Re-Exploring Goals of Care in Patients Surviving Critical Illness (GP723)
Re-exploring goals of care in the post-ICU clinic setting can assist critical illness survivors in developing a realistic understanding of their disabilities, setting reasonable expectations for the future, and choosing, in the context of their goals and values, future treatment options. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Tammy Eaton, Robert Castiglia, Anna Lewis, Abdullah Qureshi, Brad Butcher Source Type: research

Motivational Interviewing for Functional Cancer Pain Goals: A Feasibility Study (GP724)
This study tested a cognitive behavioral therapy, motivational interviewing (MI), for setting functional pain goals (FPGs). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Olga Ehrlich, Donna Berry, Daniel Gorman, Douglas Brandoff Source Type: research

Palliative Care Referral Patterns of Adolescent and Young Adult Patients at a Comprehensive Cancer Center (GP725)
Adolescent and young adults (AYA) diagnosed with cancer have distinct physical, developmental, and psychosocial needs that are often unmet during oncology treatment. Such needs are further intensified for those with an advanced cancer diagnosis. Palliative Care (PC) can address these needs throughout the disease trajectory including symptom management, supportive communication, and advance care planning. The incorporation of PC remains sub-optimal despite evidence that palliative services can improve quality of life. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Sarah Ehrman, Bethany Lockwood, Olanipekun Lanny Ntukidem, Bhavana Bhatnagar, Dori Klemanski, Jillian Gustin, Maryam Lustberg Source Type: research

African American Communities Speak to Palliative Care Clinicians: Evaluation of an Innovative Community-Developed Communication Skills Training Program (GP726)
Lack of understanding of cultural differences may compromise care at End-of-Life (EOL) for minority patients. Cultural competence among clinicians increases the likelihood of providing higher quality care, improving patient satisfaction, and reducing health disparities. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Ronit Elk, Michael Barnett, Moneka Thompson, Vanessa Tate, Ashley Nichols Source Type: research

Elements of Palliative Care in the Last Six Months of Life: Frequency, Predictors, and Timing (GP727)
Persons living with serious illness often need skilled symptom management, communication, and spiritual support. Palliative care addresses these needs and may be delivered by either specialists or clinicians trained in other fields. It is important to understand core elements of palliative care to best provide patient-centered care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Natalie Ernecoff, Kathryn Wessell, Laura Hanson, Stacie Dusetzina, Christopher Shea, Morris Weinberger, Antonia Bennett Source Type: research

Providers' Perspectives on Prescribing Long-term Opioid Therapy in Cancer: Qualitative Findings form the United States and Australia (GP728)
To understand how cultural and political difference ca impact perspectives on opioid therapy in cancer. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Soraya Fereydooni, Tim Luckett, Jane Phillips, Karl Lorenz, Karleen Giannitrapani Source Type: research

Editorial Board
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Source Type: research

Table of Contents
(Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Source Type: research

Stronger Together: Integrated Geriatrics and Palliative Care Fellowships to Train Leaders in the Care of Older Adults with Serious Illness (GP729)
It is clear that there is a demographic imperative with the aging and chronically ill population growing at a steady speed. The number of people over age 85 will double to 10 million by the year 2030. This rapidly growing segment of the population is also the most likely to suffer from chronic, life-limiting illness. Geriatrics and Palliative Medicine are similar in many aspects such as an emphasis on inter-professional teams and promoting function, quality of life, and advance care planning. Since both fellowships are only a one-year clinical programs, trainees are ill-prepared to enter the academic world. (Source: Journa...
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Helen Fernandez, Lynn Flint, Sandra Sanchez-Reilly, Jennifer Healy, Jeanette Ross, Laura Morrison, Elizabeth Lindenberger Source Type: research

Risky Health Behaviors Among Adolescents and Young Adults with Advanced Cancer (GP730)
Despite implications for health outcomes, little is known about the prevalence of risky health behaviors (RHB) among adolescents and young adults (AYAs) with advanced cancer (AC). (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kaitlyn Fladeboe, Samantha Scott, Miranda Bradford, Tyler Ketterl, Joyce Yi-Frazier, Abby Rosenberg Source Type: research

