Distress in palliative care patients: Developing patient-centred approaches to clinical management Journal Article
| Authors: | Lloyd-Williams, M.; Reeve, J.; Kissane, D. |
| Article Title: | Distress in palliative care patients: Developing patient-centred approaches to clinical management |
| Abstract: | It is widely recognised by clinicians that depression is a difficult symptom to identify amongst patients with advanced illness. Many of the symptoms of depression are difficult to elicit in patients who are approaching the end of life. Additionally, many believe that a 'degree' of depression is almost normal as patients approach life's end. More recently the concept of demoralization as a separate entity to depression has been described which can be briefly described as a disorder of meaning and hope. In this paper, we review these diagnoses together with the latest screening tools which can help clinicians to recognise better such pathologies in their patients and discuss interventions that can be utilised to help patients with depression or demoralization to have a better quality of life. © 2008 Elsevier Ltd. All rights reserved. |
| Keywords: | adult; case report; cancer patient; neoplasms; palliative care; quality of life; palliative therapy; motivation; terminally ill; depression; screening; psychiatric status rating scales; patient-centered care; antidepressant agent; distress syndrome; depressive disorder; stress, psychological; hope; terminal disease; demoralisation; edinburgh postnatal depression scale |
| Journal Title: | European Journal of Cancer |
| Volume: | 44 |
| Issue: | 8 |
| ISSN: | 0959-8049 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2008-05-01 |
| Start Page: | 1133 |
| End Page: | 1138 |
| Language: | English |
| DOI: | 10.1016/j.ejca.2008.02.032 |
| PUBMED: | 18359621 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 11" - "Export Date: 17 November 2011" - "CODEN: EJCAE" - "Source: Scopus" |
