scholarly journals Spirituality in addressing death in oncological patients in palliative care

2021 ◽  
Vol 12 (4) ◽  
pp. 138-141
Author(s):  
Manoel Pereira da Silva Junior ◽  
Michelly de Oliveira Leopoldino ◽  
Fernanda da Silva Monteiro ◽  
Ana Paula Miyazawa
2020 ◽  
pp. 15-18
Author(s):  
Nina Tishchenko

The article reflects the importance and importance of the work of nurses of the Department of Palliative Care for Oncological Patients of the State Budget Health Establishment «Samara Regional Clinical Oncological Clinic». Important stages and features of care when dealing with seriously ill patients.


2020 ◽  
Vol 10 (5) ◽  
pp. 88 ◽  
Author(s):  
Ines Testoni ◽  
Michael Alexander Wieser ◽  
Dafni Kapelis ◽  
Sara Pompele ◽  
Marino Bonaventura ◽  
...  

Unclear communication of inauspicious prognoses may disorientate both patients and their relatives, drastically jeopardizing the planning of palliative care. This paper considers the issue of truth-telling in the communicative problems of nurses and students of nursing with terminally ill patients. The fundamental objective is the analysis of the difficulties related to the lack of truth-telling and how it might impact their professional and personal lives. A qualitative study was realized, involving 47 participants, both nurses (25) and nursing students (22), working in palliative care units or in associations of volunteers for the assistance of oncological patients. The exploration was focused on the way they relate to patients who are not aware of their real health conditions and their consequences. Particular attention was paid to their opinions concerning what could be done in order to manage such problematic situations in the near future.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R A Cocchiara ◽  
A Mannocci ◽  
S Cianfanelli ◽  
C Sestili ◽  
V D’Egidio ◽  
...  

Abstract Due to the increase of life expectancy for cancer patients, it has become necessary to implement complete and economically sustainable clinical care pathways that integrate different professional competences. The Comprehensive Cancer Care Network (CCCN) model consists of multiple specialized structures that cooperate for cancer patients care. Quality Indicators (QIs) represent valid and reliable tools of evaluation that allow a standardized comparison among different structures. The aim of this systematic review was to highlight a wide and complete description of the implemented QIs within the CCCNs and to identify and analyze methodologies used for the development of QIs. The literature was performed investigating two databases (PubMed and Scopus) and the search identified 7342 studies. After duplicate removal, title and abstract screening, and full text evaluation, 46 studies were included in the study. Most QIs were implemented in USA, Germany and Italy where the CCCN approach seems to be well defined. Eighty -two QIs concerned diagnosis, 260 concerned treatment, 7 concerned prevention, 29 about follow up, 71 about palliative care, 12 concerned rehabilitation and 7 research. The majority of the identified QIs belonged to the process domain, followed by the structure ones. Excluding QIs related to the management of cancer in general, the most represented organs resulted breast, colorectum and lung. Overall, it can be stated that the most represented categories of QIs concerned diagnosis and treatment. Furthermore, also the palliative care domain appeared very represented. Regarding the methodology of the QIs development, a consensus approach among experts and the Delphi method were the most frequently used methodologies. Only a few studies included the participation of patients for the implementation of the QIs. This systematic review provides a synthesis of existing QIs related to the setting of integrated oncological care Key messages The CCCN has been recognized as an ideal model for structuring the process of care that guarantees a complete and integrated approach for the management of oncological patients. Quality Indicators represent valid and reliable tools that should be used to perform a standardized comparison among different healthcare systems and to guarantee a homogeneous quality of care.


2013 ◽  
Vol 9 (6) ◽  
pp. 771-776 ◽  
Author(s):  
Adriana Turriziani ◽  
Gennaro Attanasio ◽  
Santina Cogliandolo ◽  
Francesco Scarcella ◽  
Luisa Sangalli ◽  
...  

2019 ◽  
Vol 06 (01) ◽  
pp. 005-012
Author(s):  
Barkha Bindu ◽  
Girija P. Rath

AbstractThe role of palliative care in patients with cancer is widely acknowledged and practiced. Though its role in chronic, progressive, and incurable neurological conditions is being recognized now, it is not widely practiced. Lack of awareness and training are important factors contributing to this. Neurological patients differ from oncological patients with respect to their symptoms, fluctuating disease course, varied prognoses, and difficulty in identifying end-of-life stage. Knowledge of different neurological conditions is important to practice neuropalliative care appropriately. Growth of neuropalliative care services must begin with the neurologist at the center of the multidisciplinary team. Neurologists need to be trained in communication skills and advance care planning, and must be aware of end-of-life care, do-not-resuscitate policies, and withdrawal of life support measures. This article elaborates on these aspects of neuropalliative care and discusses its role in various neurological conditions.


