Optimizing patient outcome: Of equal importance in the palliative setting

Parikh, Payal; Narayanan, P; Bhattacharyya, G.S.

doi:10.4103/0019-509x.104481

Cited by 2 publications

(6 citation statements)

References 26 publications

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“…Until recently, PC was considered only once the patient had reached the terminal stage of the disease and was seldom offered for patients and their families in an early stage of disease (Bakitas, Bishop, Caron, & Stephens, 2010; Parikh, Narayanan, & Bhattacharyya, 2012). According to the WHO (2009), however, ‘Ideally, palliative care services should be provided from the time of diagnosis of life‐threatening illness, adapting to the increasing needs of cancer patients and their families as the disease progresses into the terminal phase’.…”

Section: Introductionmentioning

confidence: 99%

“…This includes support to families in the period of bereavement and thus calls for palliative intervention as an integral component at every level of care in the current health system (WHO, 2009, 2014c). According to Parikh et al (2012), early inclusion of PC in treatment of cancer patients from diagnosis onwards gives better outcomes. Numerous clinical studies have shown the benefits of timely PC intervention in patients with progressive cancer.…”

Section: Introductionmentioning

confidence: 99%

“…(A) Traditional model of palliative care and (B) early palliative care model (adapted from Parikh et al, 2012)…”

Section: Introductionmentioning

confidence: 99%

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Barriers and benefits of model development for integration of palliative care for cancer patients in a developing country: A qualitative study

Ndiok

Ncama

2020

Int J of Nursing Practice

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Aim The aim of the study was to identify barriers and benefits in establishing a model for integration of palliative care of cancer patients in daily clinical practice in tertiary health institutions. Methods This was a qualitative design study using in‐depth interviews with four stakeholders and focus group discussions with 19 nurse managers using purposive sampling to select the participants, utilizing interpretive paradigm method. Need was ascertained for a model that would guide nursing care for cancer patients. Results Barriers identified in relation to integrating palliative care in daily clinical practice included lack of hospital policies about palliative care activities, cultural influences, denial or rejection of diagnosis by patients, inappropriate attitude of health care workers, patients failing to keep check‐up appointments and financial implications of setting up a dedicated palliative care team. Benefits of the model were twofold: hospital outcomes and patients/family outcomes. Conclusions Quality care for cancer patients/families calls for the adoption of clearly set out principles of palliative care as an integral component of daily practice. Challenges to implementation of palliative care services in hospitals can be overcome by establishing workable policies and allocating adequate funds for palliative care activities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers and benefits of model development for integration of palliative care for cancer patients in a developing country: A qualitative study

Ndiok

Ncama

2020

Int J of Nursing Practice

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“…Pain and symptom control, coupled with the correct counseling allow patients to die with dignity and families to accept the event. [6] The ideas addressed here are neither novel nor intangible. The root of the problem is two-fold.…”

mentioning

confidence: 95%

“…Pain and symptom control, coupled with the correct counseling allow patients to die with dignity and families to accept the event. [ 6 ]…”

mentioning

confidence: 99%