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Supporting self-management in palliative care throughout the cancer care trajectory

Schulman-Green, Denaa; Brody, Abrahamb; Gilbertson-White, Stephaniec; Whittemore, Robina; McCorkle, Rutha

Current Opinion in Supportive and Palliative Care: September 2018 - Volume 12 - Issue 3 - p 299–307
doi: 10.1097/SPC.0000000000000373
LIVING WITH CANCER AND THE CONSEQUENCES OF TREATMENT: Edited by Lynn Calman and Natasha Campling
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Purpose of review Despite increased survivorship and the subsequent need for chronic management of cancer, the association of self-management and palliative care is still emerging within cancer care. Routine and timely use of self-management strategies in the palliative setting can help reduce self-management burden and maximize quality of life. In this review, we consider the complementary relationship of self-management and palliative care and how they support living with cancer as a chronic illness.

Recent findings Recent studies provide evidence of support among patients, family caregivers and healthcare professionals for integration of self-management interventions into palliative cancer care. As a guiding framework, components of the revised Self and Family Management Framework correspond to the provision of palliative care across the care trajectory, including the phases of curative care, palliative care, end-of-life care and bereavement. Additional work among self-management partners facing cancer and other life-limiting illnesses, that is patients, family caregivers and healthcare professionals, would be useful in developing interventions that incorporate self-management and palliative care to improve health outcomes.

Summary There is an increasing acceptance of the complementarity of self-management and palliative care in cancer care. Their integration can support patients with cancer and their family caregivers across the care trajectory.

aYale School of Nursing, West Haven, Connecticut

bHartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing, New York, New York

cUniversity of Iowa College of Nursing, Iowa City, Iowa, USA

Correspondence to Dena Schulman-Green, Yale School of Nursing, P.O. Box 27399, West Haven, CT 06516, USA. Tel: +1 203 785 7623; e-mail: dena.schulman-green@yale.edu

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