Integration of Psychosocial Theory into Palliative Care: Implications for Care Planning and Early Palliative Care

Author:

Merluzzi Thomas V.1ORCID,Salamanca-Balen Natalia1,Philip Errol J.2,Salsman John M.3ORCID,Chirico Andrea4ORCID

Affiliation:

1. Department of Psychology, University of Notre Dame, Notre Dame, IN 46556, USA

2. School of Medicine, University of California, Los Angeles, CA 90095, USA

3. Department of Social Sciences and Health Policy, Atrium Health—Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA

4. Department of Social and Developmental Psychology, Sapienza University of Rome, 00185 Roma, Italy

Abstract

Palliative care improves patients’ symptoms, quality of life and family satisfaction with caregiving, reduces hospital admissions and promotes alignment of medical care with the patient’s needs and goals. This article proposes the utility of integrating three psychosocial theories into standard palliative care with implications for care planning, early palliative care and optimizing quality of life. First, Control Theory focuses on the complex juxtaposition of promoting agency/empowerment in patients and carers and coping with often highly uncertain outcomes. Second, Optimal Matching Theory accounts for the alignment of need and provision of care to potentiate the quality of life effects of supportive care in a complex social process involving health care providers, patients and carers. Third, Hope Theory represents a dynamic process, which is marked by variation in the qualities of hope as the patient and carer confront challenges during palliative care. Future work will be translational in nature to adapt both assessment and interventions based on this theoretically driven augmentation of palliative care as well as to evaluate whether it provides a conceptual framework that has incremental utility in palliative care planning.

Funder

National Institutes of Health, National Cancer Institute

Publisher

MDPI AG

Subject

Cancer Research,Oncology

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