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Frequency and intensity of symptoms and treatment interventions in hospitalized older palliative cancer patients : a multicentre cross-sectional study

(2017) JOURNAL OF ADVANCED NURSING. 73(6). p.1455-1466
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Abstract
Aim. To increase the knowledge of the frequency and intensity of symptoms and the treatment interventions in older palliative cancer patients. Background. Research on symptoms and the treatment modalities in older palliative cancer patients is scarce. Insight into these aspects is needed to enable healthcare professionals to alleviate the burden. Design. A cross-sectional study. Methods. Four hundred hospitalized older palliative cancer patients participated in the study between March 2013 - February 2015. Two validated instruments were used to assess 40 symptoms in multiple domains and collect data on the treatment modalities in older palliative cancer patients. Results. Patients reported on average approximately 14 symptoms. Dry mouth, physical fatigue, lack of energy, lack of appetite and difficulty moving outside were the most prevalent. Psychological pain, psychological fatigue, lack of willpower, lack of energy and physical fatigue were reported as intensive. On average, 5.15 disciplines were consulted per patient. Few patients were referred to a palliative support team, spiritual consultant or psychologist. Patients received a variety of interventions to increase life expectancy and alleviate symptoms and the side effects of treatment. The occurrence of symptoms was associated with different clinical and treatment variables such as having a geriatric risk profile. Conclusions. Older patients receiving palliative cancer care are confronted with multiple symptoms. Psychological symptoms are more often reported as intensive. Greater attention should be given to the early referral of patients to palliative care teams, assessment and management of multiple symptoms, particularly psychological symptoms.
Keywords
acute care, aged, neoplasms, nursing, older patients, palliative care, symptom assessment, symptom management, symptoms, treatment, GERIATRIC ASSESSMENT, CARE, AGE, PREVALENCE

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MLA
Van Lancker, Aurélie, et al. “Frequency and Intensity of Symptoms and Treatment Interventions in Hospitalized Older Palliative Cancer Patients : A Multicentre Cross-Sectional Study.” JOURNAL OF ADVANCED NURSING, vol. 73, no. 6, 2017, pp. 1455–66, doi:10.1111/jan.13230.
APA
Van Lancker, A., Beeckman, D., Van Den Noortgate, N., Verhaeghe, S., & Van Hecke, A. (2017). Frequency and intensity of symptoms and treatment interventions in hospitalized older palliative cancer patients : a multicentre cross-sectional study. JOURNAL OF ADVANCED NURSING, 73(6), 1455–1466. https://doi.org/10.1111/jan.13230
Chicago author-date
Van Lancker, Aurélie, Dimitri Beeckman, Nele Van Den Noortgate, Sofie Verhaeghe, and Ann Van Hecke. 2017. “Frequency and Intensity of Symptoms and Treatment Interventions in Hospitalized Older Palliative Cancer Patients : A Multicentre Cross-Sectional Study.” JOURNAL OF ADVANCED NURSING 73 (6): 1455–66. https://doi.org/10.1111/jan.13230.
Chicago author-date (all authors)
Van Lancker, Aurélie, Dimitri Beeckman, Nele Van Den Noortgate, Sofie Verhaeghe, and Ann Van Hecke. 2017. “Frequency and Intensity of Symptoms and Treatment Interventions in Hospitalized Older Palliative Cancer Patients : A Multicentre Cross-Sectional Study.” JOURNAL OF ADVANCED NURSING 73 (6): 1455–1466. doi:10.1111/jan.13230.
Vancouver
1.
Van Lancker A, Beeckman D, Van Den Noortgate N, Verhaeghe S, Van Hecke A. Frequency and intensity of symptoms and treatment interventions in hospitalized older palliative cancer patients : a multicentre cross-sectional study. JOURNAL OF ADVANCED NURSING. 2017;73(6):1455–66.
IEEE
[1]
A. Van Lancker, D. Beeckman, N. Van Den Noortgate, S. Verhaeghe, and A. Van Hecke, “Frequency and intensity of symptoms and treatment interventions in hospitalized older palliative cancer patients : a multicentre cross-sectional study,” JOURNAL OF ADVANCED NURSING, vol. 73, no. 6, pp. 1455–1466, 2017.
@article{8500893,
  abstract     = {{Aim. To increase the knowledge of the frequency and intensity of symptoms and the treatment interventions in older palliative cancer patients. 
Background. Research on symptoms and the treatment modalities in older palliative cancer patients is scarce. Insight into these aspects is needed to enable healthcare professionals to alleviate the burden. 
Design. A cross-sectional study. 
Methods. Four hundred hospitalized older palliative cancer patients participated in the study between March 2013 - February 2015. Two validated instruments were used to assess 40 symptoms in multiple domains and collect data on the treatment modalities in older palliative cancer patients. 
Results. Patients reported on average approximately 14 symptoms. Dry mouth, physical fatigue, lack of energy, lack of appetite and difficulty moving outside were the most prevalent. Psychological pain, psychological fatigue, lack of willpower, lack of energy and physical fatigue were reported as intensive. On average, 5.15 disciplines were consulted per patient. Few patients were referred to a palliative support team, spiritual consultant or psychologist. Patients received a variety of interventions to increase life expectancy and alleviate symptoms and the side effects of treatment. The occurrence of symptoms was associated with different clinical and treatment variables such as having a geriatric risk profile. 
Conclusions. Older patients receiving palliative cancer care are confronted with multiple symptoms. Psychological symptoms are more often reported as intensive. Greater attention should be given to the early referral of patients to palliative care teams, assessment and management of multiple symptoms, particularly psychological symptoms.}},
  author       = {{Van Lancker, Aurélie and Beeckman, Dimitri and Van Den Noortgate, Nele and Verhaeghe, Sofie and Van Hecke, Ann}},
  issn         = {{0309-2402}},
  journal      = {{JOURNAL OF ADVANCED NURSING}},
  keywords     = {{acute care,aged,neoplasms,nursing,older patients,palliative care,symptom assessment,symptom management,symptoms,treatment,GERIATRIC ASSESSMENT,CARE,AGE,PREVALENCE}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{1455--1466}},
  title        = {{Frequency and intensity of symptoms and treatment interventions in hospitalized older palliative cancer patients : a multicentre cross-sectional study}},
  url          = {{http://doi.org/10.1111/jan.13230}},
  volume       = {{73}},
  year         = {{2017}},
}

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