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Статті в журналах з теми "Mental-palliative care"

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Woods, Anne, Kathleen Willison, Cindy Kington, and Alan Gavin. "Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature." Canadian Journal of Psychiatry 53, no. 11 (November 2008): 725–36. http://dx.doi.org/10.1177/070674370805301104.

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Анотація:
A systematic overview of the literature on palliative care for people with severe persistent mental illness (SPMI) was conducted to inform clinical practice, research, and education. Empirical studies and nonempirical papers were included. Few empirical studies exist. There is even less information about the palliative care needs of, or the nature of palliative care provided to, people with SPMI. Mental health, primary care, and palliative care providers need to partner with people who have SPMI in developing and providing palliative care. The field of palliative care for people with SPMI is wide open and in need of methodologically sound studies that will help define the issues that exist for this vulnerable population. Recognizing the similarities between mental health and palliative care should lead to collaborative ventures and discussions in an attempt to address common and parallel issues.
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Chapman, Simon, and Nick Hayes. "Palliative care and the Mental Capacity Act." Working with Older People 11, no. 1 (March 2007): 21–24. http://dx.doi.org/10.1108/13663666200700006.

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Tinkler, Marianne, Joanne Reid, and Kevin Brazil. "Co-Design of an Evidenced Informed Service Model of Integrated Palliative Care for Persons Living with Severe Mental Illness: A Qualitative Exploratory Study." Healthcare 9, no. 12 (December 9, 2021): 1710. http://dx.doi.org/10.3390/healthcare9121710.

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Background: Globally, close to one billion people are living with a mental health disorder, and it is one of the most neglected areas in Public Health. People with severe mental illness have greater mortality risk than the general population, experience health care inequalities throughout life and represent a vulnerable, under-served and under-treated population, who have been overlooked in health inequality research to date. There is currently a dearth of evidence in relation to understanding the palliative care needs of people with severe mental illness and how future care delivery can be designed to both recognise and respond to those needs. This study aims to co-design an evidenced informed service model of integrated palliative care for persons living with a severe mental illness. Methods: This qualitative sequential study underpinned by interpretivism will have six phases. An expert reference group will be established in Phase 1, to inform all stages of this study. Phase 2 will include a systematic literature review to synthesise current evidence in relation to palliative care service provision for people with severe mental illness. In Phase 3, qualitative interviews will be undertaken with both, patients who have a severe mental illness and in receipt of palliative care (n = 13), and bereaved caregivers of people who have died 6–18 months previously with a diagnosis of severe mental illness (n = 13), across two recruitment sties in the United Kingdom. Focus groups (n = 4) with both mental health and palliative care multidisciplinary staff will be undertaken across the two recruitment sites in Phase 4. Phase 5 will involve the co-design of a service model of integrated palliative care for persons living with severe mental illness. Phase 6 will develop practice recommendations for this client cohort. Discussion: Palliative care needs to be available at all levels of care systems; it is estimated that, globally, only 14% of patients who need palliative care receive it. Reducing inequalities experienced by people with severe mental illness is embedded in the National Health Service Long Term Plan. Internationally, the gap between those with a mental illness needing care and those with access to care remains considerable. Future policy and practice will benefit from a better understanding of the needs of this client cohort and the development of a co-designed integrated care pathway to facilitate timely access to palliative care for people with a severe mental illness.
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Chochinov, Harvey Max. "Palliative Care: An Opportunity for Mental Health Professionals." Canadian Journal of Psychiatry 49, no. 6 (June 2004): 347–49. http://dx.doi.org/10.1177/070674370404900601.

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Sheridan, Ann Josephine. "Palliative care for people with serious mental illnesses." Lancet Public Health 4, no. 11 (November 2019): e545-e546. http://dx.doi.org/10.1016/s2468-2667(19)30205-1.

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Croft, Suzy. "Palliative care within mental health: principles and philosophy." Disability & Society 28, no. 5 (July 2013): 737–38. http://dx.doi.org/10.1080/09687599.2013.801680.

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Etgen, Thorleif. "Case series of introducing palliative care consultation in psychiatry." Palliative Medicine 34, no. 5 (February 17, 2020): 680–83. http://dx.doi.org/10.1177/0269216319901241.

