Palliative Care for Children Dying of Cancer: Psychosocial Issues

Author(s):  
Michael M. Stevens
Author(s):  
David Hui ◽  
Akhila Reddy ◽  
Eduardo Bruera

50 Palliative Care Studies Every Doctor Should Know provides a succinct summary and critical appraisal of 50 landmark studies that have defined the practice of palliative care. Carefully handpicked by the editors based on their scientific impact, these studies provide important insights into the evolution of this rapidly growing discipline. These articles cover a wide range of domains across interdisciplinary palliative care, such as pain and symptom management, psychosocial issues, spiritual care, caregiver distress, communication, advance care planning, prognostication, decision making, and end-of-life care. The principles of palliative care discussed in this book may be applicable throughout the trajectory of multiple life-limiting diseases.


2011 ◽  
Vol 28 (8) ◽  
pp. 569-572 ◽  
Author(s):  
Paul J. Moon

Little doubt (if any) remains as to the assured importance of physicians possessing praxis regarding psychosocial issues, including grief dynamics, in order to tend to dying and sorrowing people. It stands to reason then that palliative care physicians become knowledgeable enough about the phenomenon of grief. But imperative nuances must also be considered: what sort of knowledge on grief, as well as how much of such knowledge, is enough? This article poses topical queries on the importance of the palliative care physician exercising a deliberate agenda to persistently refine one’s personal framework or beliefs regarding grief. In doing so, it is proposed physicians will engender improved self-knowledge, which will serve to better poise themselves toward being with and purposefully encountering aggrieved others.


2021 ◽  
pp. 351-363
Author(s):  
Hunter Woodall

Palliative care providers, including physician assistants, frequently encounter substance use disorder (SUD) in patients or their families. Many of these patients with SUD remain undiagnosed at the time of palliative care referral, with most patients with these issues having preexisting conditions. Management of these patients requires proper screening and diagnosis, and teams must establish clear expectations. This chapter teaches palliative care teams to detect SUD and differentiate addiction behaviors from incompletely managed symptoms; diagnose and manage associated psychosocial issues; communicate clear expectations regarding treatment; safely prescribe controlled medications; manage intoxication or withdrawal; and develop plans to deal with drug diversion. Ongoing timely multidisciplinary communication is paramount in managing these challenging illnesses.


Patients with life-limiting illness and their families require the skills of many professionals, but also the support of their community. Psychosocial issues for people with life-limiting and terminal illness are complex and require excellent team work and the ability to look beyond the obvious. Whilst most professionals are comfortable in assessing and supporting even the most intimate of physical problems, assessing and supporting the emotional, social, and spiritual sequelae of terminal illness is challenging. More attention has been given to the psychosocial needs of adults with cancer than for any other group. This new edition of a successful text examines current practice and provision of psychosocial care across the lifespan and includes neonatal palliative care, care of the frail elderly, those with dementia and the marginalized. It is a highly practical text, comprehensively reviewing the current literature and evidence in order to demonstrate good, and better, research-based practice in psychosocial care.


Sign in / Sign up

Export Citation Format

Share Document