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The Oncological Patient in the Palliative Situation

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Psycho-Oncology

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 210))

Abstract

Palliative care approaches patients and their suffering with a bio-psycho-social-spiritual model. Thus, it is the strength of palliative care to complement the diagnosis driven approach of medical cancer care by a problem and resources-based assessment, participatory care plan and person-directed interventions. Interventions need to reflect timely prognosis, target population (the patient, the family carer, the professional) and level of trust and remaining energy. In palliative care the relevance of psycho-oncological aspects in the care of the terminally ill is considerable in the understanding of the overall suffering of patients approaching death and their loved ones and in their care and support. There is little evidence to date in terms of clinical benefit of specific psycho-oncological interventions in the last months or weeks of life, but there is evidence on effects of stress reduction and reduced anxiety if locus of control can stay within the patient as long as possible. One major challenge in psychosocial and palliative care research, however, is defining patient relevant outcomes.

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References

  • Albers G, Echteld MA, de Vet HC, Onwuteaka-Philipsen BD, van der Linden MH, Deliens L (2010) Evaluation of quality-of-life measures for use in palliative care: a systematic review. Palliat Med 24(1):17–37. doi:10.1177/0269216309346593

    Article  PubMed  Google Scholar 

  • Antonovsky A (1996) The salutogenic model as a theory to guide health promotion. Health Promot Int 11(1):11–18

    Article  Google Scholar 

  • Applebaum AJ, Breitbart W (2013) Care for the cancer caregiver: a systematic review. Palliative & supportive care, 11(3), 231–252. doi:10.1017/S1478951512000594

  • Azuero C, Allen RS, Kvale E, Azuero A, Parmelee P (2014) Determinants of psychology service utilization in a palliative care outpatient population. Psychooncology 23(6):650–657. doi:10.1002/pon.3454

    Article  PubMed  Google Scholar 

  • Baker P, Beesley H, Dinwoodie R, Fletcher I, Ablett J, Holcombe C, Salmon P (2013) ‘You’re putting thoughts into my head’: a qualitative study of the readiness of patients with breast, lung or prostate cancer to address emotional needs through the first 18 months after diagnosis. Psychooncology 22(6):1402–1410. doi:10.1002/pon.3156

    Article  PubMed  Google Scholar 

  • Baker-Glenn EA, Park B, Granger L, Symonds P, Mitchell AJ (2011) Desire for psychological support in cancer patients with depression or distress: validation of a simple help question. Psychooncology 20(5):525–531. doi:10.1002/pon.1759

    Article  PubMed  Google Scholar 

  • Brebach R, Sharpe L, Costa DS, Rhodes P, Butow P (2016) Psychological intervention targeting distress for cancer patients: a meta-analytic study investigating uptake and adherence. Psychooncology 25(8):882–890. doi:10.1002/pon.4099

    Article  PubMed  Google Scholar 

  • Breitbart W (2003) Palliative and supportive care: introducing a new international journal; the “Care” journal of palliative medicine. Palliat Support Care 1(1):1–2

    Article  Google Scholar 

  • Breitbart W (2006) Waiting. Palliat Support Care 4(3):313–314

    Article  PubMed  Google Scholar 

  • Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, Olden M (2010) Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology 19(1):21–28. doi:10.1002/pon.1556

    Article  PubMed  PubMed Central  Google Scholar 

  • Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, Cassileth BR (2012) Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol 30(12):1304–1309. doi:10.1200/JCO.2011.36.2517

    Article  PubMed  PubMed Central  Google Scholar 

  • Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG (2015) Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol 33(7):749–754. doi:10.1200/JCO.2014.57.2198

    Article  PubMed  PubMed Central  Google Scholar 

  • Brinkman-Stoppelenburg A, Rietjens JA, van der Heide A (2014) The effects of advance care planning on end-of-life care: a systematic review. Palliat Med 28(8):1000–1025. doi:10.1177/0269216314526272

    Article  PubMed  Google Scholar 

  • Broderick JE, Junghaenel DU, Schneider S, Bruckenthal P, Keefe FJ (2011) Treatment expectation for pain coping skills training: relationship to osteoarthritis patients’ baseline psychosocial characteristics. Clin J Pain 27(4):315–322. doi:10.1097/AJP.0b013e3182048549

