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  • Signs, Symptoms, and Characteristics Associated With End of Life in People With a Hematologic Malignancy: A Review of the Literature

    Author(s)
    Button, Elise
    Chan, Raymond
    Chambers, Shirley
    Butler, Jason
    Yates, Patsy
    Griffith University Author(s)
    Chan, Ray
    Year published
    2016
    Metadata
    Show full item record
    Abstract
    Problem Identification: Identifying people with hematologic cancer who are at risk of deteriorating and dying is essential to enable open, honest discussions, leading to appropriate decision making and effective end-of-life care. Literature Search: PubMed, CINAHL®, PsycINFO, and the Cochrane Central Register of Controlled Trials were searched from January 2005 to December 2015 for descriptive observational studies. Data Evaluation: Critique of the studies was guided by the Critical Appraisal Skills Programme Cohort Study Checklist. Synthesis: Twelve studies were included. The majority of studies (n = 8) sampled patients from ...
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    Problem Identification: Identifying people with hematologic cancer who are at risk of deteriorating and dying is essential to enable open, honest discussions, leading to appropriate decision making and effective end-of-life care. Literature Search: PubMed, CINAHL®, PsycINFO, and the Cochrane Central Register of Controlled Trials were searched from January 2005 to December 2015 for descriptive observational studies. Data Evaluation: Critique of the studies was guided by the Critical Appraisal Skills Programme Cohort Study Checklist. Synthesis: Twelve studies were included. The majority of studies (n = 8) sampled patients from palliative populations, and most were retrospective (n = 11). A number of signs, symptoms, and characteristics associated with end of life in people with a hematolgic malignancy were identified, including pain, hematopoietic dysfunction, dyspnea, and reduced oral intake. Conclusions: The studies described a clinical scenario of deterioration, largely in a palliative population. Findings indicate that people with a hematologic malignancy share certain clinical signs of deterioration with other populations and receive a high level of medical interventions at the end of life. Implications for Practice: Nurses are well positioned to identify many of the signs, symptoms, and characteristics found in this review and can play a key role in identifying when a person is nearing the end of life.
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    Journal Title
    Oncology Nursing Forum
    Volume
    43
    Issue
    5
    DOI
    https://doi.org/10.1188/16.ONF.E178-E187
    Subject
    Nursing
    Science & Technology
    Life Sciences & Biomedicine
    Oncology
    Nursing
    hematologic malignancies
    Publication URI
    http://hdl.handle.net/10072/408834
    Collection
    • Journal articles

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