scholarly journals Assessment of psychosocial support in the family with cancer patient

2019 ◽  
Vol 84 (3) ◽  
pp. 77-81
Author(s):  
T.G. Krivonis

Oncology patients experience high levels of stress both physically and psychologically, which can cause a lack of personal psychological resources. Psychosocial help is able to compensate the lack and be the basis for the recovery of patients in the future. On the base of informed consent, 286 cancer patients examined: 174 women and 114 men. Patients examined at different stages of the treatment process, namely, 78 women and 51 men were examined at the first episode of the disease, and 96 women and 63 men were examined after return of the disease or its relapse. Methods FACES-3, MSPSS were used in the study. It was shown, that in general women evaluated their own psychosocial resource more positively than men. The main source of support for patients, especially women, was family in comparison to significant others and friends. Families with a sufficient level of family adaptability characterized by high levels of psychosocial support, whereas impaired family functioning resulted in reduced external resources. Psychosocial help is an important component of complex psychological help for patients with cancer. The development of medical-psychological help measures should take into account the actual level of psychosocial support in patient and his / her perception by the participants of the treatment.

2021 ◽  
Author(s):  
Saori Koshimoto ◽  
Tomoko Yamazaki ◽  
Koji Amano ◽  
Jun Kako ◽  
Masako Arimoto ◽  
...  

Abstract Purpose Cancer chemotherapy causes nutrition impact symptoms (NIS) that affect patient diet and nutrition. Such patients, therefore, require nutrition counselling. In this study, we aimed to 1) identify the psychosocial factors of patients who require nutrition counselling and 2) articulate the specific details of the issues for which patients desire advice. Methods We conducted anthropometric measurements, surveys using questionnaires, and interviews with patients receiving outpatient chemotherapy for head and neck, oesophageal, gastric, colorectal, and lung cancers. The questionnaire included items on NIS, patients’ experience of eating-related distress (ERD), and quality of life (QOL). Interviews were conducted with patients who required nutrition counselling regarding specific issues. We provided nutrition counselling in two sessions. Results Of the 151 patients, 42 required nutrition counselling. The psychosocial factors affecting the required nutrition counselling were the number of people in the household, employment status, QOL, and ERD. The contexts of the specific issues patients wanted to discuss included self-management, distress, understanding and sympathy, anxiety, and confusion. Conclusion Nutrition counselling for patients receiving cancer chemotherapy needs to involve multidisciplinary support that considers psychological (anxiety, confusion) and social (family structure, employment situation) aspects as additional means to address NIS.


2019 ◽  
Vol 23 (4) ◽  
pp. 712-716
Author(s):  
T. Krivonis

Annotation. Cancer affects not only the patient but also affects the functioning of the whole family. The purpose of the work is to identify the peculiarities of the psychological status of the family with the cancer patient at different stages of the disease. On the base of informed consent, 286 families of cancer patients examined: 174 families with patient-wife and 112 families with patient-husband. Families examined at different stages of the treatment process, namely, at the first episode of the disease — 78 women and 51 men, and after return of the disease or its relapse — 96 women and 63 men. The FACES-3 family adaptation and cohesion scale was used. It is established that in families with cancer patients found changes in family functioning caused by the disease, which expressed in the formation of a specific behaviour patterns, most often by type of excessive care. In patients with continued illness observed changes in behaviour model in form of excessive care or distancing which reflected in levels of cohesion and adaptation. Thus, changes in family functioning in families with a patient suffering from cancer necessitate the development of family-oriented medical-psychological help.


2006 ◽  
Vol 29 (4) ◽  
pp. 309-316 ◽  
Author(s):  
Mari Botti ◽  
Ruth Endacott ◽  
Rosemary Watts ◽  
Julie Cairns ◽  
Katrina Lewis ◽  
...  

2021 ◽  
pp. 251512742110331
Author(s):  
Lauri Union ◽  
Carmen Suen ◽  
Rubén Mancha

On March 15, 2020, in response to the Covid-19 pandemic, the Honduran government unexpectedly announced a state of emergency and mandated immediate closure of all businesses. Diunsa closed its six stores. The family-owned retailer had anticipated supply chain disruptions, stocked from alternative suppliers, and formed a crisis management team. Now, to keep the business afloat during the unexpected closure and retain all its employees on the payroll, the company had to move sales from the brick-and-mortar stores to an incomplete online retail site. The third generation in the family business—the Faraj siblings, all in their 20’s—led the critical transition online and response to setbacks. As digital-native millennials, they helped improve the website, customer service, operations, and delivery in a short amount of time and using external resources and various technologies. As the situation stabilized, Diunsa’s leadership asked: How will Diunsa build on the momentum for digital transformation and turn its tactical actions into a digital strategy? How can we continue to tap into the leadership of our up-and-coming generation to achieve these goals?


