The Third Domain of Palliative Care

2018 ◽  
Author(s):  
E. Alessandra Strada
Keyword(s):  
Palliative Care ◽  
Care Setting ◽  
Well Being ◽  
Psychological Interventions ◽  
Anticipatory Grief ◽  
The Third ◽  
Essential Components ◽  
Palliative Care Setting ◽  
The Family ◽  
Grief Reactions

This chapter describes palliative psychology competencies in the third domain of palliative care, which focuses on identifying and addressing psychological and psychiatric needs in the patient and the family. Palliative psychology is a holistic discipline. It emphasizes not only the management of distress, but also the importance of facilitating psychospiritual well-being for the patient and for family caregivers. Because psychotherapy is one of the main psychological interventions provided by psychologists, this chapter defines palliative psychotherapy as a relevant framework for the palliative care setting. The essential components related to structure, delivery, and therapeutic stance are discussed. This chapter also discusses major depression, anxiety, and anticipatory grief reactions. Nonpharmacological and pharmacological approaches are discussed.

scholarly journals Bereaved spouses' adjustment after the patients' death in palliative care

2007 ◽  
Vol 5 (4) ◽  
pp. 397-404 ◽  
Author(s):  
Maria E. Carlsson ◽  
Ingrid M. Nilsson
Keyword(s):  
Palliative Care ◽  
Sleep Disturbance ◽  
Care Setting ◽  
Significant Decline ◽  
First Year ◽  
Inclusion Criteria ◽  
Life Situation ◽  
Palliative Care Setting ◽  
Advanced Home Care ◽  
Grief Reactions

ABSTRACTObjectives:To improve the support to bereaved spouses during the year after the patient's death, a project was started consisting of three visits by a nurse (after 1, 3, and 13 months) with conversations about the patient's death and the spouse's life situation. The aim of this study was to describe the bereaved spouse's situation and adaptation during the first year after the loss.Methods:Spouses of patients cared for by The Advanced Home Care Team (APHCT) in Uppsala, Sweden, were invited to participate in the project. Each participant was encouraged to talk freely about his or her situation, but enough direction was given to ensure that all items listed on a standardized questionnaire were covered.Results:Fifty-one spouses met the inclusion criteria and were invited to participate and 45 accepted. The subjects felt quite healthy but were tired and suffered from sleep disturbance. The grief reactions had initially been high but showed a significant decline from 1 to 13 months (p < .01). Forty-nine percent had experienced postbereavement hallucinations.Significance of results:This study showed that the bereaved spouses felt quite healthy and adjusted quite well to their new life situation, after the patient's death in a palliative care setting. The grief reactions had initially been high but showed a significant decline during the year.

Spiritual well-being of Italian advanced cancer patients in the home palliative care setting

2017 ◽  
Vol 26 (4) ◽  
pp. e12677 ◽  
Author(s):  
A. A. Martoni ◽  
S. Varani ◽  
B. Peghetti ◽  
D. Roganti ◽  
E. Volpicella ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Care Setting ◽  
Well Being ◽  
Advanced Cancer Patients ◽  
Palliative Care Setting ◽  
Spiritual Well Being

Techniques for framing questions in conducting family meetings in palliative care

2009 ◽  
Vol 7 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Isabelle Dumont ◽  
David Kissane
Keyword(s):  
Palliative Care ◽  
Family Therapy ◽  
Care Setting ◽  
Preventive Intervention ◽  
Family Meetings ◽  
Questioning Techniques ◽  
Palliative Care Setting ◽  
The Family ◽  
Asking Questions ◽  
Systemic Family Therapy

ABSTRACTObjective:Family therapy has developed several approaches to framing questions within family meetings, but few of these techniques have been adapted for palliative care. We focus on the application of questioning techniques from systemic family therapy to palliative care. More specifically, we describe and give examples of the model of asking questions developed by Karl Tomm (1988) through its application in Family Focused Grief Therapy (FFGT), a preventive intervention delivered to high-risk families during palliative care and bereavement.Methods:First, the type of questions used across the course of therapy is explored based on the interventive questioning model. Then, a case example is provided to demonstrate the use and adaptation of this model in a palliative care setting.Results:At the beginning of therapy, the most frequent questions were linear and circular, moving around the family to build up a picture of events from everyone's perspective. As for the frequency of reflexive and strategic questions, these increased as the therapy progressed, bringing the family to new perspectives. The case example fleshes out the importance of each type of question, all of which have a proper place in the course of therapy.Significance of results:These illustrations highlight the value of having a model of questioning styles to guide the clinician when exploring palliative care issues, such as care provision, coping and grief, intimacy, and discussing death. This framework could be useful in guiding supervisors, trainees, and clinicians seeking to build skills and optimize their interventions in a palliative care setting.

