Supportive Care in Cancer
Over the last two decades, significant progress has been made in the management and treatment of cancer; however, the state of science and research development has lagged in targeting the physical, psychosocial and existential elements of living with advanced cancer. Patients and families experience numerous, persistent and depilating physical, psychological and spiritual challenges at this point of the cancer care continuum affecting their human dimension in its totality often leading to poor quality of life and suboptimal treatment outcomes. The supportive model care has been advocated as the mean to help relieve symptoms and improve well-being in patients and their families living with an advanced disease. This is achieved by placing the patient (and the family) at the centre of the care and developing an individualised care pathway to addressing personalised needs that correspond to the dimensions that constitute a human being. The context that informs the provision of supportive care is one that is informed by the interdisciplinary approach where various disciplines work together to achieve a common goal: to provide high-level quality care that is tailored based on the supportive needs of the person that can go beyond the effects of cancer or its treatments.
KeywordsSupportive care Individuality Needs Palliative care Holistic care
- 1.NCI. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/supportive-care. Accessed Mar 2018.
- 2.MASCC. http://www.mascc.org/about-mascc. Accessed Mar 2018.
- 3.Hui D, De La Cruz M, Mori M, Parsons HA, Kwon JH, Torres-Vigil I, Kim SH, Dev R, Hutchins R, Liem C, Kang D, Bruera E. Concepts and definitions for “supportive care,” “best supportive care,” “palliative care,” and “hospice care” in the published literature, dictionaries, and textbooks. Support Care Cancer. 2013;21(3):659–85.CrossRefGoogle Scholar
- 4.WHO. http://www.who.int/cancer/palliative/definition/en/. Accessed Mar 2018.
- 11.Charalambous A, Radwin L, Berg A, Sjovall K, Patiraki E, Lemonidou C, Katajisto J, Suhonen R. An international study of hospitalized cancer patients’ health status, nursing care quality, perceived individuality in care and trust in nurses: a path analysis. Int J Nurs Stud. 2016;61:176–86.CrossRefGoogle Scholar
- 17.Loeffen EAH, Mulder RL, Kremer LCM, Michiels EMC, Abbink FCH, Ball LM, Segers H, Mavinkurve-Groothuis AMC, Smit FJ, Vonk IJM, vd Wetering MD, Tissing WJE. Development of clinical practice guidelines for supportive care in childhood cancer—prioritization of topics using a Delphi approach. Support Care Cancer. 2015;23(7):1987–95.CrossRefGoogle Scholar
- 22.Wells M, Campbell P, Torrens C, Charalambous A, Sharp L, Wiseman T, Östlund U, Patiraki E, Nohavova I, Domenech-Climent N, Oldenmenger W, Kelly D. Recognising European Cancer Nursing (RECaN): a systematic review of trial evidence that helps to identify the roles and interventions of nurses caring for patients with cancer. Eur J Cancer. 2017;72(1):S4.CrossRefGoogle Scholar
- 28.The Manual. London: NICE; 2004. Last accessed 20 May 2016. National Institute for Clinical Excellence (NICE). Guidance on cancer services. Improving supportive and palliative care for adults with cancer. Available from: https://www.nice.org.uk/guidance/csg4/resources/improving-supportive-and-palliative-care-for-adults-with-cancer-773375005
- 29.Tsitsi T, Charalambous A, Papastavrou E, Raftopoulos V. Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: a randomized controlled trial in Republic of Cyprus and Greece. Eur J Oncol Nurs. 2017;26:9–18.CrossRefGoogle Scholar
- 30.Charalambous A, Giannakopoulou M, Bozas E, Marcou Y, Kitsios P, Paikousis L. Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: a randomized control trial. PLoS One. 2016; https://doi.org/10.1371/journal.pone.0156911.CrossRefGoogle Scholar