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Resilience and Sub-optimal Social Determinants of Health: Fostering Organizational Resilience in the Medical Profession.

The relationship between social determinants of health (SDOH) and resilience has been investigated at the individual level and, to some extent, at the community level. The aftermath of the COVID-19 pandemic further highlighted the necessity for organizational resilience in the United States. The US public health and health care system began the lengthy process of identifying the resiliency needs of its workforce that expand beyond disaster preparedness. The purpose of this article is to describe the relationship between resilience and SDOH and how medical training can infuse resiliency within

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… One brief meeting with the program director after Jessica returned from her bereavement could have identified what support Jessica needed to return to her program successfully. Jessica describes this residency experience as "ostracizing and highly traumatic." …

Healing Environments for Cancer Care: Toward a Patient-Centered Design Guideline for Inpatient Settings.

ObjectivesThis study proposes an evidence-based design guideline for oncology inpatient rooms that addresses the physical, emotional, and psychosocial needs of cancer patients.BackgroundCancer inpatients frequently experience long hospital stays with emotional vulnerability and clinical stress. Growing evidence suggests environmental design can shape patient experience, comfort, and recovery. Yet, current literature lacks an integrated framework for the spatial and sensory needs of this population.MethodA systematic literature review was conducted across Web of Science, Scopus, and PubMed. Fro

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… 2025 ) 10 | 2008 | UK | UK | Qualitative | Phenomenological interviews | In-patients | ( Rowlands & Noble, 2008 ) 11 | 2020 | UK, Saudi Arabia | Saudi Arabia | Quantitative | Env. logging and comfort surveys | In-patients | ( Alotaibi & Lo, 2020 ) 12 | 2022 | Japan | Japan | Quantitative | National bereavement … A nationwide questionnaire survey on bereaved family members’ perceptions of where patients spend their last days. BMJ Open, 12(3), Article e055942. 10.1136/bmjopen-2021-055942 Ouzzani M., Hammady H., Fedorowicz Z., Elmagarmid A. (2016). Rayyan-A web and mobile app for systematic reviews. …

Cancer Treatment near the End-of-Life Becomes More Aggressive: Changes in Trend during 10 Years at a Single Institute.

PurposeThe purpose of this study was to investigate and compare cancer treatment near the end-of-life (EOL) over a 10-year period.Materials and methodsPatients with advanced solid cancer at Seoul National University Hospital who received palliative chemotherapy and had died were enrolled. We categorized the consecutive patients according to two time periods: 2002 (n=57) and 2012 (n=206). Aggressiveness of cancer treatment near the EOL was evaluated.ResultsThe median patient age was 62, and 65.4% of patients (n=172) were male. Time from the last chemotherapy to death (TCD) was found to have bee

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… Lindqvist O Rasmussen BH Axelsson B Palliative chemotherapy during the last month of life Ann Oncol 2011 22 2375 80 21402621 10.1093/annonc/mdq778 9 Wright AA Zhang B Ray A Mack JW Trice E Balboni T Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement …

Assessment of errors in death certification and mortality patterns and trends among medical patients at Korle Bu Teaching Hospital, 2019-2023.

ObjectivesThis study audited the Medical Certification of Cause of Death (MCCD) forms issued at Korle-Bu Teaching Hospital, assessing their accuracy, completeness, and consistency while analysing trends in mortality causes.DesignRetrospective review of completed MCCD forms.SettingKorle-Bu Teaching Hospital, Department of Medicine.ParticipantsAll duplicate MCCD forms issued between January 1st, 2019, and December 31st, 2023, were included.InterventionsNo intervention.Main outcome measuresFrequency of major and minor errors in completing the MCCD forms and leading causes of death in the departme

Quality of life, psychological distress, and prognostic perceptions in caregivers of patients with multiple myeloma.

Although caregivers of patients with multiple myeloma (MM) play a critical role in supporting their loved ones throughout the illness course, studies examining caregiver quality of life (QOL), psychological distress, and prognostic awareness are lacking. We conducted a cross-sectional, multisite study of patients undergoing treatment with MM and their caregivers. Eligible caregivers were enrolled to 1 of 3 cohorts based on lines of therapy. Caregivers completed validated questionnaires to assess their QOL, psychological distress, and perceptions of prognosis. We enrolled 127 caregivers of pati

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… Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment . JAMA. 2008 ; 300 ( 14 ): 1665 - 1673 . 18840840 10.1001/jama.300.14.1665 PMC2853806 24. Jacobs JM , Shaffer KM , Nipp RD , . …

Experiences and perspectives of healthcare professionals, patients and caregivers toward the serious illness conversation guide: protocol for a qualitative meta-synthesis.

