Multidisciplinary care team for cancer patients and its implementation in several Middle Eastern countries

Silbermann, Michael; Pitsillides, Barbara; Al-Alfi, Nesreen; Omran, Suha; Aljabri, Khalid S; Elshamy, Karima; Ghrayeb, Ibtisam; Livneh, Jessica; Daher, Michel; Charalambous, Haris; Jafferri, A.; Fink, Regina; El-Shamy, M.

doi:10.1093/annonc/mdt265

Cited by 55 publications

(57 citation statements)

References 28 publications

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“…However, other studies report barriers to achieving a good level of quality in such care 28 . Among the difficulties noted are a lack of time, the work methods, professional autonomy 29 , and a lack of training and specialization 30 . Therefore, it is possible that the nurse's actions and the hierarchical relationship within the team could be explained by a lack of specialized training on the part of both the nurse and the doctor, as in Spain, this medical specialty is not yet been fully developed.…”

Section: Discussionmentioning

confidence: 99%

Las visitas de equipos de cuidados paleativos. Estudio cualitativo mediante observación participante

et al. 2016

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Objectives: To describe the clinical encounters that occur when a palliative care team provides patient care and the features that influence these encounters and indicate whether they are favorable or unfavorable depending on the expectations and feelings of the various participants. Methods: A qualitative case study conducted via participant observation. A total of 12 observations of the meetings of palliative care teams with patients and families in different settings (home, hospital and consultation room) were performed. The visits were follow-up or first visits, either scheduled or on demand. Content analysis of the observation was performed. Results: The analysis showed the normal follow-up activity of the palliative care unit that was focused on controlling symptoms, sharing information and providing advice on therapeutic regimens and care. The environment appeared to condition the patients' expressions and the type of patient relationship. Favorable clinical encounter conditions included kindness and gratitude. Unfavorable conditions were deterioration caused by approaching death, unrealistic family objectives and limited resources. Conclusion: Home visits from basic palliative care teams play an important role in patient and family well-being. The visits seem to focus on controlling symptoms and are conditioned by available resources.

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Section: Discussionmentioning

confidence: 99%

Las visitas de equipos de cuidados paleativos. Estudio cualitativo mediante observación participante

et al. 2016

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“…The Middle Eastern Cancer Consortium has played a role to provide pain management education throughout the Middle East for the past two decades. 27,29 Palliative care education includes the management of pain has also been instrumental in that same region.…”

Section: Educational Approachesmentioning

confidence: 99%

Holistic Total Pain Management in Palliative Care: Cultural and Global Considerations

Brant¹

2017

Palliat Med Hosp Care Open J

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Pain is a significant symptom in patients with chronic and life-threatening illness. While pain is traditionally thought of as a physiological experience, total pain recognizes the interplay of psychological, cognitive, social, spiritual, and cultural factors that influence the pain perception and total experience. Comprehensive pain assessment and management are foundational goals within the scope of palliative care, and optimal management depends on addressing each domain of the total pain experience. An overview of the total pain experience is provided, and clinicians should consider psychological, cognitive, social, spiritual, and cultural aspects in assessing pain. Pain management also addresses all domains, and suggestions are provided which address pain management barriers and challenges. First, patients should be educated about the benefits of pain management and importance to adhere to the plan of care. Second, healthcare professionals need education in order to manage pain properly and should adhere to internationally recognized evidence-based guidelines to provide care. Third, barriers to overcome system issues need to be addressed, such as working with governments and Ministries of Health to increase opioid availability for those in need and to ensure that patients can have access to opioids whether in the hospital, home, city, or rural area. While pain is a complex phenomenon, a comprehensive management plan can alleviate suffering for patients and their families.

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“…In some countries, such as Belgium, France, and the Netherlands, these meetings are mandatory [12]. Having multiple perspectives combined with a breadth of knowledge supporting treatment decisions is likely to provide the best option for patients.…”

Section: Multidisciplinary Team Educationmentioning

confidence: 99%

Translational Education

Horgan¹,

Schneider

Pravettoni

et al. 2017

Biomed Hub

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The issue of translational education of healthcare professionals is a major one. It is clear that a great degree of upskilling is already required and, to keep pace with the science, this must be ongoing. Stakeholders need to achieve this together - with agreed-on standards across the board so that no patient is denied a suitable, virtually tailor-made treatment due to a lack of knowledge or understanding on behalf of the healthcare professional treating and diagnosing him or her. A key partner in tackling this is the healthcare community, and one way to achieve the goal is through increased EU-wide investment in translational education and training of healthcare professionals.

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Multidisciplinary care team for cancer patients and its implementation in several Middle Eastern countries

Cited by 55 publications

References 28 publications

Las visitas de equipos de cuidados paleativos. Estudio cualitativo mediante observación participante

Las visitas de equipos de cuidados paleativos. Estudio cualitativo mediante observación participante

Holistic Total Pain Management in Palliative Care: Cultural and Global Considerations

Translational Education

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