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Journal of Pain and Symptom Management

The Journal of Pain and Symptom Management is the official professional journal of NHPCO. JPSM, published by Elsevier, is a highly respected journal in the field of hospice and palliative care with a readership that increasingly extends to the broader medical community. NHPCO members may subscribe to JPSM at greatly reduced rates.

Current Issue Highlights – April 2016
Volume 51, Issue 4, p647-806, e1-e6

List of Original Articles in the current issue (view the complete table of contents on the JPSM website):

Population-Based Quality Indicators for Palliative Care Programs for Cancer Patients in Japan: A Delphi Study
Yoko Nakazawa, Masahi Kato, Saran Yoshida, Mitsunori Miyashita, Tatsuya Morita, Yoshiyuki Kizawa, p652–661
Cancer control programs in Japan strongly endorse the dissemination of palliative care, and various policy measures have been implemented; however, indicators for evaluating palliative care programs have not been defined.

Cancer Care Professionals' Attitudes Toward Systematic Standardized Symptom Assessment and the Edmonton Symptom Assessment System After Large-Scale Population-Based Implementation in Ontario, Canada
José L. Pereira, Martin R. Chasen, Sean Molloy, Heidi Amernic, Michael D. Brundage, Esther Green, Serena Kurkjian, Monika K. Krzyzanowska, Wenonah Mahase, Omid Shabestari, Reena Tabing, Christopher A. Klinger, p662–672.e8
ncer patients experience a high symptom burden throughout their illness. Despite this, patients' symptoms and needs are often not adequately screened for, assessed, and managed.

How Community Clergy Provide Spiritual Care: Toward a Conceptual Framework for Clergy End-of-Life Education
Virginia T. LeBaron, Patrick T. Smith, Rebecca Quiñones, Callie Nibecker, Justin J. Sanders, Richard Timms, Alexandra E. Shields, Tracy A. Balboni, Michael J. Balboni, p673–681
-based clergy are highly engaged in helping terminally ill patients address spiritual concerns at the end of life (EOL). Despite playing a central role in EOL care, clergy report feeling ill-equipped to spiritually support patients in this context. Significant gaps exist in understanding how clergy beliefs and practices influence EOL care.

The Trajectory of Dyspnea in Hospitalized Patients
Ernest DiNino, Mihaela S. Stefan, Aruna Priya, Benjamin Martin, Penelope S. Pekow, Peter K. Lindenauer, p682–689.e1
The trajectory of dyspnea for patients hospitalized with acute cardiopulmonary disease, who are not terminally ill, is poorly characterized.

Prevalence and Predictors of Burnout Among Hospice and Palliative Care Clinicians in the U.S.
Arif H. Kamal, Janet H. Bull, Steven P. Wolf, Keith M. Swetz, Tait D. Shanafelt, Katherine Ast, Dio Kavalieratos, Christian T. Sinclair, Amy P. Abernethy, p690–696
Many clinical disciplines report high rates of burnout, which lead to low quality of care. Palliative care clinicians routinely manage patients with significant suffering, aiming to improve quality of life. As a major role of palliative care clinicians involves educating patients and caregivers regarding identifying priorities and balancing stress, we wondered how clinician self-management of burnout matches against the emotionally exhaustive nature of the work.

Are Hospice Admission Practices Associated With Hospice Enrollment for Older African Americans and Whites?
Kimberly S. Johnson, Richard Payne, Maragatha N. Kuchibhatla, James A. Tulsky, p697–705
Hospices that enroll patients receiving expensive palliative therapies may serve more African Americans because of their greater preferences for aggressive end-of-life care.

Clinicians' Perspectives on Managing Symptom Clusters in Advanced Cancer: A Semistructured Interview Study
Skye T. Dong, Phyllis N. Butow, Meera Agar, Melanie R. Lovell, Frances Boyle, Martin Stockler, Benjamin C. Forster, Allison Tong, p706–717.e5
g symptom clusters or multiple concurrent symptoms in patients with advanced cancer remains a clinical challenge. The optimal processes constituting effective management of symptom clusters remain uncertain.

Factors Influencing Australian General Practitioners' Clinical Decisions Regarding Advance Care Planning: A Factorial Survey
Craig Sinclair, Kiri Gates, Sharon Evans, Kirsten Anne Auret, p718–727.e2
care physicians are well placed to identify patients in need of advance care planning (ACP) and initiate ACP in advance of an acute situation.

Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis
Wei-Wei Tao, Hua Jiang, Xiao-Mei Tao, Ping Jiang, Li-Yan Sha, Xian-Ce Sun, p728–747
cancer patients suffer from both the disease itself and symptoms induced by conventional treatment. Available literature on the clinical effects on cancer patients of acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy (TCM-FEMT) reports controversial results.

How Accurately Do Consecutive Cohort Audits Predict Phase III Multisite Clinical Trial Recruitment in Palliative Care?
Nikki McCaffrey, Belinda Fazekas, Natalie Cutri, David C. Currow, p748–755

Special Article
Unmet Supportive Care Needs in U.S. Dialysis Centers and Lack of Knowledge of Available Resources to Address Them
Stacey Culp, Dale Lupu, Cheryl Arenella, Nancy Armistead, Alvin H. Moss, p756–761.e2


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