Depression in Palliative Care Patients

Martin, Andrew C.; Jackson, Kenneth C.

doi:10.1300/j088v07n04_07

Cited by 8 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinicians should be vigilant to review medication profiles to look for potential causes of medication‐induced depression. Candidates for medication‐induced depression in this population include opioids, anticonvulsants, corticosteroids, beta‐blockers, NSAIDs, calcium channel blockers, muscle relaxants, clonidine, baclofen, benzodiazepines, and certain chemotherapy regimens 8 . While not exhaustive, this list provides practitioners with agents commonly used in this patient subset.…”

Section: Introductionmentioning

confidence: 99%

Antidepressant Pharmacotherapy: Considerations for the Pain Clinician

Jackson

Onge

2003

Pain Practice

Self Cite

View full text Add to dashboard Cite

Antidepressant pharmacotherapy presents many challenges to clinicians dealing with patients suffering from chronic pain. Co-existent depression and pain continues to present clinicians with a plethora of difficult treatment selections. Treated in isolation, each of these disease states can prove difficult to treat. Collectively, depression and pain often present significantly more difficult challenges to the clinician. Antidepressants may be used as a primary treatment modality for depression in a patient dealing with chronic pain. At other times these agents may be used to treat certain specific chronic pain syndromes, possibly in the face of concomitant depression. Clinicians should be aware of the many peculiarities associated with this broad class of medications. Included in this review are considerations for drug selection, dose escalation, and common drug related problems (eg, adverse drug reactions). In addition, attention is paid to the appropriate selection of an agent for use in either the primary management of pain or depression.

show abstract

Section: Introductionmentioning

confidence: 99%

Antidepressant Pharmacotherapy: Considerations for the Pain Clinician

Jackson

Onge

2003

Pain Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…There is a reluctance to prescribe antidepressant medication by some medical staff, who have the mistaken belief that patients with cancer do not warrant or need treatment, as their depression is in some way "understandable". There is also the misconception of antidepressant drugs being addictive (11)(12)(13). These beliefs are unfounded.…”

Section: Introductionmentioning

confidence: 99%

Nurse Specialist Assessment and Management of Palliative Care Patients who are Depressed—a Study of Perceptions and Attitudes

Lloyd‐Williams

Payne

2002

J Palliat Care

View full text Add to dashboard Cite

Depression is a frequent symptom in palliative care patients but is often not diagnosed. In the U.K., the majority of patients with advanced cancer are referred to a clinical nurse specialist (CNS) whose remit includes the assessment of psychological symptoms and depression. Clinical nurse specialists have a key role in the diagnosis and management of patients with depression and it is important that they have the skills to do so. A postal questionnaire of all U.K. hospital, hospice, and community palliative care clinical nurse specialist teams was carried out to determine how they assessed depression in their patients. The response rate was 40%. Seventy-nine percent of all clinical nurse specialists believed their skills were poor in this area, and 92% felt they required further training. These beliefs were substantiated by the difficulties nurses encountered in assessing depression and by their beliefs regarding antidepressant medication. Clinical nurse specialists have a pivotal role in improving the detection and management of depression in palliative care patients, and require further training in this area.

show abstract

“…The low occurrence of treatment in this population cannot be explained away by lack of evidence. Antidepressants, in particular SSRIs, and psychostimulants have both been shown to alleviate depressive symptoms in terminally ill patients Breitbart & Jacobsen, 1996;Martin & Jackson, 1999;Dein, 2000;Lander, Wilson & Chochinov, 2000!. Although less studied and less prescribed, psychotherapies have also been shown to be beneficial in this population~Dein, 2000; Lander et al, 2000;Anderson, 2001!.…”

Section: Introductionmentioning

confidence: 99%