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Palliative & Supportive Care

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https://www.readbyqxmd.com/read/28528598/the-emergence-of-personal-growth-amongst-healthcare-professionals-who-care-for-dying-children
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/28464962/wernicke-encephalopathy-without-delirium-in-patients-with-cancer
#9
Hideki Onishi, Mayumi Ishida, Iori Tanahashi, Takao Takahashi, Yoshitada Taji, Kenji Ikebuchi, Daisuke Furuya, Tatsuo Akechi
OBJECTIVE: Wernicke encephalopathy (WE) is a neuropsychiatric disorder caused by thiamine deficiency. Several reports of WE in cancer patients are known. WE is sometimes overlooked because most patients do not exhibit its typical symptoms (e.g., delirium, ataxia, ocular palsy). If delirium is not present, a diagnosis of WE is difficult because delirium is the hallmark symptom of WE. METHOD: Taken from a series on WE in cancer, we report two patients who developed WE without delirium during periodic psycho-oncology outpatient visits...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28464961/supporting-home-hospice-family-caregivers-insights-from-different-perspectives
#10
Lee Ellington, Kristin G Cloyes, Jiayun Xu, Lanell Bellury, Patricia H Berry, Maija Reblin, Margaret F Clayton
OBJECTIVE: Our intention was to describe and compare the perspectives of national hospice thought leaders, hospice nurses, and former family caregivers on factors that promote or threaten family caregiver perceptions of support. METHOD: Nationally recognized hospice thought leaders (n = 11), hospice nurses (n = 13), and former family caregivers (n = 14) participated. Interviews and focus groups were audiotaped and transcribed. Data were coded inductively, and codes were hierarchically grouped by topic...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28462752/sources-of-meaning-in-family-caregivers-of-terminally-ill-patients-supported-by-a-palliative-nursing-care-team-a-naturalistic-three-month-cohort-study
#11
Juan Valdés-Stauber, Rafael Lemaczyk, Reinhold Kilian
OBJECTIVE: Our aim was to identify possible patterns of change or durability in sources of meaning for family caregivers of terminally ill patients after the onset of support at home by an outreach palliative nursing team during a three-month survey period. METHOD: The Sources of Meaning and Meaning in Life Questionnaire (SoMe) was administered to 100 caregivers of terminally ill patients at four measurement timepoints: immediately before the onset of the palliative care (t 0), and at 1 week, 1 month, and 3 months after t 0...
May 2, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28462749/association-between-family-satisfaction-and-caregiver-burden-in-cancer-patients-receiving-outreach-palliative-care-at-home
#12
Yoko Naoki, Yoshinobu Matsuda, Isseki Maeda, Hideka Kamino, Yoko Kozaki, Akihiro Tokoro, Norimasa Maki, Minoru Takada
OBJECTIVE: Little is known about the associations between family satisfaction with end-of-life care and caregiver burden. We conducted a researcher-assisted questionnaire survey to clarify the impact of caregiver burden on family satisfaction and to determine the types of burden that decrease family satisfaction. METHOD: Bereaved family caregivers of patients with advanced cancer who received our outreach palliative care service were retrospectively identified. Family satisfaction with the end-of-life care provided by the palliative care service and caregiver burden were quantified using the Japanese versions of the FAMCARE Scale and the Zarit Burden Interview (ZBI), respectively...
May 2, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28462744/a-qualitative-study-of-the-emotional-and-spiritual-needs-of-hispanic-families-in-hospice
#13
Alicia Nuñez, Jason M Holland, Lisa Beckman, Abbie Kirkendall, Nora Luna
BACKGROUND: As the older U.S. population becomes more ethnically diverse, there will be an increased need for culturally sensitive hospice care services. Hispanics often experience multiple barriers to quality end-of-life care services. OBJECTIVE: To address the underlying disparities in the cultural, emotional, and spiritual aspects of hospice care, the objective of the present qualitative study was to examine the emotional and spiritual needs of Hispanic patients' families while in hospice...
May 2, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28434435/association-between-burnout-and-cortisol-secretion-perceived-stress-and-psychopathology-in-palliative-care-unit-health-professionals
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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/28347381/live-music-intervention-for-cancer-inpatients-the-music-givers-format
#20
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
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