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Background: The significance of palliative care consultation in psychiatry is unclear. Actual case series: Analysis of the introduction of palliative care consultation in a large psychiatric hospital. Possible courses of action: Continue without offering, survey the need for or offer palliative care consultation, and analyse its introduction. Formulation of a plan: Palliative care consultation was established and details including patient age, department, diagnosis, main problem, solution and discharge were analysed during the first 2 years. Outcome: Two consultations in the first year and 18 consultations in the second year were requested (18 geriatric, 2 addiction, 0 general, clinical social and forensic psychiatry) involving two domains: delirium associated with dementia or another condition (75%) and mental illness (e.g. alcoholic psycho-syndrome, psychosis, suicidal tendency, schizophrenia, depression) and cancer (25%). Recommendations of consultations were realized in 95%. Lessons from the case series: Implementation of palliative care consultation in psychiatry is one possible method of how to introduce palliative care in a field of medicine with lack of palliative care. View: Future research should focus on reasons for reservations about palliative care in psychiatry, include more patients with severe persistent mental illness and assess the value of palliative care consultation in resolving this problem.
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May, Susann, Franziska Gabb, Yuriy Ignatyev, Jana Ehrlich-Repp, Kerstin Stahlhut, Martin Heinze, Matthew Allsop, Henrikje Stanze, and Felix Muehlensiepen. "Mental and Physical Well-Being and Burden in Palliative Care Nursing: A Cross-Setting Mixed-Methods Study." International Journal of Environmental Research and Public Health 19, no. 10 (May 20, 2022): 6240. http://dx.doi.org/10.3390/ijerph19106240.

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Анотація:
The working routines in palliative care nursing are associated with a variety of causes of stress with regional and setting-specific differences in Germany. This mixed-methods study aimed to investigate the mental and physical well-being among nurses in German palliative and hospice care and to gain a deeper understanding of procedural and structural aspects that may influence the mental and physical burden in palliative nursing care. The mixed-methods approach combined qualitative interviews, (n = 16) an online survey (n = 101), and subsequent data validation in a focus group (n = 6). Interview and focus group data were analysed using structured qualitative content analysis. Survey data were analysed using descriptive statistics and an explorative quantitative analysis. Moderate to very high levels of stress were reported across all settings, but were highest for nurses in specialized outpatient palliative care settings. Underlying causes of stress related to working conditions in the nursing profession across all palliative care settings were poor working hours, perceived inadequate remuneration, and high demands for documentation. To ensure sustainable high-quality palliative care, adaptations to working conditions that target causes of stress and burden in palliative care nurses are required.
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Lindblad, Anna, Gert Helgesson, and Manne Sjöstrand. "Towards a palliative care approach in psychiatry: do we need a new definition?" Journal of Medical Ethics 45, no. 1 (September 28, 2018): 26–30. http://dx.doi.org/10.1136/medethics-2018-104944.

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Анотація:
Psychiatry today is mainly practised within a curative framework. However, many mental disorders are persistent and negatively affect quality of life as well as life expectancy. This tension between treatment goals and the actual illness trajectory has evoked a growing academic interest in ‘palliative psychiatry’, namely the application of a palliative care approach in patients with severe persistent mental illness. Recently, Trachsel et al presented a working definition of palliative psychiatry. This first official attempt to capture the concept is based on WHO’s widely accepted definition of palliative care but modified and limited to include only severe persistent psychiatric illness. While this is a welcome step in the discussion on palliative care approaches in psychiatry, it also opens up for new questions. One of the most evident is whether psychiatry actually needs its own definition of palliative care or, put differently, whether there is something about mental disorders that differs so radically from other medical conditions that it calls for a separate definition. We acknowledge the need to discuss the goals of psychiatric care in patients with severe persistent psychiatric illness. However, we question whether a separate definition of palliative care exclusive to psychiatry is the right way to go. In this paper, we discuss why.
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Kozlov, E., and C. Reid. "BARRIERS AND FACILITATORS TO PROVIDING MENTAL HEALTH CARE WITHIN PALLIATIVE CARE." Innovation in Aging 2, suppl_1 (November 1, 2018): 66–67. http://dx.doi.org/10.1093/geroni/igy023.250.

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Дисертації з теми "Mental-palliative care"

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Tanner, Carolyn A. "Perception of palliative care practice of health care professionals in a mental institution : a descriptive study." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29703.

