Comparing the physical, psychological, social, and spiritual needs of patients with non-cancer and cancer diagnoses in a tertiary palliative care setting
Autor: | Aynharan Sinnarajah, Amanda Roze des Ordons, Suhair Bandeali |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Palliative care Vomiting Population Pain Anxiety Spiritualism Spiritual distress Alberta Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Neoplasms medicine Prevalence Humans 030212 general & internal medicine education General Nursing Depression (differential diagnoses) Fatigue Aged Retrospective Studies education.field_of_study business.industry Palliative Care Cancer Nausea General Medicine Caregiver burden Middle Aged medicine.disease Psychiatry and Mental health Clinical Psychology Dyspnea 030220 oncology & carcinogenesis Family medicine Delirium Female medicine.symptom business Needs Assessment |
Zdroj: | Palliativesupportive care. 18(5) |
ISSN: | 1478-9523 1478-9515 |
Popis: | ObjectiveThe purpose was to describe the physical, psychological, social, and spiritual needs of patients with non-cancer serious illness diagnoses compared to those of patients with cancer.MethodWe conducted a retrospective chart review of all patients with a non-cancer diagnosis admitted to a tertiary palliative care unit between January 2008 and December 2017 and compared their needs to those of a matched cohort of patients with cancer diagnoses. The prevalence of needs within the following four main concerns was recorded and the data analyzed using descriptive statistics and content analysis: •Physical: pain, dyspnea, fatigue, anorexia, edema, and delirium•Psychological: depression, anxiety, prognosis, and dignity•Social: caregiver burden, isolation, and financial•Spiritual: spiritual distressResultsThe prevalence of the four main concerns was similar among patients with non-cancer and cancer diagnoses. Pain, nausea/vomiting, fatigue, and anorexia were more prevalent among patients with cancer. Dyspnea was more commonly the primary concern in patients with non-cancer diagnoses (39%), who also had a higher prevalence of anxiety and concerns about dignity. Spirituality was addressed more often in patients with cancer.Significance of resultsThe majority of patients admitted to tertiary palliative care settings have historically been those with cancer. The tertiary palliative care needs of patients with non-cancer diagnoses have not been well described, despite the increasing prevalence of this population. Our description of the palliative care needs of patients with non-cancer diagnoses will help guide future palliative care for the increasing population of patients with non-cancer serious illness diagnoses. |
Databáze: | OpenAIRE |
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