| Meaning in adjustment to cancer: a model of care. | |
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MedLine Citation:
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PMID: 18282346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: In the clinical setting of cancer, meaning may well have a central role in the life changes the illness experience brings about. As health care professionals working with people with life-threatening illness, we are exposed to one of the major turning points in life and the ways people confront this transition. Meaning can assist coping by offering a framework, perspective, and counterbalance to the challenge of illness. However, the absence of meaning can be a precursor to profound despair. METHODS: This article brings together the clinical implications of two studies conducted by the authors that explored the role of meaning in adjustment to cancer, presenting a theoretical understanding of the experience of meaning in cancer and identifying some potential approaches to intervention. RESULTS: Our findings point to some specific goals of care as well as a number of therapeutic modalities aimed to meet these goals. We examine four goals of care--acknowledging suffering, encouraging a search for meaning, strengthening connection with others, and ensuring optimal physical care--as foundational in any clinical approach and then examine the key models of therapy that assist the clinician in pursuing these goals. SIGNIFICANCE OF RESULTS: Our aim is to create an integrated approach to care provision that locates meaning centrally in any patient's adaptation. |
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Authors:
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Carrie Lethborg; Sanchia Aranda; David Kissane |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Palliative & supportive care Volume: 6 ISSN: 1478-9515 ISO Abbreviation: - Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-19 Completed Date: 2008-05-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101232529 Medline TA: Palliat Support Care Country: England |
Other Details:
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Languages: eng Pagination: 61-70 Citation Subset: IM |
Affiliation:
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Department of Oncology, St. Vincent's Hospital, Fitzroy, Victoria, Australia. carolyn.lethborg@svhm.org.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Psychological* Attitude to Death Empathy Humans Interpersonal Relations Life Change Events Neoplasms / psychology* Self Concept Sickness Impact Profile Social Support Terminal Care / methods, psychology, standards Terminally Ill / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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