body of literature now exists to help clinicians understand and support patients around requests for assisted death, a dearth of literature exists on how best to support those patients who are deemed ineligible. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Elie Isenberg-Grzeda, Sally Bean, Carole Cohen, Debbie Selby Tags: Clinical Note Source Type: research

Post-Exertional Malaise in People with Chronic Cancer-Related Fatigue
Cancer-related fatigue (CRF) is a distressing and persistent sense of tiredness or exhaustion that interferes with usual functioning. Chronic CRF continues for months after curative cancer treatment is complete. Post-exertional malaise (PEM) is a worsening of symptoms after physical or mental activity, with limited investigations in people with chronic CRF. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Rosie Twomey, Samuel T. Yeung, James G. Wrightson, Guillaume Y. Millet, S. Nicole Culos-Reed Source Type: research

Assessment of the Decision-Making Capacity for Clinical Research Participation in Patients with Advanced Cancer in the Last Weeks of Life
Few studies have examined how clinicians assess decision-making capacity for research in the last weeks of life. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Rachna Goswami, Jessica Moore, Eduardo Bruera, David Hui Tags: Original Article Source Type: research

Attitudes of professional caregivers and family members regarding the use of monitoring devices to improve assessments of pain and discomfort during continuous sedation until death.
Assessing consciousness and pain during continuous sedation until death (CSD) by behavior-based observational scales alone has recently been put into question. Instead, the use of monitoring technology has been suggested to make more objective and reliable assessments. Insights into which factors influence attitudes towards using these monitoring devices in a context of CSD is a first step in formulating recommendations to inform future practice. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Stefaan Six, Roel Van Overmeire, Johan Bilsen, Steven Laureys, Jan Poelaert, Peter Theuns, Reginald Deschepper Source Type: research

Suicide Attempt Following Determination of Ineligibility for Assisted Death: A Case Series
Medical assistance in dying (MAID) and similar right-to-die laws are becoming increasingly common in jurisdictions across North America and elsewhere. To be eligible for MAID in Canada, requesters must have a serious illness, intolerable suffering, and a reasonably foreseeable natural death. They must also undergo two assessments to confirm eligibility. While a growing body of literature now exists to help clinicians understand and support patients around requests for assisted death, a dearth of literature exists on how best to support those patients who are deemed ineligible. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Elie Isenberg-Grzeda, Sally Bean, Carole Cohen, Debbie Selby Source Type: research

Mindfulness-based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Wellbeing and Quality of Life in Patients with Breast Cancer – a Randomized Control Trial
Mindfulness-based interventions have been receiving growing attention in cancer care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 24, 2020 Category: Palliative Care Authors: Sunre Park, Yasuko Sato, Yuka Takita, Noriko Tamura, Akira Ninomiya, Teppei Kosugi, Mitsuhiro Sado, Atsuo Nakagawa, Maiko Takahashi, Tetsu Hayashida, Daisuke Fujisawa Tags: Original Article Source Type: research

Theory-Based Development of an Implementation Intervention Using Community Health Workers to Increase Palliative Care Use
Opportunities for the use of palliative care services are missed in African American (AA) communities, despite Level I evidence demonstrating their benefits. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 21, 2020 Category: Palliative Care Authors: Boateng Kubi, Zachary O. Enumah, Kimberley T. Lee, Karen M. Freund, Thomas J. Smith, Lisa A. Cooper, Jill T. Owczarzak, Fabian M. Johnston Tags: Original Article Source Type: research

Theory-based Development of an Implementation Intervention Utilizing Community Health Workers to Increase Palliative Care Use
Opportunities for the use of palliative care services are missed in African-American communities, despite Level I evidence demonstrating their benefits. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - February 21, 2020 Category: Palliative Care Authors: Boateng Kubi, Zachary O. Enumah, Kimberley T. Lee, Karen M. Freund, Thomas Joseph Smith, Lisa A. Cooper, Jill T. Owczarzak, Fabian M. Johnston Source Type: research

Cross-Cultural Adaptation and Psychometric Validation of the French Version of the FAMCARE-Patient (FFP-16) Questionnaire 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 Tags: Brief Methodological Report Source Type: research

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 the absences of such services are common and costly in inpatient and emergency department settings. Triggered palliative care consults (PCCs) 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
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 - February 12, 2020 Category: Palliative Care Authors: Mellar P. Davis Tags: PC-FACS 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

Health Care Professionals' Reports of Cancer Pain Cues  Among Older People With Delirium: A Qualitative-Quantitative Content Analysis
Health care professionals (HCPs) 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 judgments. 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 Tags: Original Article 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 Postsurgical Pain After Thoracic Surgery: Case Closed?
I read with great interest the article of Gjeilo et  al.1 in a recent issue of the journal. 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 com mended 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 ...
Source: Journal of Pain and Symptom Management - February 8, 2020 Category: Palliative Care Authors: Jonathan Argo Tags: Letter 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 QoL of patients with cancer at the 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, Trac Tags: Original Article 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 (AEs) by self-report, the U.S. 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. (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 Tags: Brief Methodological Report Source Type: research

Authors' Response to Estimation of Chronic Post-Surgical Pain After Thoracic Surgery: Case Closed?
We express gratitude to Dr. Argo for reading and taking interest in our work.1 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 not only 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 Tags: Letter 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