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Palliative & Supportive Care

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https://www.readbyqxmd.com/read/28641599/association-between-level-of-exposure-to-death-and-dying-and-professional-quality-of-life-among-palliative-care-workers
#1
Tali Samson, Pesach Shvartzman
BACKGROUND: Exposure to the death and dying of others is an anxiety-provoking condition that can contribute to psychological stress. However, the results of empirical studies that evaluated work-related outcomes among physicians and nurses with repeated exposure to dying patients are not consistent. OBJECTIVE: Our aim was to evaluate whether a high level of exposure to death and dying (LED) can increase the risk for poor professional quality of life (ProQoL) in most healthcare workers, but it can also improve ProQoL in a subset of healthcare workers with specific characteristics...
June 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28641587/existential-isolation
#2
William Breitbart
No abstract text is available yet for this article.
June 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28641585/cancer-bereaved-siblings-positive-and-negative-memories-and-experiences-of-illness-and-death-a-nationwide-follow-up
#3
Mary-Elizabeth Bradley Eilertsen, Malin Lövgren, Alexandra Eilegård Wallin, Ulrika Kreicbergs
OBJECTIVE: Our aim was to explore bereaved siblings' positive and negative memories and experiences of their brother's or sister's illness and death. METHOD: In our nationwide Swedish study, 174 of 240 (73%) bereaved siblings participated, and 70% responded to two open-ended statements, which focused on siblings' positive and negative memories and experiences of illness and death. The data were analyzed using systematic text condensation. RESULTS: The bereaved siblings' responses were categorized into four different themes: (1) endurance versus vulnerability, (2) family cohesion versus family conflicts, (3) growth versus stagnation, and (4) professional support versus lack of professional support...
June 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28635585/the-meaning-and-experience-of-bereavement-support-a-qualitative-interview-study-of-bereaved-family-caregivers
#4
Emma Kirby, Katherine Kenny, Alex Broom, John MacArtney, Phillip Good
OBJECTIVE: Experiences of bereavement can be stressful and are frequently complicated by emotional, familial, and financial issues. Some-though not all-caregivers may benefit from bereavement support. While considered standard within palliative care services in Australia, bereavement support is not widely utilized by family caregivers. There is little research focused on the forms of bereavement support desired or required by family caregivers, how such care is viewed, and/or how bereavement support is experienced...
June 21, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28635584/the-patient-dignity-inventory-just-another-evaluation-tool-experiences-with-advanced-cancer-patients
#5
María Rullán, María Arantzamendi, Ana Carvajal, Marina Martínez, Amaia Saenz de Ormijana, Carlos Centeno
OBJECTIVE: The Patient Dignity Inventory (PDI) evaluates sources of distress related to the feeling of loss of dignity and was designed for patients at the end of life. The aim of the present work was to generate a better understanding of the experiences of healthcare staff when using the PDI. METHOD: An exploratory qualitative study is presented about the experience of 4 professionals who applied the PDI to 124 advanced-cancer patients. Our study consisted of an analysis of their experiences, taken from information generated in a focus group...
June 21, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28635580/hide-and-sick-self-concealment-shame-and-distress-in-the-setting-of-psycho-oncology
#6
Reut Wertheim, Ilanit Hasson-Ohayon, Michal Mashiach-Eizenberg, Noam Pizem, Einat Shacham-Shmueli, Gil Goldzweig
OBJECTIVE: Both trait and contextual self-concealment, as well as shame- and guilt-proneness, have previously been found to be associated with psychological distress. However, findings regarding the associations between these variables among patients with cancer and among the spouses of patients with cancer are limited. The aim of the current study was therefore to investigate the relationship between shame-proneness and psychological distress (anxiety and depression) by examining the mediating role of both trait and contextual self-concealment among patients with cancer and among the spouses of patients with cancer...
June 21, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28629488/supporting-in-an-existential-crisis-a-mixed-methods-evaluation-of-a-training-model-in-palliative-care
#7
Lisa Sand, Mariann Olsson, Peter Strang
BACKGROUND: Palliative care staff often report that they lack the skills and confidence to provide support during an existential crisis. Consequently, there is a definite need for a training program in this area. OBJECTIVE: Our aim was to investigate whether a training model could give palliative care staff increased knowledge, awareness, and preparedness-all useful tools for providing support. METHODS: A mixed-methods research design was used...
June 20, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28612698/accuracy-of-oncologist-assessments-of-psychiatric-problems-in-cancer-inpatients-erratum
#8
Daisuke Yasugi, Hidetaka Tamune, Jitsuki Sawamura, Katsuji Nishimura
No abstract text is available yet for this article.