A Constant Presence in a Sea of Change: The Lived Experience of Vigil Keeping for a Family Member at End of Life (GP731)
Colleen Fleming-Damon, PhD RN ACHPN ARNP NP CHPN, MJHS Institute for Innovation in Palliative Care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Source Type: research

Improving Primary Care Clinicians ’ Communication Skills in Dementia-Related Advance Care Planning (GP732)
Primary care clinicians (PCPs) in the United States lack communication skills in advance care planning (ACP) for persons with dementia. Most ACP communication training fails to address the roll of the caregiver across the dementia process. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Christine E. Kistler, Anna Beeber, Gary Winzelberg, Stacey Gabriel, Christopher Wretman, Laura Hanson Source Type: research

Patient- and Practice-Level Outcomes Associated with Concurrent Oncologic Care and Specialty Palliative Care (GP733)
Evidence suggests that integrating palliative care into usual oncology care benefits patients with advanced cancer and their caregivers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Sam Gaster, Francine Arneson Source Type: research

Patient Reported Advance Care Planning Conversations among a Diverse Population of Older Adults with Chronic, Serious Illness: Gaps and Opportunities (GP734)
Advance care planning (ACP) conversations are associated with improved goal-consistent care. Yet, little is known about the characteristics of patients who have ACP conversations or whether diverse older adults engage in detailed conversations with surrogates and/or clinicians (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Laura Gelfman, Aiesha Volow, Ying Shi, Nathan Goldstein, Deborah Barnes, Rebecca Sudore Source Type: research

Multimorbidity and Cancer: Using Electronic Health Record (EHR) Data to Cluster Patients in Multimorbidity Phenotypes (GP735)
Multimorbidity is often criteria for exclusion in clinical research. Subsequently, the end-of-life trajectory of patients with multiple chronic conditions (MCCs) including cancer is not well understood. EHR data is a rich source of phenotypic information that has the potential to guide clinical planning algorithms and end-of-life care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Stephanie Gilbertson-White, Sanvesh Srivastava, Yunyi Li, Elyse Laures, Seyedehtanaz Saeidzadeh, Chi Yeung, Sena Chae Source Type: research

New Anti-Depressant Utilization Pre and Post Bereavement: A Population Based Study of Partners and Adult Children (GP736)
While it is well known that bereavement is associated with increases in morbidity and mortality, the mechanisms of this increase are not well established. Depression may play a role in morbidity and mortality, so establishing the timing of new onset depression in the bereaved may help to target interventions to decrease the odds of developing depression. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Christina Gillezeau, Katherine Ornstein, Melissa Aldridge, Tatjana Gazibara, Mogens Groenvold, Lau Thygesen, Marie Kristensen Source Type: research

Exploration of Child and Parent Preferences for Communication about Cancer (GP737)
Communication is often a challenge among children, families, and healthcare providers during provision of pediatric palliative care. The American Academy of Pediatrics recommends that children participate to the fullest extent possible. The National Cancer Institute advises parents to have open and honest communication about cancer with their children, but questions remain about what, how, and when to communicate. Minimal research has explored preferences for communication strategies among children diagnosed with cancer and their parents. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Mary Jo Gilmer, Terrah Akard Source Type: research

Next of Kin Perceptions of End of Life Care: An Investigation of Open-Ended Survey Responses to the VA ’s Bereaved Family Survey (GP738)
Although bereaved family surveys are routinely used quantitatively for quality assessment, open-ended, narrative responses often are not systematically analyzed, despite their potential for detailed, personal information about the receipt of care. In-depth analysis of narrative responses to bereaved family surveys allows researchers to identify opportunities for improving end-of-life care delivery. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Caroline Gray, Maria Yefimova, Matthew McCaa, Joy Goebel, Scott Shreve, Karleen Giannitrapani, Karl Lorenz Source Type: research

