A systematic review of psychosocial interventions for family carers
of palliative care patients
The first phase determined the mental health profile of family caregivers
of palliative care patients.
This study assessed the mental health of family caregivers
of palliative care patients in order to inform ways of maximising support for distressed caregivers.
Not exact matches
«Medical marijuana has become a very important part
of their treatment program and pain management program,» said Connor, referencing
patients who have cancer, multiple sclerosis, rheumatoid arthritis, or those requiring
palliative care.
Speaking concretely, it would yield less relief
of suffering, less
patient autonomy, corruption
of the practice
of medicine, and a decline in the quality
of palliative care.
The cultural shift he describes is particularly alarming: The doctor —
patient relationship is now under the cloud
of assisted suicide in Oregon, which raises suspicions among
patients and prevents some from seeking out the kind
of quality end -
of - life and
palliative care that compassionate physicians can provide.
He also explores the emergence
of «
palliative care,» highlighting the new attention given to pain management and a more wholistic focus on dying
patients» physical, emotional and spiritual well - being.
In his evidence, he said, «The choice
of an assisted death should not be instead
of palliative care for terminally ill people, but a core part
of comprehensive,
patient - centred approached to end
of life
care.»
Lindsey Wright, a nurse, works with a
palliative care team that helps terminally ill
patients and their families make decisions about their medical
care at the end
of life.
«Many clinicians are afraid to talk about prognosis — how long a
patient may have to live,» says Alexander Smith, a
palliative care physician at the University
of California, San Francisco.
Researchers also performed a meta - analysis to investigate the overall association between
palliative care and three outcomes often linked with
palliative care —
patients» quality
of life, symptom burden and survival.
The analysis
of the interviews also showed that most
patients felt uncomfortable bringing the topic
of palliative care up with healthcare professionals and their families as they did not want to burden other people with their concerns.
The findings are part
of a growing body
of evidence demonstrating the benefits
of palliative care on
patient quality
of life.
They found that savings associated with
palliative care were highest for
patients who had a consult with a
palliative care team within the first 10 days
of their hospital stay and for
patients diagnosed with cancer.
In addition, 30 %
of patients who received the
palliative care intervention reported discussing end -
of - life
care preferences, as opposed to 14 %
of patients receiving standard
care alone.
Palliative care is health
care for people living with serious illness and focuses on providing
patients with relief from their symptoms, pain and stress
of a serious illness, whatever the diagnosis.
Researchers also found that early integration
of palliative care results in an increase in discussions about
patient end -
of - life
care preferences.
The results, the authors wrote, revealed that «among
patients who died in the hospital, there was a significant cost savings from
palliative care of $ 3,426 per inpatient stay.»
A randomized clinical trial found that introducing
palliative care shortly after a diagnosis
of certain metastatic cancers greatly increases a
patient's coping abilities, as well as overall quality
of life.
Palliative care is a «fairly new medical specialty that has proven to substantially improve patient outcomes when it's delivered alongside routine treatments,» says Sean Morrison, M.D., director of the National Palliative Care Research Center and a professor at Mount Sinai's School of Medic
care is a «fairly new medical specialty that has proven to substantially improve
patient outcomes when it's delivered alongside routine treatments,» says Sean Morrison, M.D., director
of the National
Palliative Care Research Center and a professor at Mount Sinai's School of Medic
Care Research Center and a professor at Mount Sinai's School
of Medicine.
With
palliative care, said Morrison, «symptoms are better managed, families are better
cared for, and
patients have better quality
of life» with reduced pain and suffering.
This finding, however, can be explained by difference in timing
of palliative care, the
patient's diagnosis and make - up
of the
palliative care team, noted the researchers.
«We need to find ways
of integrating
palliative care concepts in
patients» usual
care experiences so it isn't a luxury, but a standard part
of health
care for those living with serious illness.»
Palliative care can either refer to a specific service that is provided by physicians and nurses who have received specialized training in this type of care, or an overall approach to care for patients with serious illness, which would include palliative care when provided by a specialist or by a non-palliative care specialist (like an oncologist or a primary care p
Palliative care can either refer to a specific service that is provided by physicians and nurses who have received specialized training in this type
of care, or an overall approach to
care for
patients with serious illness, which would include
palliative care when provided by a specialist or by a non-palliative care specialist (like an oncologist or a primary care p
palliative care when provided by a specialist or by a non-
palliative care specialist (like an oncologist or a primary care p
palliative care specialist (like an oncologist or a primary
care physician).
Palliative care needs can be addressed from an early stage
of an illness to ensure we are increasing the quality
of everyday life for our
patients.
Published in the Journal
of the American Medical Association (JAMA), the study is the first meta - analysis
of the effect
of palliative care as it relates to
patients» quality
of life, symptom burden and survival.
«
Palliative care is a key ingredient to improving a quality
of life, which is important to both
patients and their families.»
In September, a national panel appointed by the Institute
of Medicine published a report on end -
of - life
care that recommends health
care providers receive more training in
palliative medicine to both save money on unnecessary procedures and to improve
patient satisfaction.
