Showing papers in "Journal of Pain and Symptom Management in 2010"

TL;DR: It is shown that THC:CBD extract is efficacious for relief of pain in patients with advanced cancer pain not fully relieved by strong opioids.

TL;DR: An acute shortage of HPM physicians exists and changes in graduate medical education funding and structures are needed to foster the capacity to train sufficient numbers of H PM physicians.

TL;DR: This paper was written by Timothy W. Kirk, PhD and Margaret M. Mahon, PhD, RN, FAAN on behalf of the Palliative Sedation Task Force of the National Hospice and Palliatives Care Organization (NHPCO) Ethics Committee and approved by the NHPCO Ethics Committee in October 2009.

TL;DR: Results confirm that five daily sessions of tDCS over the hand area of the M1 can produce long-lasting pain relief in patients with chronic pain.

TL;DR: Findings suggest that the FICA tool is a feasible tool for clinical assessment of spirituality, and addressing spiritual needs and concerns in clinical settings is critical in enhancing QOL.

TL;DR: This study supports the hypothesis that a handheld fan directed to the face reduces the sensation of breathlessness and should be recommended as part of a palliative management strategy for reducing breathlessness associated with advanced disease.

TL;DR: Symptom burden in end-stage renal disease was substantial and had a tremendous negative impact on all aspects of hemodialysis patients' HRQL, and these patients would likely benefit from the institution of programs to reduce symptom burden.

TL;DR: Depression and pain are prevalent and disabling across a wide range of types and phases of cancer, commonly co-occur, and have additive adverse effects and Enhanced detection and management of this disabling symptom dyad is warranted.

TL;DR: Efficacy studies are needed to test the impact of relaxation, imagery/hypnosis, CBT/CST, meditation, and music interventions in persons with cancer experiencing concurrent pain, fatigue, and sleep disturbance that could help patients manage all the symptoms in the cluster with a single treatment strategy.

TL;DR: Prevalence of breathlessness increases rapidly at life's end, especially for people with primary lung cancer; the levels of breathlessness became close to those experienced by people with noncancer diagnoses despite symptom control measures.

TL;DR: It is concluded that pain is common and severe in EDS and related to hypermobility, dislocations, and previous surgery and associated with moderate to severe impairment in daily functioning and treatment of pain should be a prominent aspect of symptomatic management.

TL;DR: The primary aim of this study was to examine the relationship between the numerical and verbal scores using the ESAS and to identify a single cutpoint to separate severe from nonsevere symptomatology.

TL;DR: The Short-Term Life Review is effective in improving the spiritual well-being of terminally ill cancer patients, and alleviating psychosocial distress and promoting a good death.

TL;DR: It is concluded that research based on the current version of the QODD might benefit from the use of composite measures representing the four identified domains, but that future expansion and modification of the questionnaire are in order.

TL;DR: Physician support, hospice enrollment, and family support improved congruence in multiple studies, and potential sources of bias, the method of eliciting patient preference, and the absence of a single ideal place of death were considered.

TL;DR: Examination of how hope, as conceptualized by Snyder et al., is associated with multiple indices of adjustment to lung cancer found that hope was inversely associated with major symptoms of cancer and psychological distress.

TL;DR: Potentially treatable symptoms in hemodialysis are undertreated, and Pharmacologic therapy, particularly for emotional symptoms, was more commonly prescribed by primary care providers than nephrologists.

TL;DR: Knowledge of prevalence, severity, and correlates of sleep-wake disturbances in long-term breast cancer survivors (BCS) compared with age-matched women without breast cancer (WWC) provides useful information to health care providers during clinical evaluations for treatment of Sleep Quality Index scores.

TL;DR: There exist in the literature good measures of CRF for clinical trials, with strong evidence of clarity and comprehensibility to patients, content and construct validity, reliability, and sensitivity to change in conditions in which one would expect them to change (assay sensitivity), and sufficient evidence to establish guides for interpreting changes in scores.

TL;DR: Which symptoms that, according to parents, cause most problems for children receiving cancer treatment and whether there is a relationship between parents' ratings of their children's symptoms and their own post-traumatic stress at one week, two months, and four months after a child's cancer diagnosis are described.

TL;DR: Attention is proposed to symptom clusters that are stable across time and include core or defining symptoms within the cluster, and the usefulness and applicability of conceptual and methodological criteria used in this study for future symptom cluster research are discussed.

TL;DR: Stage 5 CKD patients have clinically important physical and psychological symptom burdens in the last month of life, similar or greater than those in advanced cancer patients.

TL;DR: A mortality risk score derived from MDS data predicted six-month survival in advanced dementia with moderate accuracy, and the predictive ability of hospice guidelines, simulated with M DS data, was poor.

TL;DR: The case of an elderly Chinese Singaporean with metastatic cancer, whose family and physicians had conflicting goals of care, is presented, to show how culture affects medical decision making.

TL;DR: A model in which palliative care services are integrated into the private, office-based oncology practice setting is developed and may improve the quality of care.

TL;DR: The authors present a mathematical and ethical justification for a palliative care surge plan and outline some of the key elements that should be included in such a plan.

TL;DR: By understanding the context and social meaning surrounding the use of morphine to treat cancer pain, health care professionals can begin to anticipate, acknowledge, and address some of the barriers to its use, thereby enhancing pain control.

TL;DR: Opioid use is heavily concentrated among a small percent of patients, and the characteristics of these high utilizers need to be further established and the benefits and risks of their treatment evaluated.

TL;DR: Patient-specific cutaneous electrostimulation with the MC5-A Calmare® device appears to dramatically reduce pain in refractory CIPN patients with no toxicity.

TL;DR: Results highlight the contribution of presurgery psychological factors to postsur surgery side effects, the importance of including both emotional and cognitive factors within studies as predictors of postsurgerySide effects, and suggest presurgical clinical targets for improving patients' postoperative experiences of side effects.