Door annelies_verachtert op Vr, 13/03/2015 - 15:13
Deze brochure is bedoeld voor alle leden van het zorgteam (arts, verpleegkundige en andere zorgverleners) die actief zijn in de zorg voor kankerpatiënten. De aanbevelingen zijn gebaseerd op 455 getuigenissen van patiënten en groepsgesprekken met 55 zorgverleners en experts.
Mindfulness Based Stress Reduction (het intentioneel trainen van aandacht aan gedachten, emoties, sensaties op een milde en accepterende wijze) blijkt in diverse meta-analyses voor een diverse pop
Posttraumatic growth at end of life, a positive psychological consequence of dealing with a life crisis, may be catalyzed by the trauma of facing mortality. Studies on cancer patients' posttraumatic growth have overwhelmingly examined early-stage survivors. Of the few studies on advanced cancer patients, none anchored posttraumatic growth with the patient's death. Therefore, the purposes of this study were to describe longitudinal changes in and to identify determinants of posttraumatic growth over the dying process.
The World Health Organization (WHO) defines palliative care (PC) as an approach to improve the quality of life of patients facing life-threatening illness, through prevention and relief of pain and of physical, psychosocial and spiritual problems. PC is traditionally offered late in the course of the incurable illness, e.g. when death is imminent. Studies suggest that PC should be provided early in the disease trajectory to have meaningful effects on the quality of life and quality of care in the final phase of life.
Advanced cancer seriously affects the quality of life of patients. Open and respectful communication about end of life care wishes is important to these patients. However, discussing these wishes is hard for healthcare professionals as well as patients and relatives. Advance care planning may support patients in making make their wishes known and followed. In ACTION, we study the effect of advance care planning in patients with end stage cancer. Advance care planning is a formalised process of communication between patients, relatives and professional caregivers.
Europe faces an enormous public health challenge with aging populations and rising cancer incidence. Little is known about what concerns the public across European countries regarding cancer care towards the end of life. We aimed to compare the level of public concern with different symptoms and problems in advanced cancer across Europe and examine factors influencing this.
The main objective of this dissertation was to gain insight into the preferences of advanced lung cancer patients for receiving information and participating in decision-making concerning treatment options, health-care setting transfers and end-of-life decision-making (ELDs). In the course of one year, physicians in thirteen hospitals in Flanders, Belgium, recruited patients with initial non-small-cell lung cancer, stage IIIb or IV.
The objective is to explore changes over time in the information and participation preferences of newly diagnosed stage IIIb/IV non-small-cell lung cancer patients. Patients were recruited by physicians in 13 hospitals and interviewed every 2 months until the fourth and every 4 months until the sixth interview. Sixty-seven patients were interviewed three times.
The long-term and often lifelong relationship of general practitioners (GPs) with their patients is considered to make them the ideal initiators of advance care planning (ACP). However, in general the incidence of ACP discussions is low and ACP seems to occur more often for cancer patients than for those with dementia or heart failure.
