We identified high prevalence rates of depression and anxiety among Chinese adults with cancer. The findings support that the prevalence of depression and anxiety among adults with cancer should receive more attention in Chinese medical settings.
An article published in The Asia Pacific Journal of Health Management looks at why the development of palliative care in Mainland China has been slow.
Although aging cancer patients feel that the financial schemes in Singapore have helped them tremendously, the general perception is that they require further help to offset their out-of-pocket expenses. This is especially true for users of targeted therapies and those who have a poorer health status.
The ward managers’ perceptions regarding pain prevalence varied; the perceived pain rates were possibly lower than the actual percentages. Insufficient pain management strategies at the HSFERC were also suggested. An appropriate pain management strategy for Japanese aged care and its dissemination are urgently required.
This study identified that women tend to be less adherent to their prescribed opioid analgesic regimen than men. Findings of this study suggest that to improve pain control, efforts to promote patients’ opioid regimen adherence should be given high priority. Clinicians should be particularly aware that there may be some gender difference in adherence to prescribed opioid analgesics. There is a need for better programmatic efforts to improve analgesic adherence.
The incidence rates of psychiatric disorders in Korean women with breast cancer from the nationwide database were much lower than found by previous reports using screening tools. The finding implicates that psychiatric disorders among breast cancer patients tend to be underdiagnosed and undertreated in actual clinical practice. Our epidemiological findings provide important information for establishing a national strategy of cancer care to detect and manage psychiatric problems.
Predictable deaths from diseases like cancer account for approximately 83% of deaths in China. Despite the growing numbers of terminally ill people from all diseases, palliative care is in its infancy. Factors that have slowed the development of palliative care include cultural values that encourage efforts to cure (even when such treatment is likely to be futile) over the alleviation of suffering, limited public policies and funding for palliative care, and poor education of healthcare professionals about end-of-life care.
The Asia Pacific Hospice Palliative Care Network (AHPN) has issued an invitation to members to bid to host the 12th Asia Pacific Hospice Conference 2017.
Why is the validation of children’s pain scales in China far behind the Western countries?
Conceptions of personhood are critical to the preservation of dignity and quality of life key to a good death and pivotal to the provision of patient centred care. Increasingly there is speculation that this role may be wider still. It has been posited that it is Confucian inspired conceptions of personhood replete with its `dualistic’ view of personhood that sees family members as part of the individual’s personhood that predispose to the prevailing practices of collusion and the trumping of patient autonomy. In a nation where family centric decision making still dominates end of life decision making, the need to appropriately conceptualise local conceptions of personhood are clear.