Deconstructing Palliative Care in Areas of Armed Conflict: Needs, Challenges, and Concerns

Abu‐Odah, Hammoda; Mikati, Diana; Arawi, Thalia

doi:10.1007/978-3-030-36811-1_225

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…It is therefore imperative that more attention is directed toward palliative care resources by the government, policymakers, non-governmental organizations, and other stakeholders. Having enough resources to deliver quality and timely palliative care will help improve patient quality of life and reduce burnout and increase satisfaction among palliative care nurses [ 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring the challenges and roles of nurses in delivering palliative care for cancer patients and co-morbidities in Ghana

Appiah,

Menlah,

et al. 2023

BMC Palliat Care

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Background Patients suffering from chronic and life-threatening diseases receive inadequate palliative care in low-income countries, eventually leading to poor quality of life for these patients. Little is known about the experience of delivering palliative care in a low-resource country such as Ghana in comparison to higher-income countries. This study, therefore, aimed to assess the roles and challenges of nurses providing palliative care services for patients with cancer and life-limiting conditions at tertiary Hospitals in Ghana. Methods Thirty oncology nurses at a tertiary Hospital in Ghana participated. All nurses were providing end-of-life care to patients with cancer. A qualitative exploratory-descriptive design and a semi-structured interview guide developed by the researchers were used. Interviews lasted on average forty minutes to 1 h were audio-recorded, and transcribed verbatim. Content analysis was carried out to generate themes and sub-themes. Findings Participants were between the ages of 25 and 40 years. A higher percentage of females (n = 17, 57%) participated in the study than males (n = 13, 43%). Two main themes were generated which were the delivery of palliative care and the provision of home care services. The current roles of nurses were centered around pain management, home care services, spiritual needs, and psychological care. Challenges that hindered the implementation of palliative care included distress over expected and unexpected patient mortality, difficulty delivering bad news to patients and families, and frustration with health system resource shortages that negatively impacted patient care. Conclusion Palliative care is one of the essential services provided for patients with life-limiting conditions, and nurses play an active role in the provision of this care. Further research is needed to determine the most effective ways to deliver this care, particularly in developing nations like Ghana.

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Section: Discussionmentioning

confidence: 99%

Exploring the challenges and roles of nurses in delivering palliative care for cancer patients and co-morbidities in Ghana

Appiah,

Menlah,

et al. 2023

BMC Palliat Care

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“…In Palestine, cancer is considered a major cause of mortality after heart disease and cerebrovascular disease (Abu-Odah et al, 2021 ) and is the third leading cause of death in Palestine (at 14%), which is expected to elevate the burden and create challenges in cancer care delivery to late-stage breast cancer survivors (Halahleh & Gale, 2018 ). The present study is concerned with the Palestinian situation, where the healthcare services and access to these services mostly varies from other countries around the world.…”

Section: Introductionmentioning

confidence: 99%

Radiotherapy-induced fatigue in Palestinian breast cancer survivors

ALMasri,

Rimawi

2024

Health Psychology and Behavioral Medicine

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Background: No study has investigated the cancer-related fatigue (CRF) among Palestinian breast cancer survivors. Our purpose is to assess, compare, and correlate CRF in breast cancer survivors undergoing radiotherapy (RT) with study variables. Methods: CRF in breast cancer survivors was assessed using Functional Assessment of Chronic Illness Therapy – Fatigue Scale (FACIT-F) (version 4). The sample consisted of 148 breast cancer survivors undergoing RT. Data was collected between 1 May 2021 and 1 September 2021. The means and standard deviations of the questionnaire using one-way ANOVA, and Pearson correlation coefficient were reported. Results: Respondents ages ranged from 20 to >65 years old and was divided into four groups: (20–35, 36–50, 51–65, and >65 years, respectively). The total fatigue mean was 2.88 and the SD was 0.84, indicating an intermediate fatigue level among breast cancer survivors. Study survivors with higher education were more likely to be fatigued ( F =7.68, P -value =0.001). Divorced survivors were more prone to fatigue compared to married survivors ( F =5.83, P -value= 0.001). Finally, survivors who do not have children were more vulnerable to exhaustion compared to those with children ( F =7.35, P -value =0.001). Also, younger survivors were more prone to fatigue, compared to older survivors ( F =5.29, P -value = 0.002). Results also showed a positive relationship between each of the variables; the number of children ( R =0.221, P -value =0.007), age ( R =0.311, P -value =0.000), and duration of treatment ( R =0.290, P -value =0.000), which means that the greater the number of children, the younger the age, or the longer the duration of treatment, the more fatigue is reported in breast cancer survivors. Conclusions: Fatigue is frequently observed in breast cancer survivors undergoing RT. It can limit RT treatment continuity. Therefore, early detection of fatigue can help survivors adhere to RT treatment and achieve better clinical results.

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Deconstructing Palliative Care in Areas of Armed Conflict: Needs, Challenges, and Concerns

Cited by 2 publications

References 24 publications

Exploring the challenges and roles of nurses in delivering palliative care for cancer patients and co-morbidities in Ghana

Exploring the challenges and roles of nurses in delivering palliative care for cancer patients and co-morbidities in Ghana

Radiotherapy-induced fatigue in Palestinian breast cancer survivors

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