- Section 1 The worldwide status of palliative care
- Section 2 The challenge of palliative medicine
- Section 3 Service delivery issues in palliative care
- Section 4 The interdisciplinary team
- 4.1 The core team and the extended team
- 4.2 Teaching and training in palliative medicine
- 4.3 Nursing and palliative care
- 4.4 Social work in palliative care
- 4.5 The role of the chaplain in palliative care
- 4.6 Occupational therapy in palliative care
- 4.7 Music therapy in palliative care
- 4.8 The contribution of the dietitian and nutritionist to palliative medicine
- 4.9 Physiotherapy in palliative care
- 4.10 Speech and language therapy in palliative care
- 4.11 The contribution of art therapy to palliative medicine
- 4.12 Stoma therapy in palliative care
- 4.13 Clinical psychology in palliative care
- 4.14 The contribution of the clinical pharmacist in palliative care
- 4.15 Medical rehabilitation and the palliative care patient
- 4.16 Burnout, compassion fatigue, and moral distress in palliative care
- 4.17 Integrative oncology in palliative medicine
- Section 5 Ethical issues
- Section 6 Communication and palliative medicine
- Section 7 Assessment tools and Informatics
- Section 8 Common symptoms and disorders
- Section 9 Common symptoms and disorders: pain
- Section 10 Common symptoms and disorders: gastrointestinal symptoms
- Section 11 Common symptoms and disorders: skin problems
- Section 12 Issues in populations with cancer
- Section 13 Cancer pain syndromes
- Section 14 Cancer-associated disorders
- Section 15 Issues in populations with non-cancer illnesses
- Section 16 Issues of the very young and the very old
- Section 17 Psychosocial and spiritual issues in palliative medicine
- Section 18 The terminal phase
- Section 19 Research in palliative medicine
(p. 221) Clinical psychology in palliative care
- Chapter:
- (p. 221) Clinical psychology in palliative care
- Author(s):
Anja Mehnert
- DOI:
- 10.1093/med/9780199656097.003.0413
The psychosocial implications of disease progression result in a range of challenges for both the patient and the caregiver. The consequences of advanced disease can comprise emotional states such as anxiety, distress and depressive episodes, fear of being a burden to others, loss of control, anger, loss of sense of dignity, uncertainty, and changes in close relationships and social roles. Adjustment disorder, anxiety disorder, depressive disorder, and the demoralization syndrome represent common disorders and phenomena among patients with advanced cancer. Moreover, uncontrollable pain and high unrelieved physical symptom burden, depression, feelings of helplessness and hopelessness, delirium, and low family support are major factors in the desire for thoughts of suicide and the desire for hastened death. Caregivers play an important and challenging role, providing emotional and social support for the patient, helping with medical needs, and meeting increasingly complex instrumental needs such as running the household and work.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- Section 1 The worldwide status of palliative care
- Section 2 The challenge of palliative medicine
- Section 3 Service delivery issues in palliative care
- Section 4 The interdisciplinary team
- 4.1 The core team and the extended team
- 4.2 Teaching and training in palliative medicine
- 4.3 Nursing and palliative care
- 4.4 Social work in palliative care
- 4.5 The role of the chaplain in palliative care
- 4.6 Occupational therapy in palliative care
- 4.7 Music therapy in palliative care
- 4.8 The contribution of the dietitian and nutritionist to palliative medicine
- 4.9 Physiotherapy in palliative care
- 4.10 Speech and language therapy in palliative care
- 4.11 The contribution of art therapy to palliative medicine
- 4.12 Stoma therapy in palliative care
- 4.13 Clinical psychology in palliative care
- 4.14 The contribution of the clinical pharmacist in palliative care
- 4.15 Medical rehabilitation and the palliative care patient
- 4.16 Burnout, compassion fatigue, and moral distress in palliative care
- 4.17 Integrative oncology in palliative medicine
- Section 5 Ethical issues
- Section 6 Communication and palliative medicine
- Section 7 Assessment tools and Informatics
- Section 8 Common symptoms and disorders
- Section 9 Common symptoms and disorders: pain
- Section 10 Common symptoms and disorders: gastrointestinal symptoms
- Section 11 Common symptoms and disorders: skin problems
- Section 12 Issues in populations with cancer
- Section 13 Cancer pain syndromes
- Section 14 Cancer-associated disorders
- Section 15 Issues in populations with non-cancer illnesses
- Section 16 Issues of the very young and the very old
- Section 17 Psychosocial and spiritual issues in palliative medicine
- Section 18 The terminal phase
- Section 19 Research in palliative medicine