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BACKGROUND Spiritual practices are one way that individuals cope with cancer pain. PURPOSE Describe and contrast expressions and values about the use of spirituality for pain in African American (AA) and White (WH) oncology patients. METHODS Six groups (3 AA; 3 WH; n=42; mean age 58) were conducted. Focus group and qualitative methodology with a(More)
BACKGROUND Half of heart failure patients will die within five years of diagnosis, making them an ideal population for hospice to reach. Yet hospice originated in oncology, and problems have been noted with the enrollment of heart failure patients. Whether caregiver satisfaction, a key quality measure in hospice, differs between heart failure and cancer(More)
PURPOSE/OBJECTIVES To describe the meaning of cancer pain and attitudes in dealing with cancer pain among a group of African Americans with cancer. RESEARCH APPROACH Qualitative descriptive design. SETTING Three outpatient medical oncology clinics in the mid-Atlantic region. PARTICIPANTS Purposive sample of 35 self-identified African Americans older(More)
OBJECTIVE To systematically review how comorbidities are employed in the empirical literature for adults coping with multiple chronic conditions during common episodes of acute illness that resulted in transition across health care setting. METHODS Evolutionary concept analysis inductively identifies current consensus regarding the usage of a concept and(More)
The Opioid Renewal Clinic (ORC) is a pharmacist-run program that assists primary care providers in the management of chronic pain patients with aberrant behavior or high risk of prescription opioid abuse. In this study, charts of all discharged patients over a 22-month span (n = 86) were reviewed for outcomes for two years after discharge. The most frequent(More)
BACKGROUND As breast cancer patients increasingly use complementary and alternative medicine (CAM), clinical trials are needed to guide appropriate clinical use. We sought to identify socio-demographic, clinical and psychological factors related to willingness to participate (WTP) and to determine barriers to participation in an acupuncture clinical trial(More)
OBJECTIVE To understand if patient-provider race-concordance is associated with improved health outcomes for minorities. DESIGN A comprehensive review of published research literature (1980-2008) using MEDLINE, HealthSTAR, and CINAHL databases were conducted. Studies were included if they had at least one research question examining the effect of(More)
The current health care system in the United States is structured in a way that ensures that more opportunity and resources flow to the wealthy and socially advantaged. The values intrinsic to the current profit-oriented culture are directly antithetical to the idea of equitable access. A large body of literature points to disparities in pain treatment and(More)
BACKGROUND The recent Institute of Medicine Report assessing the state of pain care in the United States acknowledged the lack of consistent data to describe the nature and magnitude of unrelieved pain and identify subpopulations with disproportionate burdens. OBJECTIVES We synthesized 20 years of cumulative evidence on racial/ethnic disparities in(More)
Over the past decade, there has been a surge of literature related to disparities in pain treatment between minority and non-minority patients. Conspicuously lacking from this body of literature is an effort to investigate the patient-level factors that might account for undertreatment of pain among minorities. The present qualitative descriptive study was(More)