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown CA, Seymour B, Boyle Y, El-Deredy W, Jones AK (2008) Modulation of pain ratings by expectation and uncertainty: behavioral characteristics and anticipatory neural correlates. Pain 135(3):240–250. doi:10.1016/j.pain.2007.05.022

    Article  PubMed  Google Scholar 

  • Bultz BD, Carlson LE (2005) Emotional distress: the sixth vital sign in cancer care. J Clin Oncol 23(26):6440–6441. doi:10.1200/JCO.2005.02.3259

    Article  PubMed  Google Scholar 

  • Bultz BD, Groff SL, Fitch M, Blais MC, Howes J, Levy K, Mayer C (2011) Implementing screening for distress, the 6th vital sign: a Canadian strategy for changing practice. Psychooncology 20(5):463–469. doi:10.1002/pon.1932

    Article  PubMed  Google Scholar 

  • Bultz BD, Cummings GG, Grassi L, Travado L, Hoekstra-Weebers J, Watson M (2014) 2013 President’s plenary international psycho-oncology society: embracing the IPOS standards as a means of enhancing comprehensive cancer care. Psychooncology 23(9):1073–1078. doi:10.1002/pon.3618

    Article  CAS  PubMed  Google Scholar 

  • Butt Z, Wagner LI, Beaumont JL, Paice JA, Peterman AH, Shevrin D, Cella D (2008) Use of a single-item screening tool to detect clinically significant fatigue, pain, distress, and anorexia in ambulatory cancer practice. J Pain Symptom Manage 35(1):20–30. doi:10.1016/j.jpainsymman.2007.02.040

    Article  PubMed  Google Scholar 

  • Calman KC (1984) Quality of life in cancer patients–an hypothesis. J Med Ethics 10(3):124–127

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Carlson LE, Bultz BD (2003) Cancer distress screening. Needs, models, and methods. J Psychosom Res 55(5):403–409

    Article  PubMed  Google Scholar 

  • Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, Murray A (2008) The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. J Pain Symptom Manage 36(6):559–571. doi:10.1016/j.jpainsymman.2007.12.018

    Article  PubMed  Google Scholar 

  • Chochinov HM, Kristjanson LJ, Breitbart W, McClement S, Hack TF, Hassard T, Harlos M (2011) Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. Lancet Oncol 12(8):753–762. doi:10.1016/S1470-2045(11)70153-X

    Article  PubMed  PubMed Central  Google Scholar 

  • Clover KA, Mitchell AJ, Britton B, Carter G (2015) Why do oncology outpatients who report emotional distress decline help? Psychooncology 24(7):812–818. doi:10.1002/pon.3729

    Article  PubMed  Google Scholar 

  • Cohen SR, Mount BM (2000) Living with cancer: “good” days and “bad” days–what produces them? Can the McGill quality of life questionnaire distinguish between them? Cancer 89(8):1854–1865

    Article  CAS  PubMed  Google Scholar 

  • Cohen SR, Mount BM, Bruera E, Provost M, Rowe J, Tong K (1997) Validity of the McGill Quality of Life Questionnaire in the palliative care setting: a multi-centre Canadian study demonstrating the importance of the existential domain. Palliat Med 11(1):3–20

    Article  PubMed  Google Scholar 

  • Colleoni M, Mandala M, Peruzzotti G, Robertson C, Bredart A, Goldhirsch A (2000) Depression and degree of acceptance of adjuvant cytotoxic drugs. Lancet 356(9238):1326–1327. doi:10.1016/S0140-6736(00)02821-X

    Article  CAS  PubMed  Google Scholar 

  • Detering KM, Hancock AD, Reade MC, Silvester W (2010) The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ 340:c1345. doi:10.1136/bmj.c1345

    Article  PubMed  PubMed Central  Google Scholar 

  • Dilworth S, Higgins I, Parker V, Kelly B, Turner J (2014) Patient and health professional’s perceived barriers to the delivery of psychosocial care to adults with cancer: a systematic review. Psychooncology 23(6):601–612. doi:10.1002/pon.3474

    Article  PubMed  Google Scholar 

  • Doherty WJ, McDaniel SH, Hepworth J (1994) Medical family therapy: an emerging arena for family therapy. J Family Therapy 16(1):31–46

