title: Symptom control in stem cell transplantation: a multidisciplinary palliative care team approach. Part 2: psychosocial concerns.
abstract: Stem cell transplantation (SCT) offers a potential cure for patients with otherwise incurable benign and malignant disorders. However, the treatment will cause considerable physical, social, psychological, and spiritual suffering. In part 1 of this review, the management of the physical symptoms was reviewed. In part 2, we discuss the approaches to managing the other aspects of distress that are primarily psychological, social, and spiritual in nature. In practice, these dimensions are not so easily distinguished; the division between physical and psychological symptoms is blurred, and physical symptoms are often interrelated with the patient's emotional status and social support.
authors.affiliation: Howell Service, Patient and Family Support Services, Moores UCSD Comprehensive Cancer Center, University of California, San Diego Medical Center, La Jolla, California 92093-0658, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Roeland
authors.forename: William
authors.initials: W
authors.lastname: Mitchell
authors.forename: Giovanni
authors.initials: G
authors.lastname: Elia
authors.forename: Kathryn
authors.initials: K
authors.lastname: Thornberry
authors.forename: Heather
authors.initials: H
authors.lastname: Herman
authors.forename: Julia
authors.initials: J
authors.lastname: Cain
authors.forename: Rabia
authors.initials: R
authors.lastname: Atayee
authors.forename: Wayne
authors.initials: W
authors.lastname: Bardwell
authors.forename: Charles F
authors.initials: CF
authors.lastname: von Gunten
mesh_terms: D000223:Adaptation, Psychological; D000786:Anger; D001007:Anxiety / Q000209:etiology; D003863:Depression / Q000209:etiology; D006117:Grief; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects / Q000523:psychology*; D009014:Morals; D010166:Palliative Care; D010348:Patient Care Team