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Palliative & Supportive Care

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https://www.readbyqxmd.com/read/28434435/association-between-burnout-and-cortisol-secretion-perceived-stress-and-psychopathology-in-palliative-care-unit-health-professionals
#1
José Carlos Fernández-Sánchez, José Manuel Pérez-Mármol, Antonia Blásquez, Ana María Santos-Ruiz, María Isabel Peralta-Ramírez
OBJECTIVE: A high incidence of burnout has been reported in health professionals working in palliative care units. Our present study aims to determine whether there are differences in the secretion of salivary cortisol between palliative care unit health professionals with and without burnout, and to elucidate whether there is a relationship between burnout syndrome and perceived stress and psychopathological status in this population. METHOD: A total of 69 health professionals who met the inclusion criteria participated in our study, including physicians, nurses, and nursing assistants...
April 24, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28434431/a-concept-analysis-in-relation-to-the-cultural-competency-of-the-palliative-care-workforce-in-meeting-the-needs-of-young-people-from-south-asian-cultures
#2
Erica Brown, Anita Franklin, Jane Coad
OBJECTIVE: Our aims were to report an analysis of the concept of cultural competency and to explore how the cultural competency of the palliative care workforce impacts the holistic care of young people with palliative care needs from South Asian cultures. METHOD: Using keywords, we searched the online databases MEDLINE, CINAHL, ScienceDirect, and PubMed from January of 1990 through to December of 2016. Some 1543 articles were retrieved, and inclusion and exclusion criteria were applied...
April 24, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28374656/does-using-the-interrai-palliative-care-instrument-reduce-the-needs-and-symptoms-of-nursing-home-residents-receiving-palliative-care
#3
Kirsten Hermans, Johanna De Almeida Mello, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove, Anja Declercq
OBJECTIVE: This study aimed to evaluate whether using the interRAI Palliative Care instrument (the interRAI PC) in nursing homes is associated with reduced needs and symptoms in residents nearing the end of their lives. METHOD: A quasi-experimental pretest-posttest study using the Palliative care Outcome Scale (POS) was conducted to compare the needs and symptoms of residents nearing the end of their lives in the control and intervention nursing homes. Care professionals at the intervention nursing homes filled out the interRAI PC over the course of a year for all residents aged 65 years and older who were nearing the end of their lives...
April 4, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28357973/perceptions-of-the-care-received-from-australian-palliative-care-services-a-caregiver-perspective
#4
Tanya M Pidgeon, Claire E Johnson, Leanne Lester, David Currow, Patsy Yates, Samuel F Allingham, Sonia Bird, Kathy Eagar
BACKGROUND: Caregiver satisfaction and experience surveys help health professionals to understand, measure, and improve the quality of care provided for patients and their families. OBJECTIVE: Our aim was to explore caregiver perceptions of the care received from Australian specialist palliative care services. METHOD: Caregivers of patients receiving palliative care in services registered with Australia's Palliative Care Outcomes Collaboration were invited to participate in a caregiver survey...
March 30, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28357972/dyadic-psychological-intervention-for-patients-with-cancer-and-caregivers-in-home-based-specialized-palliative-care-the-domus-model
#5
Annika B von Heymann-Horan, Louise B Puggaard, Kathrine G Nissen, Kirstine Skov Benthien, Pernille Bidstrup, James Coyne, Christoffer Johansen, Jakob Kjellberg, Mie Nordly, Per Sjøgren, Helle Timm, Hans von der Maase, Mai-Britt Guldin
OBJECTIVE: Patients with incurable cancer and their informal caregivers have numerous psychological and psychosocial needs. Many of these patients wish to receive their care and die at home. Few home-based specialized palliative care (SPC) interventions systematically integrate psychological support. We present a psychological intervention for patient-caregiver dyads developed for an ongoing randomized controlled trial (RCT) of home-based SPC, known as Domus, as well as the results of an assessment of its acceptability and feasibility...
March 30, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28357971/palliative-and-end-of-life-care-in-the-masters-of-social-work-curriculum
#6
Cathy Berkman, Gary L Stein
OBJECTIVE: There is a shortage of social workers who have palliative care expertise. The aging U.S. population and advances in extending life for seriously ill persons require social workers in a wide range of health care and other settings with specialized palliative care expertise, as well as those with basic competence in palliative care. The objective of the present study was to document course content on palliative care in MSW programs in the United States and Canada. METHOD: A cross-sectional design with an online questionnaire was used...
March 30, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28351444/alchemy-and-psychology
#7
William Breitbart
No abstract text is available yet for this article.
March 29, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28347381/live-music-intervention-for-cancer-inpatients-the-music-givers-format
#8
Alessandro Toccafondi, Andrea Bonacchi, Andrea Mambrini, Guido Miccinesi, Roberto Prosseda, Maurizio Cantore
OBJECTIVE: The present study intended to evaluate the impact of a standardized format-called the "Music Givers," based on a single session of music intervention followed by a buffet-on the psychological burden and well-being of hospitalized cancer patients. METHOD: The Distress Thermometer (DT), the Hospital Anxiety and Depression Scale (HADS), and self-reported visual analogue scales (score range = 1-10) to assess pain, fatigue, and five areas of well-being (i...
