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Psychotherapeutic support peculiarities’ in palliative care structure for cancer patients

Published online by Cambridge University Press:  13 August 2021

B. Mykhaylov ,
V. Postrelko ,
O. Galachenko  and
A. Vasilyieva
B. Mykhaylov*
Affiliation:
Psychiatry, National Academy of Postgraduate Education, Kiev, Ukraine
V. Postrelko
Affiliation:
Psychiatry, National Academy of Postgraduate Education, Kiev, Ukraine
O. Galachenko
Affiliation:
Department Of Medical Rehabilitation And Medical Social Expertise, Vinnytsia National Medical University M. Pirogov, Vinnytsia, Ukraine
A. Vasilyieva
Affiliation:
Psychiatry, Donetsk State Medical University. M. Gorky, Liman, Ukraine
*
*Corresponding author.

Abstract

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Introduction

PPalliative medicine is aimed at achieving the best possible in a particular situation the level of quality of life of the patient.

Objectives

The reaction of grief is one of the strongest and most painful human experiences.

Methods

There were 120 cancer patients observed. The reaction of grief consists of 4 stages: shock and protest - numbness, disbelief and acute dysphoria; absorption - acute longing, search and anger; disorganization - a sense of despair and acceptance of loss and decision.

Results

The initial reaction of grief - shock, emotional numbness and disbelief. The excitement is most pronounced within about two weeks, followed by symptoms of depression, which reach its peak 4-6 weeks. Eventually, the former intense pain of severe loss begins to subside. In addition to the reaction of grief, there is a pathological, which is divided into suppressed (inhibited), delayed (delayed) and chronic. The role of the psychotherapist at this stage is to provide psychological support and assistance to both the patient and his environment to cope with this situation.

Conclusions

The principle of the concept of palliative care is the need to ensure the psychological comfort of the patient.

Keywords

palliative carehospicethe cancer patientspsychotherapy.
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S497
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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