«70 %
of advanced cancer
patients receive
palliative care consultation at ESMO Designated Centers.»
Commenting on ESMO's activities in the field
of palliative care, Cherny said: «ESMO has a 15 year history
of a commitment to the improvement
of the quality
of palliative care for cancer
patients in Europe and around the world.
This year's new and reaccredited ESMO Designated Centres will ensure that more
patients with cancer receive appropriate, high quality
palliative care along with the best
of their cancer
care — and this makes a difference.»
Cherny, an oncologist and
palliative medicine specialist who is chair
of humanistic medicine at Shaare Zedek Medical Centre, Jerusalem, Israel, added: «The designation also indicates that the centre is not only providing a clinical service but that it has programmes developed both to push the boundaries
of knowledge through research and to teach the essential skills required for the provision
of palliative care to cancer
patients.»
«Earlier
palliative care improves quality
of life,
patient satisfaction, cancer study shows.»
The ESMO Designated Centres programme is the premier initiative worldwide championing integrated programmes in oncology and
palliative care, aiming to ease the physical and mental suffering
of cancer
patients during anticancer treatment and also at the end
of life.
The study reviewed 2,353 inpatient encounters that included
palliative care physicians, who focus on alleviating pain, side effects, and improving quality
of life for
patients and their families during serious illness.
Results
of the first clinical study to assess the impact
of providing early outpatient
palliative care versus standard oncology
care in a wide range
of advanced cancers show that earlier
care improved quality
of life and
patient satisfaction.
ESMO promotes good practice in
palliative care for cancer patients through - among others — the ESMO Designated Centres of Integrated Oncology and Palliative Care accreditation
palliative care for cancer patients through - among others — the ESMO Designated Centres of Integrated Oncology and Palliative Care accreditation progra
care for cancer
patients through - among others — the ESMO Designated Centres
of Integrated Oncology and
Palliative Care accreditation
Palliative Care accreditation progra
Care accreditation programme.
Grigorescu said: «Our study shows that there are significant gaps in the delivery
of palliative care for
patients with advanced, incurable cancer.
The study, a retrospective survival analysis, included 229
patients who participated in two randomized, controlled clinical trials focused on relief
of constipation for
patients receiving
palliative care for various types
of late - stage cancer and other terminal diseases.
Among their recommendations for health policymakers and caregivers are the need to engage community - based
care «receivers» earlier in the transition process, to adopt a
palliative care approach with
patients and their families that sets realistic
care goals, and to focus not only on preventing hospitalization, but also on making out -
of - hospital transitions easier.
Many
patients at risk
of transmission, or who need
palliative care, live in the community because hospitals are full.
A
palliative care consultation initiated in the emergency department (ED) for
patients with advanced cancer was associated with improved quality
of life and did not seem to shorten survival, according to an article published online by JAMA Oncology.
A new large national study found that the more nursing directors knew about
palliative care, the lower the likelihood that their
patients would experience aggressive end -
of - life
care.
The study's findings suggest that early
palliative consultations with the sickest
patients may decrease unwanted aggressive end -
of - life
care, as well as shorten length
of stays in hospital.
«Emergency department - initiated
palliative care consultation improved QOL [quality
of life] in
patients with advanced cancer and does not seem to shorten survival; the impact on health
care utilization and depression is less clear and warrants further study,» the study concludes.
«We already know that coordinated,
patient - centered
palliative care improves care quality, enhances survival, and reduces costs for persons with cancer,» said R. Sean Morrison, MD, Director of the National Palliative Care Research Center and Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of
palliative care improves care quality, enhances survival, and reduces costs for persons with cancer,» said R. Sean Morrison, MD, Director of the National Palliative Care Research Center and Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of the st
care improves
care quality, enhances survival, and reduces costs for persons with cancer,» said R. Sean Morrison, MD, Director of the National Palliative Care Research Center and Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of the st
care quality, enhances survival, and reduces costs for persons with cancer,» said R. Sean Morrison, MD, Director
of the National
Palliative Care Research Center and Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of
Palliative Care Research Center and Professor of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of the st
Care Research Center and Professor
of Geriatrics and
Palliative Medicine, Icahn School of Medicine at Mount Sinai and lead author of
Palliative Medicine, Icahn School
of Medicine at Mount Sinai and lead author
of the study.
Palliative care is intended to alleviate symptoms and improve quality
of life, and is appropriate for all
patients with serious illness, not just those who are at the end
of life.
When nursing directors know more about
palliative care, nursing home
patients have less likelihood
of experiencing disruptive end -
of - life efforts such as feeding tubes.
«The main lesson learned is we need to improve exposure to
palliative care, both in terms
of how many
patients receive it and when they receive it,» Gidwani said.
Palliative care is a team - based specialty (incorporating medicine, nursing, social work and chaplaincy) focused on improving quality
of life for people with serious illnesses by adding a layer
of support for
patients, their families, and health
care providers.