June 14, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28606211/specialized-palliative-care-in-advanced-cancer-what-is-the-efficacy-a-systematic-review
#9
Kristina Holmenlund, Per Sjøgren, Mie Nordly
OBJECTIVE: Due to the multiple physical, psychological, existential, and social symptoms involved, patients with advanced cancer often have a reduced quality of life (QoL), which requires specialized palliative care (SPC) interventions. The primary objective of the present systematic review was to review the existing literature about SPC and its effect on QoL, on physical and psychological symptoms, and on survival in adult patients with advanced cancer. METHOD: We utilized a search strategy based on the PICO (problem/population, intervention, comparison, and outcome) framework and employed terminology related to cancer, QoL, symptoms, mood, and palliative care...
June 13, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28566103/developing-a-toolkit-to-measure-implementation-of-concurrent-palliative-care-in-rural-community-cancer-centers
#10
Lisa Zubkoff, J Nicholas Dionne-Odom, Maria Pisu, Dilip Babu, Imatullah Akyar, Tasha Smith, Gisella A Mancarella, Lucy Gansauer, Margaret Murray Sullivan, Keith M Swetz, Andres Azuero, Marie A Bakitas
OBJECTIVE: Despite national guidelines recommending early concurrent palliative care for individuals newly diagnosed with metastatic cancer, few community cancer centers, especially those in underserved rural areas do so. We are implementing an early concurrent palliative care model, ENABLE (Educate, Nurture, Advise, Before Life Ends) in four, rural-serving community cancer centers. Our objective was to develop a "toolkit" to assist community cancer centers that wish to integrate early palliative care for patients with newly diagnosed advanced cancer and their family caregivers...
June 1, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28560949/a-conceptual-model-redesigning-how-we-provide-palliative-care-for-patients-with-chronic-obstructive-pulmonary-disease
#11
Jennifer Philip, Gregory Crawford, Caroline Brand, Michelle Gold, Belinda Miller, Peter Hudson, Natasha Smallwood, Rosalind Lau, Vijaya Sundararajan
BACKGROUND: Despite significant needs, patients with chronic obstructive pulmonary disease (COPD) make limited use of palliative care, in part because the current models of palliative care do not address their key concerns. OBJECTIVE: Our aim was to develop a tailored model of palliative care for patients with COPD and their family caregivers. METHOD: Based on information gathered within a program of studies (qualitative research exploring experiences, a cohort study examining service use), an expert advisory committee evaluated and integrated data, developed responses, formulated principles to inform care, and made recommendations for practice...
May 31, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28560941/thyroid-cancer-has-a-small-impact-on-patient-partner-relationships-and-their-frequency-of-sexual-activity
#12
Natalie Büel-Drabe, Hans Steinert, Hanspeter Moergeli, Steffi Weidt, Annina Seiler, Josef Jenewein
OBJECTIVE: This cross-sectional survey examined changes in perceived relationships and sexual activity in a sample of thyroid cancer patients and their partners, taking into account sociodemographic and disease-related variables, as well as such outcome measures as anxiety, depression, fatigue, and quality of life (QoL). METHOD: A total of 38 patients with thyroid cancer who were being treated at the department of nuclear medicine in Zürich or Lucerne over the preceding seven years, as well as their partners, completed questionnaires about the quality of their relationships (RQ), about perceptions of changes in their relationships, and about their frequency of sexual activity...
May 31, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28528598/the-emergence-of-personal-growth-amongst-healthcare-professionals-who-care-for-dying-children
#13
Laura Beaune, Barbara Muskat, Samantha J Anthony
OBJECTIVE: Compassion fatigue, burnout, and vicarious traumatization are prominent topics in the current literature on the impact of the rewarding but challenging work of healthcare professionals who care for patients with life-limiting illnesses. The positive effects of caregiving constitute a newly emerging outcome that has been relatively unexplored in the pediatric literature, and yet they may play an important role in contributing to the satisfaction and well-being of the healthcare professionals who care for children who have a life-limiting illness...
May 22, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28508739/the-effects-of-supportive-care-interventions-on-depressive-symptoms-among-patients-with-lung-cancer-a-metaanalysis-of-randomized-controlled-studies
#14
Chia-Chen Hsieh, Fei-Hsiu Hsiao
OBJECTIVE: Our aim was to examine the effect of supportive care interventions on depressive symptoms in patients with lung cancer. METHOD: We searched the databases of the Cochrane Central Register of Controlled Trials (CENTRAL), Ovid EMBASE, PubMed, and the Chinese Electronic Periodical Services (CEPS) from their inception until September of 2015. We included randomized controlled trial studies that compared standard care with supportive care interventions. The standardized mean difference (SMD) (Cohen's d) was calculated to estimate the effect of interventions...
