scholarly journals Changes in Quality of Life Through the Intervention by a Palliative Care Team for Patients with Advanced Lung Cancer

2013 ◽  
Vol 24 ◽  
pp. ix58
Author(s):  
T. Yokoyama ◽  
H. Kunikane ◽  
H. Okamoto ◽  
N. Hida ◽  
T. Shimokawa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team ◽  
Advanced Lung Cancer

Reduction of Opioid Side Effects by Prophylactic Measures of Palliative Care Team May Result in Improved Quality of Life

2010 ◽  
Vol 13 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Michiaki Myotoku ◽  
Akiko Nakanishi ◽  
Miwa Kanematsu ◽  
Noriko Sakaguchi ◽  
Norio Hashimoto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Side Effects ◽  
Palliative Care Team ◽  
Care Team ◽  
Prophylactic Measures

scholarly journals Nurse-led, screening-triggered, early specialised palliative care intervention programme for patients with advanced lung cancer: study protocol for a multicentre randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037759
Author(s):  
Daisuke Fujisawa ◽  
Shigeki Umemura ◽  
Ayumi Okizaki ◽  
Eriko Satomi ◽  
Takuhiro Yamaguchi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Palliative Care ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Advanced Lung Cancer ◽  
Intervention Programme ◽  
Care Intervention ◽  
Randomised Controlled

IntroductionIt has been suggested that palliative care integrated into standard cancer treatment from the early phase of the disease can improve the quality of life of patients with cancer. In this paper, we present the protocol for a multicentre randomised controlled trial to examine the effectiveness of a nurse-led, screening-triggered, early specialised palliative care intervention programme for patients with advanced lung cancer.Methods and analysisA total of 206 patients will be randomised (1:1) to the intervention group or the control group (usual care). The intervention, triggered with a brief self-administered screening tool, comprises comprehensive need assessments, counselling and service coordination by advanced-level nurses. The primary outcome is the Trial Outcome Index of the Functional Assessment of Cancer Therapy (FACT) at 12 weeks. The secondary outcomes include participants’ quality of life (FACT-Lung), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), illness perception (Prognosis and Treatment Perceptions Questionnaire), medical service use and survival. A mixed-method approach is expected to provide an insight about how this intervention works.Ethics and disseminationThis study has been approved by the Institutional Review Board of the National Cancer Center Japan (approval number: 2016-235). The findings will be disseminated through peer-reviewed publications and conference presentations and will be reflected on to the national healthcare policy.Trial registration numberUMIN000025491.

Proxy-Reported Quality of Life and Family Impact for Children Followed Longitudinally by a Pediatric Palliative Care Team

2018 ◽  
Vol 21 (2) ◽  
pp. 241-244 ◽  
Author(s):  
Meaghann Weaver ◽  
Christopher Wichman ◽  
Cheryl Darnall ◽  
Sue Bace ◽  
Catherine Vail ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team ◽  
Pediatric Palliative Care ◽  
Family Impact

scholarly journals Differential effects of early palliative care based on the age and sex of patients with advanced cancer from a randomized controlled trial

2018 ◽  
Vol 32 (4) ◽  
pp. 757-766 ◽  
Author(s):  
Ryan D Nipp ◽  
Areej El-Jawahri ◽  
Lara Traeger ◽  
Jamie M Jacobs ◽  
Emily R Gallagher ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Palliative Care ◽  
Gastrointestinal Cancer ◽  
Advanced Lung Cancer ◽  
Early Palliative Care ◽  
Oncology Care ◽  
And Coping ◽  
Age And Sex

Background: Early palliative care interventions enhance patient outcomes, including quality of life, mood, and coping, but it remains unclear whether certain subgroups of patients are more likely to benefit from early palliative care. We explored whether age and sex moderate the improved outcomes seen with early palliative care. Methods: We performed a secondary analysis of data from a randomized trial of 350 patients with advanced lung and non-colorectal gastrointestinal cancer. Patients received an early palliative care intervention integrated with oncology care or usual oncology care alone. We used linear regression to determine if age (older or younger than 65) and sex moderated the effects of the intervention on quality of life (Functional Assessment of Cancer Therapy–General (FACT-G)), depression symptoms (Patient Health Questionnaire 9 (PHQ-9)), and coping (Brief COPE) within lung and gastrointestinal subgroups. Results: At 24 weeks, younger patients with lung cancer receiving early palliative care reported increased use of active coping ( B = 1.74; p = 0.02) and decreased use of avoidant coping ( B = –0.97; p = 0.02), but the effects of early palliative care on these outcomes were not significant for older patients. Male patients with lung cancer assigned to early palliative care reported better quality of life (FACT-G: B = 9.31; p = 0.01) and lower depression scores (PHQ-9: B = –2.82; p = 0.02), but the effects of early palliative care on these outcomes were not significant for female patients. At 24 weeks, we found no age or sex moderation effects within the gastrointestinal cancer subgroup. Conclusion: Age and sex moderate the effects of early palliative care for patients with advanced lung cancer. Early palliative care may need to be tailored to individuals’ unique sociodemographic and clinical characteristics.

