End of life care for people with dementia and comorbid cancer: recent studies and research gaps.

IF 7.5 2区 医学 Q1 PSYCHIATRY
Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI:10.1097/YCO.0000000000000951
Claire Surr, Laura Ashley
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引用次数: 0

Abstract

Purpose of review: This narrative review examines recent research on end of life (EOL) care for people with dementia and comorbid cancer, highlighting the complexity and challenge of providing effective EOL care for this group and areas of interest for future research.

Recent findings: People with cancer and dementia and their family/supporters have more complex care and support needs at EOL that are less well met than those of older adults with cancer alone, including questionable use of aggressive EOL care interventions, poorer access to specialist palliative care teams and poor pain management. Those diagnosed with dementia at the same time as, or after their cancer diagnosis, are at greater risk of aggressive EOL care and EOL cancer treatment and care plans that are not able to meet their care needs as dementia progresses.

Summary: There is a lack of research on EOL care for people with cancer and dementia. There is little understanding of what good care for this population looks like and if and how EOL care can best meet the needs of people with cancer and dementia or their carers/supporters. More research is needed to inform improved care for this population.

痴呆症患者和合并癌症患者的临终关怀:最新研究和研究空白。
综述目的:这篇叙述性综述探讨了有关痴呆症患者和合并癌症患者临终关怀的最新研究,强调了为这一群体提供有效临终关怀的复杂性和挑战性,以及未来研究的关注领域:最新研究结果:癌症合并痴呆症患者及其家人/赡养者在临终关怀和支持方面的需求更为复杂,与仅患有癌症的老年人相比,他们的需求得不到很好的满足,包括对积极的临终关怀干预措施的使用存在疑问、较难获得专业姑息治疗团队的帮助以及疼痛管理不善。那些在确诊癌症的同时或之后被诊断出患有痴呆症的人,在痴呆症发展过程中,接受积极的临终关怀以及临终癌症治疗和护理计划的风险更大,因为这些计划无法满足他们的护理需求。人们对这一人群的良好护理是什么样的,以及临终关怀是否和如何才能最好地满足癌症和痴呆症患者或其照顾者/支持者的需求,都知之甚少。需要开展更多的研究,为改善对这类人群的护理提供依据。
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
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
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