The best thing for patients and family members is to receive care from a medical team because their needs are often complex and unrecognized.  Depending on the diagnosis, the stage of the disease, the degree of nursing care needed and a variety of psychosocial factors, patients may need more or less technological assistance as well as a more intense or less intense degree of support. The care needs of patients and their families are dictated by medical and biological factors, as well as demographic factors (urban or rural environment) and psychosocial factors. Therefore, the care needs are unique to each patient and each family. However, the administration of care for those in periods of transition and for those who need evaluation, planning and continuous management represents a challenge that takes time so that it can become disorganized and unsystematic.Management and biopsychosocial monitoringThe biopsychosocial evaluation is a dynamic process. As indicated above, the initial assessment undertaken at the time of diagnosis or upon discharge from the hospital should be reexamined during the critical moments of the patient’s disease course. These critical or transitional points can occur at times of evolution or relapse of the disease or at times of functional changes. The change to the aftercare period also represents a significant transition (see the Special Considerations section). Other critical points may arise during a psychosocial crisis, such as the death or illness of a loved one or the person in charge of the aid, or at the time of a social crisis, such as the loss of work or the transition to home. For the elderly1 Changes in the biopsychosocial status can occur quickly, and it is advisable that the biopsychosocial reevaluation is incorporated into any outpatient routine or home care.Finally, any model of biopsychosocial care must recognize that disease, whether mortal or not, generates losses, hence the psychosocial mechanism of grief. (Refer to the PDQ summary of Grief, Bereavement, and Loss Management for more information.) Cancer temporarily or permanently interrupts lives, dreams, hopes, careers, aspirations, integrity, and the patient’s sense of security. Of his family, and each one expresses his feelings in a different way. These feelings are healthy and necessary for psychological recovery; however, if the person does not understand them and destructively manifest them, the effects can be devastating. Likewise, if the emotional crisis generated by a disease is handled successfully, Patients and families can acquire psychological growth and maturity

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