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Advancing the science of symptom management

Authors

  • Marylin Dodd RN PhD FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Susan Janson RN NP DNSc FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Noreen Facione RN PhD FNP,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Julia Faucett RN PhD,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Erika S. Froelicher RN PhD FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Janice Humphreys RN CS PhD PNP,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Kathryn Lee RN PhD FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Christine Miaskowski RN PhD FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Kathleen Puntillo RN DNSc FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Sally Rankin RN-C PhD FAAN,

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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  • Diana Taylor RN NP PhD

    1. Professor and Associate Dean, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Adjunct Professor, San Francisco School of Nursing, University of California, CA, USA. Associate Professor, San Francisco School of Nursing, University of California, CA, USA. Assistant Professor, San Francisco School of Nursing, University of California, CA, USA. Professor, San Francisco School of Nursing, University of California, California, CA, USA.
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Marylin Dodd, School of Nursing, Box 0610, University of California, San Francisco, CA 94143-0610, USA. E-mail: marylin.dodd@nursing.ucsf.edu

Abstract

Advancing the science of symptom management

Abstract. Since the publication of the original Symptom Management Model (Larson et al. 1994), faculty and students at the University of California, San Francisco (UCSF) School of Nursing Centre for System Management have tested this model in research studies and expanded the model through collegial discussions and seminars.

Aim. In this paper, we describe the evidence-based revised conceptual model, the three dimensions of the model, and the areas where further research is needed.

Background/Rationale. The experience of symptoms, minor to severe, prompts millions of patients to visit their healthcare providers each year. Symptoms not only create distress, but also disrupt social functioning. The management of symptoms and their resulting outcomes often become the responsibility of the patient and his or her family members. Healthcare providers have difficulty developing symptom management strategies that can be applied across acute and home-care settings because few models of symptom management have been tested empirically.

To date, the majority of research on symptoms was directed toward studying a single symptom, such as pain or fatigue, or toward evaluating associated symptoms, such as depression and sleep disturbance. While this approach has advanced our understanding of some symptoms, we offer a generic symptom management model to provide direction for selecting clinical interventions, informing research, and bridging an array of symptoms associated with a variety of diseases and conditions. Finally, a broadly-based symptom management model allows the integration of science from other fields.

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