Palliative Care in Lung Cancer

Ferrell, Betty; Koczywas, Marianna; Grannis, Fred; Harrington, Annie

doi:10.1016/j.suc.2010.12.003

Cited by 173 publications

(64 citation statements)

References 98 publications

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“…Figure 1a shows SQ, which makes up about 40% ∼ 50% of all lung carcinoma. Because SQ grows and varies slowly, patients with this type of lung cancer have a higher probability of surgical resection and longer survival times [16]. Figure 1b shows AD, which accounts for 25% of lung cancer carcinoma.…”

Section: Description Of Lung Cancer Typesmentioning

confidence: 99%

Optimal three-dimensional reconstruction for lung cancer tissues

Huang¹,

Yue²,

Wang³

et al. 2017

THC

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Abstract. The existing three-dimensional (3D) x-ray reconstruction methods for lung cancer tissue reconstruct the investigated objects based on a series of two-dimensional (2D) image sections and a chosen 3D reconstruction algorithm. However, because these procedures apply the same segmentation method for all 2D image sections, they may not achieve the optimal segmentation for each section. As a result, the reconstructed 3D images have limited spatial resolution. Furthermore, the existing 3D reconstruction method is time-consuming and results in a limited time resolution. This research presents an innovation of 3D reconstruction by reformulating two main components of the method. First, a validity index for fuzzy clustering is used to obtain the optimal segmentations of any 2D x-ray image. The process is realized by automatically determining the optimal number of clusters for the image. Second, unlike the existing 3D reconstruction methods, a fast-FCM algorithm is used to speed up the 2D image segmenting process, thereby raising the time resolution of the 3D reconstruction process. With the aid of commonly used VTK software, the proposed method has been used to visualize four classes of typical lung cancer tissues: adenocarcinoma, large cell carcinoma, small cell carcinoma, and squamous cell carcinoma. Experimental results validate the effectiveness and efficiency of the proposed algorithm. Thus, the method contributes a useful tool for x-ray-based 3D image reconstruction.

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Section: Description Of Lung Cancer Typesmentioning

confidence: 99%

Optimal three-dimensional reconstruction for lung cancer tissues

Huang¹,

Yue²,

Wang³

et al. 2017

THC

View full text Add to dashboard Cite

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“…Studies have shown that patients with metastatic non-small cell lung cancer (NSCLC) benefit from early PC (Temel et al, 2010(Temel et al, , 2011 lung cancer remains an incurable disease, causing significant morbidity and a high symptom burden (Ferrell, Koczywas, Grannis, & Harrington, 2011;Temel et al, 2010Temel et al, , 2011. There is no doubt that our current cancer care delivery system remains deficient, often failing to meet the needs of patients facing lung cancer and their families (IOM, 2013;Ferrell et al, 2011;Temel et al, 2010Temel et al, , 2011.…”

Section: An Interdisciplinary Model Of Pc In Lung Cancermentioning

confidence: 99%

“…There is no doubt that our current cancer care delivery system remains deficient, often failing to meet the needs of patients facing lung cancer and their families (IOM, 2013;Ferrell et al, 2011;Temel et al, 2010Temel et al, , 2011. Along with the stigma of having lung cancer, patients experience complex symptoms affecting • IDT identifies, communicates, and manages the signs and symptoms of patients at the end of life to meet physical, psychological, social, spiritual, and cultural needs of patients and families • IDT assesses and, in collaboration with the patient and family, develops, documents, and implements a care plan to address preventative and immediate treatment of symptoms, patient and family preferences for site of care, attendance of family/or community members at bedside, and desire for other treatments and procedures • Respectful post-death care that honors patient/family culture and religious practices is delivered • An immediate bereavement plan activated after death Domain 8: Ethical and Legal Aspects of Care…”

Section: An Interdisciplinary Model Of Pc In Lung Cancermentioning

confidence: 99%

“…• Patient/surrogate goals, preferences, and choices are respected within federal law, current accepted standards of medical care, and professional standards of practice • Program identifies, acknowledges, and addresses complex ethical issues that arise in caring for people with life-threatening illnesses • Provisions of care occur in accordance with professional, state, and federal laws, regulations, and current accepted standards of care specific facets of QOL (physical, psychological, social, spiritual), as do family caregivers (Ferrell et al, 2011;Temel et al, 2010Temel et al, , 2011. Improved, comprehensive models of PC implemented in lung cancer care are needed.…”

Section: An Interdisciplinary Model Of Pc In Lung Cancermentioning

confidence: 99%

“…Project 2 focuses on late-stage lung cancer, a population that has decreased survival, a high symptom burden, and QOL concerns. Project 3 focuses on family caregivers of patients with lung cancer (Ferrell et al, 2011;Koczywas et al, 2013). This model of care was developed based on extensive pilot work (Borneman et al, 2008;Ferrell et al, 2011;Koczywas et al, 2013;Podnos, Borneman, Koczywas, Uman, & Ferrell, 2007).…”

Section: An Interdisciplinary Model Of Pc In Lung Cancermentioning

confidence: 99%

See 2 more Smart Citations

Improving Palliative Cancer Care

Ferraro¹,

Ferrell²,

Zyl³

et al. 2014

JADPRO

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Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social, and spiritual distress. Furthermore, data show that PC continues to be underutilized and inaccessible, and current innovative models of integrating PC into standard cancer care lack uniformity. The aim of this article is to address the existing barriers in implementing PC into our cancer care delivery system and discuss how the oncology advanced practice nurse plays an essential role in providing high-quality cancer care. We also review the IOM recommendations; highlight the work done by the National Consensus Project in promoting quality PC; and discuss a National Cancer Institute-funded program project currently conducted at a National Comprehensive Cancer Center, "Palliative Care for Quality of Life and Symptoms Concerns in Lung Cancer," which serves as a model to promote high-quality care for patients and their families.

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