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Posts by Journal of Pain & Symptom Management

J Pain Symptom Manage. 2025 Aug;70(2):e129-e136. doi: 10.1016/j.jpainsymman.2025.04.007. Epub 2025 Apr 17.
Characterizing the Documentation of Time-Limited Trials in Goals of Care Notes
Gina M Piscitello, Robert M Arnold, Jane O Schell, Jacqueline M Kruser

J Pain Symptom Manage. 2025 Aug;70(2):e129-e136. doi: 10.1016/j.jpainsymman.2025.04.007. Epub 2025 Apr 17. Characterizing the Documentation of Time-Limited Trials in Goals of Care Notes Gina M Piscitello, Robert M Arnold, Jane O Schell, Jacqueline M Kruser

Dr. Gina Piscitello writes on the lack of documentation of time-limited trials in goals of care notes. Read more from the study team in @jpsmjournal.bsky.social: pubmed.ncbi.nlm.nih.gov/40252856/

5 months ago 1 1 0 0
J Pain Symptom Manage. 2025 Nov;70(5):503-513.e1. doi: 10.1016/j.jpainsymman.2025.07.033. Epub 2025 Aug 11. Assessing Perceptions of Positive and Negative Content within Goals of Care Notes, Gina M Piscitello, Emiliano Garcia-Fuentes, Robert M Arnold, Jane Schell, Katrina E Hauschildt.

J Pain Symptom Manage. 2025 Nov;70(5):503-513.e1. doi: 10.1016/j.jpainsymman.2025.07.033. Epub 2025 Aug 11. Assessing Perceptions of Positive and Negative Content within Goals of Care Notes, Gina M Piscitello, Emiliano Garcia-Fuentes, Robert M Arnold, Jane Schell, Katrina E Hauschildt.

What sorts of comments in EHR notes do patients and healthcare providers consider to be "negative"? Dr. Gina Piscitello found disagreement in a recent study, available from @JPSMjournal.bsky.social: pubmed.ncbi.nlm.nih.gov/40803567/

4 months ago 1 1 0 0
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Pharmacist-led Opioid Deprescribing Pilot Clinic within Outpatient Palliative Care - PubMed Opioid deprescribing clinic was time-intensive and patients required close monitoring for implementation of patient-specific opioid deprescribing plans.

Dr. Yael Schenker was senior author on this article about a pharmacist-led deprescribing clinic for cancer patients in remission, which was piloted at UPMC. Read the results in @jpsmjournal.bsky.social:

7 months ago 2 2 0 0
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I first wrote this as a series of voice notes in between home hospice visits during my HPM fellowship last year. I didn’t expect these visits to impact me quite the way they did.

@jpsmjournal.bsky.social #MedEd #HPM #hapc

6 months ago 4 4 1 0
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Direct from the Editors session on "What to include in an article introduction"! #hapc25 @jpsmjournal.bsky.social @j-palliativemed.bsky.social @aahpm.bsky.social

1 year ago 5 2 0 0

Hello #hapc25!

Hope everyone is having a great time connecting and sharing excellent research at the Annual Assembly of #Hospice and #PalliativeCare!

Thank you for all of your submissions. We look forward to see what ideas are sparked in Denver!

@aahpm.bsky.social
@hpna-info.bsky.social

1 year ago 8 2 0 0
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Our new paper is out in @jpsmjournal.bsky.social on using human-centered design to improve serious illness care. So fun to work with @ivorwilliams.info and others on this! www.jpsmjournal.com/article/S088...

1 year ago 2 1 0 1
Screenshot of the front of the article in the Journal of Pain and Symptom Management

Title - Palliative Care Consults for Clinician Distress: Part of the Job?

Yael Schenker, MD, MAS, FAAHPM,  William E. Rosa, PhD, MBE, APRN,  Robert M. Arnold, MD, FAAHPM

Abstract
Clinician distress is common in serious illness care. Palliative specialists are often consulted for cases involving significant distress among primary teams. Consults involving clinician distress can be challenging to navigate when it feels like 1) palliative specialists do not have the right skills to be helpful or 2) palliative specialists are being asked to ‘fix’ difficult situations that would require changing other people's attitudes, beliefs, or behaviors, or healthcare systems writ large. This article uses three composite cases to illustrate types of clinician distress and examine the benefits and risks of palliative specialist involvement. We conclude with a discussion of potential impacts of palliative care consults for clinician distress on the field of palliative care and consider next steps in critically important efforts to support and sustain the entire workforce—both palliative specialists and nonspecialists alike—when caring for patients with serious illness and their family caregivers.

Screenshot of the front of the article in the Journal of Pain and Symptom Management Title - Palliative Care Consults for Clinician Distress: Part of the Job? Yael Schenker, MD, MAS, FAAHPM, William E. Rosa, PhD, MBE, APRN, Robert M. Arnold, MD, FAAHPM Abstract Clinician distress is common in serious illness care. Palliative specialists are often consulted for cases involving significant distress among primary teams. Consults involving clinician distress can be challenging to navigate when it feels like 1) palliative specialists do not have the right skills to be helpful or 2) palliative specialists are being asked to ‘fix’ difficult situations that would require changing other people's attitudes, beliefs, or behaviors, or healthcare systems writ large. This article uses three composite cases to illustrate types of clinician distress and examine the benefits and risks of palliative specialist involvement. We conclude with a discussion of potential impacts of palliative care consults for clinician distress on the field of palliative care and consider next steps in critically important efforts to support and sustain the entire workforce—both palliative specialists and nonspecialists alike—when caring for patients with serious illness and their family caregivers.

Palliative Care Consults for Clinician Distress: Part of the Job?

This article by Schenker, @billyrosaphd.bsky.social and Arnold examines the role of #PalliativeCare specialists in addressing clinician distress.

#hapc #hapcResearch #medsky

1 year ago 17 7 1 0
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