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Related Experiment Videos

A new international framework for palliative care.

S H Ahmedzai1, A Costa, C Blengini

  • 1Academic Palliative Medicine Unit, Clinical Sciences Division, Royal Hallamshire Hospital, The University of Sheffield, Sheffield S10 2JF, UK. s.ahmedzai@sheffield.ac.uk

European Journal of Cancer (Oxford, England : 1990)
|September 30, 2004
PubMed
Summary

Palliative care should be a human right for all cancer patients, offering round-the-clock support. This summary defines palliative care and proposes basic and specialized levels to improve patient quality of life.

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Area of Science:

  • Oncology
  • Palliative Medicine
  • Healthcare Policy

Background:

  • Despite advances in cancer treatment, most adult patients succumb to the disease.
  • Access to palliative care is inconsistent globally, necessitating a standardized approach.
  • Existing definitions of palliative care require refinement to encompass multi-professional specialization and diverse delivery models.

Purpose of the Study:

  • To propose a refined definition of palliative care.
  • To delineate between basic and specialized palliative care services.
  • To outline key priorities for standardizing and ensuring universal access to palliative care for cancer patients.

Main Methods:

  • The study proposes a new definition for palliative care: 'person-centred attention to symptoms, psychological, social and existential distress in patients with limited prognosis, in order to optimise the quality of life of patients and their families or close friends.'

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  • It further categorizes palliative care into 'Basic palliative care' (provided by all healthcare professionals) and 'Specialised palliative care' (provided by expert multi-professional teams).
  • Recommendations for improving access and standardization are presented, including integration with primary care and oncology, specialized services, education, research, quality assurance, and drug access.

    • Main Results:

    • A proposed definition of palliative care is presented, emphasizing person-centered attention to distress and quality of life optimization.
    • Two distinct levels of palliative care are proposed: Basic and Specialized, reflecting current delivery realities.
    • Key priorities for standardization and access include integration, specialized services, education, research, quality assurance, and improved drug access.

    Conclusions:

    • Palliative care should be recognized as a fundamental human right for all cancer patients, accessible 24/7.
    • The proposed definition and categorization of palliative care aim to enhance its delivery and accessibility.
    • Implementing the outlined priorities is crucial for standardizing palliative care and improving outcomes for cancer patients and their families.