Monday 31 August 2020

Emotional support to cancer patients regarding psycho-oncology

Andrés Fontalba
 

In my first post, “When it’s our turn?”, I addressed the need to promote shared clinical decision in mental disorders, from now on I will focus my interest in commenting on having emotional support in the diagnosis and cancer treatment.

The clinical dialogue between the doctor and the patient on the prognosis and care of cancer in advanced stages significantly influences how it tests both the benefits and the side effects of the treatment. It also affects how the time in which his life ends and how family members adapt to the patient's illness and death. It’s very important to detect personal differences regarding the need to receive information. Aside from a small percentage of patients who prefer not to be informed, most consider all the information they receive related to their prognosis and treatment to be precious. The exchange of information occurs in a sensitive relationship between the professional and the patient, in which they have to deal with highly emotionally charged communication and in which we must guarantee the information to be fully understandable. It’s clear that the patient, with great frequency, is anxious, among many other factors, because of the doubts about his prognosis, the family burden caused by the disease or the results of the tests. And these top levels of anxiety affect both the interpersonal relationship and the processing of information and the decisions made. It’s for all these reasons that research in psycho-oncology provides us with different tools to favour both the therapeutic link and the understanding of the patient's disease, as this review collects.

There is a lot of evidence about how negative emotions influence decision making. In a study carried out on volunteers, they randomly assigned them to an intervention group, in which emotions of anger, sadness or fear were induced by viewing videos of non-health content, or a control group. Participants then read an informed consent form from a clinical trial while they tracked their visual attention. Eye movement monitoring revealed that participants who were induced by fear and anger spent more time looking at the details of the test procedure than those who read it under neutral conditions. This more detailed reading did not translate into a better general understanding; rather the understanding of the benefits of the trial was reduced. This study suggests that negative emotions may influence both the processing and the understanding of information related to the consent of the clinical trial. Behavioural studies suggest that stress and emotions exert subtle but consistent effects on cognition, both in laboratory settings and in everyday life. These experiments explain that psychological factors directly influence how patients process clinical information.

In this way, intervention on psychological factors helps to improve understanding and clinical communication processes, essential for shared clinical decision. The intervention from psycho-oncology focuses, on the one hand, on alleviating the emotional impact that a cancer diagnosis triggers and, on the other, on facilitating the patient's adaptation to the disease so they can get involved in the decisions that affect them. Ultimately, psycho-oncology tries to give emotional support to the patient and her family to improve communication, understanding of the disease and the ability to cope with it.


19 comments:

  1. HOW I WAS ABLE TO FLUSH OUT THE HERPES VIRUS WITH THE HELP OF DR. KHAM NATURAL PRODUCT, HIS EMAIL dr.khamcaregiver@gmail.com. I was diagnosed with Herpes a year ago. It’s the worst thing that’s ever happened to me and  I feel like my life is over. Living with constant pain is something no one should have to go through, Herpes has also had a huge impact on my sleep . Since being diagnosed I’ve fallen so far into depression I see no way out because I have been to different hospitals. I’m taking a high dose of antidepressants, as well as sedatives and sleeping-pills. I don’t know how I’ll ever accept that this is my life now…I keep asking why me because now changes? But I guess reading your testimony really made me feel happy because i believe what i had from people out there who you also help to cure the herpes virus, and i believe so much with your herbal medicine i am going to be out of this bad situation like others you also help before, what we i have done if not for the herbal medicine that i requested for that was able to flush out the bad virus that was making me go crazy. people out there will thank this man called DR. KHAM, I will advise you to email him directly if you have diseases like herpes etc. dr.khamcaregiver@gmail.com or whatsapp him +2348159922297, you can also visit his website to know more about him at  https://drkhamherbalhealingcenter.wordpress.com/  or https://drkhamcaregiver.wixsite.com/drkhamcaregiverherba   