March 28, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28300018/changes-in-social-engagement-and-depression-predict-incident-loneliness-among-seriously-ill-home-care-clients
#9
Samantha Fernandes, Jacob G S Davidson, Dawn M Guthrie
OBJECTIVE: This study identified the predictors of incident loneliness in a group of seriously ill older adults (aged 65+) receiving home care. METHOD: Existing data collected with the Resident Assessment Instrument for Home Care (RAI-HC) were utilized. A cohort of clients (N = 2,499) with two RAI-HC assessments and no self-reported loneliness at time 1 were included. Self-reported loneliness, upon reassessment, was the outcome of interest. Clients with a prognosis of less than six months or severe health instability were included...
March 16, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28264748/factors-associated-with-patient-reported-subjective-well-being-among-advanced-lung-or-non-colonic-gastrointestinal-cancer-patients
#10
Sriram Yennurajalingam, Yu Jung Kim, Yi Zhang, Jichan Park, Joseph Arthur, Gary B Chisholm, Janet L Williams, Eduardo Bruera
OBJECTIVE: The aim of this study was to determine the factors associated with a feeling of well-being using the Edmonton Symptom Assessment Scale (ESAS)-Feeling of Well-Being item (ESAS-FWB; where 0 = best and 10 = worst) among advanced lung or non-colonic gastrointestinal cancer patients who were referred to an outpatient palliative care clinic (OPCC). We also examined the association of performance on the ESAS-FWB with overall survival (OS). METHOD: We reviewed the records of consecutive patients with incurable advanced lung cancer and non-colonic gastrointestinal cancer presenting to an OPCC from 1 January 2008 through to 31 December 2013...
March 7, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28264744/a-qualitative-study-of-patient-and-provider-perspectives-on-using-web-based-pain-coping-skills-training-to-treat-persistent-cancer-pain
#11
Christine Rini, Maihan B Vu, Hannah Lerner, Catherine Bloom, Jessica Carda-Auten, William A Wood, Ethan M Basch, Peter M Voorhees, Katherine E Reeder-Hayes, Francis J Keefe
OBJECTIVE: Persistent pain is common and inadequately treated in cancer patients. Behavioral pain interventions are a recommended part of multimodal pain treatments, but they are underused in clinical care due to barriers such as a lack of the resources needed to deliver them in person and difficulties coordinating their use with clinical care. Pain coping skills training (PCST) is an evidence-based behavioral pain intervention traditionally delivered in person. Delivering this training via the web would increase access to it by addressing barriers that currently limit its use...
March 7, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28264740/testing-the-feasibility-of-using-the-edmonton-symptom-assessment-system-esas-to-assess-caregiver-symptom-burden
#12
Kimberson Tanco, Marieberta Vidal, Joseph Arthur, Marvin Delgado Guay, David Hui, Diane Liu, Gary Chisholm, Eduardo Bruera
OBJECTIVE: Caregiver symptom assessment is not part of regular clinical cancer care. The ESAS (Edmonton Symptom Assessment System) is a multidimensional tool regularly used to measure symptom burden in patients but not caregivers. The objectives of the present study were to determine the feasibility of the ESAS in caregiver completion (defined as ≥ 9 of 12 items) and determine its concurrent validity with the Zarit Burden Interview-12 (ZBI-12). METHOD: We conducted a prospective study on 90 patient-primary caregiver dyads seen in an outpatient supportive care center in a cancer center...
March 7, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28262089/subsyndromal-delirium-in-the-intensive-care-setting-phenomenological-characteristics-and-discrimination-of-subsyndromal-delirium-versus-no-and-full-syndromal-delirium
#13
Soenke Boettger, David Garcia Nuñez, Rafael Meyer, André Richter, Maria Schubert, Josef Jenewein
OBJECTIVE: Similar to delirium, its subsyndromal form has been recognized as the cause of diverse adverse outcomes. Nonetheless, the nature of this subsyndromal delirium remains vastly understudied. Therefore, in the following, we evaluate the phenomenological characteristics of this syndrome versus no and full-syndromal delirium. METHOD: In this prospective cohort study, we evaluated the Delirium Rating Scale-Revised, 1998 (DRS-R-98) versus the Diagnostic and Statistical Manual of Mental Disorders, 4th ed...
