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Psychological management for head and neck cancer patients: United Kingdom National Multidisciplinary Guidelines

  • G Humphris (a1)
Abstract
Abstract

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessment and interventions for the psychological management in this patient group.

Recommendations

• Audit of information supplied to patients and carers should be conducted on an annual basis to update and review content and media presentation. (G)

• Patients and carers should be invited to discuss treatment options and relate possible outcomes to functional retention or loss to provide a patient-centred approach. (G)

• Clinical staff should inspect their systems of assessment to make them sensitive enough to identify patients with psychological difficulties. (G)

• Flexibility, rather than rigid formulation is required to assess patients frequently, and to allow for change in circumstances to be noted. (G)

• Multidisciplinary teams should determine the supportive care services available and commission extra assistance to provide patients and carers with timely information, education or brief supportive advice. (G)

• Multidisciplinary teams need to inspect specialist services for mental health interventions at structured and complex levels for the small proportion of patients with more serious, but rarer, psychological difficulties. (G)

• Clinical staff at all levels should receive communication skills training to raise and maintain consultation expertise with difficult patient and/or carer interactions. (G)

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Address for correspondence: Gerry Humphris, University of St Andrews, Medical School, North Haugh, St Andrews, Fife KY16 9TF, UK E-mail: gmh4@st-andrews.ac.uk
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1 M Wells , M Cunningham , H Lang , S Swartzman , J Philp , L Taylor Distress, concerns and unmet needs in survivors of head and neck cancer: a cross-sectional survey. Eur J Cancer Care (Engl) 2015;24:748–60 Epub 2015/08/08

2 S Simard , B Thewes , G Humphris , M Dixon , C Hayden , S Mireskandari Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv Res Pract 2013;7:300–22 Epub 2013/03/12

4 G. Humphris The missing member of the head and neck multidisciplinary team – the psychologist! Why we need them! Curr Opin Otolaryngol Head Neck Surg 2008;16:108–12

5 H Badr , CL Carmack , MA. Diefenbach Psychosocial interventions for patients and caregivers in the age of new communication technologies: opportunities and challenges in cancer care. J Health Commun 2015;20:328–42 Epub 2015/01/30

7 JT. Newton Reactions to cancer: communicating with patients, family and carers. Oral Oncol 2010;46:442–4

8 CA Austin , D Mohottige , RL Sudore , AK Smith , LC. Hanson Tools to promote shared decision making in serious illness: a systematic review. JAMA Inter Med 2015;175:1213–21 Epub 2015/05/20

10 GM Humphris , G. Ozakinci Psychological responses and support needs of patients following head and neck cancer. Int J Surg 2006;4:3744 Epub 2007/04/28

11 CD Llewellyn , M McGurk , J. Weinman How satisfied are head and neck cancer (HNC) patients with the information they receive pre-treatment? Results from the satisfaction with cancer information profile (SCIP). Oral Oncol 2006;42:726–34

12 M Ethunandan , A Rennie , G Hoffman , P Morey , P. Brennan Quality of dying in head and neck cancer patients: a retrospective analysis of potential indicators of care. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:147–52

13 AJ. Mitchell Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. J Clin Oncol 2007;25:4670–81

15 LJ Hodges , GM. Humphris Fear of recurrence and psychological distress in head and neck cancer patients and their carers. Psychooncology 2009;18:841–8

16 M Hagedoorn , E. Molleman Facial disfigurement in patients with head and neck cancer: the role of social self-efficacy. Health Psychol 2006;25:643–7

17 S Rogers , B Scott , D Lowe , G Ozakinci , G. Humphris Fear of recurrence following head and neck cancer in the out-patient clinic. Eur Arch Otorhinolaryngol 2010;267:1943–9

18 SE Gross , A Nitzsche , TD Gloede , L Ansmann , R Street , H Pfaff The initial clinical interview – can it reduce cancer patients’ fear? Support Care Cancer 2015;23:977–84 Epub 2014/09/26

19 H Badr , C Yeung , MA Lewis , K Milbury , WH. Redd An observational study of social control, mood, and self-efficacy in couples during treatment for head and neck cancer. Psychol Health 2015;30:783802 Epub 2014/12/05

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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