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The surgeon and palliative care: an evolving perspective.
1Palliative Care Consultation Service and Department of Surgery, Hamot Medical Center Hospital, Pennsylvania, USA.
Surgical Oncology Clinics of North America
|June 19, 2001
Summary
Surgeons face cognitive and psychological challenges in palliative care for incurable diseases. This article guides them by presenting the history and philosophy of palliative surgery.
Area of Science:
- Medical Humanities
- Surgical Oncology
- Palliative Care
Background:
- Palliative care is crucial for patients with advanced, incurable diseases.
- Surgeons encounter unique cognitive and psychological barriers in delivering palliative care.
- Historical perspectives and established palliative care philosophies offer guidance.
Purpose of the Study:
- To examine the cognitive and psychological barriers surgeons face in palliative care.
- To present the history and philosophy of palliative care in surgery.
- To offer a guide for surgeons to evolve their palliative care perspective.
Main Methods:
- Literature review of surgical history and palliative care philosophy.
- Analysis of cognitive and psychological factors influencing surgical decision-making in palliative contexts.
- Synthesis of historical contributions (e.g., Dame Cicely Saunders) and contemporary medical expertise.
Main Results:
- Identified specific cognitive biases and psychological challenges impacting surgeons' palliative care approach.
- Highlighted the evolution of palliative care philosophy within surgical practice.
- Demonstrated the existence of skilled surgical exponents of palliative care throughout history.
Conclusions:
- Surgeons can overcome barriers to palliative care by understanding historical context and established philosophies.
- Integrating palliative care principles enhances surgical practice for advanced disease management.
- Continuous evolution of surgeons' perspectives is vital for effective patient-centered palliative care.
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