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Supporting self-management in palliative care throughout the cancer care trajectory
Journal article

Supporting self-management in palliative care throughout the cancer care trajectory

Dena Schulman-Green, Abraham Brody, Stephanie Gilbertson-White, Robin Whittemore and Ruth McCorkle
Current opinion in supportive & palliative care, Vol.12(3), pp.299-307
09/2018
DOI: 10.1097/SPC.0000000000000373
PMCID: PMC8099020
PMID: 30036215
url
https://www.ncbi.nlm.nih.gov/pmc/articles/8099020View
Open Access

Abstract

Despite increased survivorship and the subsequent need for chronic management of cancer, the association of self-management and palliative care is still emerging within cancer care. Routine and timely use of self-management strategies in the palliative setting can help reduce self-management burden and maximize quality of life. In this review, we consider the complementary relationship of self-management and palliative care and how they support living with cancer as a chronic illness. Recent studies provide evidence of support among patients, family caregivers and healthcare professionals for integration of self-management interventions into palliative cancer care. As a guiding framework, components of the revised Self and Family Management Framework correspond to the provision of palliative care across the care trajectory, including the phases of curative care, palliative care, end-of-life care and bereavement. Additional work among self-management partners facing cancer and other life-limiting illnesses, that is patients, family caregivers and healthcare professionals, would be useful in developing interventions that incorporate self-management and palliative care to improve health outcomes. There is an increasing acceptance of the complementarity of self-management and palliative care in cancer care. Their integration can support patients with cancer and their family caregivers across the care trajectory.
Caregivers Bereavement Terminal Care - organization & administration Humans Social Support Professional-Family Relations Terminal Care - psychology Neoplasms - psychology Self-Management Health Knowledge, Attitudes, Practice Palliative Care - organization & administration Palliative Care - psychology Neoplasms - therapy Time Factors Quality of Life Family Patient Education as Topic

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