The barriers to effective symptom management in hospice are not well described. We surveyed nurses of hospices affiliated with the Population-based Palliative Care Research Network (PoPCRN) to identify barriers to the effective management of common symptoms in terminally ill patients. 867/1710 (51%) nurses from 67 hospices in 25 U.S. States returned surveys. Of 32 symptoms, nurses reported agit...

Accessing and using the best evidence for cancer symptom interventions are prerequisites for nursing excellence. To incorporate evidence into direct care practice, staff at the Dana-Farber Cancer Institute implemented the Symptom Management Excellence initiative to compare patients' and nurses' reports of their most frequent and highest priority cancer symptoms. Interdisciplinary teams then con...

background and purpose: fever is one of the most frequent disease symptoms and a common cause of emergency admissions in infants and children. considering the alarming nature of fever and pivotal role of mothers in the management of this symptom in children, this study aimed to evaluate the ability of fever management among mothers in sabzevar city, iran. materials and methods: this cross-secti...

PURPOSE/OBJECTIVES To identify symptoms of greatest parental concern on the last day and during the last week of their children's lives, the five most common symptoms of parental concern, and symptom-management strategies used during the last week of the children's lives. RESEARCH APPROACH Descriptive, exploratory, and retrospective. SETTING A pediatric hospice program in St. Louis, MO. P...

Although concurrent symptoms are frequently reported in clinical practice, symptom management research has not reflected this reality. Concurrent, related symptoms, i.e., symptom clusters, are possibly the next generation of work to be done in the area of symptom management. It has been suggested that certain clusters of symptoms may have a synergistic effect on future patient outcomes, and may...

2.13.2. In patients with lung cancer who experience chronic pain, the use of the World Health Background: Many patients with lung cancer will develop symptoms related to their disease process or the treatment they are receiving. These symptoms can be as debilitating as the disease progression itself. To many physicians these problems can be the most diffi cult to manage. Methods: A detailed rev...

BACKGROUND: Pain, dyspnea, and anorexia are common symptoms experienced by patients with cancer and often are poorly managed. METHODS: The incidence and causes of these symptoms are described, as well as factors that exacerbate or ameliorate their impact. RESULTS: Pharmacologic management of cancer pain is based on the use of a sequential "ladder" that incorporates nonopioid, opioid, and adjuva...

BACKGROUND The time between symptom onset and physician diagnosis is a period when people with osteoarthritis can make lifestyle changes to reduce pain, improve function and delay disability. DATA AND METHODS This study analyses data for a nationally representative sample of 4,565 Canadians aged 20 or older who responded to the Arthritis component of the 2009 Survey on Living with Chronic Dis...