2021 ◽  
Vol 7 (9) ◽  
pp. 86450-86463
Author(s):  
Alícya Lizany Da Silva ◽  
Carlos Henrique Souza Andrade ◽  
Eronildo de Almeida Andrade ◽  
Mayra Skarllat dos Santos Correia ◽  
Inara Leite Soares ◽  
...  

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9038-9038 ◽  
Author(s):  
Eduardo L. Morgenfeld ◽  
Gaston Martin Reinas ◽  
Daniela Gercovich ◽  
Ernesto Gil Deza ◽  
Edgardo G. J. Rivarola ◽  
...  

9038 Background: More than half the total number of oncological patients may die due to the disease’s progression, and at some point in time the oncologist must communicate that the disease is terminal. This is the hardest conversation (HC) of a clinical oncologist. The following paper’s objective is to determine whether or not the treatments applied to patients, and their evolution, are affected by having had the HC. Methods: All patients who died due to progression of the disease in 2011 were selected for this study. Both medical histories and applied treatments were evaluated. All doctors were interviewed to establish when the HC had taken place. The distribution of variables was analyzed and both populations compared. Results: Between January 2011 and December 2011, 110 patients who met the previous criteria were studied. Population characteristics: Sex (Female: 52 pts; Male: 58 pts). Median age at the time of death: 61 years (Range: 27-88). Patients were divided in two groups: A (terminal status of the disease had been discussed; 70 pts) and B (terminal status of the disease had not been discussed; 40 pts). Both groups were similar in diagnosis, age and previous treatments. During the post HC evolution, three elements were categorized according to the table below. Conclusions: 1 – The conviction, ethical sense and strength of will of the doctor are determining factors when related to his or her capacity to talk with the patient about the terminal aspect of the disease. 2 – The chemotherapy treatments applied during the last two months of life are similar in both groups. 3 – The percentage of patients that died at their homes under palliative care was remarkably higher amongst those who had been informed than those who had not been informed. [Table: see text]


2021 ◽  
Vol 4 (6) ◽  
pp. 23965-23976
Author(s):  
Amanda Ferreira Alves ◽  
Bruna Lorena Soares Cavalcante Sousa ◽  
Káren Andresa Mendes Da Silva ◽  
José Bruno Macedo Castelo Branco ◽  
Gylvana de Sousa Carvalho ◽  
...  

2019 ◽  
Vol 17 (1) ◽  
pp. 371
Author(s):  
Maria Inês Amaro Assunção De Melo ◽  
Waldir Souza ◽  
Clélia Peretti

O estudo apresenta levantamento de experiências vivenciadas por cuidadores de pacientes oncológicos em cuidados paliativos e realiza análise fenomenológica das mesmas. A pesquisa de campo, transversal, descritiva e qualitativa foi realizada em uma instituição hospitalar do Oeste do Paraná com sete cuidadores nos setores ambulatoriais, internamento e UTI. A análise dos dados teve como fundamento teórico a obra de Edith Stein A estrutura da pessoa humana (1933/2013). A pesquisa mostra que os cuidadores elegem mediante os cuidados paliativos apenas a corporeidade e a exterioridade como forma de reconhecimento do outro necessitando, assim, de uma formação para a interioridade e espiritualidade. PHENOMENOLOGICAL ANALYSIS OF THE EXPERIENCE OF PALLIATIVE CARE FOR FAMILY CAREGIVERS OF ONCOLOGICAL PATIENTS The study raises the experiences of the informal caregivers of cancer patients in palliative care and performs phenomenological analysis of them. Field, cross-sectional, descriptive and qualitative research was performed at a hospital in the west of Paraná with seven caregivers in the outpatient, inpatient and ICU sectors. Data analysis was based on the work of Edith Stein La strutura della persona umana (1933/2013). The research shows the fragility of the caregivers in front of the understanding of the structures that make up the human being, choose the corporeity as a way of recognizing the other, they need a formation for interiority and spirituality.


2021 ◽  
Vol 7 (6) ◽  
pp. 57286-57301
Author(s):  
Sara Gabriele Soares Araújo ◽  
Késia Chaves da Silva ◽  
Jonathan Fernandes da Silva ◽  
Raylson Marcelo Fernandes de Lima ◽  
Nayara Sousa de Lima ◽  
...  

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