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The purpose of this descriptive study is to investigate the perception of practice of health care professionals at a mental institution, as it pertains to their work with dying patients, and also to identify areas of change. The conceptual framework is constructed of six factors important to palliative care that have been identified from the literature. These are personal death anxiety, organizational structure of the hospital system, role expectations of professionals, teamwork, education and training for care of the dying, and conveyance and exchange of diagnostic information. The sample surveyed by a written questionnaire included physicians, psychiatrists, health care workers, social workers and pastoral care workers from the Geriatric Division of Riverview Hospital, Port Coquitlam. The findings indicate that age, sex, marital status and length of working experience at Riverview Hospital had no significant association with personal death anxiety. Informal education such as workshops and in-services had a significant correlation with personal death anxiety, as did perception of being competent and/or confident about working with the dying. The study also raised concerns that not all was being done for the dying patients and their families at this institution. Suggestions such as education and training, support mechanisms, and less stereotyping of professional roles were offered to improve this situation. As well, findings indicated that there was a need for palliative care service either in the form of a team or separate unit, or simply the practicing of the palliative care philosophy.
Arts, Faculty of
Social Work, School of
Graduate
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Hurtado, Maria R. "PEDIATRIC PALLIATIVE CARE: UNMET NEEDS FOR MENTAL HEALTH RESOURCES OF PARENTS OF CHILDREN WITH LIFE-THREATENING DISEASES." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/208.

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Due to the demanding structure of caring for a child with a life-threatening disease (LTD), parents experience psychosocial distress. Studies have shown that stress in parents of children with LTDs can be increased by unmet needs or fragmented care and may be mitigated by coordinated and comprehensive care. Limited literature exists about unmet needs of parents of children with LTDs and the barriers they encounter to accessing mental health resources within pediatric palliative care (PPC) programs. This research study applied quantifiable descriptive methods including a purposive sample of ninety-eight (98) PPC and other pediatric practitioners through the distribution of anonymous online surveys in order to examine unmet needs for mental health resources as they relate to parents of children with LTDs who experience psychological distress exacerbated from psychosocial stressors of care giving. Influenced by Andersen’s predisposing, enabling, and need factors, this study found that PPC practitioners perceived parents encountering waitlists and/or denials when referred to community mental health resources as demonstrating resistance against seeking help.
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Svenfelt, Ylva. "Vårdande av psykiskt sjuka patienter med somatisk sjukdom i palliativt skede." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5128.

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Bakgrund:Personer med allvarlig och kronisk psykisk sjukdom (SPMI), är en sårbar grupp med hög sjuklighet och dödlighet över genomsnittet. Trots detta är lite känt om dessa personers erfarenheter och behov av palliativ vård. Syfte:Syftet med uppsatsen var att belysa vårdande av psykiskt sjuka patienter med somatisk sjukdom i palliativt skede. Metod:Uppsatsen är en litteraturöversikt. Den huvudsakliga metoden har utgjorts av litteratursökning och analys av relevanta vårdvetenskapliga artiklar. Datainsamlingen har skett genom en inledande och en egentlig litteratursökning Resultat:Resultatavsnittet har tre teman. Det första temat, aspekter av vårdande, belyser palliativ vård av psykiskt sjuka patienter, symtom på livshotande sjukdom hos patientgruppen, förstärkning av den psykiatriska symtom vid livshotande somatisk sjukdom, upplevelser av smärta samt palliativ psykiatri. Det andra temat behandlar den psykiskt sjuka patientens beslutsförmåga och självbestämmande. Det tredje temat, tillit och kommunikation, handlar om relationen mellan sjuksköterskan och den psykiskt sjuka patienten. Diskussion:Människors omvårdnadsbehov i ett palliativt skede är sannolikt likartade, men alla patientgrupper får inte sina behov tillgodosedda. När det gäller personer med SPMI, får patientgruppen dels otillräcklig vård och dels tillgodoses inte omvårdnadsbehoven. En ökad kunskap om dessa personers ökade risk att dö av somatisk sjukdom och större kännedom om patientgruppens symtom på allvarlig somatisk sjukdom, skulle kunna leda till förebyggande vård och tidigare upptäckt av livshotande sjukdom.
Background: Persons with severe and persistent mental illness (SPMI), is a vulnerable group with high morbidity and mortality above average. Despite this, little is known about these people's experiences and needs of palliative care. Aim: The aim of this paper was to highlight the caring of mentally ill patients with somatic illness in palliative phase. Method: This paper is a literature review. The method consisted of a literature search and analysis of relevant healhtcare scientific papers. Data collection was conducted through an initial and an actual literature search. Results: This section consists of three themes. The first theme, aspects of care, highlights the palliative care of mentally ill patients, symptoms of life-threatening disease, increase of psychotic symptoms, experiences of pain and palliative psychiatry. The second theme consider mentally ill patient's decision-making ability and self-determination. The third theme, trust and communication, discusses the relationship between the nurse and the mentally ill patient. Discussion: Human needs in palliative care is probably similar, but all patient groups do not get their needs fulfilled. Persons with SPMI as a group receive partly inadequate care. A better knowledge of these persons increased risk of death from somatic diseases and better knowledge of symptoms of serious somatic illness, could lead to preventive care and early detection of life-threatening disease.
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Monteiro, Daniela Trevisan. "Morte e vida em cena : descortinando o interdito sobre (vi)ver o cuidado na morte e no morrer de pacientes." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/174493.

