scholarly journals 412P Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer in Eastern India

2015 ◽  
Vol 26 ◽  
pp. ix111
Author(s):  
A. Datta ◽  
C. Aditya ◽  
A. Mukhopadhyay
Keyword(s):  
Palliative Care ◽  
Clinical Outcomes ◽  
Advanced Cancer ◽  
Eastern India ◽  
Care Intervention

scholarly journals Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer

JAMA ◽  
2009 ◽  
Vol 302 (7) ◽  
pp. 741 ◽  
Author(s):  
Marie Bakitas ◽  
Kathleen Doyle Lyons ◽  
Mark T. Hegel ◽  
Stefan Balan ◽  
Frances C. Brokaw ◽  
...  
Keyword(s):  
Palliative Care ◽  
Clinical Outcomes ◽  
Advanced Cancer ◽  
Care Intervention

An early palliative care intervention can be confronting but reassuring: A qualitative study on the experiences of patients with advanced cancer

2019 ◽  
Vol 33 (7) ◽  
pp. 783-792 ◽  
Author(s):  
Monica Fliedner ◽  
Sofia Zambrano ◽  
Jos MGA Schols ◽  
Marie Bakitas ◽  
Christa Lohrmann ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Advanced Cancer Patients ◽  
End Of Life Decisions ◽  
Early Palliative Care ◽  
Network Support ◽  
Care Intervention ◽  
Life Decisions

Background: Intervention trials confirm that patients with advanced cancer receiving early palliative care experience a better quality of life and show improved knowledge about and use of palliative care services. To involve patients in future health-care decisions, health professionals should understand patients’ perspectives. However, little is known about how patients’ experience such interventions. Aim: To explore advanced cancer patients’ experiences with a structured early palliative care intervention, its acceptability and impact on the patients’ life including influencing factors. Design: Qualitative content analysis of in-depth, semi-structured interviews. Setting/participants: Patients with various advanced cancer diagnoses were enrolled in a multicenter randomized controlled trial (NCT01983956), which investigated the impact of “Symptoms, End-of-life decisions, Network, Support,” a structured early palliative care intervention, on distress. Of these, 20 patients who underwent the intervention participated in this study. Results: Participants received the intervention well and gained a better understanding of their personal situation. Patients reported that the intervention can feel “confronting” but with the right timing it can be confirming and facilitate family conversations. Patients’ personal background and the intervention timing within their personal disease trajectory influenced their emotional and cognitive experiences; it also impacted their understanding of palliative care and triggered actions toward future care planning. Conclusion: Early palliative care interventions like “Symptoms, End-of-life decisions, Network, Support” may provoke emotions and feel “confrontational” often because this is the first time when issues about one’s end of life are openly discussed; yet, advanced cancer patients found it beneficial and felt it should be incorporated into routine care.

scholarly journals Predictors of response to palliative care intervention for chronic nausea in advanced cancer outpatients

2013 ◽  
Vol 21 (9) ◽  
pp. 2427-2435 ◽  
Author(s):  
Wadih Rhondali ◽  
Sriram Yennurajalingam ◽  
Gary Chisholm ◽  
Jeanette Ferrer ◽  
Sun Hyun Kim ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Care Intervention ◽  
Predictors Of Response ◽  
Chronic Nausea

Effects of an Oncology Nurse-Led, Primary Palliative Care Intervention (CONNECT) on Illness Expectations Among Patients With Advanced Cancer

2021 ◽  
Author(s):  
Lauren E. Sigler ◽  
Andrew D. Althouse ◽  
Teresa H. Thomas ◽  
Robert M. Arnold ◽  
Douglas White ◽  
...  
Keyword(s):  
Palliative Care ◽  
Life Expectancy ◽  
Advanced Cancer ◽  
Terminal Illness ◽  
Treatment Options ◽  
Secondary Analysis ◽  
Cluster Randomized Trial ◽  
Oncology Nurse ◽  
Care Intervention ◽  
Treatment Intent

