Medical Cannabis in Palliative Psychiatry: Clinical Aspects of Affective Regulation and Legal Challenges

Millions of Americans use cannabis for medical purposes including but not limited to pain, nausea, mood changes and appetite stimulation. The use of cannabinoid in the palliative care setting is a relatively new trend. Given the fact that a patient receiving palliative care is not necessarily approaching death, the increasing need for palliative care as the American population ages, this literature review was compiled in order to examine the potential efficacy of cannabis in treating the mental health comorbidities of palliative care patients. We attempted to create the most comprehensive report on cannabinoid use in palliative psychiatry. It summarizes the most recently published science on cannabinoid use in palliative care patients and its impact on mood and anxiety symptoms. The mechanism of action of cannabinoids on their associated receptors was elucidated, as were the pharmacological roles that specific molecules in cannabinoids, like cannabidiolic acid and terpenes, play in cannabinoids’ overall efficacy. The legal impediments to widespread cannabis use were also explored. While the potential efficacy of cannabinoids has proven to be mixed, more research is necessary to ensure that a potentially vital resource in treating palliative care patients does not go underutilized.

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Palliative Psychology

10.1093/med/9780199798551.001.0001 ◽

2018 ◽

Cited By ~ 1

Author(s):

E. Alessandra Strada

Keyword(s):

Palliative Care ◽

Psychological Assessment ◽

Care Setting ◽

Clinical Aspects ◽

Advanced Illness ◽

Palliative Care Setting ◽

Licensed Psychologists ◽

The Us ◽

Case Vignettes ◽

Essential Knowledge

Palliative Psychology: Clinical Perspectives on an Emerging Specialty is the first book that proposes palliative psychology as a new specialty defining the roles and competencies of psychologists working in the palliative care setting in the US context. As proposed and defined in this book, palliative psychology is a specialty for licensed psychologists interested in providing psychological assessment and interventions to patients with serious and advanced illness and their family caregivers. The psychologist’s involvement can begin after a diagnosis of serious illness and continue during treatment, transition of care, during the dying process, and in bereavement. This book follows the framework developed by the Clinical Practice Guidelines for Quality Palliative Care, which identifies eight domains of specialist palliative care. The chapters of the book explore each of the domains, describing some of the essential knowledge, skills, and attitudes that palliative psychologists should develop to become competent palliative care professionals. Tables and clinical case vignettes are used throughout the book to illustrate important clinical aspects related to the work of palliative psychologists.

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Meeting the social, emotional and psychological needs of patients in a cancer palliative care setting: Student Nurses� experiences from Karachi, Pakistan

i-manager’s Journal on Nursing ◽

10.26634/jnur.1.1.1364 ◽

2011 ◽

Vol 1 (1) ◽

pp. 38-43

Author(s):

Nasreen Sulaiman Lalani ◽

◽

Shabana D. Lakhani ◽

Muslim Shah ◽

◽

...

Keyword(s):

Palliative Care ◽

Care Setting ◽

Student Nurses ◽

Psychological Needs ◽

Social Emotional ◽

The Social ◽

Palliative Care Setting

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

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909112471422 ◽

2012 ◽

Vol 30 (8) ◽

pp. 752-758 ◽

Cited By ~ 9

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

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

Complementary Therapies in Clinical Practice ◽

10.1016/j.ctcp.2007.10.001 ◽

2008 ◽

Vol 14 (1) ◽

pp. 25-32 ◽

Cited By ~ 12

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

Palliative & Supportive Care ◽

10.1017/s1478951507000594 ◽

2007 ◽

Vol 5 (4) ◽

pp. 397-404 ◽

Cited By ~ 24

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.

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