IntroductionExploring the experiences and perspectives of healthcare professionals, patients and caregivers toward serious illness conversations based on the Serious Illness Care Program is vital for improving communication with patients who are seriously ill, as has been shown in previous studies. However, few studies have carried out a systematic review to examine common themes, strengthen conclusions and identify gaps in the literature, the findings of which could help steer further research, policies and practice to improve more timely and person-centred conversations about the values and

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… Associations between end-of-life discussions, patient mental health, medical care near death, and Caregiver bereavement adjustment . JAMA 2008 ; 300 : 1665 – 73 . 10.1001/jama.300.14.1665 18840840 PMC2853806 9 Detering KM , Hancock AD , Reade MC , et al . …

Quality of End-of-Life Care in Gastrointestinal Cancers: A 13-Year Population-Based Retrospective Analysis in Ontario, Canada.

Population-based quality indicators of either aggressive or supportive care at end of life (EOL), especially when specific to a cancer type, help to inform quality improvement efforts. This is a population-based, retrospective cohort study of gastrointestinal (GI) cancer decedents in Ontario from 1 January 2006-31 December 2018, using administrative data. Quality indices included hospitalizations, emergency department (ED) use, intensive care unit admissions, receipt of chemotherapy, physician house call, and palliative home care in the last 14-30 days of life. Previously defined aggregate mea

Keyword Index for Volume 107

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… 1075 aspirin 1514, 1602 ATR 291 atrophic gastritis 888 autopsy 1 axitinib 1268, 1277 AZD8055 1093 BARD1 isoforms 675 basal core promoter mutant 2010 basement membrane 1153 BCAR4 947 β -carotene 1580 β -catenin 1144, 1514 Bcl-2 1714 BCL2 967 benefits and risks 1938 benign tumours 1761 bereavement …

The Unmet Needs of Pancreatic Cancer Carers Are Associated with Anxiety and Depression in Patients and Carers.

Pancreatic cancer has one of the lowest survival rates, and patients experience debilitating symptoms. Family carers provide essential daily care. This study determined the prevalence of and risk factors for unmet supportive care needs among carers for pancreatic cancer patients and examined which carer needs were associated with anxiety and depression in carers and patients. Eighty-four pancreatic cancer patients and their carers were recruited. The carers completed a needs survey (SCNS-P&C). Both carers and patients completed the Hospital Anxiety and Depression Scale. Log binomial regression

Отношение группы по гемато-онкологии к тому, чтобы направлять пациентов на паллиативный уход: качественное исследование.

ЦЕЛЬ: Согласно международной литературе, пациенты с гематологическими заболеваниями часто обращаются к паллиативному лечению (ПХ) на позднем этапе. Цель этого исследования заключается в изучении отношения группы по уходу за гемато-онкологами к направлению пациентов на ПК в больницу четвертого уровня в Боготе (Distrito Capital). МЕТОДЫ: Это аналитическое качественное исследование проводилось в рамках индивидуальных целевых групп в период с мая 2024 и октябрь 2024 в Университете Колумбии в Боготе, Колумбия. Данные анализировались на тематической основе с использованием рамочного анализа - аналит

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… This integrated approach is designed to enhance quality of life, optimize symptom control, and provide comprehensive support—including bereavement care—for both patients and their families. FIG. 3. …

Keyword Index for Volume 88

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… association 1920 atrophic gastritis 1239 augmentation 832 autocrine 567 autophagy 1277 axillary nodes 104 Axin 1735 β -catenin 206, 1756 β -catenin 740 B7.1 424 B7.2 424 bak 1584 Barrett's oesophagus 1271 BAX 586, 848 BCL-2 848 Bcl-X L 910 Belgium 560 benign prostate hyperplasia 928 bereavement …

Changes in physical fitness in acute leukemia patients during chemotherapy.

This study aimed to investigate the changes in physical fitness and patient-reported outcomes as well as the correlation between these two factors in adult patients with newly diagnosed acute leukemia during chemotherapy. This was a longitudinal observational study. Patients were recruited from a tertiary hospital in China with a follow-up period of less than 90 days. Physical fitness was assessed using body mass index (BMI), mean skinfold thickness, waist-to-hip ratio, spirometry, mean grip strength, and flexibility at T1 (before chemotherapy), T2 (7-14 days after initial chemotherapy), and T

Identification of a potentially avoidable cardiopulmonary resuscitation in hematology and oncology wards.

