دورية أكاديمية
End-of-Life Care and Advanced Directives in Hispanic/Latinx Patients: Challenges and Solutions for the Practicing Oncologist.
| العنوان: | End-of-Life Care and Advanced Directives in Hispanic/Latinx Patients: Challenges and Solutions for the Practicing Oncologist. |
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| المؤلفون: | Barragan-Carrillo R; Hematology-Oncology Department Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico., Pabon CM; Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran, Mexico City, Mexico., Chavarri-Guerra Y; Hematology-Oncology Department Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico., Soto-Perez-de-Celis E; The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Duma N; Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA. |
| المصدر: | The oncologist [Oncologist] 2022 Dec 09; Vol. 27 (12), pp. 1074-1080. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9607837 Publication Model: Print Cited Medium: Internet ISSN: 1549-490X (Electronic) Linking ISSN: 10837159 NLM ISO Abbreviation: Oncologist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Oxford : Oxford University Press Original Publication: Dayton, Ohio : AlphaMed Press, c1996- |
| مواضيع طبية MeSH: | Quality of Life* , Terminal Care*, Humans ; Aged ; Advance Directives ; Family |
| مستخلص: | Advanced end-of-life care (EOL) comprises a group of strategies to provide comfort to patients at the end of life. These are associated with better quality of life, better satisfaction, and a lower rate of hospitalizations and aggressive medical treatment. Advanced EOL care, including advanced directives completion and hospice enrollment, is suboptimal among Hispanic/Latinx patients with cancer due to personal, socio-cultural, financial, and health system-related barriers, as well as due to a lack of studies specifically designed for this population. In addition, the extrapolation of programs that increase participation in EOL for non-white Hispanics may not work appropriately for Hispanic/Latinx patients and lead to overall lower satisfaction and enrollment in EOL care. This review will provide the practicing oncologist with the tools to address EOL in the Hispanic/Latinx population. Some promising strategies to address the EOL care disparities in Latinx/Hispanic patients have been culturally tailored patient navigation programs, geriatric assessment-guided multidisciplinary interventions, counseling sessions, and educational interventions. Through these strategies, we encourage oncologists to take advantage of every clinical setting to discuss EOL care. Treating physicians can engage family members in caring for their loved ones while practicing cultural humility and respecting cultural preferences, incorporating policies to foster treatment for the underserved migrant population, and providing patients with validated Spanish language tools. (© The Author(s) 2022. Published by Oxford University Press.) |
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| فهرسة مساهمة: | Keywords: Hispanic Americans; advanced directive; disparities; neoplasm; palliative care |
| تواريخ الأحداث: | Date Created: 20221026 Date Completed: 20221215 Latest Revision: 20230614 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10259759 |
| DOI: | 10.1093/oncolo/oyac211 |
| PMID: | 36288534 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1549-490X |
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| DOI: | 10.1093/oncolo/oyac211 |