    Article  Google Scholar 

  • Dolbeault S, Bredart A, Mignot V, Hardy P, Gauvain-Piquard A, Mandereau L, Medioni J (2008) Screening for psychological distress in two French cancer centers: feasibility and performance of the adapted distress thermometer. Palliat Support Care 6(2):107–117. doi:10.1017/S1478951508000187

    Article  PubMed  Google Scholar 

  • Donovan KA, Grassi L, McGinty HL, Jacobsen PB (2014) Validation of the distress thermometer worldwide: state of the science. Psychooncology 23(3):241–250. doi:10.1002/pon.3430

    Article  PubMed  Google Scholar 

  • Ellis J, Lin J, Walsh A, Lo C, Shepherd FA, Moore M, Rodin G (2009) Predictors of referral for specialized psychosocial oncology care in patients with metastatic cancer: the contributions of age, distress, and marital status. J Clin Oncol 27(5):699–705. doi:10.1200/JCO.2007.15.4864

    Article  PubMed  Google Scholar 

  • Eychmuller S (2012) SENS is making sense—on the way to an innovative approach to structure palliative care problems. Ther Umsch 69(2):87–90. doi:10.1024/0040-5930/a000256

    Article  PubMed  Google Scholar 

  • Faller H, Bulzebruck H, Drings P, Lang H (1999) Coping, distress, and survival among patients with lung cancer. Arch Gen Psychiatry 56(8):756–762

    Article  CAS  PubMed  Google Scholar 

  • Faller H, Weis J, Koch U, Brahler E, Harter M, Keller M, Mehnert A (2016a) Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. J Psychosom Res 81:24–30. doi:10.1016/j.jpsychores.2015.12.004

    Article  PubMed  Google Scholar 

  • Faller H, Weis J, Koch U, Brahler E, Harter M, Keller M, Mehnert A (2016b) Utilization of professional psychological care in a large German sample of cancer patients. Psychooncology. doi:10.1002/pon.4197

    Google Scholar 

  • Fegg MJ, Kramer M, L’Hoste S, Borasio GD (2008) The Schedule for Meaning in Life Evaluation (SMiLE): validation of a new instrument for meaning-in-life research. J Pain Symptom Manage 35(4):356–364. doi:10.1016/j.jpainsymman.2007.05.007

    Article  PubMed  Google Scholar 

  • Fox E (1997) Predominance of the curative model of medical care. A residual problem. JAMA 278(9):761–763

    Article  CAS  PubMed  Google Scholar 

  • Gaertner J, Becker G (2014) Patients with advanced disease: the value of patient reported outcomes. Oncol Res Treat 37(1–2):7–8. doi:10.1159/000358498

    Article  PubMed  Google Scholar 

  • Ganz PA (2008) Psychological and social aspects of breast cancer. Oncology (Williston Park)22(6):642–646, 650; discussion 650, 653

    Google Scholar 

  • Hagerty RG, Butow PN, Ellis PM et al (2005) Communicating with realism and hope: incurable cancer patients’ views on the disclosure of prognosis. J Clin Oncol 23(6):1278–1288

    Article  PubMed  Google Scholar 

  • Herschbach P, Heusser P (2008) Einführung in die psychoonkologische Behandlungspraxis, 1st edn. Klett-Cotta, Stuttgart

    Google Scholar 

  • Holland JC (2006) Psycho-oncology: from empirical research to screening program. In: Herschbach P, Heussner P, Sellschopp A (eds) Psycho-Onkologie, Perspektiven heute. Pabst Science Publishers, pp 9–43

    Google Scholar 

  • Holland JC (2013) Distress screening and the integration of psychosocial care into routine oncologic care. J Natl Compr Canc Netw 11(5 Suppl):687–689

    Article  PubMed  Google Scholar 

  • Holland JC, Andersen B, Breitbart WS, Dabrowski M, Dudley MM, Fleishman S, Nccn (2007) Distress management. J Natl Compr Canc Netw 5(1):66–98

    Google Scholar 

  • Hudson P, Trauer T, Kelly B, O’Connor M, Thomas K, Zordan R, Summers M (2015) Reducing the psychological distress of family caregivers of home based palliative care patients: longer term effects from a randomised controlled trial. Psychooncology 24(1):19–24. doi:10.1002/pon.3610

