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Palliative & Supportive Care

Aldis H Petriceks
No abstract text is available yet for this article.
July 11, 2018: Palliative & Supportive Care
Michel Reich, Williams Tessier, Justine Lemaire, Nicolas Penel
OBJECTIVE: Cancer patients can present with impossible behavior, which can jeopardize their treatment and challenge healthcare professionals' teamwork. METHOD: Report of two unusual psychiatric cases, including Munchausen and Peter Pan syndromes, which occurred in a comprehensive cancer center.ResultGuidelines in medical and surgical wards are suggested to address such situations regarding oncologic compliance.Significance of resultsMultidisciplinary collaboration between medical and surgical teams and the psycho-oncologic department is highly recommended...
June 27, 2018: Palliative & Supportive Care
Alexa Riggs, Brenda Breuer, Vaishali Patel, Joshua Harounian, Jack Chen, Lara Dhingra, Russell K Portenoy, Helena Knotkova
OBJECTIVE: Numerous studies have characterized the pain reported by patients with advanced illness in terms of descriptors such as severity, but few have measured pain-related distress. Distress may be important in the clinical approach to pain. To evaluate pain-related distress among adult patients with advanced illness and pain following enrollment in an urban, specialist-level, community-based palliative care program. METHOD: In a retrospective cross-sectional analysis, data were extracted from the electronic health records of all patients who were able to complete the pain item from the Condensed Memorial Symptom Assessment Scale at the start of care...
June 26, 2018: Palliative & Supportive Care
Jennifer Currin-McCulloch, Megan Lippe, Kristi Acker, Barbara Jones
No abstract text is available yet for this article.
June 26, 2018: Palliative & Supportive Care
Li-Ting Chen, Fei-Hsiu Hsiao
OBJECTIVE: The aims of this systematic review were to examine the effects of the overall and the different types of the interventions on the do-not-resuscitate (DNR) designation and the time between DNR and death among cancer patients. METHOD: Data were searched from the databases of PubMed, CINAHL, EMbase, Medline, and Cochrane Library through 2 November 2017. Studies were eligible for inclusion if they were (1) randomized control trails, quasi-experimental study, and retrospective observational studies and (2) used outcome indicators of DNR designation rates...
June 18, 2018: Palliative & Supportive Care
Cristiane Decat Bergerot, Karen Lynn Clark, Kimlin Tam Ashing, Paulo Gustavo Bergerot, Richard Obenchain, Nazli Dizman, JoAnn Hsu, Errol Philip, Matthew Loscalzo, Sumanta Kumar Pal
OBJECTIVE: Limited research exists examining the biopsychosocial experience of patients diagnosed with metastatic renal cell carcinoma (mRCC), a disease commonly associated with a poor prognosis. The purpose of this study was to describe rates and types of distress in mRCC patients and explore the relationship between distress and overall survival. METHOD: A cohort of 102 patients with mRCC treated at a single institution was assessed by a touch screen-based instrument comprising 22 core items spanning physical, practical, functional, and emotional domains...
June 18, 2018: Palliative & Supportive Care
Andrea K Knies, Devika R Jutagir, Elizabeth Ercolano, Nicholas Pasacreta, Mark Lazenby, Ruth McCorkle
OBJECTIVE: Many cancer centers struggle to implement standardized distress screening despite the American College of Surgeons' Commission on Cancer 2012 mandate for a distress screening program standard of care by 2015. This paper presents outcomes for the first cohort of participants (n = 36) of a Screening for Psychosocial Distress Program (SPDP), a 2-year training program designed to assist clinicians in implementing routine distress screening as mandated by the American College of Surgeons Commission on Cancer...
June 8, 2018: Palliative & Supportive Care
Shannon Myers Virtue, Sharon L Manne, Kevin Criswell, David Kissane, Carolyn J Heckman, David Rotter
OBJECTIVE: Emotional awareness is the ability to recognize, describe, and attend to emotions. A known correlate is emotional processing, the ability to orient to and use inner experiences for information. The goal was to examine emotional awareness during therapy among gynecologic cancer patients, identify baseline predictors, and explore the relationship between in-session emotional awareness and processing. METHOD: Psychotherapy and baseline data from a randomized controlled trial comparing a supportive counseling (SC) intervention and a cognitive-behavioral coping and communication (CCI) intervention were used...
June 8, 2018: Palliative & Supportive Care
Ann H Cottingham, Kathleen Beck-Coon, Jennifer K Bernat, Paul R Helft, Karen Schmidt, Cleveland G Shields, Alexia M Torke, Shelley A Johns
OBJECTIVE: Advance care planning (ACP) increases quality of life and satisfaction with care for those with cancer and their families, yet these important conversations often do not occur. Barriers include patients' and families' emotional responses to cancer, such as anxiety and sadness, which can lead to avoidance of discussing illness-related topics such as ACP. Interventions that address psychological barriers to ACP are needed. The purpose of this study was to explore the effects of a mindfulness intervention designed to cultivate patient and caregiver emotional and relational capacity to respond to the challenges of cancer with greater ease, potentially decreasing psychological barriers to ACP and enhancing ACP engagement...
June 8, 2018: Palliative & Supportive Care
Justin J Sanders, Kimberly S Johnson, Kimberly Cannady, Joanna Paladino, Dee W Ford, Susan D Block, Katherine R Sterba
OBJECTIVE: We aimed to explore multiple perspectives regarding barriers to and facilitators of advance care planning (ACP) among African Americans to identify similarities or differences that might have clinical implications. METHOD: Qualitative study with health disparities experts (n = 5), community members (n = 9), and seriously ill African American patients and caregivers (n = 11). Using template analysis, interviews were coded to identify intrapersonal, interpersonal, and systems-level themes in accordance with a social ecological framework...
