Symptom control in stem cell transplantation: a multidisciplinary palliative care team approach. Part 2: psychosocial concerns.
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.
Roeland
Eric
E
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.
Mitchell
William
W
Elia
Giovanni
G
Thornberry
Kathryn
K
Herman
Heather
H
Cain
Julia
J
Atayee
Rabia
R
Bardwell
Wayne
W
von Gunten
Charles F
CF
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