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Tomando-se como foco o cuidado de pacientes em processo de morte e morrer, a presente pesquisa teve como objetivo descortinar o interdito sobre a morte e o morrer, as percepções, os significados, os sentimentos e dificuldades atribuídos pelos profissionais da saúde sobre o cuidado de pacientes em processo de morte e morrer. Para tanto, realizou-se um estudo descritivo de cunho qualitativo. A coleta de dados foi realizada através de entrevistas e observações, e teve duração de julho a outubro de 2016. Foram entrevistados 34 profissionais médicos e enfermeiros que atuam nas unidades de clínica médica e pronto socorro em um hospital universitário do Rio Grande do Sul. Os dados obtidos foram submetidos à triangulação a partir da análise de conteúdo. Os resultados mostraram que a maioria dos profissionais significam a morte enquanto passagem, na crença de que existe algo após. A morte pode ser aceita quando esperada em pacientes idosos, com longo tempo de tratamento de alguma doença crônica. No entanto, não é aceita quando se trata de pacientes jovens e, principalmente, quando são mortes traumáticas de crianças. Na clínica médica, o vínculo prolongado com os pacientes possibilita aos profissionais diferentes formas de cuidados e é viso, na maioria das vezes, como algo positivo na relação apesar de gerar maior sofrimento quando acontece a morte ou a piora do paciente, sendo fonte de prejuízo à saúde mental. No pronto socorro, a morte gera sofrimento apenas quando traumática, não há lugar ou tempo para a morte nesta unidade, pois as intercorrências próprias da emergência e da organização do trabalho, como a superlotação, são as maiores fontes de estresse para os profissionais, sendo a saúde mental afetada por esses motivos. Os principais sentimentos destacados quando ocorre à morte de um paciente, em ambas as unidades, são: frustração, impotência, tristeza e compaixão. Apesar de lidarem com a morte no dia a dia, ela não é elaborada ou conversada entre os profissionais, havendo um forte interdito sobre o assunto, que é passado também aos pacientes e familiares. É comum a utilização de estratégias defensivas, como racionalização e distanciamento do paciente para não enfrentar a finitude do outro e, consequentemente, a sua própria. Para a maioria dos profissionais é inevitável relacionar o paciente com pessoas conhecidas, membros da família ou eles próprios, essa identificação causa maior sofrimento, principalmente quando o profissional está vivenciando uma situação familiar parecida. A maior parte dos profissionais possui como exigência própria aproveitar melhor a vida, pois vivenciam muito sofrimento no ambiente hospitalar. Concluiu-se que, o cuidado dos pacientes em processo de morte e morrer versam em cima do interdito social que a morte carrega, pois apesar de gerar sofrimento aos profissionais, não se reflete sobre a morte de pacientes. Na clínica médica a morte gera maior sofrimento devido ao tempo de convivência entre profissionais e pacientes. No pronto socorro, a morte fica subtraída diante de uma rotina marcada pelos inúmeros procedimentos que necessitam ser realizados, não permitindo espaços para elaborações individuais ou coletivas. A saúde mental dos profissionais fica sujeita e sujeitada pelas exigências do trabalho, não permitindo considerar o doente em sua integralidade, como sujeito na vida e na morte. Ademais, não se pode dizer que a morte é naturalizada pelos profissionais, se esses não se permitem olhar para ela de forma límpida, sem tantas estratégias defensivas.
Taking as a focus the care of patients in the process of death and dying, the present research had the objective to uncover the prohibition on death and dying, perceptions, meanings, feelings and difficulties attributed by health professionals about care of patients in the process of death and dying. Therefore, a descriptive study of qualitative nature was performed. Data collection was done through interviews and observations, and lasted from July to October 2016. It was interviewed 34 medical professionals and nurses who work in the medical clinic and emergency department units in a university hospital in Rio Grande do Sul. The obtained data were submitted to triangulation from the content analysis. The results showed that most professionals mean death as a passage, in the belief that there is something after. Death can be accepted when expected in elderly patients, with long time of treatment of some chronic disease. However, it is not accepted when it comes to young patients and, especially, when they are traumatic deaths of children. In the medical clinic, the long-term relationship with the patients allows the professionals different forms of care and is seen, mostly, as something positive in the relationship despite generating greater suffering when the death or worsening of the patient happens, being a source of damage to mental health. In the emergency department, death generates suffering only when traumatic, there is no place or time for death in this unit, because the intercurrences of emergency and work organization, such as overcrowding, are the major sources of stress for professionals, mental health being affected by these reasons. The main feelings highlighted when a patient dies in both units are: frustration, impotence, sadness and compassion. Although they deal with death daily, it is not elaborated or talked among professionals, there is a strong interdiction on the subject, which is passed to patients and family. It is common to use defensive strategies, such as rationalization and distancing the patient to not face the finitude of the other and, consequently, his own. For most professionals it is inevitable to relate the patient with known people, family members or themselves, this identification causes more suffering, especially when the professional is experiencing a similar family situation. Most part of the professionals has as their own requirement to enjoy life, because they experience much suffering in the hospital. It was concluded that the care of the patients in the process of death and dying are based on the social prohibition that death carries, because despite generating suffering for professionals, it is not reflected on the death of patients. In medical clinic the death generates greater suffering due to the time of coexistence between professionals and patients. In the emergency department, death is subtracted before a routine marked by numerous procedures that need to be performed, not allowing spaces for individual or collective elaborations. The mental health of professionals is subject and subjected to the demands of work, not allowing to consider the patient in its entirety, as subject in life and death. In addition, it cannot be said that death is naturalized by professionals, if they do not allow themselves to look at it in a limpid way, without many defensive strategies.
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Jeter, Bridget R. "Spirituality and Psychological Well-Being Among ALS Caregivers: Hope and Perceived Stress as Mediators." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etd/3058.

