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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: J Hosp Palliat Nurs. 2015 Aug;17(4):309–318. doi: 10.1097/NJH.0000000000000165

Table 5.

Patient Intervention Education Topics Selected Physical, Psychological, Social and Spiritual Well-Being

Quality of Life Domain Early Stage Patients
N=123
Late Stage Patients
N=122
Total
N=245
PHYSICAL WELL BEING N % of Cases N % of Cases N % of Cases
Fatigue 93 76% 75 63% 168 69%
Pain 60 49% 29 24% 89 36%
Breathing Problems (dyspnea) 37 30% 42 35% 79 32%
Sleep Problems 45 37% 33 27% 78 32%
Constipation 38 31% 34 28% 72 29%
Appetite Problems/Weight Loss 34 28% 28 23% 62 25%
Cough 16 13% 37 30% 53 22%
Skin, Nail, Hair Changes 5 4% 39 32% 44 18%
Nausea and Vomiting 15 12% 18 15% 33 13%
Other 26 21% 26 11%
PSYCHOLOGICAL WELL BEING N % of Cases N % of Cases N % of Cases
Worry and Fear 105 85% 94 77% 199 81%
Depression 59 48% 72 59% 131 53%
Cognitive Changes 9 7% 72 59% 81 33%
Anger 18 15% 37 30% 55 22%
Other 12 1% 12 1%
SOCIAL WELL BEING N % of Cases N % of Cases N % of Cases
Social Support/Isolation 97 79% 62 51% 159 65%
Communication 53 43% 69 57% 122 50%
Changes in Relationships 44 36% 64 52% 108 44%
Healthcare Planning (Advanced Directive) 14 11% 82 67% 96 39%
Financial Burdens 26 21% 33 27% 59 24%
Sexual Changes 20 16% 15 12% 35 14%
Other 6 4% 6 0.2%
SPIRITUAL WELL BEING N % of Cases N % of Cases N % of Cases
Hope 110 89% 67 55% 177 72%
Inner Strength 103 84% 55 45% 158 64%
Uncertainty 92 75% 43 35% 135 55%
Purpose and Meaning in Life 28 23% 42 34% 70 29%
Positive Changes 4 0.3% 57 47% 61 25%
Redefining Self and Priorities 10 8% 45 37% 55 22%
Spiritual or Religious 13 11% 9 7% 22 9%
Other 4 3% 4 0.1%