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The Oncological Patient in the Palliative Situation
Steffen Eychmueller1, Diana Zwahlen2, Monica Fliedner3
1University Center for Palliative Care, Inselspital Bern, Bern, Switzerland. steffen.eychmueller@insel.ch.
Summary
Palliative care uses a holistic bio-psycho-social-spiritual model to address patient suffering. Focusing on patient-centered care and maintaining locus of control can reduce stress and anxiety in terminal illness.
Area of Science:
- Palliative Care
- Psycho-oncology
- End-of-Life Care
Background:
- Palliative care complements medical cancer treatment with a bio-psycho-social-spiritual model.
- It addresses patient suffering through problem-based assessment and person-directed interventions.
- Psycho-oncological aspects are crucial for understanding and supporting terminally ill patients and their families.
Purpose of the Study:
- To highlight the comprehensive approach of palliative care.
- To emphasize the importance of psycho-oncological interventions in end-of-life care.
- To discuss challenges in defining patient-relevant outcomes in psychosocial and palliative care research.
Main Methods:
- Assessment based on patient problems and resources.
- Development of participatory care plans.
- Implementation of person-directed interventions tailored to prognosis and patient needs.
Main Results:
- Palliative care interventions can be adapted to patient prognosis, family, and professional needs.
- Evidence suggests stress reduction and anxiety decrease when patients maintain locus of control.
- Defining patient-relevant outcomes remains a significant challenge in psychosocial and palliative care research.
Conclusions:
- Palliative care offers a holistic approach to suffering, integrating bio-psycho-social-spiritual dimensions.
- Psycho-oncological support is vital for terminally ill patients and their loved ones.
- Further research is needed to establish clear, patient-centered outcomes for psychosocial interventions in end-of-life care.
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