Appropriate palliative care: when does it begin?

Jeffrey, David

doi:10.1111/j.1365-2354.1995.tb00069.x

Cited by 21 publications

(12 citation statements)

References 7 publications

(9 reference statements)

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“…Being broadly inclusive in terms of stage of HNC journey, including the palliative stage, may obscure potential stage‐related effects. Attempts to separate individuals based on cancer stage can be problematic given the blurred boundaries between curative and palliative stages . This review did not explicitly segregate findings by stage of HNC treatment, which in part reflects the lack of clear distinctions within the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Attempts to separate individuals based on cancer stage can be problematic given the blurred boundaries between curative and palliative stages. 66 This review did not explicitly segregate findings by stage of HNC treatment, which in part reflects the lack of clear distinctions within the literature. Finally, although minor adaptations were made to the theoretical framework used to code coping mechanisms, there appear to be some remaining contradictions within this framework and other taxonomies have grouped coping in dissimilar ways.…”

Section: Limitations and Implicationsmentioning

confidence: 97%

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The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review

et al. 2017

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Several studies observed a significant relationship between coping styles aimed at disengaging and distancing from cancer and increased psychological distress in people with HNC. To understand directionality of these associations and develop understanding of temporal features of the relationship between coping styles and distress, longitudinal designs could be used. This would enable evidence-based recommendations regarding psychological interventions (eg, encouraging helpful coping strategies) for individuals along their HNC care pathway.

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Section: Discussionmentioning

confidence: 99%

Section: Limitations and Implicationsmentioning

confidence: 97%

The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review

et al. 2017

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“…Variations in BMT practice may mean that some centres already incorporate an effective palliative care philosophy throughout the treatment experience, whilst in others such interventions are only introduced late in the disease trajectory. This may mean that palliative care becomes synonymous only with treatment failure and approaching death (Jeffrey 1995). It is also possible that in some BMT centres palliative care is not perceived as relevant at all.…”

Section: Changing Perceptions and Changing Practicementioning

confidence: 99%

“…The need for further research into these issues is supported by shifting constructions of palliative care and its relevance to wider patient populations (National Council for Hospice & Palliative Care Services 1997). The key aims of palliative care include effective symptom control and assisting people with advancing disease and disability to live as fully as possible (Jeffrey 1995). The work of Weisman (1988) is characteristic of much of the early palliative care literature which concentrated on delivery of palliative care through the hospice philosophy:…”

Section: Foci Of Bmt Researchmentioning

confidence: 99%

Death, dying and emotional labour: problematic dimensions of the bone marrow transplant nursing role?

Kelly¹,

Ross

Gray

et al. 2000

Journal of Advanced Nursing

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Bone marrow transplantation (BMT) is an established intervention for a range of conditions including those of a serious, life-threatening nature such as leukaemias. The experience of those who fail to respond to such aggressive treatment, however, or those who die as a result of treatment-induced complications, is currently under-researched. In this paper the authors suggest that despite the relatively high mortality associated with BMT, cultural, biological and professional factors have contributed to a lack of attention on issues of death and dying and emotional labour within BMT care settings. Current technological, biomedical and quality of life discourses which characterize much of the BMT literature are problematic and, we suggest, may serve to disadvantage those who will not survive such procedures. In addition, the provision of effective palliative care in BMT settings remains open to review through further research and development. As a first step, the authors argue that the role of nursing needs to be reconceptualized within BMT to allow key humane concerns such as suffering and the emotional labour of care to be explored and better understood.

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“…However, the transition from curative treatment to a palliative approach to care has been recognized as a difficult process for individuals, fraught with uncertainty and mixed emotions (2). It is also a transition whose boundaries are not clearly marked, leading to the blurring of curative, palliative, and terminal care (3).…”

Section: Introductionmentioning

confidence: 99%

“Changing Lanes”: Facilitating the Transition from Curative to Palliative Care

2006

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Little empirical work has been conducted assessing the perspectives of nurses regarding the barriers, facilitators, and strategies associated with achieving quality patient care at the end of life. A grounded theory study was conducted examining nursing behaviours and social processes inherent in the provision of quality end-of-life care from the perspective of generalist nurses (n=10) working in an acute care setting. An inductively derived preliminary model, “creating a haven for safe passage”, was developed based on the findings from this study and has been published elsewhere (1). This article provides a detailed description of one of the subprocesses of the model regarding the transition from curative to palliative care—the subprocess of “facilitating and maintaining a lane change”. The various strategies which nurses used to effect a lane change, as well as the facilitators and barriers they encountered in this process, are presented. The consequences associated with both successful and unsuccessful lane changes are reported.

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Appropriate palliative care: when does it begin?

Cited by 21 publications

References 7 publications

The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review

The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review

Death, dying and emotional labour: problematic dimensions of the bone marrow transplant nursing role?

“Changing Lanes”: Facilitating the Transition from Curative to Palliative Care

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