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Psychosocial issues in oncologic practice

E T Creagan1

  • 1Division of Medical Oncology, Mayo Clinic, Rochester, MN 55905.

Mayo Clinic Proceedings
|February 1, 1993
PubMed
Summary

While some cancer survival rates have improved with multimodal programs, advanced solid tumors remain a challenge. Psychosocial support is crucial for improving quality of life and managing grief for patients and families.

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Area of Science:

  • Oncology
  • Psychosocial Medicine
  • Palliative Care

Background:

  • Multimodality programs have improved survival for specific pediatric neoplasms, germ cell tumors, and subsets of breast, colorectal, and small-cell lung cancers.
  • However, most patients with advanced solid tumors still face a fatal prognosis.
  • Psychosocial distress significantly impacts the quality of life for patients with advanced cancer and their families.

Purpose of the Study:

  • To highlight the importance of psychosocial support in advanced cancer care.
  • To inform clinicians about managing patient and family emotional responses.
  • To guide clinicians in recognizing normal mourning processes and identifying needs for professional intervention.

Main Methods:

  • Review of psychosocial investigations in advanced cancer care.
  • Analysis of emotional sequelae experienced by patients and families.
  • Examination of patterns indicative of normal mourning.

Main Results:

  • Psychosocial interventions can positively influence the quality of life for patients with advanced cancer.
  • Families experience significant emotional upheaval during a patient's illness.
  • Understanding normal grief patterns aids in identifying when further professional support is needed.

Conclusions:

  • Integrating psychosocial care into comprehensive oncology programs is essential.
  • This approach supports patients and families in maintaining dignity and peace.
  • Clinicians require knowledge of psychosocial dynamics and grief to provide holistic care.

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