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Анотація:
The empirical study of the salutary relationship between spirituality/religiousness and psychological well-being is burgeoning. However, mechanisms of this association have received less empirical attention. Theory suggests that spirituality/religiousness may lead to positive psychological characteristics such as hope, which may function as a means of coping in the context of a significant stressor or stressful situation. The perceived burden and stress associated with caring for individuals with chronic illnesses such as ALS is significant, and caregivers may be at risk for increased symptoms of depression, symptoms of anxiety, somatic symptoms, and other deleterious psychological well-being related outcomes. Within the context of ALS caregiving, spirituality/religiousness may lead to hope and less perceived stress, ultimately contributing to increased caregiver psychological well-being. Cross-sectional mediation-based analyses were conducted on data collected from a sample of 85 ALS caregivers throughout the U.S., The Netherlands, and Belgium. Participants were 78.8% female, 92.9% Caucasian, 48.2%, spent over 100 hours per week caregiving, and the average age was 55.2 years. Ritualistic spirituality was not related to psychological well-being in ALS caregivers in a direct or indirect fashion. Theistic spirituality was directly, positively related to psychological well-being in ALS caregivers. Existential spirituality was directly related to psychological well-being, but in a deleterious fashion. However, when hope and perceived stress were considered as mediators within the model, the effect changed such that existential spirituality contributed salutarily to psychological well-being when operating though hope alone and also in conjunction with perceived stress. This study may be the first of its kind to explicitly model spirituality and psychological well-being in ALS caregivers, thus more research to investigate the caregiving process, barriers, promotion, and means of coping is warranted.
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Deaton, Melissa. "THE EFFECT OF A SINGLE-SESSION GROUP SONGWRITING INTERVENTION ON GRIEF PROCESSING IN HOSPICE CLINICIANS." UKnowledge, 2018. https://uknowledge.uky.edu/music_etds/116.

