Publications by authors named "Michelle Uchida Miwa"

Objectives: Dignity Therapy (DT) is a brief form of psychotherapy that helps people with life-threatening illnesses and their loved ones cope with emotional pain and demoralization. Unfortunately, not everyone has the opportunity to receive DT during their lifetime. Posthumous Dignity Therapy (PDT) was then devised to be administered to bereaved family members.

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Objectives: Dignity therapy (DT) was developed to help patients at their end of life to reframe and give meaning to their illness process. The DT question protocol focuses on personhood and important aspects of the individual's life. This study aimed to translate and culturally adapt the Dignity Therapy Question Protocol (DTQP) to Brazilian Portuguese.

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To develop a questionnaire that assesses the level of comprehension and decision-making capacity of patients with breast cancer about palliative care and advance care planning. Questionnaire items were based on the scientific literature. a three-round survey with experts (n  =  14), evaluated the relevance, clarity, and redundancies of the items.

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Article Synopsis
  • - The study aimed to evaluate the levels of self-perceived anguish and low quality of life among healthcare professionals caring for dying patients during the COVID-19 pandemic, while also determining various associated characteristics.
  • - An online survey conducted from July to October 2020 included 102 healthcare workers (mostly physicians, physiotherapists, and nurses) and found that 69.6% reported anguish, primarily among physicians, and 64.7% reported low quality of life, linked to inadequate communication with patients' families.
  • - Findings suggest that better support for healthcare professionals, particularly in communication and agreement on end-of-life care, is crucial to mitigate the psychological impact of the pandemic on their well-being.
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Objective: New strategies that allow timely referral to outpatient palliative care (PC) for cancer patients are sought. The authors developed a 16-item checklist tool with 3 categories of care priorities based on patients' physical functionality. To evaluate the potential clinical impact of the use of these criteria in patients with advanced breast and gynecological cancer (ABGC) seen at oncology clinics.

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