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Review
. 2012 Nov;22(4):517-29.
doi: 10.1016/j.thorsurg.2012.08.001.

Psychosocial issues facing lung transplant candidates, recipients and family caregivers

Affiliations
Review

Psychosocial issues facing lung transplant candidates, recipients and family caregivers

Emily M Rosenberger et al. Thorac Surg Clin. 2012 Nov.

Abstract

Although lung transplantation is an accepted treatment for many individuals with severe lung disease, transplant candidates and recipients experience a range of psychosocial stressors that begin at the initiation of the transplant evaluation and continue throughout patients' wait for donor lungs, their perioperative recovery, and their long-term adjustment to posttransplant life. Transplant programs should strive to incorporate evidence-based interventions that aim to improve physical functioning, psychological distress, global quality of life, and medical adherence as well as to integrate symptom management and palliative care strategies throughout the pre- and posttransplantation course.

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Figures

Fig. 1
Fig. 1
Lung transplant timeline: examples of events and stressors that contribute to different phases of the transplantation experience as well as interventions that have demonstrated efficacy in reducing the impact of these stressors.
Fig. 2
Fig. 2
Side effects of immunosuppression. Dark-shaded bars represent the prevalence of each symptom; light-shaded bars represent the percentage of those experiencing each symptom who found it moderately-to-severely distressing. (Data from Kugler C, Geyer S, Gottlieb J, et al. Symptom experience after lung transplantation: impact on quality of life and adherence. Clin Transplant 2007;21:590–6.)

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