The Influence of the Family in Conceptions of Personhood in the Palliative Care Setting in Singapore and Its Influence Upon Decision Making

2013 ◽  
Vol 31 (6) ◽  
pp. 645-654 ◽  
Author(s):  
Lalit Kumar Radha Krishna ◽  
Rayan Alsuwaigh ◽  
Prabha Techna Miti ◽  
Sim Shin Wei ◽  
Khoo Hui Ling ◽  
...  
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Care Setting ◽  
Palliative Care Setting ◽  
The Family

scholarly journals Emotional disclosure as a therapeutic intervention in palliative care: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031046
Author(s):  
Daisy McInnerney ◽  
Nuriye Kupeli ◽  
Patrick Stone ◽  
Kanthee Anantapong ◽  
Justin Chan ◽  
...  
Keyword(s):  
Palliative Care ◽  
Outcome Measures ◽  
Scoping Review ◽  
Expressive Writing ◽  
Care Setting ◽  
Well Being ◽  
Emotional Disclosure ◽  
Published Data ◽  
Palliative Care Setting ◽  
Review Protocol

IntroductionEmotional disclosure (ED) is a term used to describe the therapeutic expression of emotion. ED underlies a variety of therapies aimed at improving well-being for various populations, including people with palliative-stage disease and their family carers. Systematic reviews of ED-based psychotherapy have largely focused on expressive writing as a way of generating ED. However, heterogeneity in intervention format and outcome measures has made it difficult to analyse efficacy. There is also debate about the mechanisms proposed to explain the potential effects of ED.We present a scoping review protocol to develop a taxonomy of ED-based interventions to identify and categorise the spectrum of interventions that could be classified under the umbrella term of ‘emotional disclosure’ in the palliative care setting. By mapping these to associated treatment objectives, outcome measures and explanatory frameworks, the review will inform future efforts to design and evaluate ED-based therapies in this population.Methods and analysisThe review will be guided by Arksey and O’Malley’s five-stage scoping review framework and Levac’s extension. The following electronic databases will be searched from database inception: CENTRAL, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Scopus, Web of Science and MEDLINE. We will include peer-reviewed studies and reviews. We will also check grey literature, including clinical trial registers, conference proceedings and reference lists, as well as contacting researchers. Articles will be screened by at least two independent reviewers and data charted using an extraction form developed for this review. Results will be analysed thematically to create a taxonomy of interventions, outcome measures and theoretical frameworks.Ethics and disseminationThis review does not require ethical approval as it is a secondary analysis of pre-existing, published data. The results will inform future research in the development of ED-based interventions and evaluation of their efficacy in the palliative care setting. We will disseminate findings through peer-reviewed journals.

Validation of the Phase II Feasibility Study in a Palliative Care Setting

2012 ◽  
Vol 30 (8) ◽  
pp. 752-758 ◽  
Author(s):  
Cindy Lee ◽  
Ryash Vather ◽  
Anne O’Callaghan ◽  
Jackie Robinson ◽  
Briar McLeod ◽  
...  
Keyword(s):  
Palliative Care ◽  
Feasibility Study ◽  
Phase Ii ◽  
Care Setting ◽  
Palliative Care Setting

Outcome measures for holistic, complex interventions within the palliative care setting

2008 ◽  
Vol 14 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Elizabeth Anita Thompson ◽  
Tina Quinn ◽  
Charlotte Paterson ◽  
Helen Cooke ◽  
Deidre McQuigan ◽  
...  
Keyword(s):  
Palliative Care ◽  
Outcome Measures ◽  
Care Setting ◽  
Complex Interventions ◽  
Palliative Care Setting
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