    Article  PubMed  Google Scholar 

  • Hudson P, Collins A, Bostanci A, Willenberg L, Stephanov N, Phillip J (2016) Toward a systematic approach to assessment and care planning in palliative care: a practical review of clinical tools. Palliat Support Care 14(2):161–173

    Article  PubMed  Google Scholar 

  • Hughes KL, Sargeant H, Hawkes AL (2011) Acceptability of the distress thermometer and problem list to community-based telephone cancer helpline operators, and to cancer patients and carers. BMC Cancer 11:46. doi:10.1186/1471-2407-11-46

    Article  PubMed  PubMed Central  Google Scholar 

  • Hui D, Meng YC, Bruera S, Geng Y, Hutchins R, Mori M, Bruera E (2016) Referral criteria for outpatient palliative cancer care: a systematic review. Oncologist 21(7):895–901. doi:10.1634/theoncologist.2016-0006

    Article  PubMed  PubMed Central  Google Scholar 

  • Hunter A, Soom Ammann E (2016) End-of-life care and rituals in contexts of post-migration diversity in Europe: an introduction. J Intercult Stud 37(2):95–102. doi:10.1080/07256868.2016.1142052

    Article  Google Scholar 

  • Institute of Medicine (IOM) (2008) Cancer care for the whole patient: meeting psychosocial health needs. The National Academies Press, Washington DC

    Google Scholar 

  • Junger S, Payne S (2011) Guidance on postgraduate education for psychologists involved in palliative care. Europ J Pall Care 18(5):238–252

    Google Scholar 

  • Kadan-Lottick NS, Vanderwerker LC, Block SD, Zhang B, Prigerson HG (2005) Psychiatric disorders and mental health service use in patients with advanced cancer: a report from the coping with cancer study. Cancer 104(12):2872–2881. doi:10.1002/cncr.21532

    Article  PubMed  PubMed Central  Google Scholar 

  • Kissane DW, Clarke DM, Street AF (2001) Demoralization syndrome—a relevant psychiatric diagnosis for palliative care. J Palliat Care 17(1):12–21

    CAS  PubMed  Google Scholar 

  • Kolva E, Rosenfeld B, Pessin H, Breitbart W, Brescia R (2011) Anxiety in terminally ill cancer patients. J Pain Symptom Manage 42(5):691–701. doi:10.1016/j.jpainsymman.2011.01.013

    Article  PubMed  PubMed Central  Google Scholar 

  • Langewitz W (2013) Kommunikation im medizinischen Alltag. Ein Leitfaden für die Praxis. Schweizerische Akademie der Medizinischen Wissenschaften, Basel

    Google Scholar 

  • Lichtenthal WG, Nilsson M, Zhang B, Trice ED, Kissane DW, Breitbart W, Prigerson HG (2009) Do rates of mental disorders and existential distress among advanced stage cancer patients increase as death approaches? Psychooncology 18(1):50–61. doi:10.1002/pon.1371

    Article  PubMed  PubMed Central  Google Scholar 

  • McDaniel SH, Hepworth J (2000) Kooperation mit Patienten, Ihren Familien und dem Behandlungsteam. Ein neuer Ansatz im Umgang mit Macht und Abhängigkeit. In Kröger F, Hendrischke A, McDaniel S (eds) Familie, System und Gesundheit. Systemische Konzepte für ein soziales Gesundheitswesen. Carl-Auer-Systeme, Heidelberg

    Google Scholar 

  • Mehnert A, Koch U (2008) Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. J Psychosom Res 64(4):383–391. doi:10.1016/j.jpsychores.2007.12.005

    Article  PubMed  Google Scholar 

  • Merckaert I, Libert Y, Messin S, Milani M, Slachmuylder JL, Razavi D (2010) Cancer patients’ desire for psychological support: prevalence and implications for screening patients’ psychological needs. Psychooncology 19(2):141–149. doi:10.1002/pon.1568

    Article  PubMed  Google Scholar 

  • Mitchell AJ (2007) Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. J Clin Oncol 25(29):4670–4681. doi:10.1200/JCO.2006.10.0438

    Article  PubMed  Google Scholar 

  • Mitchell AJ, Chan M, Bhatti H, Halton M, Grassi L, Johansen C, Meader N (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 12(2):160–174. doi:10.1016/S1470-2045(11)70002-X

