S Aranda

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..The approach advocated will help to ensure that nursing intervention research makes a useful contribution to the development of nursing practice...

..Possibly, the intervention was not sufficiently intense to achieve an effect...

..Health care providers should routinely monitor the quality of life and needs of women with advanced breast cancer to ensure that appropriate treatment, information or supportive services are made available...

..There are few information resources for people at this juncture. An evidence-based DVD was developed for individuals at this stage with information about experiences encountered as a cancer survivor (CS)...

..However, more research is required to confirm these findings. Strategies for implementation and further research are outlined...

..This study suggests information from proxy raters is reliable when the proxy is a family caregiver, and this remains true over time...

..New models of care that incorporate palliative care throughout the disease trajectory are recommended...

..It aims to expose the ways narrative research, when taken beyond the researcher's lone analysis of text, can contribute to the development of clinical knowledge...

..Importantly, the research provided the essential ingredients for the future development of a new intervention aimed at augmenting home lay palliative caregiver guidance and support...

..By acknowledging these barriers to supportive care, researchers and health care professionals can begin to design and implement interventions that are clinically relevant and more likely to be effective...

..Multiple drafts of the recommendations were circulated to the authors for refinement until consensus was reached. Strategies for advancing the evidence base for the maturation of guidelines in this area are offered...

..Not many research studies seem to have specifically targeted why palliative care patients may desire hastened death, and few have focused on clinical guidelines for responding to such requests...

..The principles and strategies described may provide a practical, evidence-based guide to the development of other types of patient audio-visual materials...

..Meaning can assist coping by offering a framework, perspective, and counterbalance to the challenge of illness. However, the absence of meaning can be a precursor to profound despair...

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..This article reports the first steps in the development of a supportive needs screening tool appropriate for use in an oncology outpatient setting...

..The aim of the article is to provide a guide to conducting RCTs and to promote their use in palliative care when researchers are evaluating new interventions...

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..It was further hypothesized that these effects would be stronger in those perceiving their treatment intent to be curative rather than palliative...

..Furthermore, it is feasible for health professionals to discuss emotive topics, such as impending death, with caregivers without adverse effects...

..Further, the medical records documented ill-defined periods of palliation, with the child's approaching death appearing as a gradual awareness rather than a distinct shift in goals of care from cure to palliation...

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..Many survivors report long-term psychosocial, physical and other consequences. To understand the issues faced by Australian cancer survivors we conducted focus groups with cancer patients and health professionals...

..Further testing of the psychoeducational groups is currently being undertaken as part of a larger randomized controlled trial of the multidisciplinary care intervention...

..This study aimed to survey key stakeholders in the care of people with colorectal cancer (survivors, primary care providers and hospital-based healthcare professionals) regarding follow-up and SCP...

..We explore these potential solutions drawing on the experience of conducting a randomized controlled trial of a support intervention for people with lung cancer and their family...

..Findings suggest three interrelated domains that form an adaptive pathway towards coherence and sense of self. While this pathway is essentially linear it is also responsive to the ongoing stressful nature of advanced cancer...

..However, replication in a larger sample is required before this screening approach can be recommended for clinical use...

..The significance and scope of these caregiving experiences suggest that developing the caregiver's ability to effectively contribute to pain management is an important priority in efforts to improve cancer pain management...

..To evaluate the efficacy of a psychoeducational intervention in improving cancer-related fatigue...

..The results suggest that targeted educational interventions that utilize individualized instructional techniques may alter cancer patient attitudes, which can potentially act as barriers to effective pain management...

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