@article{LukasczikWolfGerlichetal., author = {Lukasczik, Matthias and Wolf, H.D. and Gerlich, C. and L{\"o}ffler, S. and Vogel, Heidrun and Faller, H. and Neuderth, Silke}, title = {Current state of vocationally oriented medical rehabilitation - a German perspective}, series = {Disability and rehabilitation}, volume = {35}, journal = {Disability and rehabilitation}, number = {25-26}, publisher = {Informa Healthcare}, doi = {10.3109/09638288.2011.575528}, pages = {2646 -- 2655}, abstract = {The aim of this paper is to outline a current trend in inpatient medical rehabilitation in Germany, i.e. vocationally oriented medical rehabilitation (VOMR). Since employment-related demands and challenges pose a potential source of strain regarding employees' health and work ability, rehabilitative treatment in Germany is increasingly geared towards including work-related issues in diagnostics and therapy. To date, German rehabilitation research and practice have focussed primarily on the development of screening instruments for identifying vocational problems, interface management and inter-sectoral cooperation and the specification and standardisation of vocationally oriented interventions and programmes (e.g. work hardening, group interventions). Further developments in VOMR should examine the varying needs of patients for work-related interventions as well as the neglect of specific subgroups of patients (e.g. long-term unemployed) and topics (e.g. interference between work and other life domains).}, language = {en} } @article{SeekatzLukasczikLoehretal., author = {Seekatz, Bettina and Lukasczik, Matthias and L{\"o}hr, Mario and Ehrmann, Katja and Schuler, Michael and Keßler, Almuth F. and Neuderth, Silke and Ernestus, Ralf-Ingo and Oorschot, Birgitt, von}, title = {Screening for symptom burden and supportive needs of patients with glioblastoma and brain metastases and their caregivers in relation to their use of specialized palliative care}, series = {Supportive care in cancer}, volume = {25}, journal = {Supportive care in cancer}, number = {9}, publisher = {Springer}, address = {Berlin Heidelberg}, doi = {10.1007/s00520-017-3687-7}, pages = {2761 -- 2770}, abstract = {Purpose Patients with brain tumors have a high symptom burden and multiple supportive needs. Needs of caregivers are often unattended. This study aims to determine screening-based symptom burden and supportive needs of patients and caregivers with regard to the use of specialized palliative care (SPC). Methods Seventy-nine patients with glioblastoma and brain metastases and 46 caregivers were screened with standardized questionnaires following diagnosis and 2 months later. The screening assessed symptom burden, quality of life (QoL), distress, and supportive needs. Results The most relevant symptoms were drowsiness, tiredness, and low well-being (53-58\%). The most prevalent patient supportive needs were the need for information about available resources, the illness, and possible lifestyle changes (50-56\%). The most prevalent caregiver needs were information about the illness, lifestyle changes, and about available resources (56-74\%). Patients who received SCP and their caregivers had higher symptom burden and supportive needs than those without SPC. They reported moderate improvement in pain, distress, and QoL, while patients without SPC also improved their QoL, but had small to moderate deteriorations in pain, drowsiness, nauseas, well-being, and other problems. Distress of caregivers with SPC improved with moderate to large effect sizes but still was on a high level and remained stable for those without SPC. Conclusions Symptom burden and supportive needs were high, but even more caregivers than patients expressed high distress and supportive needs. SPC appears to reach the target group, both patients and caregivers with elevated symptom burden. Targeted interventions are needed to improve tiredness and drowsiness. Access provided by DEAL DE / Springer Compact Clearingstelle Uni Freiburg _}, language = {en} }