Psychosocial Issues in Palliative Care

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Overview


Caring for patients with a terminal illness and their families requires the skills of many professionals working together as a team. It is often the psychosocial issues surrounding patients and families that cause professionals even greater difficulty than the physical symptoms. The issues of psychosocial assessment, treatment, care, and support of palliative care patients differs from the care of patients with early, treatable cancer - time is short and the emphasis different both from a patient and carer ...
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Overview


Caring for patients with a terminal illness and their families requires the skills of many professionals working together as a team. It is often the psychosocial issues surrounding patients and families that cause professionals even greater difficulty than the physical symptoms. The issues of psychosocial assessment, treatment, care, and support of palliative care patients differs from the care of patients with early, treatable cancer - time is short and the emphasis different both from a patient and carer perspective. This new edition of a successful text examines current practice and provision of psychosocial support as applied to palliative care patients. It is a highly practical text, comprehensively reviewing the current literature and evidence in order to demonstrate good, and better, practice in psychosocial care.

The text covers a number of areas including the nature of services required to provide effective psychosocial care; cultural issues of psychosocial care and adaptation; and the importance of communication, including patients with communication difficulties; and socio-economic issues affecting the patient with advanced metastatic disease. Specific disorders such as anxiety and depression are included, as is the integration of service provision. The book also explores the evidence of specific psychotherapeutic interventions and includes guidelines on techniques that can be used in clinical practice. Complementary therapies are widely sought by patients and families and the evidence base is slowly growing - a comprehensive review of such therapies including herbal and homeopathic medicines is included. Whilst spiritual support and staff support are an integral part of all aspects of psychosocial care, and are incorporated throughout, these areas are also discussed in-depth in individual chapters. Practical guidelines are offered throughout, to encourage the best possible care in this complex area.

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Editorial Reviews

From The Critics
Reviewer: Kathleen Broglio, MN, ANP-CS, ACH(Metropolitan Jewish Palliative Care)
Description: This is the second edition of a book that provides an international perspective on the psychosocial care of people with advanced disease. It includes a broad overview of the current state of palliative care, its social impact, and current provision of services. Key information for clinicians includes the treatment of depression and anxiety, provision of bereavement services, and improving staff support. The first edition was published in 2003.
Purpose: The purpose is to improve clinicians' skills in the psychosocial aspects of palliative care, which is necessary for the provision of appropriate, comprehensive care.
Audience: The book is appropriate for clinicians and students from all disciplines working in palliative care. Some of the information may not be new for palliative care social workers, but it may prove valuable for traditional healthcare providers. The chapter authors are international authorities in palliative care.
Features: An updated chapter on communication issues provides pertinent information for any palliative care clinician. A new chapter on the care of marginalized people addresses challenges that many clinicians face. Practical information is provided on the pharmacologic and nonpharmacologic treatment of anxiety and depression. The information on service delivery systems in the U.K. system may not be applicable to other countries, but may provide ideas for improving service delivery based on the U.K. model.
Assessment: This is a useful addition to a palliative care library for clinicians from all disciplines. It complements information on psychosocial care currently included in textbooks of palliative nursing and palliative medicine. In the evolving world of palliative care, the second edition incorporates enough new information to justify its purchase.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780198515401
  • Publisher: Oxford University Press, USA
  • Publication date: 1/28/2003
  • Pages: 208
  • Product dimensions: 9.10 (w) x 6.10 (h) x 0.50 (d)

Meet the Author

Professor Lloyd-Williams was appointed as Senior Lecturer at the University of Liverpool in 2002, and in 2003 was promoted to a personal chair in recognition of her research experience. She has published over 100 papers, and is lead and chair of the Academic Palliative and Supportive Care Studies Group at Liverpool, which has secured in excess of £3.3 million of research grant income over the past 3 years. Current research focuses on screening for depression, interventions for depression, association between physical symptoms and concomitant depression, studies exploring support needs for children and families where a parent has advanced cancer, longitudinal studies of early loss of a parent, and also symptom burden in non malignant disease. She is also Director of community medical education for the medical school, chair of the 2006 Palliative Care Congress, and is the UK representative on the EAPC Research Steering Committee.

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Table of Contents

List of plates
List of contributors
1 What do we mean by psychosocial care in palliative care? 1
2 Communication issues 13
3 Social impact of advanced metastatic cancer 35
4 Current provision of psychosocial care within palliative care 49
5 Anxiety and adjustment disorders 67
6 Diagnosis, assessment, and treatment of depression in palliative care 81
7 Screening for depression in palliative care 105
8 Psychosocial care for non-malignant disease 119
9 Spiritual care 135
10 Bereavement care 149
11 Staff stress, suffering, and compassion in palliative care 165
12 Psychosocial care - the future 183
Index 189
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