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Opportunities for palliative care in patients with burn injury—A systematic review

Journal of Pain and Symptom Management Jan 12, 2020

Cook AC, et al. - Via performing a systematic review, researchers assessed the existing evidence concerning the palliative care needs of burn patients. They systematically searched PubMed, CINAHL, Embase, Web of Science, and Scopus through November 26, 2018, yielding 7,532 unique records, which led to 238 articles for full review and 88 studies that met inclusion criteria. Most studies addressed the interventions for physical symptoms with minimal literature concerning other domains (processes of care, psychologic symptoms, social aspects, and end of life). Three domains—spiritual, cultural, or ethics—remained unaddressed in the literature. Findings from included studies emphasize peridischarge self-care education programs, peer support, and group therapy as potentially beneficial in improving quality of life. End-of-life decision-making protocols were correlated with enhanced utilization of comfort-focused therapies in cases with severe injuries. Included studies highlight from peridischarge self-care education programs, peer support, and group therapy in improving quality of life. In patients with severe injuries, end-of-life decision-making protocols were associated with increased utilization of comfort-focused treatments.
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