March 6, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28262086/interconnection-a-qualitative-analysis-of-adjusting-to-living-with-renal-cell-carcinoma
#14
Isabel Leal, Kathrin Milbury, Joan Engebretson, Surena Matin, Eric Jonasch, Nizar Tannir, Christopher G Wood, Lorenzo Cohen
OBJECTIVE: Adjusting to cancer is an ongoing process, yet few studies explore this adjustment from a qualitative perspective. The aim of our qualitative study was to understand how patients construct their experience of adjusting to living with cancer. METHOD: Qualitative analysis was conducted of written narratives collected from four separate writing sessions as part of a larger expressive writing clinical trial with renal cell carcinoma patients. Thematic analysis and constant comparison were employed to code the primary patterns in the data into themes until thematic saturation was reached at 37 participants...
March 6, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28262081/distress-and-body-image-due-to-altered-appearance-in-posttreatment-and-active-treatment-of-breast-cancer-patients-and-in-general-population-controls
#15
Danbee Kang, Eun-Kyung Choi, Im-Ryung Kim, Seok Jin Nam, Jeong Eon Lee, Young-Hyuck Im, Jin Seok Ahn, Yeon Hee Park, Juhee Cho
OBJECTIVE: Our objective was to evaluate long-term altered appearance, distress, and body image in posttreatment breast cancer patients and compare them with those of patients undergoing active treatment and with general population controls. METHOD: We conducted a cross-sectional survey between May and December of 2010. We studied 138 breast cancer patients undergoing active treatment and 128 posttreatment patients from 23 Korean hospitals and 315 age- and area-matched subjects drawn from the general population...
March 6, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28219474/correlates-of-the-positive-psychological-byproducts-of-cancer-role-of-family-caregivers-and-informational-support
#16
Kristin Litzelman, Danielle Blanch-Hartigan, Chun Cheih Lin, Xuesong Han
OBJECTIVE: Experiencing a life-threatening illness such as cancer can elicit both negative (e.g., distress) and positive (e.g., growth) psychological responses. The present study sought to determine the correlates of four positive psychological byproducts in cancer survivors: becoming a stronger person, coping better with life's challenges, making positive changes in life, and adopting healthier habits. METHOD: Data for this cross-sectional study were taken from the Medical Expenditures Panel Survey (MEPS) Experiences with Cancer Survivorship Supplement (Yabroff et al...
February 21, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28215184/modes-of-relating-to-contingency-an-exploration-of-experiences-in-advanced-cancer-patients-erratum
#17
Renske Kruizinga, Iris D Hartog, Michael Scherer-Rath, Hans Schilderman, Hanneke Van Laarhoven
No abstract text is available yet for this article.
February 20, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28196551/effects-of-hospital-palliative-care-on-health-length-of-stay-and-in-hospital-mortality-across-intensive-and-non-intensive-care-units-a-systematic-review-and-metaanalysis
#18
Xibei Liu, Yaser Dawod, Alex Wonnaparhown, Amaan Shafi, Loomee Doo, Ji Won Yoo, Eunjeong Ko, Youn Seon Choi
OBJECTIVE: Hospital palliative care has been shown to improve quality of life and optimize hospital utilization for seriously ill patients who need intensive care. The present review examined whether hospital palliative care in intensive care (ICU) and non-ICU settings will influence hospital length of stay and in-hospital mortality. METHOD: A systematic search of CINAHL/EBSCO, the Cochrane Library, Google Scholar, MEDLINE/Ovid, PubMed, and the Web of Science through 12 October 2016 identified 16 studies that examined the effects of hospital palliative care and reported on hospital length of stay and in-hospital death...
February 15, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28183363/functional-evaluation-of-treatment-of-chronic-disease-validity-and-reliability-of-the-turkish-version-of-the-spiritual-well-being-scale
#19
Ümmühan Aktürk, Behice Erci, Murat Araz
OBJECTIVE: This study was conducted for the purpose of adapting the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) for the Turkish context and determining its validity and reliability. METHOD: In 2016, a convenience sample of 137 cancer patients from Malatya State Hospital completed a structured questionnaire, which provided demographic characteristics, and the FACIT-Sp-12 for patients with cancer. The obtained data were assessed using Cronbach's alpha reliability coefficient (α), Pearson's product-moment correlation coefficient (r), factor analysis, Bartlett's test of sphericity, and the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy...
February 10, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28173895/delirium-in-the-intensive-care-setting-a-reevaluation-of-the-validity-of-the-cam-icu-and-icdsc-versus-the-dsm-iv-tr-in-determining-a-diagnosis-of-delirium-as-part-of-the-daily-clinical-routine
#20
Soenke Boettger, David Garcia Nuñez, Rafael Meyer, André Richter, Susana Franco Fernandez, Alain Rudiger, Maria Schubert, Josef Jenewein
BACKGROUND: In the intensive care setting, delirium is a common occurrence that comes with subsequent adversities. Therefore, several instruments have been developed to screen for and detect delirium. Their validity and psychometric properties, however, remain controversial. METHOD: In this prospective cohort study, the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) were evaluated versus the DSM-IV-TR in the diagnosis of delirium with respect to their validity and psychometric properties...
February 8, 2017: Palliative & Supportive Care
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