1988 ◽  
Vol 153 (3) ◽  
pp. 367-375 ◽  
Author(s):  
Oye Gureje ◽  
A. Adewunmi

Forty-two first-episode RDC schizophrenic patients were matched on sociodemographic variables with an equal number of control subjects. The life-event histories of both groups for 6 months before onset or interview were compared. Onset of illness was not preceded by an increase in life events. The only significant observation was that control subjects had experienced more events in the month previous to interview. These were reported mainly by male control subjects, involved the family, and were possibly related to the period when the control subjects were interviewed. The observations are discussed within the context of the Nigerian culture.


BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 447-453 ◽  
Author(s):  
Kelly K. Anderson ◽  
Suzanne Archie ◽  
Richard G. Booth ◽  
Chiachen Cheng ◽  
Daniel Lizotte ◽  
...  

BackgroundThe family physician is key to facilitating access to psychiatric treatment for young people with first-episode psychosis, and this involvement can reduce aversive events in pathways to care. Those who seek help from primary care tend to have longer intervals to psychiatric care, and some people receive ongoing psychiatric treatment from the family physician.AimsOur objective is to understand the role of the family physician in help-seeking, recognition and ongoing management of first-episode psychosis.MethodWe will use a mixed-methods approach, incorporating health administrative data, electronic medical records (EMRs) and qualitative methodologies to study the role of the family physician at three points on the pathway to care. First, help-seeking: we will use health administrative data to examine access to a family physician and patterns of primary care use preceding the first diagnosis of psychosis; second, recognition: we will identify first-onset cases of psychosis in health administrative data, and look back at linked EMRs from primary care to define a risk profile for undetected cases; and third, management: we will examine service provision to identified patients through EMR data, including patterns of contacts, prescriptions and referrals to specialised care. We will then conduct qualitative interviews and focus groups with key stakeholders to better understand the trends observed in the quantitative data.DiscussionThese findings will provide an in-depth description of first-episode psychosis in primary care, informing strategies to build linkages between family physicians and psychiatric services to improve transitions of care during the crucial early stages of psychosis.Declaration of interestNone.


2018 ◽  
Vol 30 (12) ◽  
pp. 1899-1900
Author(s):  
Tuula Saarela ◽  
Monica Johansson ◽  
Ullamarja Louhija ◽  
Björn Appelberg ◽  
Kati Juva

Schizophrenia guidelines list family interventions as an efficient means in reducing relapses. Interventions aim to help families cope with their relative's problems more effectively, provide support and education, and reduce levels of distress and improve the family communication (see deHaanet al., 2002).


Coping is an important component in adapting a person to stressful events and maintaining a psychological balance. The aim of this work was to study the features of coping in patients with cerebrovascular pathology (CVP) in the dynamics of its development at different stages of the disease. At Kharkiv Regional Clinical Hospital - Emergency and Emergency Medicine Center during 2016-2018, observed 383 patients with cerebrovascular pathology on different stage of diseases. The coping assessed by using the Ways of Coping Questionnaire R. Lazarus & S. Folkman. In persons with high risk of CVP, clinical manifestations of CVP and patients after a stroke generally defined more tension of coping than in somatic healthy people. There occurred an imbalance forms of coping with low and high efficiency, dominated confrontation, distancing, avoidance versus problem solving, positive revaluation, increasing the role of social support as external psychosocial resource. Therefore, patients at various stages of CVP had unstable stress coping-profile that was on the one hand the basis for the development of stressrelated psychosomatic changes, on the other – not correctly solve the existing stress. Detection and psychological correction of ineffective coping strategies in patients with CVP is an important component of psychological help for this contingent of patients.


2005 ◽  
Vol 29 (6) ◽  
pp. 215-218 ◽  
Author(s):  
Maurice Place ◽  
Jessica Hulsmeier ◽  
Allan Brownrigg ◽  
Alison Soulsby

Aims and MethodThere have been a variety of instruments developed for evaluating family functioning, but no specific measure has emerged as appropriate for routine clinical use. The Family Adaptability and Cohesion Evaluation Scale (FACES) was viewed as a useful tool for a period, but has been less popular of late. This paper looks at its use in families with two very different types of problem to assess its discriminatory ability.ResultsMothers with depression whose children were not showing mental health difficulties reported a very different pattern of family functioning from those whose children were showing chronic school refusal.Clinical ImplicationsThe FACES is capable of discriminating between different patterns of family functioning. Its ease of administration, and the information it provides, should recommend it for wider use in clinical settings.


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