Pub Date : 2022-03-03DOI: 10.1017/S1478951521001620
A. Ozanne, I. Henoch, J. Öhlén, B. Jakobsson Larsson, C. Melin‐Johansson
Abstract Objectives Discussing existential issues is integral to caring for people with acute, progressive, or life-limiting neurological illness, but there is a lack of research examining how nurses approach existential issues with this patient group and their family members. The purpose was to examine the experiential impact of an educational program for nurses designed to facilitate discussions of existential issues with patients and family members in neurological wards. Method Nurses in inpatient and outpatient care at a neurological clinic in Sweden were invited to participate in an education program about discussing existential issues with patients and their family members as related to neurological conditions. The evaluation of the program and of the nurses’ view of discussing existential issues was conducted through focus groups before and after participation. The data were analyzed by qualitative content analysis. Results The program gave nurses a deeper understanding of existential issues and how to manage these conversations with patients and their family members. Both internal and external barriers remained after education, with nurses experiencing insecurity and fear, and a sense of being inhibited by the environment. However, they were more aware of the barriers after the education, and it was easier to find strategies to manage the conversations. They demonstrated support for each other in the team both before and after participating in the program. Significance of results The educational program gave nurses strategies for discussing existential issues with patients and family members. The knowledge that internal and external barriers impede communication should compel organizations to work on making conditions more conducive, for example, by supporting nurses to learn strategies to more easily manage conversations about existential issues and by reviewing the physical environment and the context in which they are conducted.
{"title":"Impact of an education program to facilitate nurses’ discussions of existential issues in neurological care","authors":"A. Ozanne, I. Henoch, J. Öhlén, B. Jakobsson Larsson, C. Melin‐Johansson","doi":"10.1017/S1478951521001620","DOIUrl":"https://doi.org/10.1017/S1478951521001620","url":null,"abstract":"Abstract Objectives Discussing existential issues is integral to caring for people with acute, progressive, or life-limiting neurological illness, but there is a lack of research examining how nurses approach existential issues with this patient group and their family members. The purpose was to examine the experiential impact of an educational program for nurses designed to facilitate discussions of existential issues with patients and family members in neurological wards. Method Nurses in inpatient and outpatient care at a neurological clinic in Sweden were invited to participate in an education program about discussing existential issues with patients and their family members as related to neurological conditions. The evaluation of the program and of the nurses’ view of discussing existential issues was conducted through focus groups before and after participation. The data were analyzed by qualitative content analysis. Results The program gave nurses a deeper understanding of existential issues and how to manage these conversations with patients and their family members. Both internal and external barriers remained after education, with nurses experiencing insecurity and fear, and a sense of being inhibited by the environment. However, they were more aware of the barriers after the education, and it was easier to find strategies to manage the conversations. They demonstrated support for each other in the team both before and after participating in the program. Significance of results The educational program gave nurses strategies for discussing existential issues with patients and family members. The knowledge that internal and external barriers impede communication should compel organizations to work on making conditions more conducive, for example, by supporting nurses to learn strategies to more easily manage conversations about existential issues and by reviewing the physical environment and the context in which they are conducted.","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"101 1","pages":"630 - 636"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80099448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-03DOI: 10.1017/S1478951522000037
Miguel Julião, Maria Ana Sobral, T. Ferreira, Patrícia Calaveiras, E. Costa, A. S. Daniel, Mafalda Lemos-Caldas, E. Bruera
Abstract Objective Atypical neuroleptics such as olanzapine are indicated for the treatment of various psychiatric disorders and have been used in the palliative care setting also for several clinical indications. Peripheral and facial edema are a rare side effect of the treatment with olanzapine. We report a case of an advanced cancer patient cared receiving palliative care who developed severe facial edema after initiating a low dose of olanzapine in monotherapy. Method A patient with advanced cancer who presented with severe facial edema after initiating olanzapine for the treatment of her opioid use disorder. Results After excluding other differential diagnosis for facial edema, olanzapine was discontinued with complete resolution of the edema. Significance of results To the best of our knowledge, this is the first case reporting facial edema due to olanzapine treatment in a patient with advanced cancer. Our report will help clinicians recognize the possible role of olanzapine in cases of rapid onset of facial edema, allowing its rapid resolution.
{"title":"Facial edema as an adverse drug reaction to olanzapine in a patient with cancer receiving palliative care","authors":"Miguel Julião, Maria Ana Sobral, T. Ferreira, Patrícia Calaveiras, E. Costa, A. S. Daniel, Mafalda Lemos-Caldas, E. Bruera","doi":"10.1017/S1478951522000037","DOIUrl":"https://doi.org/10.1017/S1478951522000037","url":null,"abstract":"Abstract Objective Atypical neuroleptics such as olanzapine are indicated for the treatment of various psychiatric disorders and have been used in the palliative care setting also for several clinical indications. Peripheral and facial edema are a rare side effect of the treatment with olanzapine. We report a case of an advanced cancer patient cared receiving palliative care who developed severe facial edema after initiating a low dose of olanzapine in monotherapy. Method A patient with advanced cancer who presented with severe facial edema after initiating olanzapine for the treatment of her opioid use disorder. Results After excluding other differential diagnosis for facial edema, olanzapine was discontinued with complete resolution of the edema. Significance of results To the best of our knowledge, this is the first case reporting facial edema due to olanzapine treatment in a patient with advanced cancer. Our report will help clinicians recognize the possible role of olanzapine in cases of rapid onset of facial edema, allowing its rapid resolution.","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"27 1","pages":"752 - 753"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83189503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-02DOI: 10.1017/S1478951522000190
G. Goldzweig, A. Applebaum, G. Borasio, Juhee Cho, H. Chochinov, Mayumi Ishida, M. Loscalzo, W. Breitbart
{"title":"Fighting racism in research – CORRIGENDUM","authors":"G. Goldzweig, A. Applebaum, G. Borasio, Juhee Cho, H. Chochinov, Mayumi Ishida, M. Loscalzo, W. Breitbart","doi":"10.1017/S1478951522000190","DOIUrl":"https://doi.org/10.1017/S1478951522000190","url":null,"abstract":"","PeriodicalId":19953,"journal":{"name":"Palliative and Supportive Care","volume":"1 1","pages":"303 - 303"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90724632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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