Prevalence of cancer is estimated will increase in the next two decades. Therefore, there is a challenge for health provider to encounter treatment and caring for the patients. Especially, the cancer patients face several problems not only physical but also psychological, emotional, spiritual and social cultural aspects.This study explored the evidence-based practice on community-based palliative cancer care. Literature study is done by making a summary of published articles related to the question. The searching method used several electronic databases such as Google Scholar, Proquest, and PubMed. Articles under the keywords of “Palliative Cancer Care”, “Community”, and “Nursing” reach as much as 1.804. The inclusion criteria for this literature review were articles that have been peer-reviewed, are in full-text, in either English or Indonesian, and publication year from 2008 to 2018. Meanwhile, the exclusion criteria include those that do not follow a standardized structure of an article (consisting of Abstract, Introduction, Method, Result, Discussion, Implication, and Reference), are in the form of a review, and whose content does not answer research questions.Results: The United States of America is on the highest place regarding palliative care service, following by community-based palliative cancer implementation in Europe. Asian countries had been applying palliative care service, integrated with national health care system. In the Middle East countries, palliative care program ranks the lowest, but in implementation, they have discreetly performed community-based palliative care. In Africa, it is not the main focus in the field of health. Palliative care for cancer patients that is potential for development in Indonesia is that of family-based.Conclusion: Community-based palliative care is a variant of palliative treatment long applied and being developed in many countries in the world. In continents such as America and Europe, the implementation of palliative care ranks the highest place. In Indonesia, it is done partially and only available in hospitals or non-governmental organization. In the level of community, family-based palliative care can be developed by involving trained family members.
Dementia is a symptom caused by memory diseases, cognitive and behavioral disorders.Various quantitative studies about the dementia interventions have been reported. However, most of the studies used single intervention which did not give a comprehensive approach for the client. The purpose of the article was to determine types of interventions that are effective to overcome dementia problems among elderly people. This review used a scoping review method. Electronic literature searching was conducted using databases: Google Scholar, Proquest, EBSCOhost, PubMed, Scopus and DOAJ, using keywords Dementia, Elderly, and Intervention. The inclusion criteria were:peer-reviewed articles, published between2007-2017, research design included quasi-experimental, experimental and Randomised Controlled Trial. Exclusion criteria were non-English papers and the sample size was fewer than 30 participants. Scoping review method were used. Results: A total of 38,100 papers were retrieved: however, 79 enter into the inclusion criteria, and further 60 papers were excluded. Thus, only 19 articles were included in the analysis. Five out of 19 articles used multi-interventions. The types of interventions were occupational therapy, physical activity, reminiscence program, diet, and cognitive therapy. Multi-intervention approach has shown more positive results compared to single intervention.However,most studies did not involve family or caregiver in the interventions. Multi-intervention studies have more potential to produce effective outcomes for treating or preventing dementia and improve quality of life than those with one intervention.Further research is requested to examine the effect of multi-intervention combined with family involvement to prevent or treat dementia among elderly in the community.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.