Developing a Database and Quality Metric Dashboard to Encourage Quality Improvement for Patients at the End of Life through Community-Based Hospice Partnerships (GP739)
UCLA Health does not provide hospice care directly but recognizes the importance of establishing relationships with community-based hospice agencies. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Ilana Greenberg, Neil Wenger, Brandy Bryant, Peter Phung, Jeannette Meyer, Nicole Douglas, Maria Cecilia Borja, Jennie Kung, Anne Walling Source Type: research

Palliative Care for Seriously Ill Trauma Patients (GP740)
There is an increasing need to improve palliative care for seriously ill trauma patients. However, little is known about current palliative care utilization for this population. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Lindsay Haines, Scott Halpern, Kate Courtright Source Type: research

“I needed someone to hold my hand”: Experiences and Unmet Palliative Care Needs at Home from the Perspective of People with Dementia and Caregivers (GP741)
People with dementia (PWD) and their families represent a growing population who is increasingly accessing palliative care in the United States. Home-based palliative care interventions should incorporate the perspective of PWD and caregivers regarding experiences and unmet needs. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Krista Harrison, Sarah Garrett, Alissa Bernstein, Georges Naasan, Christine Ritchie Source Type: research

Hospice employee perspectives on CPR and "Aggressive Care ” for the Dying: Communication Practices and Ethical Dilemmas in Hospice (GP742)
Over time, hospice organizations and clinicians (impacted by federal policies) have evolved in their willingness and ability to care for people with end-of-life preferences to remain full code or receive intensive interventions such as blood transfusions, chemotherapy, and total parenteral nutrition (TPN). Yet remarkably little is known about how hospice clinicians engage with these requests. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Gabrielle Dressler, Sarah Garrett, Lauren Hunt, Nicole Thompson, Katherine Mahoney, Rebecca Sudore, Christine Ritchie, Krista Harrison Source Type: research

Mapping Community Palliative Care: Results of a Three-Year National Project (GP743)
Healthcare organizations have begun providing palliative care services in the community to meet the needs of non-hospitalized patients with serious illness. Little information exists on the availability of palliative care services outside the hospital setting. The American Hospital Association ’s Annual Survey tracks inpatient palliative care services, but there is no equivalent to identify programs providing care past hospital admission and discharge. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Rachael Heitner, Maggie Rogers, Diane Meier Source Type: research

Frequency and Characteristics of First-Time Palliative Care Referrals During the Last Day of Life (GP744)
Palliative Care referrals (PCR) improve symptom management, provide psychosocial and spiritual support, clarify goals of care and facilitate discharge planning; however, very late PCR often result in increased clinician distress and do not allow patients and families to benefit from the full spectrum of interdisciplinary care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Yvonne Heung, Ahsan Azhar, Janet Williams, Seyedeh Dibaj, Eduardo Bruera Source Type: research

Digital Supportive Care Awareness and Navigation (D-SCAN): Qualitative and Quantitative Results of a Pilot Randomized Trial in Patients with Advanced Cancer (GP745)
In crowded clinics with rising care complexity, clinicians struggle to assess and manage cancer supportive care needs. Duke Cancer Patient Support Program (DCPSP) services aim to bridge this gap, but many patients are unaware of these services. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Jordan Hildenbrand, Cheyenne Corbett, Debra Davis, Kris Herring, Susan Locke, Jesse Troy, Steve Wolf, Yousuf Zafar, Darren Atlee, Jack Chilcott, Hugo Manassei, Colette McCoy, Sean Mohan, Trudy Pendergraft, Steven Patierno, Thomas LeBlanc Source Type: research

End-of-Life Care for Persons with Dementia: Caregiver Experiences and Recommendations for Improving Care (GP746)
Dementia is one of the fastest growing causes of death. Caring for persons with dementia (PWD) at the end-of-life (EOL) creates significant financial and emotional strain for caregivers. Yet, little is known about the EOL care experience of PWD from the perspective of their caregivers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Jarmin Yeh, Rachel Main, Jeff Newman, Lauren Hunt Source Type: research

