Palliative Care Psychiatry: Update on an Emerging Dimension of Psychiatric Practice

Fairman, Nathan; Irwin, Scott A.

doi:10.1007/s11920-013-0374-3

Cited by 51 publications

(70 citation statements)

References 46 publications

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“…Methods of providing palliative care for people with psychiatric illness still need to be developed globally. 26 People with dementia and frailty require care from their families, sometimes for many years. 27 Caregivers need support to manage the associated psychological, economic and social problems besides the new context of clinical difficulties that will appear during the process of disease.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

Corrêa¹,

Mazuko²,

Mitchell³

et al. 2017

Rev Bras Med Fam Comunidade

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Identificando pacientes para cuidados paliativos na atenção primária no Brasil: experiência do Projeto Estar ao Seu Lado Objetivo: Apresentar o processo de identificação de pacientes de cuidados paliativos em uma equipe de Estratégia de Saúde da Família no Brasil. Métodos: O processo de identificação ocorreu 1) utilizando o sistema de trabalho de uma Equipe de Estratégia de Saúde da Família e os princípios da atenção primária e 2) aplicando o SPICT, uma ferramenta para ajudar a identificar pacientes que poderiam se beneficiar com cuidados paliativos. Resultados: Vinte e três pacientes foram inscritos no programa de cuidados paliativos no início do projeto. Ao final do período de 12 meses, identificamos 38 pacientes. Seis pacientes morreram durante o período. Assim, durante 2015, 38 pessoas foram identificadas com necessidades paliativas de uma população total de 3.000 (1,2% da população de prática). Destes, 58% (n=22) foram mulheres, 63% (n=24) com mais de 65 anos, 74,7% (n=28) relataram etnia branca. Os diagnósticos principais mais frequentes foram câncer (39,5%), doença psiquiátrica (18,4%), doença cardiovascular (15,8%), fraqueza (10,5%), demência (10,5%) e doença respiratória (7,9%). A multimorbidade foi maior em pacientes com mais de 65 anos (t-test, p=0,009) com uma mediana de quatro doenças. As patologias mais prevalentes entre os que sofrem de multimorbilidade foram doença cardiovascular (73,7%), doença psiquiátrica (65,8%), câncer (50%), fragilidade (39,5%), diabetes mellitus (31,6%) e doenças respiratórias (23,7%). Conclusão: Aplicamos uma ferramenta para identificar e gerenciar pacientes que se beneficiariam dos cuidados paliativos na atenção primária em Rio Grande. Sua aplicação é prática e viável. Seu aperfeiçoamento, implementação e avaliação no Brasil é indicado nos centros comunitários de Estratégia de Saúde da Família, levando em conta especificamente fatores sociais e econômicos desse país. Identificando pacientes para cuidados paliativos en atención primaria en Brasil: la experiencia del Proyecto Estar ao Seu LadoObjective: To present the process of identification of palliative care patients in a Family Health Strategy´s team in Brazil. Methods: The identification process ocurred 1) using the system of work of a Family Health Strategy Team and the principles of primary care and 2) by applying the SPICT, a tool to help identify patients who might benefit with palliative care. Results: Twenty-three patients were enrolled in the palliative care program at the beginning of the project. By the end of the 12 month period, we had identified 38 patients. Six patients died during the time period. Thus during 2015, 38 people were identified with palliative needs from a total population of 3,000 (1.2% of the practice population). Of these 58% (n=22) were women, 63% (n=24) over 65 years, 74.7% (n=28) reported white ethnicity. The most frequent major diagnoses were cancer (39.5%), psychiatric disease (18.4%), cardiovascular disease (15.8%), frailty (10.5%), dementia (10.5%), and respiratory disease (7.9%)...

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

Corrêa¹,

Mazuko²,

Mitchell³

et al. 2017

Rev Bras Med Fam Comunidade

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“…Various authors have discussed education of psychiatry trainees in palliative and EOLC (Fairman and Irwin, 2013[11]). Palliative care psychiatry, end of life care and end of life decision making need to figure in the curriculum of postgraduate education as well as continuing professional development in psychiatry.…”

Section: Future Directions and Responsibility Of Psychiatry In End-ofmentioning

confidence: 99%

End-of-Life Care and Psychiatry: Current Trends and Future Directions in India

Deodhar

2016

Mens Sana Monogr

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Although 80% of the deaths worldwide occur in middle- and low-income countries such as India, there is less awareness of end-of-life care (EOLC) for people with chronic, serious, progressive, or advanced life-limiting illnesses, including dementia. EOLC involves good communication, clinical decision-making, liaison with medical teams and families, comprehensive assessment of and specialized interventions for physical, psychological, spiritual, and social needs of patients and their caregivers. The psychiatrist can play a significant role in each of the above domains in EOLC. The current trends in India are examined, including ambiguities between EOLC and euthanasia. Future directions include formulating a national EOLC policy, providing appropriate services and training. The psychiatrist should get involved in this process, with major responsibilities in providing good quality EOLC for patients with both life-limiting physical illnesses and severe mental disorders, supporting their caregivers, and ensuring dignity in death.

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“…The reader is directed to key chapters and books and multiple recent articles that articulate the scope of the clinical services needs of this population, principles of the clinical assessment and management of psychological distress and psychiatric disorders in this population, and potential roles of psychiatry in palliative care and hospice services delivery (44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62). Many opportunities exist for closer collaboration between psychiatric oncologists/supportive oncology services with palliative care and hospice services to enhance hospital cancer program end-of-life patient care and family/caregiver support.…”

Section: Psycho-oncologist Psychiatrist Roles In Palliative and End-omentioning

confidence: 99%

Supportive Oncology: New Models for the Role of Psychiatry in Cancer Care

Wolcott¹,

Jacobsen²,

Loscalzo³

2013

FOC

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The last 40 years have seen dramatic advances in the scientific understanding of the mechanisms underlying the clinical behavior of cancer and in the effectiveness of cancer prevention, diagnosis, staging, and treatments.Cancer care can now often be truly individualized, based on measurement of tumor biomarkers, advanced imaging technology, and use of targeted anticancer treatments. Treatment advances have resulted in the creation of large numbers of cancer survivors, and to the recognition that cancer is now often a chronic, rather than acutely life-threatening, illness.Evolution of our scientific and clinical understanding of the human dimensions of cancer and cancer care can be encapsulated in the progression of descriptive terms from psycho-oncology, to psychosocial oncology, to supportive oncology. Now a broad range of cancer patient and family services are recognized as being important to providing comprehensive patient-centered cancer care as one component of the patient's overall care delivery experience. This paper reviews information on psychiatric aspects of cancer and cancer treatment, the role of psychiatry and behavioral health services, best practice organizational models for provision of integrated supportive oncology services within the hospital cancer program environment, and the increasing importance of supportive oncology national quality of care standards.

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Palliative Care Psychiatry: Update on an Emerging Dimension of Psychiatric Practice

Cited by 51 publications

References 46 publications

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

End-of-Life Care and Psychiatry: Current Trends and Future Directions in India

Supportive Oncology: New Models for the Role of Psychiatry in Cancer Care

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