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Current Hematologic Malignancy Reports

, Volume 13, Issue 2, pp 109–113 | Cite as

Managing the Mental Distress of the Hematopoietic Stem Cell Transplant (HSCT) Patient: a Focus on Delirium

  • Joseph Bubalo
Stem Cell Transplantation (R Maziarz, Section Editor)
  • 84 Downloads
Part of the following topical collections:
  1. Topical Collection on Stem Cell Transplantation

Abstract

Purpose of Review

To highlight the breadth and types of mental distress experienced by hematopoietic stem cell transplant (HSCT) patients and highlight the need for better prevention and management of delirium.

Recent Findings

Recent publications highlight additional risks factors which predict for mental distress during the HSCT process. Despite new medications and additional psychological reports, there is little progress in non-pharmacologic or medication therapy in the prevention and treatment of delirium.

Summary

Mental distress, especially delirium, is common during the HSCT process. The morbidity associated with delirium and other mental distress can still be significant at 6–12 months after the completion of the procedure affecting patient functioning and quality of life (QOL). Medication interventions may be helpful but should be used sparingly for targeted patients during HSCT. Additional interventions are needed to prevent and treat delirium in HSCT patients.

Keywords

Hematopoietic stem cell transplantation Mental distress Delirium 

Notes

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Pharmacy ServicesOregon Health and Science University Hospital and ClinicsPortlandUSA

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