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Palliative & Supportive Care

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https://www.readbyqxmd.com/read/28300018/changes-in-social-engagement-and-depression-predict-incident-loneliness-among-seriously-ill-home-care-clients
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
https://www.readbyqxmd.com/read/28173885/cultural-influences-upon-advance-care-planning-in-a-family-centric-society
#13
Keson Tay, Rachel Jia Yu Lee, Shin Wei Sim, Sumytra Menon, Ravindran Kanesvaran, Lalit Kumar Radha Krishna
OBJECTIVE: Advanced care plans (ACPs) are designed to convey the wishes of patients with regards to their care in the event of incapacity. There are a number of prerequisites for creation of an effective ACP. First, the patient must be aware of their condition, their prognosis, the likely trajectory of the illness, and the potential treatment options available to them. Second, patient input into ACP must be free of any coercive factors. Third, the patient must be able to remain involved in adapting their ACP as their condition evolves...
February 8, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28166861/effect-of-dignity-therapy-on-end-of-life-psychological-distress-in-terminally-ill-portuguese-patients-a-randomized-controlled-trial
#14
Miguel Julião, Fátima Oliveira, Baltazar Nunes, António Vaz Carneiro, António Barbosa
OBJECTIVE: Dignity therapy (DT) is a brief form of psychotherapy developed for patients living with a life-limiting illness that has demonstrated efficacy in treating several dimensions of end-of-life psychological distress. Our aim was to determine the influence of DT on demoralization syndrome (DS), the desire for death (DfD), and a sense of dignity (SoD) in terminally ill inpatients experiencing a high level of distress in a palliative care unit. METHOD: A nonblinded phase II randomized controlled trial was conducted with 80 patients who were randomly assigned to one of two groups: the intervention group (DT + standard palliative care [SPC]) or the control group (SPC alone)...
February 7, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28162124/clinical-implications-and-quality-of-evidence-in-metaanalysis-about-effects-of-palliative-care-in-critically-ill-patients-in-the-intensive-care-unit
#15
Alex Wonnaparhown, Amaan Shafi, Xibei Liu, Angela H Villamagna, Michael Lee, Shunichi Nakagawa, Ji Won Yoo
No abstract text is available yet for this article.
February 6, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28137343/identifying-domains-of-quality-of-life-in-children-with-cancer-undergoing-palliative-care-a-qualitative-study-with-professionals
#16
Josianne Avoine-Blondin, Véronique Parent, Magali Lahaye, Nago Humbert, Michel Duval, Serge Sultan
OBJECTIVE: The goal of pediatric palliative care (PPC) is to maintain the quality of life (QoL) of children whose lives are threatened. However, there are sparse scientific data on the domains of QoL in this particular context, and no measurement strategies are available. The present study aims to describe the domains of QoL in the context of PPC in oncology, according to the perceptions of professional caregivers. METHOD: Semistructured interviews were conducted with a random sample of 20 professional caregivers from the Division of Hematology/Oncology at Le Centre Hospitalier Universitaire Sainte-Justine (Montréal, Canada)...
January 31, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28137342/differential-effects-of-patient-symptom-subtypes-on-informal-hospice-caregiver-depression
#17
Chelsey M Wilkes, Karla T Washington, William M Palmer, Debra Parker Oliver, George Demiris, Kevin Craig
OBJECTIVE: Researchers sought to determine the extent to which burden related to patients' symptom subtypes could predict informal hospice caregiver depression, and to illustrate the differences between caregivers who experience suicidal ideation and those who do not. METHOD: Informal caregivers recruited from a not-for-profit community-based hospice agency participated in a cross-sectional survey. Self-report questionnaires assessed caregiver burden associated with patient symptomatology (via a modified version of the Memorial Symptom Assessment Scale-Short Form) and caregiver depressive symptoms, including suicidal ideation (measured by the Patient Health Questionnaire-9)...
January 31, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28122656/the-needs-of-siblings-of-children-with-a-life-threatening-illness-part-1-conceptualization-and-development-of-a-measure
#18
Marianne Olivier-D'Avignon, Serge Dumont, Pierre Valois, S Robin Cohen
OBJECTIVE: The presence of a child afflicted with a life-threatening illness is a difficult situation for the child's siblings, especially when their own needs are left unmet. The present article describes the first three phases of research involved in the conceptualization, development, and content validation of an initial version of the Inventaire des Besoins de la Fratrie d'Enfants Malades Sévèrement (IBesFEMS) [Needs Inventory for Siblings of Critically ill Children]. METHOD: The first phase of the development of this instrument was conducted using qualitative methodology (focus groups: 6 siblings, 8 parents)...
January 26, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28112072/physicians-perceptions-of-suffering-in-people-with-dementia-at-the-end-of-life
#19
Jenny T van der Steen, Luc Deliens, Raymond T C M Koopmans, Bregje D Onwuteaka-Philipsen
OBJECTIVE: Our aim was to describe physicians' perceptions of the suffering of their patients who are dying with dementia, many of whom are incompetent with regard to decision making and have difficulty with communicating about the source of their distress and with identifying related factors. METHOD: We analyzed data from the nationally representative observational Dutch End-of-Life in Dementia (DEOLD) cohort study (2007-2011), which involved 34 long-term care facilities...
January 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28112070/survival-of-the-fittest-%C3%A2-caregiver
#20
Allison J Applebaum
No abstract text is available yet for this article.
January 23, 2017: Palliative & Supportive Care
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