“Some Things Don’t Fit in a Checkbox”: Hospice Staff Experiences and Perceptions of Quality Measurement of End-of-Life Treatment Preferences (GP747)
The dramatic increase in hospice use in the United States (U.S) has prompted concerns about hospice care quality. In response, federal agencies recently began mandating quality measurement of key areas relevant to end-of-life (EOL) care, including EOL treatment preferences. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Lauren Hunt, Sarah Garrett, Gabrielle Dressler, Nicole Thompson, Katherine Mahoney, Rebecca Sudore, Christine Ritchie, Krista Harrison Source Type: research

When is End-of-Life for Patients with Heart Failure? Challenges in Identifying End-of-Life Create Unique Barriers to Quality Care (GP748)
Quality measures for end-of-life (EOL) care for cancer patients have been helpful in standardizing and improving care; however, there are no accepted quality measures for advanced heart failure (AHF) patients. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Rebecca Hutchinson, Caitlin Gutheil, Hayley Mandeville, Douglas Sawyer, Paul Han Source Type: research

Heart to Heart Cards: A Novel Tool for Engaging the Chinese American Community in End-Of-Life Care Conversations (GP749)
Despite being the fastest growing foreign-born population, Chinese Americans ’ priorities and preferences at the end-of-life (EOL) remain largely unknown. One contributing factor is the lack of a sociolinguistic and culturally informed advance care planning (ACP) tool. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Zhimeng Jia, Sandy Chen Stokes, Shirley Pan, Cynthia Pan Source Type: research

The Efficacy of Web and Mobile-Based Interventions to Alleviate Physical Symptoms in People with Advanced Diseases: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (GP750)
Web and mobile-based interventions are promising modalities in which patients with advanced, life-limiting diagnoses can attain symptom-focused care as part of comprehensive palliative care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Vijayvardhan Kamalumpundi, Seyedehtanaz Saeidzadeh, Nai-Ching Chi, Rajeshwari Nair, Stephanie Gilbertson-White Source Type: research

What is the Status of Palliative Care Education in Brazil? A Housestaff Survey on Self-Perception of Palliative Care Skills Competency (GP751)
There is a great need for physicians with competencies in Palliative Care (PC) in developing countries. In these countries, patients are often diagnosed with already advanced illness (e.g., up to 80% of breast cancer patients in developing countries versus 30% in developed countries). 80% of the global deaths occur in these countries. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Fernando Kawai, Igor Andrade, Geovanna Costa, Ângela Barros, Suelen Silva, Alfredo Santana Source Type: research

Dialysis patients with lower education prefer a palliative care approach (GP752)
Many patients undergoing dialysis experience diminished quality of life and limited life expectancy, raising questions about the wisdom of dialysis initiation. Patients with lower educational attainment are more likely to choose aggressive, burdensome treatment near their end-of-life (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Basil Kazi, Fahad Saeed Source Type: research

Predictors of High Hospital Costs among Patients with Chronic Illness who develop Acute Respiratory Failure (GP753)
Patients with acute respiratory failure and underlying chronic illness are at high risk for burdensome care. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Nita Khandelwal, Lois Downey, Ruth Engelberg, J. Randall Curtis, Peter May Source Type: research

Interprofessional Competence Development Through Online Palliative Care Education and Virtual Interprofessional Simulation (VISion) (GP754)
Interprofessional (IP) collaboration and quality palliative care (PC) are global priorities, requiring baseline competence of generalist health care professionals (HCPs). PC requires a collaborative team approach, thus is an exemplary model for teaching IP roles and teamwork. Many HCP training programs are now online, offering flexibility and self-paced instruction but leaving students craving personal connections. Simulations with varied IP student backgrounds assist in fostering these connections while promoting collaboration and team-based competency development. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Amanda Kirkpatrick Source Type: research

