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Patients' and Oncologists' Views on Family Involvement in Goals of Care Conversations

ConclusionsPatients and oncologists have similar views about family involvement in GoC conversations. Learning how to communicate with family members should be a critical component of physician education in palliative care.
Source: Psycho-Oncology - Category: Cancer & Oncology Authors: Tags: PAPER Source Type: research

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In my second year of residency, I was on the hematology/oncology service where we were taking care of a pleasant lady in her 80s who was admitted with pancreatic cancer. It was apparent that the disease had spread rapidly, and when we discussed her at rounds, we knew that she likely had a few months to live, at best. We also knew, however, that there were life-extending treatment options we could provide. When we walked into her room and presented these to her, she was attentive and listened respectfully, and she ultimately decided not to pursue any more treatment. What struck me was how content she was with the decision a...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Palliative Care Source Type: blogs
In a Belgian study, integration of palliative care as part of cancer care increased the quality of life of patients with advanced malignant solid tumors.
Source: CancerNetwork - Category: Cancer & Oncology Authors: Tags: News Palliative and Supportive Care Source Type: news
Authors: Schuler PJ, von Witzleben A, Doescher J, Wollenberg B, Dietz A, Hoffmann TK Abstract In recent years, immunotherapy has been shown to be a promising approach for the treatment of various tumor entities. Due to further pharmacological developments and new studies, the checkpoint inhibitors have now arrived in the clinic. To date, patients with cancers in the head and neck region have benefited from these agents as part of a palliative therapy. Current clinical trials are testing other indications for the checkpoint inhibitors as monotherapy or in combination with other therapeutic approaches. The ...
Source: HNO - Category: ENT & OMF Tags: HNO Source Type: research
It has been more than 50  years since Charles Dotter performed a catheter-based intervention to dilate a stenotic segment of the superficial femoral artery of an 82-year-old woman (Roesch, Keller,&Kaufman, 2003). In the ensuing years, the evolution of image guidance technology has resulted in the development of diagnostic, therapeutic, palliative, and curative procedures of increasing complexity for a range of conditions offered to patients, both pediatric and adult, with varying levels of acuity, across the cancer disease arch.
Source: Journal of Radiology Nursing - Category: Radiology Authors: Tags: Oncology Imaging and Interventions Across the Lifespan Source Type: research
Conclusions: Data support theoretical understanding of the dynamism of readiness. Future research that validates adolescent conceptualization will ensure age-appropriate readiness representation. Implications for Practice: Understanding the dynamic process of readiness for engaging in end-of-life preparedness provides clinician insight for guiding discussions that facilitate shared decision making and promote quality of life for adolescents and their families.
Source: Cancer Nursing - Category: Nursing Tags: Articles: Online Only Source Type: research
Guidelines from standard-setting organizations in oncology support early adoption of palliative care along with usual oncologic care1 and Telemedicine has been utilized to improve access. A recent review examined the use of Telemedicine to provide palliative care when patient travel is excessively burdensome or not possible.2 Results showed patient and caregiver satisfaction and improved comfort from symptoms. The potential for novel uses of Telemedicine beyond symptom control in oncologic supportive/palliative care was recently demonstrated via a Telemedicine approach to supportive group psychotherapy for young adults with cancer.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
Haematological malignancies (leukaemias, lymphomas and myeloma) are complex cancers that are relatively common, affect all ages and have divergent outcomes. Although the symptom burden of these diseases is com...
Source: BMC Palliative Care - Category: Palliative Care Authors: Tags: Research article Source Type: research
Head and neck cancer (HNC) is a disease of older adults. Recurrent and metastatic head and neck squamous cell carcinoma portends a poor prognosis, with median overall survival of less than 12  months. Within this vulnerable population, significant treatment-related toxicities and physical and psychosocial sequelae can be devastating to quality of life at the end of life. Shared decision making and early comprehensive palliative and support services are at the crux of the approach to old er adults with HNC. In doing so, low-value care that fails to meet the goals of patients and their caregivers at the end-of-life may be avoided.
Source: Clinics in Geriatric Medicine - Category: Geriatrics Authors: Source Type: research
We describe how a palliative care approach can empower clinicians, patients, and families to reduce common sources of suffering and optimize quality of life. This field recognizes the importance of primary palliative care (palliative skills useful for any clinician caring for persons caring for serious illness) as a foundation of the palliative care approach and complementary to specialist palliative care. In this article, we will focus on primary palliative care skills for movement disorder specialists including providing a diagnosis and prognosis with compassion, discussing goals of care, complex symptom management, care...
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research
Opioids are an essential class of drugs used in pain management. In recent years, complex mechanisms pertaining to their abusive use have prompted a deadly crisis which is unfolding in the United States. The U.S. Centers for Disease Control and Prevention stated that 91 Americans lose their lives daily due to an overdose of opioid drugs. This public health crisis has inspired much apprehension even among Haitian diaspora in the United States. Although needed painkillers are notably lacking in developing countries, the fear of a similar path has led a high-profile personality to advise against their use in Haiti. Indeed, he...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Policy Pain Management Primary Care Source Type: blogs
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