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  2. Hello everyone out there, I'm here to give my testimony about a herbalist doctor who helped me cure my herpes virus. I was infected with HERPES SIMPLEX VIRUS in 2019, I went to many hospitals to heal myself but there was no solution, so I was thinking how I can get a solution so that my body can be well. One day I was in the river thinking about where I can go to get a solution. so a lady walked towards me telling me why I'm so sad and I open everything by telling her my problem, she told me she could help me, she introduced me to a doctor who uses herbal medicines to cure the SIMPLEX HERPES VIRUS and gave me his email, so I sent him an email. He told me everything I had to do and also gave me instructions to take, which I followed correctly. Before I knew what was happening after two weeks, the SIMPLEX HERPES VIRUS that was in my body disappeared now am free from this virus......Please i share this for those having herpes virus should contact him through email (chochaherbalarenaforhealing@gmail.com) OR   WhatsAPP him:  +2349023126215 Contact him today and you will have a testimony ... Good luck!Dr CHO-CHA..... also cures:1. HIV / AIDS2. HERPES 1/23. CANCER4. ALS (Lou Gehrig's disease)5. Hepatitis B6. chronic pancreatic7. emphysema8. COPD (chronic obstructive pulmonary disease)  

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  3. Am Laura Mildred by name, i was diagnosed with Herpes 4 years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw Mr. Morrison Hansen post on how Dr. Emu saved him from Herpes with herbal medicine i contacted Dr. Emu on his Email: Emutemple@gmail.com we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me and told me how to use it, after 14 days of usage I went to see the doctor for test,then the result was negative, am the happiest woman on earth now thanks to Dr. Emu God bless you. Email him at: Emutemple@gmail.com Whats-app or Call him +2347012841542 

    ReplyDelete
  4. I Want To Appreciate Dr.OYAGU for his great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And i Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health.He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have The Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com
    Or Cell Whatsapp Number +2348101755322 thank you

    ReplyDelete
  5. Hello Am From The UK , I want to write a little testimony about the good work of doctor Oyagu who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this doc Oyagu email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address oyaguherbalhome@gmail.com or text him on what's app, phone number +2348101755322 Dr Oyagu also has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE AND MANY MORE. I oblige everyone to contact this powerful herbalist Dr Oyagu and be free from suffering.

    ReplyDelete
  6. Hello Am From The UK , I want to write a little testimony about the good work of doctor Oyagu who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this doc Oyagu email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address oyaguherbalhome@gmail.com or text him on what's app, phone number +2348101755322 Dr Oyagu also has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE AND MANY MORE. I oblige everyone to contact this powerful herbalist Dr Oyagu and be free from suffering.

    ReplyDelete
  7. I'm 40 years old female I tested genital herpes (HSV1-2) positive in 2002. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which i come across some helpful remedies on how Dr OYAGU have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. At of the past 2 months, however, I've been following his herpes protocol Via oyaguherbalhome@gmail.com or +2348101755322 and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine . Don't be discouraged by the medical doctors. There is a cure for HSV with the help of herbs and roots by a herbalist Dr call Dr OYAGU he is so kind and truthful with his herbal treatment, kindly contact him for more information Via oyaguherbalhome@gmail.com or WhatsApp DR on +2348101755322 you will be lucky as i am today

    ReplyDelete
  8. I can’t believe this is true I never believe there is cure to hsv 2 because all the hospital have told me there is no cure to it, few months ago I saw this man email DR.AFRID on internet from a testimony share by someone who he help with his herbal remedy I contact his email and ask for his help also, that is how he inform me about the cure process and this man sent me a herbal medicine which I took according to the way he instructed for 2 week I can’t believe when I go for test my result came out negative i am so happy to share this to the world there is real cure to herpes you can also contact DR.AFRD through his email now drafridherbalhome@gmail.com and also WhatsApp him +234905726038. or if you need my assistant whatsApp me +1 (412) 405-1961 He also have herbs medicine to cured the following diseases; Diabetes, Lupus, HPV, Gout, Hepatitis A,B, Infertility, HIV/AIDS, CANCER

