Evaluation of interprofessional health care team communication simulation in geriatric palliative care

2018 ◽  
Vol 40 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Zvi D. Gellis ◽  
Eunhae Kim ◽  
Diane Hadley ◽  
Lora Packel ◽  
Cathy Poon ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Team ◽  
Care Team ◽  
Team Communication ◽  
Communication Simulation

Predictors of anxiety and depression risk among individuals with lung cancer.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23136-e23136
Author(s):  
Kevin Stein ◽  
Shauna McManus ◽  
Pierre M. Gardan ◽  
Julie S. Olson ◽  
Melissa F. Miller ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Symptom Burden ◽  
Health Care Team ◽  
Care Team ◽  
Anxiety And Depression ◽  
Team Communication ◽  
Cancer Support ◽  
Depression Risk ◽  
Clinically Significant

e23136 Background: Lung cancer (LC) patients can face long-term symptom burden, quality of life concerns, and enduring distress. This study explored predictors of psychosocial distress among a community-based sample of LC survivors. Methods: 208 individuals with LC enrolled in Cancer Support Community’s Cancer Experience Registry, provided demographic/clinical background, and reported cancer-related distress using CancerSupportSource, a 25-item tool measuring level of concern ( 0-4) over 5 domains: emotional well-being (including 2-item depression and 2-item anxiety risk screening subscales), symptom burden and impact, body image and healthy lifestyle, health care team communication (HCTC), and relationships and intimacy. Using logistic regression, we estimate which domains influence anxiety and depression risk, controlling for significant demographic/clinical variables. Results: Participants were 68% female, 83% non-Hispanic White; mean ( SD) age = 61 (11) years; mean ( SD) years since diagnosis = 3.1 (4.5); 86% non-small cell lung cancer (NSCLC); 43% ever diagnosed as metastatic. 52% underwent surgery; 76% received chemotherapy, 65% radiation. 53% were at risk for clinically significant anxiety; 42% for clinically significant depression. Concerns about relationships and intimacy were associated with greater odds of anxiety risk ( OR= 1.70; p< .01); a positive interaction suggested that anxiety risk among individuals with NSCLC varied by HCTC concerns, with greater concerns being associated with higher risk ( p< .05). Concerns about symptom burden and impact ( OR= 1.21; p< .01) and HCTC ( OR= 1.57; p< .05) were significantly associated with greater odds of depression risk; these associations did not vary by LC type. Conclusions: Concerns around health care team communication, relationships and intimacy, and symptom burden and impact are important considerations in understanding risk for anxiety and depression among lung cancer patients and survivors. Additionally, type of lung cancer (NSCLC) can moderate the degree to which concerns about HCTC are associated with risk. Findings highlight the need for constructive patient-provider communication, particularly around relationships and intimacy and symptom burden. Clinical trial information: NCT02333604.

Palliative Care and Psychosocial Contributions in the ICU

Hematology ◽  
2008 ◽  
Vol 2008 (1) ◽  
pp. 481-490 ◽  
Author(s):  
Matthew J. Loscalzo
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Family Care ◽  
Health Care Team ◽  
Care Team ◽  
Social Emotional ◽  
Open Communication ◽  
Goals Of Care ◽  
Family Conference ◽  
The Family

AbstractPsychosocial domains and palliative care medicine are the connective tissue of our fragmented health care system. The psychosocial domains of palliative care are central to creating new partnerships with physicians, patients, and their caregivers in emotionally charged medical environments, especially Intensive Care Units. Managing the psychological, social, emotional, spiritual, practical and existential reactions of patients and their loved ones supports effective action and problem-solving. Practical aspects to establishing realistic goals of care among the health care team and other specialists, communicating effectively with patients and families in crisis, using the diverse and ambiguous emotional responses of patients, families, faculty and staff therapeutically, and helping to create meaning in the experience is essential to whole-patient and family care centered. The family conference is an excellent vehicle to create an environment of honest and open communication focused on mobilizing the resources of the patient, family and health care team toward a mutually agreed upon plan of action resulting in clearly defined goals of care.

A Systems Framework for Health Care Team Communication

2015 ◽  
pp. 49-64
Author(s):  
Kevin Real ◽  
Marshall Scott Poole
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Care Team ◽  
Team Communication ◽  
Systems Framework

Delirium

2018 ◽  
Author(s):  
Shirley H. Bush ◽  
Valérie Gratton
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Clinical Features ◽  
Potential Risk ◽  
Sleep Disturbances ◽  
Health Care Team ◽  
Care Team ◽  
Pharmacological Management

Delirium is one of the most frequent symptoms in palliative care patients, especially during the last weeks of life. It is characterized by disturbance of attention, awareness, and fluctuating levels of severity over the course of a day. It is also usually associated with anxiety, restlessness, irritability, disorientation, and sleep disturbances. Delirium is frequently missed or misdiagnosed by the health care team. This may relate to symptom fluctuation and transient lucidity, in addition to overlapping clinical features with dementia and depression, compounded by a lack of or inadequate delirium screening. Although the nonpharmacological management of delirium is a key component of care, delirious patients who are very distressed or a potential risk to themselves or others may require pharmacological management for their symptoms, including “rescue” doses of midazolam or lorazepam if not responding to antipsychotics.

The impact of the interprofessional health care team in palliative care

2018 ◽  
Vol 11 ◽  
pp. 12-14 ◽  
Author(s):  
Holiness Ehikpehae ◽  
Jason Kiernan
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Team ◽  
Care Team ◽  
The Impact

Meeting the Complex Needs of the Health Care Team: Identification of Nurse—Team Communication Practices Perceived to Enhance Patient Outcomes

2009 ◽  
Vol 20 (1) ◽  
pp. 15-28 ◽  
Author(s):  
Kathleen M. Propp ◽  
Julie Apker ◽  
Wendy S. Zabava Ford ◽  
Nancy Wallace ◽  
Michele Serbenski ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Health Care Team ◽  
Care Team ◽  
Team Identification ◽  
Team Communication ◽  
Complex Needs ◽  
Communication Practices

Communicating Effectively with Your Health Care Team

2006 ◽  
Author(s):  
Harriet Patterson
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Care Team
Sign in / Sign up

Export Citation Format

Share Document