Comparing the physical, psychological, social, and spiritual needs of patients with non-cancer and cancer diagnoses in a tertiary palliative care setting

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dc.contributor.authorBandeali, Suhair
dc.contributor.authordes Ordons, Amanda Roze
dc.contributor.authorSinnarajah, Aynharan
dc.date.accessioned2019-12-11T16:53:54Z
dc.date.available2019-12-11T16:53:54Z
dc.date.issued2019-11-27
dc.description.abstractOBJECTIVE: The purpose was to describe the physical, psychological, social, and spiritual needs of patients with non-cancer serious illness diagnoses compared to those of patients with cancer. METHOD: We conducted a retrospective chart review of all patients with a non-cancer diagnosis admitted to a tertiary palliative care unit between January 2008 and December 2017 and compared their needs to those of a matched cohort of patients with cancer diagnoses. The prevalence of needs within the following four main concerns was recorded and the data analyzed using descriptive statistics and content analysis: •Physical: pain, dyspnea, fatigue, anorexia, edema, and delirium•Psychological: depression, anxiety, prognosis, and dignity•Social: caregiver burden, isolation, and financial•Spiritual: spiritual distress. RESULTS: The prevalence of the four main concerns was similar among patients with non-cancer and cancer diagnoses. Pain, nausea/vomiting, fatigue, and anorexia were more prevalent among patients with cancer. Dyspnea was more commonly the primary concern in patients with non-cancer diagnoses (39%), who also had a higher prevalence of anxiety and concerns about dignity. Spirituality was addressed more often in patients with cancer. SIGNIFICANCE OF RESULTS: The majority of patients admitted to tertiary palliative care settings have historically been those with cancer. The tertiary palliative care needs of patients with non-cancer diagnoses have not been well described, despite the increasing prevalence of this population. Our description of the palliative care needs of patients with non-cancer diagnoses will help guide future palliative care for the increasing population of patients with non-cancer serious illness diagnoses.en_US
dc.identifier.doihttp://dx.doi.org/10.1017/S1478951519001020en_US
dc.identifier.urihttp://hdl.handle.net/1880/111332
dc.language.isoengen_US
dc.publisher.departmentCommunity Health Sciencesen_US
dc.publisher.departmentCritical Care Medicineen_US
dc.publisher.departmentFamily Medicineen_US
dc.publisher.departmentMedicineen_US
dc.publisher.departmentOncologyen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0en_US
dc.subjectcanceren_US
dc.subjectcare needsen_US
dc.subjectchronic illnessen_US
dc.subjectpalliative careen_US
dc.subjectsymptom managementen_US
dc.titleComparing the physical, psychological, social, and spiritual needs of patients with non-cancer and cancer diagnoses in a tertiary palliative care settingen_US
dc.typejournal articleen_US
dc.typeacceptedVersionen_US
ucalgary.item.requestcopytrueen_US
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