    ReplyDelete
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    ReplyDelete
  10. Do You Need A Powerful Africa Native Doctor? I Mean A Spiritual Herbalist
    With Great Spirit Connected To Ancestors. Call or WhatsApp +2349058774809 Dr Obodubu Monday Is A High Voodoo Priest Master. He is a Spell Caster, Native
    Doctor, Spiritual Herbalist, Powerful Sickle cell Healer, Spiritual
    Astrologer, Psychic Reader, Multi Guru, Witch Doctor, Priest Of Africa
    Money Ritual.
    Have You Been To Native Doctor to Native Doctor Without Any Solution To
    Your Problems Or Rather Add To it? Have You Been To Place To Place In View
    Of A Powerful Native Doctor That Can Solve All Your Predicament, You Must
    Understand That There Is A Native Doctor That Supersede All Native Doctor
    Among All Native Doctor, If You Are In Search Of A Powerful Native Doctor
    With Great Spiritual Powers, Then You Must Be In Search Of A Native Doctor
    That Derives Power From The Marine World. That Is The Spirituality Of The
    Greatest Africa Native Doctor Obodubu.
    Dr Obodubu Is Recognized All Over The World Of Marine Kingdom, As One
    Of The Top Fortunate And Most Powerful Native Doctor Of Charms Casts From
    The Beginning Of His Ancestors ship Until Now Dr who lives Strong
    Among All Other Native Doctors, There Have Never Been Any Form Of
    Impossibility Beyond The Control Of Dr Obodubu. It Doesn't Matter The
    Distance Of The Person With The Problems Or Situation, All You Have To Do
    Is Believe
    In The Native Obodubu charms Casts That Works, He Always
    Warns Never To Get His Charms Casts If You Do Not Believe Or Unable To
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    Sand etc. Are Near You, Then Your Problems Of Life Would Be Controlled
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    Get Your Lover Back
    Fruit Of The Womb
    Fibroid
    Business Boom
    Financial Breakthrough
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    Do As I Say
    Bad Dream
    Promise And Fail
    Epilepsy
    Spiritual Attack
    Land/Court Case
    Mental Disorder
    Political Appointment
    Visa Approval
    Cancer
    Examination Success
    Spend And Get Back
    Good Luck
    Natural Health
    Hypertension
    Diabesity (Diabetic+Obesity
    Stroke
    Sickle Cell
    Impotency
    Win Court Case
    Promotion At Work
    Commanding Tone
    Protection Ring
    Marriage Success
    Love Ring
    Favour Ring
    Recover Lost Glory
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    Travel Success Ring
    Job Success
    Lotto/Pool Win And Many More.
    Make Haste To Call or WhatsApp Dr Obodubu Monday +2349058774809. Or Mail Him to
    babadoctorobodubuspiritualhome@gmail.com For Spiritual Problem Today And
    You Will Surely
    Get Solution To All Your Predicament.
    Email: babadoctorobodubuspiritualhome@gmail.com

    ReplyDelete
  11. I'm 40 years old female I tested genital herpes (HSV1-2) positive in 2002. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which i come across some helpful remedies on how Dr OYAGU have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. As of the past 2 months, however, I've been following his herpes protocol Via oyaguherbalhome@gmail.com or +2348101755322 and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine . Don't be discouraged by the medical doctors. There is a cure for HSV with the help of herbs and roots by a herbalist Dr call Dr OYAGU he is so kind and truthful with his herbal treatment, kindly contact him for more information Via oyaguherbalhome@gmail.com or WhatsApp DR on +2348101755322you will be lucky as i am today

    ReplyDelete
  12. Powerful Herbal treatment is 100% guaranteed to cure Herpes Virus, The  main reason why most people are finding it difficult to get cured from HSV 1& 2  is because they believe on medical treatment, i want you to know that drugs and medical treatments is not helpful to cure HSV permanently but it can only help you control it but the truth is in life time it will still be inside your nervous system, But Natural roots/herbs are the best remedy which can easily eradicate herpes forever. I never believed it until I was helped and cured of my 2 months genital herpes with natural herbal medicines from Dr. OKITI . Where other medical prescribed drugs and treatments failed, Dr. OKITI herbal medication helped me and cured me from herpes virus permanently and I’m so grateful for this. You can also get help from this great and powerful African Herbalist called Dr. OKITI by reaching him via email: Drokitiherbalhome100@gmail.com or call/whatsapp him at +234 705 067 0365. Thank you so much Dr. OKITI.

    ReplyDelete
  13. My name is Timothy Eric,i am from USA . Its a pleasure for me to write this testimony about how i got my Genital Herpes cured a month ago. i have been reading so many comments of some people who were cured from various diseases by Dr. USELU, but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr. USELU, then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with her to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after 3 weeks of taking the medication. i agreed with him i took this medication and went for check up after a month later , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes to reach him through (dr.uselucaregiver@gmail.com) OR Whatsapp him  (+234705289482)

    ReplyDelete
  14. My name is Timothy Eric,i am from USA . Its a pleasure for me to write this testimony about how i got my Genital Herpes cured a month ago. i have been reading so many comments of some people who were cured from various diseases by Dr. USELU, but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr. USELU, then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with her to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after 3 weeks of taking the medication. i agreed with him i took this medication and went for check up after a month later , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes to reach him through (dr.uselucaregiver@gmail.com) OR Whatsapp him  (+234705289482)  ,.