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The purpose of this study was to determine the effect of a single-session group music therapy songwriting session on grief processing in hospice clinicians. The study design was quasi-experimental. Participants were cluster randomized into a control group and a treatment group. The researcher led a 50-minute songwriting session focused on sharing and processing experiences of grief-related stress and burnout in hospice work. Grief processing was measured using a self-report survey for n=25. Overall differences between control and treatment groups were not found to be statistically significant. Significant differences were also not found in treatment score differences for type of hospice clinician or years of experience. For future research with hospice clinicians, a new measurement tool should be developed that is more specific to measuring an actual difference before and after a treatment. The current measurement tool is best used as an inventory for stress and grief levels that result from caregiving. Any new measurement tool should be kept under twenty questions. A single-session, though convenient for busy hospice clinicians, may not provide a complete treatment for grief and stress. Further research with hospice clinicians may require several treatment sessions to achieve a more complete grief processing experience.
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Palmeirinha, Carla Susana Gomes Lopes. "Transição da Pessoa com Doença Oncológica Avançada de Oncologia para Cuidados Paliativos: O Papel do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28850.

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Анотація:
Mestrado em Enfermagem, Área de Especialização: Enfermagem de Saúde Mental e Psiquiátrica
Este relatório de estágio procura estruturar o percurso desenvolvido durante o 2º Estágio do 2º Mestrado em Associação de Enfermagem de Saúde Mental e Psiquiátrica e assim demonstrar a aquisição das Competências Especificas do Enfermeiro Especialista em Enfermagem de Saúde Mental e Competências de Mestre. Grande parte das pessoas com doença oncológica avançada não têm acesso de forma sistemática às intervenções de Cuidados Paliativos. Foi utilizada a metodologia de projeto para dar resposta ao problema identificado: “A transição da pessoa com doença avançada para CP é muitas vezes realizada de forma abrupta e sem preparação gradual”. Ao longo do trabalho foi evidenciado o papel do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica como uma mais valia nesta transição pois, além das competências de avaliação das necessidades em saúde mental, só ele poderá intervir com cuidados psicoterapêuticos, sócio-terapêuticos, psicossociais e psicoeducacionais permitindo assim promover a melhoria da qualidade dos cuidados de saúde.
This report seeks to structure the course developed during the 2nd Stage of the 2nd Master's degree in Nursing Association of Mental and Psychiatric Health and thus demonstrate the acquisition of Specific Competencies of Nurse Specialist in Mental Health Nursing and Master Competencies. Most people with advanced oncologic disease do not have systematic access to Palliative Care interventions. The Project Methodology was used to respond to the identified problem: "The transition of the person with advanced disease to Palliative Care is often performed abruptly and without gradual preparation". Throughout this study, the role of the Nurse Specializing in Mental and Psychiatric Health Nursing was evidenced as an asset in this transition because, in addition to the competencies of assessing mental health needs, he alone can intervene with psychotherapeutic, socio-therapeutic, psychosocial and psychoeducational care, thus promoting the improvement of the quality of health care.
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Crawford, Gregory Brian. "Depression in palliative care patients in Australia identification and assessment /." 2007. http://catalogue.flinders.edu.au/local/adt/public/adt-SFU20090127.133003/index.html.

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Анотація:
Thesis (MD (Doctor of Medicine))--Flinders University, School of Medicine, Dept. of Palliative and Supportive Care.
Typescript bound. Includes bibliographical references: (leaves 147-177) Also available online.
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Lyons, Joshua Robert. "Effects of palliative care intervention on depression and anxiety levels in cancer patients." Thesis, 2018. https://hdl.handle.net/2144/31245.

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Palliative care is branch of medicine, which focuses on improving the quality of life (QOL) of patients with chronic illness such as cancer. Patients suffering from cancer are subjected to physical as well as psychological distress associated with their diagnosis and treatment. The purpose of this study was to introduce palliative care and examine its impact on levels of anxiety and depression in cancer patients. Information regarding the current relevance and growth of the palliative profession, as well as expanding areas of research, was included as part of this study. The literature reviewed in this study found that cancer patients are at high risk for psychological comorbidities such as anxiety and depression. Patients with certain cancer types, social factors, and cognitive makeups may be at the greatest risk for psychiatric problems. The data show a strong connection between high emotional distress levels, low QOL, reduced survival time, and adherence to curative treatment plans. Fortunately, there was significant research showing that palliative intervention can improve psychological distress and avoid unwanted effects on QOL and survival. The results of current studies found promising improvements for patients with cancer; however, there remains a need for replication and development of a universal model of care to validate conclusions.
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Goullet, Jillian. "Experiences, education and support needs of residential aged care staff caring for older adults with mental-palliative comorbidity." Thesis, 2021. https://vuir.vu.edu.au/42957/.