PURPOSE: Patients with advanced cancer often have unrealistic expectations about prognosis and treatment. This study assessed the effect of an oncology nurse-led primary palliative care intervention on illness expectations among patients with advanced cancer. METHODS: This study is a secondary analysis of a cluster-randomized trial of primary palliative care conducted at 17 oncology clinics. Adult patients with advanced solid tumors for whom the oncologist would not be surprised if died within 1 year were enrolled. Monthly visits were designed to foster realistic illness expectations by eliciting patient concerns and goals for their medical care and empowering patients and families to engage in discussions with oncologists about treatment options and preferences. Baseline and 3-month questionnaires included questions about life expectancy, treatment intent, and terminal illness acknowledgment. Odds of realistic illness expectations at 3 months were adjusted for baseline responses, patient demographic and clinical characteristics, and intervention dose. RESULTS: Among 457 primarily White patients, there was little difference in realistic illness expectations at 3 months between intervention and standard care groups: 12.8% v 11.4% for life expectancy (adjusted odds ratio [aOR] = 1.15; 95% CI, 0.59 to 2.22; P = .684); 24.6% v 33.3% for treatment intent (aOR = 0.76; 95% CI, 0.44 to 1.27; P = .290); 53.6% v 44.7% for terminal illness acknowledgment (aOR = 1.28; 95% CI, 0.81 to 2.00; P = .288). Results did not differ when accounting for variation in clinic sites or intervention dose. CONCLUSION: Illness expectations are difficult to change among patients with advanced cancer. Additional work is needed to identify approaches within oncology practices that foster realistic illness expectations to improve patient decision making.

scholarly journals Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: Effects and mediation in a randomized controlled trial

2018 ◽  
Vol 28 (2) ◽  
pp. 264-270 ◽  
Author(s):  
Annika Heymann‐Horan ◽  
Pernille Envold Bidstrup ◽  
Christoffer Johansen ◽  
Nina Rottmann ◽  
Elisabeth Anne Wreford Andersen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Randomized Controlled Trial ◽  
Advanced Cancer ◽  
Controlled Trial ◽  
Dyadic Coping ◽  
Randomized Controlled ◽  
Care Intervention ◽  
Specialized Palliative Care

Effect of an Oncology Nurse–Led Primary Palliative Care Intervention on Patients With Advanced Cancer

2021 ◽  
Author(s):  
Yael Schenker ◽  
Andrew D. Althouse ◽  
Margaret Rosenzweig ◽  
Douglas B. White ◽  
Edward Chu ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Oncology Nurse ◽  
Care Intervention

Single early palliative care intervention added to usual oncology care for patients with advanced cancer: A randomized controlled trial (SENS Trial)

2021 ◽  
pp. 026921632110053
Author(s):  
Steffen Eychmüller ◽  
Susanne Zwahlen ◽  
Monica C Fliedner ◽  
Peter Jüni ◽  
Daniel M Aebersold ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Advanced Cancer ◽  
Health Related Quality ◽  
Early Palliative Care ◽  
Care Intervention ◽  
Related Quality ◽  
Health Related ◽  
Oncology Care

Background: International oncology societies recommend early palliative care. Specific models to integrate early palliative care efficiently into clinical practice are debated. The authors designed a study to look at the quantitative and qualitative outcomes of an early palliative care intervention in oncological care to decrease stress and improve quality of life. Aims: To compare a single structured early palliative care intervention added to a usual oncology care in terms of distress and health-related quality of life at baseline compared to 6 months after enrollment. Design: This multicenter randomized controlled trial (NCT01983956) enrolled adult patients with advanced cancer. Participants were either randomly assigned to usual oncology care alone or usual care plus a structured early palliative care intervention. Setting/participants: One hundred fifty adult patients with a variety of advanced cancer diagnoses were randomized. Seventy-four participants were in the intervention and 76 participants in the control group. The primary outcome was the change in patient distress assessed by the National Comprehensive Cancer Network distress thermometer at 6 months. Health-related quality of life, the secondary outcome, was assessed by the Functional Assessment of Cancer Therapy–General Questionnaire. Results: The results showed no significant effect of the early palliative care intervention neither on patient distress nor on health-related quality of life. Conclusion: The addition of an early intervention to usual care for patients with advanced cancer did not improve distress or quality of life. Thus, patients may need more intensive early palliative care with continuous professional support to identify and address their palliative needs early.

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