scholarly journals A Pilot Study on the Quality of Sexual Life of Patients Receiving Home Palliative Care in Poland

Sexes ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 174-182
Author(s):  
Marcin Janecki ◽  
Izabela Kaptacz ◽  
Zuzanna Janecka ◽  
Violetta Skrzypulec-Plinta
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Health Status ◽  
Medical Staff ◽  
Palliative Care Team ◽  
Care Team ◽  
Sexual Life ◽  
Advanced Stage ◽  
Sexual Concerns

Background: Quality of life, physical, psychic, and social functioning assessments in patients suffering from chronic, progressive, and incurable diseases are one of the most significant aims of the palliative care home teams. Sexuality and intimacy can be one of the most important elements of a person’s life, even at the end of it. Unfortunately, there is very little interest in this topic among medical staff of palliative care units. The objective of the study: The aim of this study was to assess the health status, the quality of life, the quality of sexual life, and the recognition and resolution of sexual problems by the palliative care team in adult patients in the advanced stage of terminal illness, who were receiving home palliative care. Research methods: The study involved 342 adult patients in the advanced stage of incurable, progressive disease, covered by home palliative care in 15 facilities in Poland. A generic EuroQoL 5-Dimension 3-Level health and quality of life assessment questionnaire and a questionnaire developed by the researchers, including questions about sexual problems, were used in this prospective study. Results: The presented results are the part of the more extensive study. The assessment of health status and quality of life of the study patients showed that the evaluation was the lowest for performing ordinary daily activities. The quality of sexual life after diagnosis in more than half of the study patients has worsened. Almost half of the respondents felt that the palliative care team did not recognize or address their sexual concerns. Patients indicated nurses and physicians as the members of the palliative care team most helpful in identifying and addressing sexual concerns. Conclusions: Members of the palliative care team should receive training in communication with patients concerning their sexual life, their needs and expectations and have knowledge about options for obtaining specialized sexological care. It is necessary to prepare and validate simple tools that will facilitate the initiation of appropriate communication between patients and members of the medical staff. It will be important to conduct more detailed and targeted research on sexuality and intimacy in the Polish palliative care patient population.

scholarly journals The Impact of Palliative Care Team Consultation on Quality of Life of Patients with Advanced Cancer in Dutch Hospitals: An Observational Study

2020 ◽  
Vol 43 (9) ◽  
pp. 405-413
Author(s):  
Arianne Brinkman-Stoppelenburg ◽  
Yvonne Vergouwe ◽  
Monique Booms ◽  
Mathijs P. Hendriks ◽  
Liesbeth A. Peters ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Observational Study ◽  
Advanced Cancer ◽  
Palliative Care Team ◽  
Care Team ◽  
The Impact

QUALITY OF LIFE OF PATIENTS RECEIVING HOME-BASED PALLIATIVE CARE FROM FAMILY PHYSICIANS AND MOBILE PALLIATIVE CARE TEAM

2020 ◽  
Vol 73 (8) ◽  
pp. 1681-1689
Author(s):  
Oryna Z. Detsyk ◽  
Oleksandra P. Bratsyun ◽  
Раvlo M. Babich
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Family Physicians ◽  
Palliative Care Team ◽  
Care Team ◽  
Life Questionnaire ◽  
Financial Difficulties ◽  
The Impact ◽  
Palliative Patients

The aim: To evaluate the quality of life (QoL) of palliative patients receiving general palliative care and the impact of palliative care provided by mobile palliative care team (MPCT) on their QoL. Materials and methods: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core30 (QLQ-C30) was used to evaluate QoL of 219 palliative patients receiving general palliative care from family physicians in the Center for primary health care of Uzhhorod city, Ukraine. In the second part of the study, the subgroup of 25 patients who had at least one of fifteen QLQ-C30 scales evaluated lower than 50 points were selected. They were provided with PC from the MPCT for 2 weeks and their QoL was measured again. Results: For the patients who received general palliative care from a family physicians mean m (SD) QoL value was 38.63 (16.9), and the main symptoms that affected QoL were fatigue 48.60 (23.30) and pain 46.11 (20.97). The most impact on QoL scores had role (rs=0,430;), emotional (0.321) and physical (0.301) functioning and such symptoms as pain (-0.392), insomnia (-0.311), dyspnoea (-0.294), financial difficulties (-0.255). For the patients who received palliative care from MPCT mean the mean QoL score increased by 30.0 points, mean pain score decreased by 42.22 points, fatigue score decreased by 38.0 points and level of financial difficulties also decreased by 76.0 points. Conclusions: The involvement of the MPCT could have a significant positive impact on the QoL of palliative patients.

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