    ReplyDelete
  15. I already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have be to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr oyagu, in the net from a lady called Rebecca i contacted him and he reassured me with his herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally free from Herpes. i want to say a very big thank you to DR oyagu for what he has done in my life. feel free to leave him a message on email oyaguherbalhome@gmail.com and also WhatsApp him +2348101755322.. or vist his website https://oyaguspellcaster.wixsite.com/oyaguherbalhome. He can still be able to help you with this herbs medicine: 1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT

    ReplyDelete
  16. Does anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on surgery, injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetics, asthma, HIV, hepatitis, etc. I've seen it with my own eyes. I was cured of Herpes virus and my aunt and her husband were cured of Lupus Virus by Dr Kham herbal product, who uses natural herbs to cure different kinds of illness. Even Dr.Kham proved to the whole world countless times that natural herbs can cure all diseases and he cured countless people using natural herbs. I know it is hard to believe but am a living testimony. There is no harm in trying herbs it will only get you cured from the diseases/virus so why don't you give herbs a try and see it effectiveness  Contact or email Dr. Kham dr.khamcaregiver@gmail.com (phone/whatsap no): +2348159922297.   visit his website https://drkhamherbalhealingcenter.wordpress.com/  or https://drkhamcaregiver.wixsite.com/drkhamcaregiverherba   or  Visit his FB PAGE: https://web.facebook.com/Dr-Kham-Herbal-Remedies-101547721440460/       

    ReplyDelete
  17. I want to share this great testimony to the world on how Dr Osato cure me from Herpes2 with his herbs, I was nervous when i first contact him about the cure for HSV but i decided to give him a try because i was desperate to get cured and be free from HSV. Dr Osato prepared the cure and sent it to me through UPS,which i used just the way Dr Osato instructed me and thank God today am a beneficiary to these cure and i went back to the hospital after 7days of taking the herbs and i tested Herpes2 Negative. So i will tell you all who is looking for a cure to his/her HSV1&2 that Dr Osato took research before he could finally get the solution to it and a lot of people are benefiting from him right now. He also cure my friend from HPV. Dr Osato heals with natural herbs. Please i urge you to contact him now through his email address: osatoherbalcure@gmail.com or call and WhatsApp him on +2347051705853. His website is osatoherbalcure.wordpress.com and he is capable of curing HIV/AIDS, HERPES, HPV, HSV1&2, CANCER of all kind,DIABETES and so many other infections.

    ReplyDelete
  18. I want to share this great testimony to the world on how Dr Osato cure me from Herpes2 with his herbs, I was nervous when i first contact him about the cure for HSV but i decided to give him a try because i was desperate to get cured and be free from HSV. Dr Osato prepared the cure and sent it to me through UPS,which i used just the way Dr Osato instructed me and thank God today am a beneficiary to these cure and i went back to the hospital after 7days of taking the herbs and i tested Herpes2 Negative. So i will tell you all who is looking for a cure to his/her HSV1&2 that Dr Osato took research before he could finally get the solution to it and a lot of people are benefiting from him right now. He also cure my friend from HPV. Dr Osato heals with natural herbs. Please i urge you to contact him now through his email address: osatoherbalcure@gmail.com or call and WhatsApp him on +2347051705853. His website is osatoherbalcure.wordpress.com and he is capable of curing HIV/AIDS, HERPES, HPV, HSV1&2, CANCER of all kind,DIABETES and so many other infections.

    ReplyDelete
  19. My ex-husband and I had always managed to stay friendly after our divorce in February 2017. But I always wanted to get back together with him, All it took was a visit to this spell casters website last December, because my dream was to start a new year with my husband, and live happily with him.. This spell caster requested a specific love spell for me and my husband, and I accepted it. And this powerful spell caster began to work his magic. And 48 hours after this spell caster worked for me, my husband called me back for us to be together again, and he was remorseful for all his wrong deeds. My spell is working because guess what: My “husband” is back and we are making preparations on how to go to court and withdraw our divorce papers ASAP. This is nothing short of a miracle. Thank you Dr Emu for your powerful spells. Words are not enough. here is his Email: emutemple@gmail.com or call/text him on his WhatsApp +2347012841542

    He is also able to cast spell like 1: Lottery 2: Conceive 3: Breakup 4: Divorce 5: Cure for all kinds of diseases and viruses.

    ReplyDelete