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Australia’s ageing population is contributing to an increased demand for residential aged care services (RACS). At the same time, these services are increasingly providing care for older adults with long-standing mental disorders (e.g., major depression, bipolar disorder and schizophrenia spectrum disorders) and life-limiting physical illnesses requiring palliative care. These older adults have multiple care requirements, including cognitive, behavioural and palliative care needs. However, RACS care staff are often ill- equipped to care for them. The aims of this study were to: (i) examine the experience of RACS staff caring for residents with mental-palliative comorbidity, and (ii) identify their initial and ongoing education and support needs. An interpretative phenomenological analysis approach was used, incorporating semi-structured interviews. A purposive sample of 12 RACS staff participated in semi-structured interviews. The study identified several strategies to enhance mental-palliative care in RACS. The overarching theme was conceptualised as Adopting a person-centred approach to care. This was supported by five main themes: Understanding each person, Complexities in assessing and managing pain, Preventing and responding to behaviours of concern, Organisational provision for staff development and wellbeing promotion and Engaging in interdisciplinary collaboration. These findings may contribute to a greater understanding of the experience of RACS staff caring for residents with mental-palliative comorbidity and highlight areas for improvement in the education and support of staff caring for this cohort.
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Книги з теми "Mental-palliative care"

1

Cooper, David B., and Jo Cooper, eds. Palliative Care Within Mental Health. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666.

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2

Sue, Read, ed. Palliative care for people with learning disabilities. London: Quay Books, 2006.

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3

1951-, Breitbart William, and Holland Jimmie C, eds. Psychiatric aspects of symptom management in cancer patients. Washington, DC: American Psychiatric Press, 1993.

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Palliative Care within Mental Health. Routledge, 2018.

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5

Cooper, David, and Jo Cooper. Palliative Care Within Mental Health. CRC Press, 2018. http://dx.doi.org/10.1201/9781315121932.

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6

Palliative Care Within Mental Health Care and Practice. Taylor & Francis Group, 2014.

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7

Cooper, Jo, and David Cooper. Palliative Care Within Mental Health: Care and Practice. Taylor & Francis Group, 2018.

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8

Cooper, Jo, and David Cooper. Palliative Care Within Mental Health: Care and Practice. Taylor & Francis Group, 2018.

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9

Cooper, Jo, and David Cooper. Palliative Care Within Mental Health: Care and Practice. Taylor & Francis Group, 2014.

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10

Cooper, Jo, and David Cooper. Palliative Care Within Mental Health: Care and Practice. Taylor & Francis Group, 2018.

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Частини книг з теми "Mental-palliative care"

1

Noddings, Nel. "The Ethics of Care." In Palliative Care Within Mental Health, 27–34. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-3.

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Kasl-Godley, Julia, and Kimberly E. Hiroto. "Serious mental illness and palliative care." In Perspectives on Palliative and End-of-Life Care, 32–57. Milton Park, Abingdon, Oxon ; New York, NY : Routledge, 2018. | Series: Aging and mental health research: Routledge, 2018. http://dx.doi.org/10.4324/9780429489259-3.

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3

Cooper, Jo, and David B. Cooper. "Why a Palliative Care Approach Within Mental Health?" In Palliative Care Within Mental Health, 1–11. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-1.

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Rasheed, Subia Parveen, and Ahtisham Younas. "Developing the Art of Self-Knowledge and Applying Deductive Reasoning in Clinical Practice." In Palliative Care Within Mental Health, 122–35. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-10.

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Newman, Nicole, and Lisa M. Brown. "Trauma and Post-Traumatic Stress Disorder." In Palliative Care Within Mental Health, 136–52. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-11.

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Pearson, Geraldine S. "Specific Needs of the Child, Adolescent, and Young Adult." In Palliative Care Within Mental Health, 153–64. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-12.

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Bensa, Siân. "Specific Needs of the Female Adult." In Palliative Care Within Mental Health, 165–82. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-13.

