NDLI: Using a supportive care framework to understand and improve palliative care among cancer patients in Africa.

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Using a supportive care framework to understand and improve palliative care among cancer patients in Africa.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Busolo, David S. Woodgate, Roberta L.
Description	Country affiliation: Canada Author Affiliation: Busolo DS ( College of Nursing,Faculty of Health Sciences,University of Manitoba,Winnipeg,Manitoba,Canada.); Woodgate RL ( College of Nursing,Faculty of Health Sciences,University of Manitoba,Winnipeg,Manitoba,Canada.)
Abstract	OBJECTIVE: Cancer incidence and mortality are increasing in Africa, which is leading to greater demands for palliative care. There has been little progress in terms of research, pain management, and policies related to palliative care. Palliative care in Africa is scarce and scattered, with most African nations lacking the basic services. To address these needs, a guiding framework that identifies care needs and directs palliative care services could be utilized. Therefore, using the supportive care framework developed by Fitch (Fitch, 2009), we here review the literature on palliative care for patients diagnosed with cancer in Africa and make recommendations for improvement. METHOD: The PubMed, Scopus, CINAHL, Web of Science, Embase, PsycINFO, Social Sciences Citation Index, and Medline databases were searched. Some 25 English articles on research from African countries published between 2004 and 2014 were selected and reviewed. The reviewed literature was analyzed and presented using the domains of the supportive care framework. RESULTS: Palliative care patients with cancer in Africa, their families, and caregivers experience increasing psychological, physical, social, spiritual, emotional, informational, and practical needs. Care needs are often inadequately addressed because of a lack of awareness as well as deficient and scattered palliative care services and resources. In addition, there is sparse research, education, and policies that address the dire situation in palliative care. SIGNIFICANCE OF RESULTS: Our review findings add to the existing body of knowledge demonstrating that palliative care patients with cancer in Africa experience disturbing care needs in all domains of the supportive care framework. To better assess and address these needs, holistic palliative care that is multidomain and multi-professional could be utilized. This approach needs to be individualized and to offer better access to services and information. In addition, research, education, and policies around palliative care for cancer patients in Africa could be more comprehensive if they were based on the domains of the supportive care framework.
File Format	HTM / HTML
ISSN	14789515
Issue Number	3
Journal	Palliative and Supportive Care
Volume Number	14
e-ISSN	14789523
Language	English
Publisher	Cambridge University Press
Publisher Date	2016-06-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Palliative Care Discipline Psychology
Content Type	Text
Resource Type	Article
Subject	Nursing Clinical Psychology Psychiatry and Mental Health

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