Family Composition of Cancer Decedents in Denmark Between 2009-2016 (GP755)
The majority of caregiver research has employed a single-caregiver model. Examining the composition of families of decedents may provide a more realistic perspective of the caregiving network of patients at the end of life. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Djin Tay, Lau Thygesen, Raj Kumar, Mogens Gronvold, Melissa Aldridge, Katherine Ornstein Source Type: research

Better Together: The Making and Maturation of the Palliative Care Research Cooperative Group (PCRC) (GP756)
We describe the PCRC ’s growth and contributions to advancing palliative care research. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Jean Kutner, Christine Ritchie, Kathryn Pollak, Karen Kehl, Jeri Miller Source Type: research

An Artificial Intelligence Algorithm to Identify Documented Symptoms in Patients with Heart Failure who Received Cardiac Resynchronization Therapy (GP757)
Clinicians lack reliable methods to predict which patients with congestive heart failure (CHF) will benefit from cardiac resynchronization therapy (CRT). Symptom burden possibly predicts response, but this information is buried in free-text clinical notes. Artificial intelligence (AI) tools to identify symptoms in the electronic health record (EHR) may allow for the structured inclusion of these data into pre-procedural decision-making. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Richard Leiter, Enrico Santus, Zhijing Jin, Katherine Lee, Miryam Yusufov, Edward Moseley, Yujie Qian, Jiang Guo, Charlotta Lindvall Source Type: research

The Impact of Palliative Care on End-of-Life Characteristics in Pediatric Hematopoietic Cell Transplant (GP758)
Hematopoietic Cell Transplant (HCT) carries a high risk of morbidity and mortality. Palliative care (PC) integration in HCT may improve patient/caregiver outcomes, however little is known about the impact of PC involvement on end-of-life care in pediatric HCT. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Deena Levine, Flora Achiko, Justin Baker Source Type: research

The Impact of Levels of Advance Care Planning Engagement on Bereaved Caregivers ’ Perceptions of Cancer Decedents’ End-of-life Experiences (GP759)
Advance care planning (ACP) is an ongoing process that helps to prepare patients and their caregivers for future “in the moment” decisions, like those at the end-of-life. Cancer patients are not fully engaged in the three components of the ACP process (living will, health care surrogate, end-of-life discussions); little is known about the impact of varying levels of ACP engagement on cancer decedents’ en d-of-life experiences. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kristin Levoy, Harleah Buck, Victoria Mitrani Source Type: research

Assessing Palliative Care Needs in Patients with Ehlers-Danlos Syndrome (GP760)
Ehlers-Danlos Syndrome (EDS) is a grouping of 13 disorders affecting connective tissues, particularly collagen, characterized by tissue fragility, joint hypermobility, and hyperextensibility. EDS symptoms can include pain, dislocations, subluxations, joint instability, impaired ability to eat, and vascular symptoms. Palliative care (PC) is appropriate for patients diagnosed with EDS due to the high symptom burden of the disease and the impact of EDS on quality of life for both patients and family caregivers. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Chrystal Lewis, Ellen Moore, Jessica Taylor Source Type: research

Impact of Advance Care Planning Coaching for Patients with Chronic Kidney Disease: Results from the MY WAY Randomized Clinical Trial (GP761)
Guidelines recommend advance care planning (ACP) as essential to quality chronic kidney disease (CKD) management, but the nephrology community has yet to incorporate ACP upstream of the dialysis decision. Others have attempted to improve ACP for dialysis patients, but many patients report wishing they had been engaged in ACP earlier. This project tested integration of ACP coaching in the upstream setting of nephrology offices. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Dale Lupu, Annette Aldous, Elizabeth Anderson, Jane Schell, Hunter Groninger Source Type: research

An Abstraction Tool to Assess Palliative Care Components (GP762)
Core components of palliative care have been promulgated by clinical practice guidelines. Studies of real-world delivery of clinical palliative care have been limited, and there has been no direct comparison of the content of palliative care delivered to patients in different settings. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Meredith MacMartin, Amber Barnato Source Type: research

