Asymmetric facial edema with transdermal fentanyl: when listening to patients and caregivers helps to diagnose.

IF 2.1 4区 医学 Q3 HEALTH POLICY & SERVICES Palliative & Supportive Care Pub Date : 2025-02-21 DOI:10.1017/S1478951524002177
Carolina Simões, Miguel Julião, Patrícia Calaveiras, Paula Câmara, Eduardo Bruera
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Abstract

Objectives: Dignity Therapy (DT) is a brief psychotherapeutic intervention designed to address the psychosocial and spiritual needs of terminally ill patients. Research demonstrates DT's efficacy in reducing dignity-related distress and alleviating psychosocial symptoms like depression and anxiety in terminally ill patients. Its application has been extended to non-terminal patients with chronic conditions, mental health challenges, and children nearing the end of life, with promising results. However, the potential for proxy applications, such as posthumous p-DT (p-DT) - conducted by relatives after a patient's death or on behalf of individuals unable to participate - remains underexplored.

Methods: A case series report that examines three relatives who engaged in posthumous p-DT, highlighting its feasibility and potential benefits.

Results: p-DT seems to benefit families and caregivers, promoting emotional resilience and facilitating grieving.

Significance of results: Findings suggest p-DT may serve as a valuable tool for bereavement support, warranting further research to expand its scope and accessibility.

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非对称面部水肿与透皮芬太尼:当倾听患者和护理人员帮助诊断。
目的:尊严治疗(DT)是一种简短的心理治疗干预,旨在解决绝症患者的心理社会和精神需求。研究表明,DT在减少与尊严相关的痛苦和缓解绝症患者的抑郁和焦虑等社会心理症状方面具有功效。它的应用已经扩展到患有慢性疾病、精神健康挑战的非终末期患者和接近生命终点的儿童,并取得了令人鼓舞的结果。然而,代理应用的潜力,如死后p-DT (p-DT)——在病人死后由亲属或代表无法参与的个人进行——仍未得到充分探索。方法:一个病例系列报告,检查三个亲属从事死后p-DT,突出其可行性和潜在的好处。结果:p-DT似乎有利于家庭和照顾者,促进情绪弹性和促进悲伤。研究结果的意义:研究结果表明,p-DT可能是一种有价值的丧亲支持工具,需要进一步研究以扩大其范围和可及性。
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来源期刊
Palliative & Supportive Care
Palliative & Supportive Care HEALTH POLICY & SERVICES-
CiteScore
4.10
自引率
9.10%
发文量
280
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