Executive Summary Introduction Methods Goals, Timing, and Settings for Palliative Care Decision-making Process Advance Directives Care Planning and Delivery Hospice Care Alternative End-of-Life Decisions Symptom Management Dyspnea Management Pain Management Management of Psychological and Spiritual Distress and Suffering Withdrawal of Mechanical Ventilation Process of Decision Making Process of...

MARILEE DONOVAN, RN, PhD, (top), joined KP in 1994, after a career including practice as an oncology nurse specialist, faculty in three colleges of nursing, and a hospital administrator. Through all of these roles, she has maintained a clinical practice and research interest in improving pain management. E-mail: [email protected]. PAUL O JACOBS, MD, (left), has been with Northwest Perman...

BACKGROUND Chronic back pain is relatively resistant to unimodal therapy regimes. The aim of this study was to introduce and evaluate the short-term outcome of a three-week intensive multidisciplinary outpatient program for patients with back pain and sciatica, measured according to decrease of functional impairment and pain. METHODS The program was designed for patients suffering from chroni...

BACKGROUND The majority of cancer treatment is provided in outpatient settings. Family caregivers' (FCs') knowledge and beliefs about pain and its management are critical components of effective care. OBJECTIVE This study's aim was to evaluate the efficacy of a psychoeducational intervention, compared with control, to increase FCs' knowledge of cancer pain management. INTERVENTION/METHODS F...

The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain - a diffuse diagnosis without serious implications. The purpose of thi...

Chronic pain and overweight/obesity are prevalent public health concerns and occur at particularly high rates among Veterans. This study examined the prevalence and correlates of two common painful conditions (back pain and arthritis/joint pain) among overweight/obese Veterans in Veterans Health Administration (VHA) care. Participants (N = 45,477) completed the MOVE!23, a survey intended to tai...

UNLABELLED There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients' disease management, medication compliance and from there patients' quality of life. OBJECTIVE To develop and implement a community pharmacy-based e...

The Center for pain Studies of the Rehabilitation Institute of Chicago(fomerly known as the Low Back and Pain Clinic)has developed a multidisciplinary program for the management of chronic pain. Typically patients present a variety of chronic pain syndromes, most frequently low back pain, which have not responded to previous treatment including surgery, physical therapy, medication, vogue thera...

CLINICAL SCENARIO Shoulder pain is a common musculoskeletal condition that affects up to 25% of the general population. Shoulder pain can be caused by any number of underlying conditions including Subacromial impingement syndrome, rotator-cuff tendinitis, and biceps tendinitis. Regardless of the specific pathology, pain is generally the number 1 symptom associated with shoulder injuries and can...