缓和护理在血液瘤学中的早期整合:最新进展
Constantina Papadopoulou1, Bridget Johnston2,3
1School of Health and Life sciences, University of the West of Scotland, Hamilton, UK.
Current opinion in supportive and palliative care
|November 4, 2024
概括
早期的息护理整合到血液瘤学改善了患者的生活质量和症状管理. 解决培训和沟通缺口对于在血液恶性瘤 (HM) 护理中有效实施至关重要.
科学领域:
- 血液学-瘤学 血液学-瘤学
- 息护理研究 息护理研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在血液病瘤学中整合息护理对于管理血液病瘤患者的复杂症状至关重要.
- 尽管症状负担更高,但与实体瘤患者相比,HM患者在息护理获取方面的现有差异仍然存在.
研究的目的:
- 审查最近 (过去5年) 早期缓和护理的进展,以及血液恶性瘤的整合.
- 确定在为HM患者提供及时息护理方面取得的进展和持续的挑战.
主要方法:
- 在过去五年内发表的14篇文章的系统审查.
- 专题分析以确定早期息护理整合在血液病瘤学中的关键发现.
主要成果:
- 结构化早期整合模型观察到显著的好处,包括改善症状控制,减少住院时间和加强生命终端规划.
- 对HM患者的转诊时间和获得息护理服务的持续差异.
- 发现的障碍包括专注于治愈治疗,临床医生的看法和不充分的息护理培训.
结论:
- 解决培训缺口,加强沟通和促进跨学科合作对于成功的早期融合至关重要.
- 标准化途径和支持性政策可以为HM患者提供全面的,高质量的息护理.
- 系统层面的变化是必要的,以确保所有HM患者平等获得息治疗.
相关概念视频
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Nursing Ethical Principles II
922
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
922
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K


