Cancer Care for the Whole Patient

Adler, Nancy E.; Page, Ann; Setting, Families in a Community

doi:10.17226/11993

Cited by 130 publications

(23 citation statements)

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“…These models share many common features, including the need to: 1) identify psychosocial needs; 2) link to appropriate services; 3) coordinate the biomedical and psychosocial aspects of participant care; and 4) provide follow-up and monitoring of the effectiveness of services. 9 As recommended by the 2008 Institute of Medicine report, 9 models that involve multidimensional approaches are most effective in managing participants with complex health conditions, such as many older adults with cancer. 26,27 Central to the success of any model is effective participant-provider communication.…”

Section: Discussionmentioning

confidence: 99%

“…8 Modern cancer care routinely provides state-of-the-science medical treatment, but frequently fails to address the psychosocial aspects of illness. 9 Unmet psychosocial problems can negatively impact a participant's ability to cope and manage their illness, as well as limit their ability to access and receive necessary health care resources. 9 Although the importance of social support in clinical care is intuitive, its overall impact on cancer outcomes such as survival and adverse outcomes remains mixed.…”

Section: Introductionmentioning

confidence: 99%

“…9 Unmet psychosocial problems can negatively impact a participant's ability to cope and manage their illness, as well as limit their ability to access and receive necessary health care resources. 9 Although the importance of social support in clinical care is intuitive, its overall impact on cancer outcomes such as survival and adverse outcomes remains mixed. To our knowledge, the majority of research regarding social support to date predominantly has focused on adults with breast cancer; frequently involves small samples; and mainly has examined the presence, not the specific need, of social support.…”

Section: Introductionmentioning

confidence: 99%

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Unmet social support needs among older adults with cancer

Williams

Pisu

Rocque

et al. 2018

Cancer

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Background Adequate social support for older adults is necessary to maintain quality of life and reduce mortality and morbidity. However, little is known regarding the social support needs of older adults with cancer. The objective of the current study was to examine social support needs, specifically the unmet needs, among older adults with cancer. Methods Medicare beneficiaries (those aged ≥65 years) with cancer were identified from the University of Alabama at Birmingham Health System Cancer Community Network. Social support needs were assessed using a modified version of the Medical Outcomes Study Social Support Survey. The authors defined an “unmet need” if participants reported having some/a little/never availability of support and requiring support for that need. Results Of the 1460 participants in the current study, the average age was 74 years (standard deviation, 5.8 years). Approximately two‐thirds of participants (986 participants; 67.5%) reported having at least 1 social support need, with the highest needs noted in the emotional (49.5%) and physical (47.4%) support subdomains. Of those individuals with a support need, approximately 45% had at least 1 unmet need, with the greatest percentages noted in the medical (39%) and informational (36%) subdomains. Multivariable analyses demonstrated that participants who were nonwhite, were divorced or never married, or had a high symptom burden were at greatest risk of having unmet social support needs across subdomains. Conclusions In this population of older adults with cancer, the authors found high levels of unmet social support needs, particularly in the medical and informational support subdomains. Participants who were nonwhite, were divorced or never married, or had a high symptom burden were found to be at greatest risk of having unmet needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unmet social support needs among older adults with cancer

Williams

Pisu

Rocque

et al. 2018

Cancer

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“…Today, high-quality cancer care is needed for longer periods of time after diagnosis and primary treatments and should provide comprehensive concepts of psychosocial care considering the continuum of distress including mental disorders distinct from emotional distress [22]. In addition to the 4-week and 12-month prevalence, data on the lifetime prevalence of mental disorders are useful to better evaluate mental comorbidity across various cancer entities in the light of population-based demographic data [23,24].…”

Section: Introductionmentioning

confidence: 99%

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

Kuhnt

Brähler

Faller

et al. 2016

Psychother Psychosom

118

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Background: Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. Methods: A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). Results: The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.8-5.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. Conclusions: Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources.

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“…The physiologic effects of some cancer treatments such as hair loss, sexual dysfunction, impaired fertility and weight gain can also leads to stigma and discrimination and sometimes can be the cause of partner rejection (Aubin and Perez, 2015). The psychological toll for caring a cancer living person can also be enormous as many care givers experiences distress and declines in their physical and mental health (Adler and Page, 2008). The pain of cancer experienced due to inadequate access to pain relieving medicines has wide implications in the quality of life of cancer patients and is frequently linked to psychological distress, including higher levels of anxiety, depression and fear (Wells et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life Assessment in Cancer Patients of Regional Centre of Hyderabad City

Sunanda¹,

Priyanka²,

Architha³

et al. 2018

J App Pharm Sci

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The present study was carried out to determine the quality of life in regional cancer patients of Hyderabad city with an objective to create awareness about the various health related issues and financial problems underlying the disease. So that possible measures can be taken by the society and the government in advance to improve the quality of life in cancer patients. The complete data for the present study has been collected for a period of 2 months from Mehdi Nawaz Jung Institute of Oncology and Regional Cancer Centre, Red Hills, Hyderabad, Telangana, India from 192 Females and 32 Males in the age group between 18-70 years. The quality of life of the cancer subjects was assessed using EORTC QLQ-C-30 questionnaire. The observations have shown that the cancer patients in spite of having better functioning and minimum symptoms, their perception was that they had poor quality of life. It is concluded that the therapy should be individualized for each patient not just based upon the type or stage of cancer but also based on the patient's priorities, concerns and symptoms along with treating the disease. In simple words it can be said that the therapy should be patient oriented rather than disease oriented.

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Cancer Care for the Whole Patient

Cited by 130 publications

References 0 publications

Unmet social support needs among older adults with cancer

Unmet social support needs among older adults with cancer

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

Quality of Life Assessment in Cancer Patients of Regional Centre of Hyderabad City

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