BackgroundIn-hospital cardiopulmonary resuscitation (CPR) is one of undesirable situations. We tried to identify and characterize a potentially avoidable CPR in cancer patients who were hospitalized in hematology and oncology wards.MethodsA potentially avoidable CPR was determined based on chemotherapy setting, disease status and clinical situation at the time when a cardiopulmonary arrest occurred, by using a consensus-driven medical records review of two physicians.ResultsOne hundred thirty-seven patients among 12,437 patients hospitalized at hematology and oncology wards between March 2003

What Is Most Important to Family Caregivers When Helping Patients Make Treatment-Related Decisions: Findings from a National Survey.

Prioritizing patient values-who/what matters most-is central to palliative care and critical to treatment decision making. Yet which factors are most important to family caregivers in these decisions remains understudied. Using data from a U.S. national survey of cancer caregivers (N = 1661), we examined differences in factors considered very important by caregivers when partnering with patients in cancer treatment decision making by cancer stage and caregiver sociodemographics. Fifteen factors were rated on a 4-point Likert-scale from 'very unimportant' to 'very important.' Descriptive statis

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… Longitudinal work could address this by documenting important caregiver factors across the disease trajectory from diagnosis through bereavement, including cancer recurrence. Second, our results are limited to the factors reported by caregivers. …

Barriers to mental health service use among hematopoietic SCT survivors.

This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling bar

Serious illness conversations and quality of end-of-life care in patients with hematological malignancies-a retrospective quality improvement study.

PurposePatients with hematological malignancies frequently receive aggressive, poor-quality end-of-life care. In oncology, serious illness conversations conducted early in the illness trajectory, focusing on patients' goals, values, and priorities, have been associated with improved end-of-life care and decreased symptoms of anxiety and depression. Yet, evidence of such supportive interventions' impact in hematology remains limited. This study explores the association between receiving a serious illness conversation and the quality of end-of-life care and the timing of serious illness conversa

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… Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA [Internet]. 2008 Oct 8 [cited 2024 Aug 27];300(14):1665–73. …

Multiple myeloma: an overview of management.

Multiple myeloma represents 2% of all new cancer diagnoses in the United Kingdom and accounts for 2% of all cancer deaths. In the past few decades, there have been huge improvements in life expectancy which have been driven by novel therapeutic agents, autologous stem cell transplants and intensified supportive care. This review will discuss the pathogenesis of multiple myeloma, current management approaches and the direction of future treatments. In addition, this review will highlight the high burden of symptoms that patients experience and therefore the great benefits that can be gained fro

COPD patients in need of palliative care: Identification after hospitalization through the surprise question.

Currently, few patients suffering from chronic obstructive pulmonary disease (COPD) who might benefit from a palliative care approach are referred to a palliative care team. Tools to identify patients eligible for a palliative care approach have been found to be difficult to apply in daily practice. Therefore, there is need for a simple and easily applicable tool to identify those patients who would benefit from referral to a palliative care team. The aim of this study was to determine if the surprise question (SQ) "Would I be surprised if this patient dies within 12 months?" in a subset of re

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… need for support (as reported by the patient or caregivers) Choice of no further active treatment (do not resuscitate order, no admission to ICU) Acute/unplanned hospital admissions (≥3 in last 12 months due to COPD) Progressive weight loss (>10%) in past 6 months Sentinel event (e.g. serious fall, bereavement …

Abstract Proceedings of the 38th Annual Canadian Association of Psychosocial Oncology (CAPO) Conference, June 2023.

On behalf of the Canadian Association of Psychosocial Oncology, we are pleased to present the Abstracts from the 2023 Annual Conference, titled "Co-designing Psychosocial Oncology: Optimizing Outcomes for All". The conference was held in Montreal from 20 June 2023 to 22 June 2023. This conference brought together key stakeholders including multidisciplinary professionals from nursing, psychology, psychiatry, social work, spiritual care, nutrition, medicine, rehabilitation medicine, occupational health and radiation therapy for both adult and pediatric populations. Participants included clinici

Relationship Between the Preferred Place of Death in Patients' Health Records and the Actual Location of Death in Home Palliative Care: A Retrospective Cohort Study.

Background: Dying in the preferred place is considered an indicator of the quality of end-of-life care. Advance care planning and home palliative care may increase the likelihood of dying at home, but it remains unclear whether the documentation of these preferences in clinical records is associated with the actual place of death. This study assessed whether the recording of patients' preferred place of care or death was associated with the actual place of death among patients followed by home palliative care teams. Methods: We conducted a retrospective observational study with an exploratory