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Skinner, W. J. Wayne, Marilyn White-Campbell, and Carl A. Kent. "Specific Needs of the Male Adult." In Palliative Care Within Mental Health, 183–201. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-14.

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Ryan, Patrick, and Julie Lynch. "Specific Needs of the Older Adult." In Palliative Care Within Mental Health, 202–19. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-15.

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Morris, Lottie. "Listening to the Family’s Pain." In Palliative Care Within Mental Health, 220–35. New York, NY: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9780429465666-16.

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Тези доповідей конференцій з теми "Mental-palliative care"

1

Wood, Nicky, Steve Iwasky, Sue Bailey, and May Pheasant. "P-181 Prepared to care? what are mental health and palliative care professionals’ experience of collaborating together when supporting patients with severe persistent mental illness and palliative care needs?" In Leading, Learning and Innovating, Hospice UK 2017 National Conference, 22–24 November 2017, Liverpool. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjspcare-2017-hospice.206.

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Yardley, Sarah, and Monika Gorny. "117 Unmet needs from mental and physical health co-morbidities: a prospective audit in community palliative care." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.144.

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Wood, Nicky, Karenann Spicer, Jenny White, Arvinder Hunjan, and Liz Haskins. "P-249 Prepared to care: creating a learning and collaborative initiative to increase support for mental health patients with palliative care needs." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.274.

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Jerwood, Jed, Jane Coad, Gillian Ward, Nikki Holliday, and Diane Phimister. "P-97 Leaning in – mental illness, palliative and end of life care – the views of patients and carers." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.122.

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Duncan, Alistair, and Lauri Simkiss. "88 Exploring confidence of palliative care professionals in the identification and assessment of mental health problems and risk." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.106.

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McKenna, Emer, Rebecca Chubb, and Sarah Yardley. "138 Understanding and accessibility of mental health -comparing our unmet needs as part of multi site audit for specialist palliative care services." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.158.

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Jerwood, Jed, Jane Coad, Diane Phimister, Gill Ward, and Nikki Holliday. "29 Lean in, don’t step back: the views and experiences of people, and their carers, with mental illnesses and incurable physical health conditions, of palliative and end of life care." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.50.

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Gencheva, Nezabravka. "PHYSIOTHERAPY FOR COLON CANCER IN THE EARLY POSTOPERATIVE PERIOD - A CASE REPORT." In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. Scientific Publishing House NSA Press, 2022. http://dx.doi.org/10.37393/icass2022/146.

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АBSTRACT Introduction: The Physiotherapy (PT) is an important part of cancer treatment and could be recovery PT, maintenance PT and palliative PT. The aim of the study is to investigate the impact of early postoperative PT on the functional and mental recovery of a 57-year-old patient with colon cancer. Research methods: On the second and seventh postoperative day, we applied a Quality of Recovery-40 (QoR-15) questionnaire, Cumulated Ambulation Score (CAS) and Hospital Anxiety and Depression Scale (HADS) and а 6 min walk-test – on the third and seventh postoperative day. The special PT is used to improve the respiratory function, to alleviate the unpleasant sensations of the gastrointestinal tract, to reduce pain, to restore mobility through training in painless sitting, standing up, and walking, as well as to reduce anxiety and to overcome depressive symptoms. Results: Applied PT in the early postoperative period in severe abdominal surgery for colon cancer prevented postoperative complications. The results show a significant improvement in the studied indicators and good quality of recovery; patient’s independence in standing up, sitting, and walking; pain relief; reduced anxiety and depressive moods. Conclusion: The application of early PT is an important part of patient’s post-surgical care. It helps for optimal recovery and prepares him for the next additional therapies such as chemotherapy, radiation therapy, etc.
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Gibson, I., P. Rebelo, A. Roulston, T. McConnell, and P. Best. "12 ‘From my perspective’ – the development and evaluation of both individualised & immersive audio listening experiences to improve mental health and well-being for patients within a palliative care context: a feasibility study." In The Marie Curie Research Conference Improving End of Life for All Sunday 30 January – Friday 4 February 2022. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/spcare-2021-mcrc.12.

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Li, Shuhua. "Application Analysis of Palliative Nursing Intervention in Nursing Care of Elderly Cancer Patients." In 2021 2nd International Conference on Mental Health and Humanities Education(ICMHHE 2021). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210617.030.

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