May 16, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28508735/sleep-problems-in-breast-cancer-survivors-1-10-years-posttreatment
#15
Amy E Lowery-Allison, Steven D Passik, Matthew R Cribbet, Ruth A Reinsel, Barbara O'Sullivan, Larry Norton, Kenneth L Kirsh, Neil B Kavey
OBJECTIVE: Sleep can affect quality of life (QoL) during cancer survivorship, and symptoms related to poor sleep can be exacerbated. We examined the prevalence, severity, and nature of subjective sleep complaints in women surviving stage I-III breast cancer who were 1-10 years posttreatment. We also examined the demographic, medical, physical, and psychosocial correlates of poor sleep in these women in order to identify the subgroups that may be most in need of intervention. METHOD: A total of 200 patients at a comprehensive cancer center who were 1-10 years posttreatment for primary stage I-III breast cancer with no evidence of disease at the time of enrollment completed a battery of questionnaires on demographics, sleep, physical symptoms, mood, cancer-specific fears, and QoL...
May 16, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28502270/insecure-attachment-predicts-depression-and-death-anxiety-in-advanced-cancer-patients
#16
Katharina Scheffold, Rebecca Philipp, Susan Koranyi, Dorit Engelmann, Frank Schulz-Kindermann, Martin Härter, Anja Mehnert
OBJECTIVE: The prevalence of depression as well as adjustment and anxiety disorders is high in advanced cancer patients, and research exploring intraindividual factors leading to high psychological distress is underrepresented. Cancer patients' feelings about security and trust in their healthcare providers have a significant influence on how they deal with their disease. The perception of social support is affected by patients' attachment styles and influences their reactions to feelings of dependency and loss of control...
May 15, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28502266/refining-the-frommelt-attitude-toward-the-care-of-the-dying-scale-fatcod-b-for-medical-students-a-confirmatory-factor-analysis-and-rasch-validation-study
#17
Barbara Loera, Giorgia Molinengo, Marco Miniotti, Paolo Leombruni
OBJECTIVE: Given the increasing number of patients requiring palliative care and the need for more professionals who are able to provide care for the dying comfortably, assessment of medical attitudes toward end-of-life care is becoming a key aspect of medical education. The present study aimed to establish whether the Frommelt Attitude Toward the Care Of the Dying, Form B (FATCOD-B) meets current psychometric standards of validity for an assessment tool in medical education. METHOD: The participants were 200 undergraduate medical students...
May 15, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28464977/family-members-experiences-of-integrated-palliative-advanced-home-and-heart-failure-care-a-qualitative-study-of-the-prefer-intervention
#18
Anette Alvariza, Kristofer Årestedt, Kurt Boman, Margareta Brännström
OBJECTIVE: Chronic heart failure is a disease with high morbidity and symptom burden for patients, and it also places great demands on family members. Patients with heart failure should have access to palliative care for the purpose of improving quality of life for both patients and their families. In the PREFER randomized controlled intervention, patients with New York Heart Association classes III-IV heart failure received person-centered care with a multidisciplinary approach involving collaboration between specialists in palliative and heart failure care...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28464972/the-influence-of-psychological-factors-on-the-burden-of-caregivers-of-patients-with-advanced-cancer-resiliency-and-caregiver-burden
#19
Carolina Palacio, Alicia Krikorian, Joaquín T Limonero
OBJECTIVE: The aim of our study was to identify the influence of such psychological factors as emotional intelligence and perceived competence on caregiver burden in those who care for patients with advanced cancer. METHOD: A total of 50 informal caregivers completed self-report assessments of resilience, perceived competence, emotional regulation, positive aspects of care, emotional distress, and burden. We conducted a quantitative study with a cross-sectional design...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28464966/accuracy-of-oncologist-assessments-of-psychiatric-problems-in-cancer-inpatients
#20
Daisuke Yasugi, Hidetaka Tamune, Jitsuki Sawamura, Katsuji Nishimura
OBJECTIVE: Our objective was to examine the accuracy of non-psychiatrist assessments of psychiatric problems in cancer patients. METHOD: We conducted a retrospective chart review of cancer patients who were admitted and referred to the consultation-liaison (C-L) team between January of 2011 and December of 2012. The agreement between non-psychiatrist assessments and final diagnoses by attending C-L psychiatrists was estimated for every category of referral assessment using codes from the International Classification of Mental and Behavioral Disorders (10th revision)...
May 3, 2017: Palliative & Supportive Care
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