Identifying Patients with Serious Illness within a Health System to Maximize the Value of Home Based Palliative Care (GP763)
Palliative care programs typically rely on referrals to identify patients. Such approaches risk inefficient use of resources through enrolling patients with minimal needs while failing to identify high need patients. Systematic case-finding using data in the electronic health record and/or administrative claims could improve on provider referral. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Harriet Mather, Nathan Goldstein, Mohammed Husain, Linda Decherrie, R Sean Morrison, Amy Kelley Source Type: research

Using Admission Karnofsky Performance Status to Allocate Palliative Care Resources (GP764)
Karnofsky Performance Status (KPS) is a scale used to measure patient activity level. Little is known about the association between admission KPS and discharge disposition. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Ankita Mehta, Emily Chai, Keisha Berglund, Elizabeth Rizzo, Jaison Moreno, Laura Gelfman Source Type: research

Managing Opioids, Including Misuse and Addiction, in Patients with Serious Illness in Ambulatory Palliative Care: a qualitative study (GP765)
Pain and opioid management are core ambulatory palliative care skills. Existing literature on how to manage opioid misuse/use disorder excludes patients found in palliative care settings, such as individuals with serious illness (e.g., cancer) or those near the end of life. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Jessica Merlin, Sarah Young, Robert Arnold, Hailey Bulls, Julie Childers, Lynn Gauthier, Karleen Giannitrapani, Dio Kavalieratos, Yael Schenker, J. Deanna Wilson, Jane Liebschutz Source Type: research

Developing a Normative Standard for Selecting Hospitalized Adults with Whom to Have an ACP Conversation: Results from a Delphi Panel (GP766)
Advance care planning (ACP) improves the quality of care that patients receive as they approach the end of life. Hospitalizations offer one opportunity to initiate ACP conversations. Guidelines suggest that hospitalists prioritize patients for ACP and goals of care conversations based on the presence of ‘serious illness.’ (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Deepika Mohan, Olivia Sacks, Amber Barnato, Mark Rudolph Source Type: research

Using Latent Profile Analysis to Classify Longitudinal Symptom Burden in Children with Advanced Cancer (GP767)
Children with advanced cancer experience physical and psychological symptom burden. Emphasis on cross-sectional evaluation of symptoms in children with advanced cancer has led to gaps in understanding the dynamic nature of symptoms over time and factors associated with different trajectories of symptom burden. The presence of distinct symptom trajectories in children with advanced cancer is largely unknown. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kathleen Montgomery, Roger Brown Source Type: research

Parenting in Serious Pediatric Illness: A Mixed Methods Study (GP768)
Nearly two-thirds of children requiring palliative care services have siblings, thus parents must consider their children ’s various needs. Exploring parenting in serious pediatric illness and palliative care provides insight into parents' challenges and sources of distress, as well as opportunities for support. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Kim Mooney-Doyle, Janet Deatrick, Connie Ulrich, Salimah Meghani, Chris Feudtner Source Type: research

A Dimensional Analysis of Inner Strength in People Aging with Serious Illness (GP769)
Palliative care shows promise in addressing the needs of older adults aging with serious life-limiting illness. Inner strength may be a mechanism for understanding the process of aging with serious illness and in turn facilitate improved models of care for this population. However, previous conceptual and theoretical models of inner strength are limited leaving the potential for clinical application untapped. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Brianna Morgan Source Type: research

Primary Palliative Care in the Trauma Intensive Care Unit: Are Surgeons Getting Better? (GP770)
Devastating or fatal injuries in critically ill trauma patients provide unique challenges to trauma providers and patient families. Studies describing impacts of early goals of care (GOC) discussions, specialty palliative care consults, and the provision of primary palliative care are limited. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Andrea Nagengast, Shannon Howard, David Zonies, Karen Brasel, Timothy Siegel Source Type: research