EDITORIAL URRENT PINION Janet Ellis and Elie Isenberg-Grzeda The experience of every cancer, from diagnosis mediated by the end-of-life experience and progres- through treatment to survivorship, is full of transi- sive losses, past and future. They identify key clinical tions, adaptation and unique stressors. These features such as separation anxiety, anticipation of include the silent struggles with fear of recurrence, death and future absence of the person, as well as existential distress and anticipatory grief, the system denial. They also identify emerging evidence for processes required for screening for distress and interventions, such as validating grief, providing ade- transitioning care, the survivors’ challenges in quate information on illness progression, supporting returning to work and optimizing health with sup- caregiving skills, encouraging coping and self-care, ported self-management (SSM). anticipating future losses and role changes and refor- Experts from Canada (Fitch, Howell, Jacobson, mulating the relationship with the dying patient. Maheu and Galica,), Portugal (Coelho and Barbosa), Vehling and Philipp (pp. 46–51) help us understand UK (de Brito), Germany (Vehling and Philipp), how the experience of a cancer diagnosis may chal- Australia (Girgis, Smith and Durcinoska), the lenge fundamental beliefs about safety, sense of con- Netherlands (Duijts) and the United States
Current Opinion in Supportive and Palliative Care – Wolters Kluwer Health
Published: Mar 1, 2018
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