Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs / Edition 1

Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs / Edition 1

by Committee on Psychosocial Services to Cancer Patients, Nancy E.;Page Families in a Community Setting;Adler
     
 

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by… See more details below

Overview

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer--including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life--cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health.

Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services.

Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.

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Product Details

ISBN-13:
9780309111072
Publisher:
National Academies Press
Publication date:
03/21/2008
Edition description:
New Edition
Pages:
456
Product dimensions:
6.20(w) x 9.00(h) x 1.20(d)

Table of Contents

Summary     1
The Psychosocial Needs of Cancer Patients     23
The Reach of Cancer     24
Cancer-Induced Physical Stressors     26
Psychosocial Problems     30
Obstacles to Managing Psychosocial Stressors     37
Purpose, Scope, and Organization of This Report     42
Consequences of Unmet Psychosocial Needs     51
Psychosocial Stressors and Their Effects on Patients     53
Alterations in Body Functioning Due to Stress     61
Adverse Effects on Families and the Larger Community     67
Conclusions     68
Psychosocial Health Services     81
A Diversity of Services     82
Evidence of Effectiveness     83
Ready Availability of Key Services     108
A Model for Delivering Psychosocial Health Services     153
Effective Delivery of Psychosocial Health Care     153
A Unifying Model for Care Delivery     159
A Recommended Standard for Care     199
Annex 4-1: Empirically Validated Models of and Clinical Practice Guidelines for the Effective Delivery of Psychosocial Health Services     201
Implementing the Standard of Care     219
Approaches to the Delivery of Psychosocial Health Services     220
Recommendations     237
Public- and Private-Sector Policy Support     241
Supports for and Constraints on Interventions to Deliver Psychosocial Services     242
Supports for and Constraints on Service Availability     260
Use of Performance Measurement to Improve the Quality of Psychosocial Health Care     269
Conclusions and Recommendations     274
Preparing the Workforce     283
A Large and Diverse Workforce     284
Workforce Education in Biopsychosocial Approaches to Care     288
Educational Barriers to Psychosocial Health Care     309
Conclusions and Recommendation     319
A Research Agenda     329
A Taxonomy and Nomenclature for Psychosocial Health Services     329
Effectiveness and Health Services Research     330
Report Evaluation     338
Appendixes
Committee Member Biographies     343
Study Methods     353
Recommendations from Prior Selected Reports     379
Index     409

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