{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:48:37Z","timestamp":1765039717994,"version":"3.46.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["EXPLORE"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.explore.2025.103244","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T23:24:47Z","timestamp":1756509887000},"page":"103244","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Whole person symptom management: Adapting a palliative care approach across patient populations"],"prefix":"10.1016","volume":"21","author":[{"given":"Mary","family":"Koithan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Taylor-Swanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.explore.2025.103244_bib0002","unstructured":"Meier, D.E., E. McCormick, and R.L. Lagman. Hospice: philosophy of care and Appropriate utilization in the United States. Available from: https:\/\/www.uptodate.com\/contents\/hospice-philosophy-of-care-and-appropriate-utilization-in-the-united-states. 2019."},{"year":"2025","series-title":"Integrative Nursing","author":"Kreitzer","key":"10.1016\/j.explore.2025.103244_bib0004"},{"year":"2021","series-title":"Nursing: Scope and Standards of Practice","key":"10.1016\/j.explore.2025.103244_bib0006"},{"key":"10.1016\/j.explore.2025.103244_bib0007","series-title":"Integrative Nursing","article-title":"The integrated nurse: the way of the healer","author":"Quinn","year":"2019"},{"author":"Fund","key":"10.1016\/j.explore.2025.103244_bib0008"},{"key":"10.1016\/j.explore.2025.103244_bib0009","article-title":"An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause","volume":"18","author":"Harper","year":"2022","journal-title":"Womens Health (Lond)"},{"issue":"1","key":"10.1016\/j.explore.2025.103244_bib0010","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/GME.0000000000002095","article-title":"Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records","volume":"30","author":"DePree","year":"2023","journal-title":"Menopause"},{"issue":"4","key":"10.1016\/j.explore.2025.103244_bib0011","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1089\/jwh.2022.0230","article-title":"Seeking health care for perimenopausal symptoms: observations from the women living better survey","volume":"32","author":"Richardson","year":"2023","journal-title":"J Womens Health (Larchmt)"},{"issue":"1","key":"10.1016\/j.explore.2025.103244_bib0013","first-page":"136","article-title":"Keller-Ross ML. Perceptions, benefits, and use of complementary and integrative therapies to treat menopausal symptoms: a pilot study","volume":"4","author":"Vanden Noven","year":"2023","journal-title":"Womens Health Rep (New Rochelle)"},{"key":"10.1016\/j.explore.2025.103244_bib0014","doi-asserted-by":"crossref","DOI":"10.1177\/2515690X19829380","article-title":"Complementary and alternative medicine for menopause","volume":"24","author":"Johnson","year":"2019","journal-title":"J Evid Based Integr Med"},{"key":"10.1016\/j.explore.2025.103244_bib0015","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/1472-6882-11-138","article-title":"Association of health literacy with complementary and alternative medicine use: a cross-sectional study in adult primary care patients","volume":"11","author":"Bains","year":"2011","journal-title":"BMC Complement Altern Med"},{"issue":"4286","key":"10.1016\/j.explore.2025.103244_bib0016","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","article-title":"The need for a new medical model: a challenge for biomedicine","volume":"196","author":"Engel","year":"1977","journal-title":"Science"},{"issue":"2","key":"10.1016\/j.explore.2025.103244_bib0017","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","article-title":"Self-efficacy: toward a unifying theory of behavioral change","volume":"84","author":"Bandura","year":"1977","journal-title":"Psychol Rev"},{"issue":"2","key":"10.1016\/j.explore.2025.103244_bib0018","doi-asserted-by":"crossref","DOI":"10.3390\/cancers16020342","article-title":"Integration of psychosocial theory into palliative care: implications for care planning and early palliative care","volume":"16","author":"Merluzzi","year":"2024","journal-title":"Cancers (Basel)"},{"issue":"2","key":"10.1016\/j.explore.2025.103244_bib0019","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/0378-5122(95)00985-X","article-title":"The normal menopause transition: an