June 5, 2018: Palliative & Supportive Care
Devika R Jutagir, Rebecca M Saracino, Amy Cunningham, Kelly A Foran-Tuller, Mary A Driscoll, William H Sledge, Sukru H Emre, Dwain C Fehon
OBJECTIVE: Structured, empirically supported psychological interventions are lacking for patients who require organ transplantation. This stage IA psychotherapy development project developed and tested the feasibility, acceptability, tolerability, and preliminary efficacy of an 8-week group cognitive behavioral stress management intervention adapted for patients with end-stage liver disease awaiting liver transplantation. METHOD: Twenty-nine English-speaking United Network for Organ Sharing-registered patients with end-stage liver disease from a single transplantation center enrolled in 8-week, group cognitive-behavioral liver stress management and relaxation training intervention adapted for patients with end-stage liver disease...
June 4, 2018: Palliative & Supportive Care
Anna Green, Natalia Jerzmanowska, Safrina Thristiawati, Marguerite Green, Elizabeth A Lobb
OBJECTIVE: To understand the clinical and psychosocial journey of culturally and linguistically diverse (CALD) palliative care patients. METHOD: This study was conducted at a subacute hospital with a specialist palliative care unit and a community palliative care service in a metropolitan region of New South Wales, Australia. Medical records of 100 deceased patients from CALD backgrounds over a 12-month period from 2014 to 2015 were recorded on a data mining tool...
June 4, 2018: Palliative & Supportive Care
Luca Ghirotto, Elena Busani, Michela Salvati, Valeria Di Marco, Valeria Caldarelli, Giovanna Artioli
OBJECTIVE: Qualitative research is pivotal in gaining understanding of individuals' experiences in pediatric palliative care. In the past few decades, the number of qualitative studies on pediatric palliative care has increased slightly, as has interest in qualitative research in this area. Nonetheless, a limited number of such studies have included the first-person perspective of children. The aim of this article is to understand the contribution of previous qualitative research on pediatric palliative care that included the voices of children...
May 29, 2018: Palliative & Supportive Care
Seon-Young Kim, Seung-Jeon Kim, Jae-Min Kim, Sung-Wan Kim, Il-Seon Shin, Hyun-Jeong Shim, Sang-Hee Cho, Ik-Joo Chung, Jin-Sang Yoon
OBJECTIVE: Depressive symptoms are common in bereaved caregivers; however, there have been few prospective studies using a structured interview. This study investigated the prevalence and preloss predictors of major depressive disorder (MDD) in bereaved caregivers of patients in a palliative care unit. METHOD: This prospective cohort study collected caregiver sociodemographic and psychological data before the death of a palliative care unit patient, including MDD, care-burden, coping style, and hopeful attitude...
May 28, 2018: Palliative & Supportive Care
Aldis H Petriceks
No abstract text is available yet for this article.
May 24, 2018: Palliative & Supportive Care
Soenke Boettger, Rafael Meyer, André Richter, Susana Franco Fernandez, Alain Rudiger, Maria Schubert, Josef Jenewein, David Garcia Nuñez
OBJECTIVE: The importance of the proper identification of delirium, with its high incidence and adversities in the intensive care setting, has been widely recognized. One common screening instrument is the Intensive Care Delirium Screening Checklist (ICDSC); however, the symptom profile and key features of delirium dependent on the level of sedation have not yet been evaluated. METHOD: In this prospective cohort study, the ICDSC was evaluated versus the Diagnostic and Statistical Manual, 4th edition, text revision, diagnosis of delirium set as standard with respect to the symptom profile, and correct identification of delirium...
May 24, 2018: Palliative & Supportive Care
Alessio Cortellini, Giampiero Porzio, Eva K Masel, Anna S Berghoff, Barbara Knotzer, Alessandro Parisi, Francesco Pavese, Corrado Ficorella, Lucilla Verna
One of the first steps to early integrate palliative care into oncology practice is a timely and efficient evaluation of symptoms (Bakitas et al., 2015; Davis et al., 2015; Temel et al., 2010). In a recent position paper, the Italian Association of Medical Oncology tells oncologists that they "must be able to prevent, recognize, measure, and treat all cancer-related symptoms" (Zagonel et al., 2017). Major international scientific societies such as the American Society of Clinical Oncology and the European Society of Medical Oncology have often defined the key role of symptoms evaluation and management to force the integration of palliative care into oncology (Davis et al...
May 24, 2018: Palliative & Supportive Care
Aldis H Petriceks
No abstract text is available yet for this article.
May 22, 2018: Palliative & Supportive Care
Paul Rousseau
No abstract text is available yet for this article.
May 16, 2018: Palliative & Supportive Care
Sheila N Garland, Frances K Barg, Brigid Cakouros, Philip Gehrman, Katherine N DuHamel, Jun J Mao
OBJECTIVE: Insomnia is underrecognized and inadequately managed, with close to 60% of cancer survivors experiencing insomnia at some point in the treatment trajectory. The objective of this study was to further understand predisposing, precipitating, and perpetuating factors in the development and maintenance of insomnia in cancer survivors. METHOD: A heterogeneous sample of 63 patients who had completed active treatment was recruited. Participants were required to have a score >7 on the Insomnia Severity Index and meet the diagnostic criteria for insomnia disorder...
May 16, 2018: Palliative & Supportive Care
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