    Article  PubMed  Google Scholar 

  • Mitchell AJ, Lord K, Slattery J, Grainger L, Symonds P (2012) How feasible is implementation of distress screening by cancer clinicians in routine clinical care? Cancer 118(24):6260–6269. doi:10.1002/cncr.27648

    Article  PubMed  Google Scholar 

  • Mosher CE, Winger JG, Hanna N, Jalal SI, Fakiris AJ, Einhorn LH, Champion VL (2014) Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients. Psychooncology 23(7):812–819. doi:10.1002/pon.3488

    Article  PubMed  PubMed Central  Google Scholar 

  • Mount B, Kearney M (2003) Healing and palliative care: charting our way forward. Palliat Med 17(8):657–658

    PubMed  Google Scholar 

  • Nakazawa Y, Miyashita M, Morita T, Umeda M, Oyagi Y, Ogasawara T (2010) The palliative care self-reported practices scale and the palliative care difficulties scale: reliability and validity of two scales evaluating self-reported practices and difficulties experienced in palliative care by health professionals. J Palliat Med 13(4):427–437. doi:10.1089/jpm.2009.0289

    Article  PubMed  Google Scholar 

  • National Comprehensive Cancer Network (NCCN) (2016a) Distress Management, Version 2

    Google Scholar 

  • National Comprehensive Cancer Network (NCCN) (2016b) Palliative Care Version 1.2016. J Natl Compr Canc Netw 14:82–113

    Article  Google Scholar 

  • Neumann M, Galushko M, Karbach U, Goldblatt H, Visser A, Wirtz M, Pfaff H (2010) Barriers to using psycho-oncology services: a qualitative research into the perspectives of users, their relatives, non-users, physicians, and nurses. Support Care Cancer 18(9):1147–1156. doi:10.1007/s00520-009-0731-2

    Article  PubMed  Google Scholar 

  • NICE (2011) The Diagnosis and Treatment of Lung Cancer (Update) (Vol. 212). Cardiff (UK)

    Google Scholar 

  • Nissim R, Gagliese L, Rodin G (2009) The desire for hastened death in individuals with advanced cancer: a longitudinal qualitative study. Soc Sci Med 69(2):165–171. doi:10.1016/j.socscimed.2009.04.021

    Article  PubMed  Google Scholar 

  • Parker PA, Baile WF, de Moor C, Cohen L (2003) Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psychooncology 12(2):183–193. doi:10.1002/pon.635

    Article  PubMed  Google Scholar 

  • Pfeil TA, Laryionava K, Reiter-Theil S, Hiddemann W, Winkler EC (2015) What keeps oncologists from addressing palliative care early on with incurable cancer patients? An active stance seems key. Oncologist 20(1):56–61. doi:10.1634/theoncologist.2014-0031

    Article  PubMed  Google Scholar 

  • Pirl WF, Fann JR, Greer JA, Braun I, Deshields T, Fulcher C, Bardwell WA (2014) Recommendations for the implementation of distress screening programs in cancer centers: report from the American Psychosocial Oncology Society (APOS), Association of Oncology Social Work (AOSW), and Oncology Nursing Society (ONS) joint task force. Cancer 120(19):2946–2954. doi:10.1002/cncr.28750

    Article  PubMed  Google Scholar 

  • Sankhe A, Dalal K, Agarwal V, Sarve P (2016) Spiritual care therapy on quality of life in cancer patients and their caregivers: a prospective non-randomized single-cohort study. J Relig Health. doi:10.1007/s10943-016-0324-6

    PubMed Central  Google Scholar 

  • Schaeffeler N, Pfeiffer K, Ringwald J, Brucker S, Wallwiener M, Zipfel S, Teufel M (2015) Assessing the need for psychooncological support: screening instruments in combination with patients’ subjective evaluation may define psychooncological pathways. Psychooncology 24(12):1784–1791. doi:10.1002/pon.3855

    Article  CAS  PubMed  Google Scholar 

  • Shipley V, Fairweather J (2001) A programme of individualized and self-administration of medicines in a hospice. Int J Palliat Nurs 7(12):581–586. doi:10.12968/ijpn.2001.7.12.9282