overview","volume":"23","author":"McKinlay","year":"1996","journal-title":"Maturitas"},{"issue":"2","key":"10.1016\/j.explore.2025.103244_bib0020","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1113\/JP285126","article-title":"Autonomic nervous system dysfunction throughout menopausal transition: a potential mechanism underpinning cardiovascular and cognitive alterations during female ageing","volume":"602","author":"Schwarz","year":"2024","journal-title":"J Physiol"},{"issue":"10","key":"10.1016\/j.explore.2025.103244_bib0021","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1097\/gme.0b013e31821f5d39","article-title":"Are vasomotor symptoms associated with alterations in hemostatic and inflammatory markers? Findings from the Study of Women's Health Across the Nation","volume":"18","author":"Thurston","year":"2011","journal-title":"Menopause"},{"key":"10.1016\/j.explore.2025.103244_bib0022","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctim.2022.102905","article-title":"Acupuncture increases parasympathetic tone, modulating HRV - systematic review and meta-analysis","volume":"72","author":"Hamvas","year":"2023","journal-title":"Complement Ther Med"},{"key":"10.1016\/j.explore.2025.103244_bib0023","doi-asserted-by":"crossref","DOI":"10.1093\/jamia\/ocaa178","article-title":"There's a problem, now what's the solution?\": suggestions for technologies to support the menopausal transition from individuals experiencing menopause and healthcare practitioners","author":"Backonja","year":"2021","journal-title":"J Am Med Inform Assoc"},{"issue":"4","key":"10.1016\/j.explore.2025.103244_bib0024","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1089\/jwh.2018.7352","article-title":"Female sexual health: barriers to optimal outcomes and a roadmap for improved patient-clinician communications","volume":"28","author":"Kingsberg","year":"2019","journal-title":"J Womens Health (Larchmt)"},{"issue":"3","key":"10.1016\/j.explore.2025.103244_bib0025","doi-asserted-by":"crossref","first-page":"E24","DOI":"10.1097\/ANS.0b013e3181eb41e8","article-title":"Silence, stigma, and shame: a postmodern analysis of distress during menopause","volume":"33","author":"Nosek","year":"2010","journal-title":"ANS Adv Nurs Sci"},{"issue":"1","key":"10.1016\/j.explore.2025.103244_bib0026","article-title":"The effect of spiritual intervention on ppostmenopausal depression in women referred to urban healthcare centers in Isfahan: a double-blind clinical trial","volume":"5","author":"Shafiee","year":"2016","journal-title":"Nurs Midwifery Stud"},{"key":"10.1016\/j.explore.2025.103244_bib0027","article-title":"Developing a mmnopausal transition health promotion intervention with indigenous, integrative, and biomedical health education: a community-based approach with urban American Indian\/Alaska Native women","volume":"13","author":"Taylor-Swanson","year":"2024","journal-title":"Glob Adv Integr Med Health"},{"issue":"4","key":"10.1016\/j.explore.2025.103244_bib0028","doi-asserted-by":"crossref","first-page":"376","DOI":"10.3109\/13697130903528272","article-title":"Menopausal symptoms within a Hispanic cohort: SWAN, the Study of Women's Health across the Nation","volume":"13","author":"Green","year":"2010","journal-title":"Climacteric"},{"key":"10.1016\/j.explore.2025.103244_bib0029","article-title":"Indigenous, integrative, and biomedical perimenopause and postmenopause healthcare for Indigenous midlife peoples residing in the United States and Canada: a scoping review","author":"Kent-Marvick","year":"2025","journal-title":"medRxiv"}],"container-title":["EXPLORE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550830725001351?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1550830725001351?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:40:19Z","timestamp":1765039219000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1550830725001351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1550830725001351"],"URL":"https:\/\/doi.org\/10.1016\/j.explore.2025.103244","relation":{},"ISSN":["1550-8307"],"issn-type":[{"type":"print","value":"1550-8307"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Whole person symptom management: Adapting a palliative care approach across patient populations","name":"articletitle","label":"Article Title"},{"value":"EXPLORE","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.explore.2025.103244","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"103244"}}