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CANCEROLOGIE

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Caring for patients at the end of life

NIEDERHUBER, John E. ; ARMITAGE, James O. ; KASTAN, Michael B. ; DOROSHOW, James H. ; TEPPER, Joel E.
, " Abeloff's clinical oncology ", 2020, 2020 , p. 751-763.e2

Thème : Soins.

ACCOMPAGNEMENT ; FIN VIE ; CANCEROLOGIE ; PERTE ; COMMUNICATION ; INTERDISCIPLINARITE ; SOUTIEN ; PATIENT ; FAMILLE

For patients at the end of life, the oncologist's care continues beyond the cessation of disease-directed therapy. When cure or even prolongation of life is no longer possible, oncologists have one last task remaining: to provide expert care to patients at the end of life and support for their families. Physical comfort, clear communication, emotional support, helping patients maintain a sense of purpose, clarifying wishes about attempts at resuscitation, working on legacies, addressing patient distress, and helping families as they struggle with their loss are all the work of a team of clinicians, led by the oncologist, who the patient and family continue to look to as their guide, even when no further antineoplastic therapies or immunotherapies can be offered. The team often includes the rest of the oncology team of clinicians, as well as social workers, chaplains, a palliative care clinician, and, when appropriate, a hospice team. Families with young children need specialized counseling and support. Ongoing losses (in identity or function or of roles in the family, community, or workplace) contribute to spiritual and existential distress. The palliative care and hospice teams can help with life reviews and reconnection with sources of spiritual support, including religious rituals, to help reaffirm identity and roles. The oncologist's final responsibility is ongoing communication with the survivors after the patient's death. Survivors appreciate ongoing communication, cards, and phone calls to answer any remaining questions and quell any lingering doubts. These communications also bring closure to the oncologist and oncology team, allowing them to reflect on and grieve their loss and to remember the work they did with the patient and his or her family.

Nursing interventions in palliative care in pediatric oncology - an integrative review

SOUSA, Amanda Danielle Resende Silva E. ; SILVA, Liliane Faria da ; PAIVA, Eny Dórea
Revista brasileira de enfermagem, 04/2019, vol.72, n°2, p. 531-540

Thème : Age de la vie, situations spécifiques liées à la fin de vie. Cote : eD05.01.00

DEMARCHE PALLIATIVE ; PEDIATRIE ; CANCEROLOGIE ; REVUE LITTERATURE ; SOIN INFIRMIER

OBJECTIVE: to identify, in scientific productions, nursing interventions in palliative care in children and adolescents with cancer.
METHOD: integrative review of the literature through the databases: CINAHL, MEDLINE, IBECS, LILACS and SCIELO, carried out in October and November 2017.
RESULTS: we analyzed 18 articles that met the inclusion criteria. The results showed that, among the articles selected, Brazil is the country with the largest number of publications and that interventions such as music therapy, massage, ludic application, early consultation of palliative care, social interventions and physical exercises aimed at the resolution of a specific symptom obtained better results when compared to interventions that aimed at the comprehensiveness of palliative care.
FINAL CONSIDERATION: we conclude that greater emphasis should be given to palliative care in academic and professional training and that further studies in search of the best evidence should be conducted to support nursing Evidence-Based Practices.

Origine : PubMed