Gowri Anandarajah1,2,3, Haran Asher Mennillo1,2,3, Gregory Rachu1,2,3, Tyler Harder1,2,3, Jyotsna Ghosh1,2,3. 1. Warren Alpert Medical School of Brown University, Providence, Rhode Island (GA, HAM, JG). 2. Hope Hospice and Palliative Care Rhode Island, Providence, Rhode Island (GA, GR). 3. Brown University, Providence, Rhode Island (TH).
Abstract
Background: Lifestyle medicine interventions have the potential to improve symptom management, daily function, and quality of life (QOL) in patients with advanced or terminal disease receiving palliative or hospice care. The goal of this review is to summarize the current state of the literature on this subject. Methods: The authors used a broad search strategy to identify relevant studies, reviews, and expert opinions, followed by narrative summary of available information. Results: Four main categories of lifestyle interventions feature prominently in the palliative care literature: exercise, nutrition, stress management, and substance use. High-quality studies in this vulnerable population are relatively sparse. Some interventions show promise. However, most show mixed results or inadequate evidence. For some interventions, risks in this generally frail population outweigh the benefits. Clinical decision making involves balancing research findings, including the risks and benefits of interventions, with a clear understanding of patients' prognosis, goals of care, and current physical, emotional, and spiritual state. Achieving optimum QOL, safety, and ethical care are emphasized. Conclusions: The use of lifestyle interventions in patients receiving palliative or hospice care is a complex undertaking, requiring tailoring recommendations to individual patients. There is potential for considerable benefits; however, more research is needed.
Background: Lifestyle medicine interventions have the potential to improve symptom management, daily function, and quality of life (QOL) in patients with advanced or terminal disease receiving palliative or hospice care. The goal of this review is to summarize the current state of the literature on this subject. Methods: The authors used a broad search strategy to identify relevant studies, reviews, and expert opinions, followed by narrative summary of available information. Results: Four main categories of lifestyle interventions feature prominently in the palliative care literature: exercise, nutrition, stress management, and substance use. High-quality studies in this vulnerable population are relatively sparse. Some interventions show promise. However, most show mixed results or inadequate evidence. For some interventions, risks in this generally frail population outweigh the benefits. Clinical decision making involves balancing research findings, including the risks and benefits of interventions, with a clear understanding of patients' prognosis, goals of care, and current physical, emotional, and spiritual state. Achieving optimum QOL, safety, and ethical care are emphasized. Conclusions: The use of lifestyle interventions in patients receiving palliative or hospice care is a complex undertaking, requiring tailoring recommendations to individual patients. There is potential for considerable benefits; however, more research is needed.
Authors: Jennifer Gabbard; Allison Jordan; Julie Mitchell; Mark Corbett; Patrick White; Julie Childers Journal: Am J Hosp Palliat Care Date: 2018-10-23 Impact factor: 2.500
Authors: Karianne Vassbakk-Brovold; Sveinung Berntsen; Liv Fegran; Henrik Lian; Odd Mjåland; Svein Mjåland; Stephen Seiler; Christian Kersten Journal: PLoS One Date: 2015-07-15 Impact factor: 3.240
Authors: Lara Hilton; Susanne Hempel; Brett A Ewing; Eric Apaydin; Lea Xenakis; Sydne Newberry; Ben Colaiaco; Alicia Ruelaz Maher; Roberta M Shanman; Melony E Sorbero; Margaret A Maglione Journal: Ann Behav Med Date: 2017-04