Improving supportive, palliative and end of life care for teenagers and young adults with cancer in adult haematology services.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-23 DOI:10.1097/SPC.0000000000000698

Claire Lewis-Norman, Jennifer Vidrine, Emma Thistlethwayte

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Abstract

PURPOSE OF REVIEW Adolescents with haematological malignancies within adult services, in the UK from 16 years old, have unique needs and require developmentally targeted services and approaches to care delivery. High-risk intensive treatments are common for this cohort and a better understanding of what individualised supportive and palliative care means in this context is required. RECENT FINDINGS Being known and understood as an emerging adult, with particular recognition of developmental stage, is an essential component of quality measures and underpins the adolescent, and caregiver, experience when faced with an uncertain or poor cancer prognosis (UPCP). Healthcare professionals (HCPs) can experience increased emotional labour and feelings of professional inadequacy when caring for adolescents with UPCP. Therapeutic alliance improves HCPs understanding of optimum individualised care by improving communication and supported decision making. Access to training and support for HCPs is required to address the emotional impact of therapeutic alliance with teenage/adolescent and young adults (T/AYAs) with advanced cancer. SUMMARY Investment in therapeutic alliance, alongside robust support mechanisms and targeted training, can improve the skills, confidence and wellbeing for HCPs, and can also ensure optimum individualised care for T/AYAs with UPCP. Evidence for optimum care for adolescents with advanced cancer is relatively scarce, especially for younger T/AYAs (16-24) in the UK who sit within adult services. Further evaluation of the impact of current UK expertise, services and programs are needed to inform future development.

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在成人血液学服务中改善对青少年和年轻成人癌症患者的支持、姑息和临终关怀。

综述目的在英国，16 岁以上的青少年血液恶性肿瘤患者在成人服务中具有独特的需求，需要有针对性的服务和护理方法。在这种情况下，需要更好地理解个体化支持性护理和姑息治疗的意义。最新研究结果当面临不确定或不良癌症预后（UPCP）时，作为新兴成年人被了解和理解，特别是对发展阶段的认识，是质量衡量标准的重要组成部分，也是青少年和照顾者体验的基础。医护人员（HCPs）在照顾患有癌症预后不良的青少年时，可能会经历更多的情感劳动，并感到专业上的不足。治疗联盟可通过改善沟通和辅助决策，提高医护人员对最佳个体化护理的理解。摘要对治疗联盟的投资，加上强有力的支持机制和有针对性的培训，可以提高医疗保健人员的技能、信心和福祉，还可以确保为患有晚期癌症的青少年提供最佳的个体化护理。为癌症晚期青少年提供最佳护理的证据相对较少，尤其是在英国，为年龄较小（16-24 岁）的 T/AYAs 提供成人服务。需要进一步评估英国目前的专业知识、服务和计划的影响，为未来的发展提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.