Supporting Self-management in Palliative Care Throughout the Cancer Care Trajectory

Overview

Journal Curr Opin Support Palliat Care

Specialties Critical Care
Pharmacology

Date 2018 Jul 24

PMID 30036215

Citations 4

Authors

Dena Schulman-Green

Abraham Brody

Stephanie Gilbertson-White

Robin Whittemore

Ruth McCorkle

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: 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 Findings: 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.

Summary: 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.

Citing Articles

Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework: An Exploratory Analysis.

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Randomized clinical trial to evaluate a cancer pain self-management intervention for outpatients.

Valenta S, Miaskowski C, Spirig R, Zaugg K, Denhaerynck K, Rettke H Asia Pac J Oncol Nurs. 2022; 9(1):39-47.

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Integrating Palliative Care Into Self-management of Breast Cancer: A Pilot Randomized Controlled Trial.

Schulman-Green D, Linsky S, Jeon S, Holland M, Kapo J, Blatt L Cancer Nurs. 2022; 46(3):E169-E180.

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An Adapted Conceptual Model Integrating Palliative Care in Serious Illness and Multiple Chronic Conditions.

Murali K, Merriman J, Yu G, Vorderstrasse A, Kelley A, Brody A Am J Hosp Palliat Care. 2020; 37(12):1086-1095.

PMID: 32508110 PMC: 7483852. DOI: 10.1177/1049909120928353.

References

Grey M, Knafl K, McCorkle R . A framework for the study of self- and family management of chronic conditions. Nurs Outlook. 2006; 54(5):278-86. DOI: 10.1016/j.outlook.2006.06.004. View

Grey M, Schulman-Green D, Knafl K, Reynolds N . A revised Self- and Family Management Framework. Nurs Outlook. 2015; 63(2):162-70. DOI: 10.1016/j.outlook.2014.10.003. View

Schulman-Green D, Jeon S . Managing Cancer Care: a psycho-educational intervention to improve knowledge of care options and breast cancer self-management. Psychooncology. 2015; 26(2):173-181. DOI: 10.1002/pon.4013. View

Temel J, Greer J, El-Jawahri A, Pirl W, Park E, Jackson V . Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial. J Clin Oncol. 2016; 35(8):834-841. PMC: 5455686. DOI: 10.1200/JCO.2016.70.5046. View

Boland L, Bennett K, Connolly D . Self-management interventions for cancer survivors: a systematic review. Support Care Cancer. 2017; 26(5):1585-1595. DOI: 10.1007/s00520-017-3999-7. View

Lie H, Mellblom A, Brekke M, Finset A, Fossa S, Kiserud C . Experiences with late effects-related care and preferences for long-term follow-up care among adult survivors of childhood lymphoma. Support Care Cancer. 2017; 25(8):2445-2454. DOI: 10.1007/s00520-017-3651-6. View

Basch E, Deal A, Dueck A, Scher H, Kris M, Hudis C . Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment. JAMA. 2017; 318(2):197-198. PMC: 5817466. DOI: 10.1001/jama.2017.7156. View

Bennett M, Mulvey M, Campling N, Latter S, Richardson A, Bekker H . Self-management toolkit and delivery strategy for end-of-life pain: the mixed-methods feasibility study. Health Technol Assess. 2017; 21(76):1-292. PMC: 5757185. DOI: 10.3310/hta21760. View

McDonald J, Swami N, Hannon B, Lo C, Pope A, Oza A . Impact of early palliative care on caregivers of patients with advanced cancer: cluster randomised trial. Ann Oncol. 2016; 28(1):163-168. DOI: 10.1093/annonc/mdw438. View

10.

Stacey D, Green E, Ballantyne B, Tarasuk J, Skrutkowski M, Carley M . Implementation of Symptom Protocols for Nurses Providing Telephone-Based Cancer Symptom Management: A Comparative Case Study. Worldviews Evid Based Nurs. 2016; 13(6):420-431. PMC: 5157760. DOI: 10.1111/wvn.12166. View

11.

Portz J, Kutner J, Blatchford P, Ritchie C . High Symptom Burden and Low Functional Status in the Setting of Multimorbidity. J Am Geriatr Soc. 2017; 65(10):2285-2289. PMC: 5657588. DOI: 10.1111/jgs.15045. View

12.

Cooley M, Nayak M, Abrahm J, Braun I, Rabin M, Brzozowski J . Patient and caregiver perspectives on decision support for symptom and quality of life management during cancer treatment: Implications for eHealth. Psychooncology. 2017; 26(8):1105-1112. DOI: 10.1002/pon.4442. View

13.

Ugalde A, Haynes K, Boltong A, White V, Krishnasamy M, Schofield P . Self-guided interventions for managing psychological distress in people with cancer - A systematic review. Patient Educ Couns. 2017; 100(5):846-857. DOI: 10.1016/j.pec.2016.12.009. View

14.

Hughes N, Closs S, Flemming K, Bennett M . Supporting self-management of pain by patients with advanced cancer: views of palliative care professionals. Support Care Cancer. 2016; 24(12):5049-5057. DOI: 10.1007/s00520-016-3372-2. View

15.

Kotronoulas G, Papadopoulou C, Burns-Cunningham K, Simpson M, Maguire R . A systematic review of the supportive care needs of people living with and beyond cancer of the colon and/or rectum. Eur J Oncol Nurs. 2017; 29:60-70. DOI: 10.1016/j.ejon.2017.05.004. View

16.

Song L, Dunlap K, Tan X, Chen R, Nielsen M, Rabenberg R . Enhancing Survivorship Care Planning for Patients With Localized Prostate Cancer Using a Couple-Focused mHealth Symptom Self-Management Program: Protocol for a Feasibility Study. JMIR Res Protoc. 2018; 7(2):e51. PMC: 5847815. DOI: 10.2196/resprot.9118. View

17.

Hudson J, Reblin M, Clayton M, Ellington L . Addressing cancer patient and caregiver role transitions during home hospice nursing care. Palliat Support Care. 2018; 17(5):523-530. PMC: 6237667. DOI: 10.1017/S1478951518000214. View

18.

Schulman-Green D, Jaser S, Martin F, Alonzo A, Grey M, McCorkle R . Processes of self-management in chronic illness. J Nurs Scholarsh. 2012; 44(2):136-44. PMC: 3366425. DOI: 10.1111/j.1547-5069.2012.01444.x. View

19.

Hopkins B, Gold M, Wei A, Grigoriadis G . Improving the Transition to Palliative Care for Patients With Acute Leukemia: A Coordinated Care Approach. Cancer Nurs. 2016; 40(3):E17-E23. DOI: 10.1097/NCC.0000000000000368. View

20.

Tessier P, Blanchin M, Sebille V . Does the relationship between health-related quality of life and subjective well-being change over time? An exploratory study among breast cancer patients. Soc Sci Med. 2016; 174:96-103. DOI: 10.1016/j.socscimed.2016.12.021. View