Inmate cancer patient - Highlighting the importance of a holistic approach to oncological care
Journal of B.U.ON.
; 26(6):2678-2693, 2021.
Article
in English
| EMBASE | ID: covidwho-1813076
ABSTRACT
Purpose:
Inmate oncologic patients' rates increased drastically worldwide. Elderly, limited exercise, unhealthy diet, hepatitis, HIV + status, tobacco and alcohol use, constitute the main cancer risk factors. We present an outline of practical oncological management and ethical thinking, in the specific environment of a detention facility.Methods:
PubMed, Cochrane Database of Controlled Trials, SCOPUS and grey literature were extensively searched up to October 2021. Incarcerated oncologic patients experience various everyday challengestheir confinement in high security facilities, the lack of access to critical care and related ethical dilemmas inherent to the context of a correctional facility.Results:
The detention facilities may be inadequate in providing early cancer diagnosis and appropriate care mainly due to a lack of specialized personnel, b) in-house or in external specialized cancer hospitals, care variability (e.g. admissions in small local or regional hospitals), c) delays in providing access and d) gatekeeper systems. There is a paucity of administration of a)systemic therapy (chemotherapy, targeted drug therapy etc),b)radiotherapy, c) palliative care, and d)enrollment in clinical trials.Conclusions:
Correctional facilities must encourage teamwork between healthcare and correctional professionals in order to improve the provided anticancer care.
article; assisted suicide; cancer palliative therapy; cancer patient; cancer radiotherapy; clinical examination; cognitive defect; compassionate use; coronavirus disease 2019; correctional facility; detention center; ethical decision making; ethical dilemma; euthanasia; holistic care; human; law enforcement; patient care; prisoner; psychological aspect; security personnel; terminal care; terminally ill patient; vulnerability
Search on Google
Collection:
Databases of international organizations
Database:
EMBASE
Topics:
Traditional medicine
Language:
English
Journal:
Journal of B.U.ON.
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS