Reframing Hope: Meaning-Centered Care for Patients Near the End of Life

Breitbart, William; Heller, Karen S.

doi:10.1089/109662103322654901

Cited by 117 publications

(84 citation statements)

References 15 publications

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“…Spira and Breitbart 35,92,93 address spiritual suffering in ambulatory advanced cancer patients with meaning-centered group psychotherapy. This therapeutic approach is based on the work of existential psychotherapist Viktor Frankl.…”

Section: Specific Approaches To Carementioning

confidence: 99%

Dying, Dignity, and New Horizons in Palliative End-of-Life Care

Chochinov

2006

CA: A Cancer Journal for Clinicians

292

200

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Palliative care practitioners are now better able than ever before to ameliorate endof-life symptom distress. What remains less developed, however, is the knowledgebase and skill set necessary to recognize, assess, and compassionately address the psychosocial, existential, and spiritual aspects of the patient's dying experience. This review provides an overview of these areas, focusing primarily on empirical data that has examined these issues. A brief overview of psychiatric challenges in end-of-life care is complemented with a list of resources for readers wishing to explore this area more extensively. The experience of spiritual or existential suffering toward the end of life is explored, with an examination of the conceptual correlates of suffering. These correlates include:hopelessness, burden to others, loss of sense of dignity, and desire for death or loss of will to live. An empirically-derived model of dignity is described in some detail, with practical examples of diagnostic questions and therapeutic interventions to preserve dignity. Other interventions to reduce existential or spiritual suffering are described and evidence of their efficacy is presented. The author concludes that palliative care must continue to develop compassionate, individually tailored, and effective responses to the mounting vulnerability and increasingly difficult physical, psychosocial, and spiritual challenges facing persons nearing the end of life.

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Section: Specific Approaches To Carementioning

confidence: 99%

Dying, Dignity, and New Horizons in Palliative End-of-Life Care

Chochinov

2006

CA: A Cancer Journal for Clinicians

292

200

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“…Over the years, medical and psychological discourse on end-of-life care has steadily shifted from focusing primarily on symptom control and pain management to incorporating more person-centered approaches. Meaning making has become a central element of psychotherapeutic interventions [25,26]. Patients with limited life expectancy, whose meaning in life is sustained, are still able to consider their life as worth living [22,27].…”

Section: Inclusion Criteriamentioning

confidence: 99%

A Brief Meaning-focused Intervention for Advanced Cancer Patients in Acute Oncology Setting

Theresa¹

2013

J Palliative Care Med

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“…kognityvinio požiūrio, kurios akcentuoja mąstymo keitimą (pvz., Cheavens ir kt., 2006); egzistencinio-humanistinio požiūrio, susitelkiančias į asmenines vertybes, santykio su esama problema išgyvenimą (pvz., Breitbart, Heller, 2003); eklektinio požiūrio. Šiose intervencijose taikomi kognityviniai metodai, orientuojamasi į tikslų išsikėlimą, mokymąsi, tačiau kai kurie užsiėmimai akcentuoja vertybes, santykius su kitais, tad juose rečiau naudojamas kognityvinis požiūris bei metodai (pvz., Rustoen, Hanestad, 1998;Herth, 2000;2001).…”

Section: Vilties Didinimo Intervencijų Efektyvumo Tyrimaiunclassified

“…Daugiau dirbama su sergančiųjų vilties didinimu ir įkvėpimu. Atlikti tyrimai (Rustoen, Hanestad, 1998;Rustoen ir kt., 2010;Herth, 2001;Breitbart, Heller, 2003;ir kt. ) rodo, kad vilties įkvėpimas pacientų grupėje, naudojant skirtingas intervencines programas, yra įmanomas.…”

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“…Kaip efektyvūs aprašomi įvairūs metodai: dailės terapija, diskusijos, grupės procesų išgyvenimais grįsti užsiėmimai ir pan. (Rustoen, Hanestad, 1998;Heiney, Daar-Hope, 1999;Breitbart, Heller, 2003). Tuo remiantis galima teigti: vienas svarbiausių dalykų norint įkvėpti viltį -pokalbis apie vilties išgyvenimą su žmogumi, nevengimas jam aktualių temų bei kryptingos ir vientisos intervencinės programos planas.…”

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2013

IJPBA

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Vytauto Didžiojo universitetas, LietuvaMokslinė problema. Pagrindinė darbo problema -mokslinių vilties intervencijų efektyvumo tyrimų trūkumas slaugytojų grupėje. ĮVADASViltis -psichologinė sąvoka, priklausanti pozityviosios psichologijos sričiai ir nusakoma kaip tvirtas, tačiau neužtikrintas lūkestis, jog ateityje 1 Susirašinėjimui: VDU Teorinės psichologijos katedra, K. Donelaičio

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Reframing Hope: Meaning-Centered Care for Patients Near the End of Life

Cited by 117 publications

References 15 publications

Dying, Dignity, and New Horizons in Palliative End-of-Life Care

Dying, Dignity, and New Horizons in Palliative End-of-Life Care

A Brief Meaning-focused Intervention for Advanced Cancer Patients in Acute Oncology Setting

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