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When the hospice patient is manipulative

C O Boyd1, J Cantone, P Gambino

  • 1College of Nursing, Villanova University, Philadelphia, PA, USA.

The Hospice Journal
|January 1, 1997
PubMed
Summary
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Hospice care literature often overlooks patients with pre-existing psychiatric conditions. This case study explores challenges and suggests interventions for providing optimal end-of-life care to this population.

Area of Science:

  • Palliative Care
  • Psychiatry
  • Oncology

Background:

  • Psychiatric complications like depression and anxiety are recognized in oncology and hospice care.
  • Existing literature primarily addresses these issues as secondary to cancer diagnosis and treatment.
  • There is a gap in understanding the specific needs of hospice patients with pre-existing psychiatric conditions.

Observation:

  • Hospice care is increasingly integrated into mainstream healthcare.
  • The number of hospice patients with pre-existing psychiatric conditions is expected to rise.
  • A case study details the care process for a hospice patient with a pre-existing psychiatric condition.

Findings:

  • The article presents a case study of a hospice patient with a pre-existing psychiatric condition.

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  • It highlights the unique challenges encountered in providing care to this population.
  • Suggested interventions are based on hospice philosophy and principles for managing manipulative behaviors.

    • Implications:

    • This work contributes to the dialogue on specialized care for a minority population in hospice.
    • It provides a framework for addressing the complex needs of patients with co-occurring psychiatric conditions in end-of-life care.
    • The findings can inform training and practice guidelines for hospice professionals.