Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study

Objective: Although cancer patients frequently experience self-perceived burden to others, this perception has not been enough studied. The aim of this study was to investigate the prevalence of selfperceived burden to the primary caregiver (SPB-PC) and associated factors in an older patient population with hematologic malignancies at the time of chemotherapy initiation. Methods: In total, 166 consecutive patients with hematologic malignancies aged ≥65 years were recruited at the time of chemotherapy initiation. Patients’ SPB-PC was assessed using a 100-mm visual analogue scale (VAS). Characteristics potentially associated with SPB-PC, including sociodemographic and medical characteristics, physical functioning status (Karnofsky performance score, activities of daily living (ADL)/instrumental ADL), symptoms (fatigue, pain, nausea, quality of life), psychological distress (Hospital Anxiety and Depression Scale (HADS)), perceived cognitive function (Functional Assessment of Cancer Therapy Cognitive (FACT-Cog) Scale), and patients’/primary caregivers’ personal relationship characteristics (family tie, support), were assessed. Results: Thirty-five percent of patients reported moderate to severe SPB-PC (VAS ≥ 50 mm). Patients’ SPB-PC was associated with lower Karnofsky performance (β = 0.135, p = 0.058) and ADL (β = 0.148, p = 0.037) scores, and higher HADS (β = 0.283, p<0.001) and FACT-Cog perceived cognitive impairments subscale (β = 0.211, p = 0.004) scores. The proportion of explained variance was 23.5%. Conclusions: Health care professionals should be aware that about one third of older cancer patients experience moderate to severe SPB-PC at the time of chemotherapy initiation. They should adapt their support of patients who report such a feeling

Onco-haematology geriatry: impact of cognitive disorders

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Geriatric vulnerabilities and their impact on survival in older patients at the initiation of cancer treatment: major impact of cognition.

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Carl Obenland and the painted portrait

Die Arbeit beschäftigt sich mit dem schwäbischen Porträtmaler Carl Obenland (1908-2008) und seinem kommerziellen Erfolg in seiner Heimat im Zeitalter der Fotografie. Aufgrund seines hohen handwerklichen Könnens und seiner konservativen Einstellung fand er seine Klientel vor allem in der gehobenen Mittelschicht der Vor- und Nachkriegszeit. Dieses Phänomen besitzt einen historischen Hintergrund.The publication deals with the Swabian painter Carl Obenland (1908-2008) and his commerical success in his home region in the age of photography. Due to the high standard of his artistic skills and his conservative attitude he found his clientele in the upper middle class of the pre- and postwar periods. This phenomenon is based on a historic background

Recueil d’outils de bilans de compétences et de plan de formation pour l’Infirmier Chef de Poste de santé (ICP). Contexte de supervision formative et/ou d’identification des besoins de formation: Ministère de la Santé et de la Prévention Médicale du Sénégal

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Référentiel de compétences du Médecin Chef de District (MCD). Un outil au service de la gestion et de la formation continue des MCD: Ministère de la Santé et de la Prévention Médicale du Sénégal

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Recueil d’outils de bilans de compétences et de plan de formation pour le Médecin Chef de District (MCD). Contexte de supervision formative et/ou d’identification des besoins de formation: Ministère de la Santé et de la Prévention Médicale du Sénégal

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G8 or Multimodal Geriatric Assessment (MGA) for the screening of older patients with malignant hemopathies?

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Référentiel de compétences de l’Infirmier Chef de Poste de santé (ICP). Un outil au service de la gestion et de la formation continue des ICP: Ministère de la Santé et de la Prévention Médicale du Sénégal

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Growing evidences that the Comprehensive Geriatric Assessment (CGA) can predict outcome in older cancer patients with malignant hemopathies?

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