Related Experiment Videos
Early integration of palliative and supportive care in the cancer continuum: challenges and opportunities
Mellar P Davis1, Eduardo Bruera, Daniel Morganstern
1From Cleveland Clinic Lerner School of Medicine, Case Western Reserve University, and Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH; The University of Texas MD Anderson Cancer Center, Houston, TX, Harvard Medical School and Breast Oncology Center, Dana Farber Cancer Institute, Boston, MA.
Abstract:
Palliative care has become synonymously associated with hospice care in the minds of patients and physicians. Supportive care is a more acceptable term and leads to earlier referral. Miscommunication and a "collusion of hope" centered on cancer treatment is detrimental to care at the end of life and results in complicated bereavement. Patients, despite being told prognosis, may not comprehend the news even if delivered in an empathetic manner. There are resource and policy barriers to palliative care. However, integration of palliative care early in the management of advanced cancer has demonstrated multiple benefits without reducing survival.
Related Concept Videos
Continuing Care
Ethical Issues
Ethical Concerns in Healthcare:
Patient-centered Care
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Treatment Resistant Cancers