    Article  CAS  PubMed  Google Scholar 

  • Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, Von Roenn JH (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30(8):880–887. doi:10.1200/JCO.2011.38.5161

    Article  PubMed  Google Scholar 

  • Sollner W, Maislinger S, Konig A, Devries A, Lukas P (2004) Providing psychosocial support for breast cancer patients based on screening for distress within a consultation-liaison service. Psychooncology 13(12):893–897. doi:10.1002/pon.867

    Article  PubMed  Google Scholar 

  • Surbone A, Baider L, Weitzman TS, Brames MJ, Rittenberg CN, JohnsonJ, MPS Group (2010) Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement. Support Care Cancer 18(2):255–263. doi:10.1007/s00520-009-0693-4

    Article  Google Scholar 

  • Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, Lynch TJ (2010) Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363(8):733–742. doi:10.1056/NEJMoa1000678

    Article  CAS  PubMed  Google Scholar 

  • Temel JS, Greer JA, Admane S, Gallagher ER, Jackson VA, Lynch TJ, Pirl WF (2011) Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer: results of a randomized study of early palliative care. J Clin Oncol 29(17):2319–2326. doi:10.1200/JCO.2010.32.4459

    Article  PubMed  Google Scholar 

  • Tondorf T, Rothschild S, Koller MT, Rochlizu C, Kiss A, Zwahlen D (submitted) Talking about psychosocial distress screening: what oncologists and cancer patients recall

    Google Scholar 

  • Waller A, Williams A, Groff SL, Bultz BD, Carlson LE (2013) Screening for distress, the sixth vital sign: examining self-referral in people with cancer over a one-year period. Psychooncology 22(2):388–395. doi:10.1002/pon.2102

    PubMed  Google Scholar 

  • WHO (2002) Definition palliative care. 2013

    Google Scholar 

  • Wright AA, Zhang B, Ray A, Mack JW, Trice E, Balboni T, Prigerson HG (2008) Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA 300(14):1665–1673. doi:10.1001/jama.300.14.1665

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wright AA, Keating NL, Balboni TA, Matulonis UA, Block SD, Prigerson HG (2010) Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers’ mental health. J Clin Oncol 28(29):4457–4464. doi:10.1200/JCO.2009.26.3863

    Article  PubMed  PubMed Central  Google Scholar 

  • Yoshida W, Seymour B, Koltzenburg M, Dolan RJ (2013) Uncertainty increases pain: evidence for a novel mechanism of pain modulation involving the periaqueductal gray. J Neurosci 33(13):5638–5646. doi:10.1523/JNEUROSCI.4984-12.2013

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zambrano SC, Fliedner MC, Eychmuller S (2016) The impact of early palliative care on the quality of care during the last days of life: what does the evidence say? Curr Opin Support Palliat Care 10(4):310–315. doi:10.1097/SPC.0000000000000240

    Article  PubMed  Google Scholar 

  • Zhang B, Wright AA, Huskamp HA, Nilsson ME, Maciejewski ML, Earle CC, Prigerson HG (2009) Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med 169(5):480–488. doi:10.1001/archinternmed.2008.587

    Article  PubMed  PubMed Central  Google Scholar 

  • Zwahlen D, Hagenbuch N, Carley MI, Recklitis CJ, Buchi S (2008) Screening cancer patients’ families with the distress thermometer (DT): a validation study. Psychooncology 17(10):959–966. doi:10.1002/pon.1320

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. University Center for Palliative Care, Inselspital Bern, Bern, Switzerland

    Steffen Eychmueller & Monica Fliedner

  2. Department of Oncology, University Hospital Basel, Bern, Switzerland

    Diana Zwahlen

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  1. Steffen Eychmueller
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  2. Diana Zwahlen
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Correspondence to Steffen Eychmueller .

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Editors and Affiliations

  1. Charité Comprehensive Cancer Center, Humboldt University of Berlin, Berlin, Germany

    Ute Goerling

  2. Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany

    Anja Mehnert

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Eychmueller, S., Zwahlen, D., Fliedner, M. (2018). The Oncological Patient in the Palliative Situation. In: Goerling, U., Mehnert, A. (eds) Psycho-Oncology. Recent Results in Cancer Research, vol 210. Springer, Cham. https://doi.org/10.1007/978-3-319-64310-6_5

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